LATEST VERSION A & B 2024 COMPLETE 200
QUESTIONS AND CORRECT DEATAILED
ANSWERS WITH RATIONELS ALREADY
GRADED A+
A nurse is observing an AP take a client's tympanic temperature. Which of the following
actions should the nurse identify as an indication that the AP understands how to
perform the procedure?
A. The AP points the probe posteriorly.
B. The AP positions the client facing her.
C. The AP pulls the pinna up and back.
D. The AP inserts the probe with a straightforward motion.
A charge nurse is monitoring a group of assistive personnel AP regarding the use of
gloves in contact precaution isolation. For which of the following actions by an AP
should the charge nurse intervene?
A. Washes hands after removing gloves
B. Removes gloves last after other personal protective equipment
C. Pulls gloves off inside-out when task are completed
,D. Changes gloves between tasks for the same client Rationale:
A nurse is preparing to delegate client care to an assistive personnel AP. Which of the
following information should the nurse verify prior to delegation?
A. The AP's years of experience
B. The client's length of facility stay
C. The client's age
D. The AP's job description
A charge nurse in a long-term care facility observes an assistive personnel (AP) arriving
late to his shift and slurring his words. The charge nurse suspects the AP has alcohol
intoxication and removes the AP from performing client care. Which of the following
actions the nurse takes when reporting the incident?
A. Write a clear description of the incident.
B. Request the risk manager to follow through with the report.
C. Interview other staff members about the incident.
D. Report the in
A nurse is assisting with the plan of care for an older adult client who has dementia and
is experiencing nocturnal confusion. Which of the following actions should the nurse
take to decrease the client's risk for injury?
A. Activate a bed alarm.
B. Keep overhead lights on through the night.
C. Encourage napping during the daytime.
D. Minimize contact with the client.
A nurse is collecting data from a client who is at 12 weeks of gestation. The client
states, "We've been trying to get pregnant for several months, but now I'm not sure I'm
ready." Which of the following responses should the nurse make?
,A. "Many women experience feelings of ambivalence during pregnancy."
B. "I wouldn't worry about it if I were you. You'll be a good mother."
C. "You need to talk to a therapist about how you're feeling."
D. "Why do you feel that way if you've been trying
A charge nurse in a long-term care facility is developing a performance improvement
plan for assistive personnel (AP). Which of the following actions should the nurse take
when developing the plan? (Select all that apply.)
A. Ask the nurse supervisor to review the plan.
B. Performance goals on peer comments.
C. Include the performance standard that the AP should meet.
D. Set a specific time frame for meeting performance goals.
E. Request clients complete an evaluation about the AP's quall - d. Set a specific time
frame for meeting performance goals.
A nurse in a clinic is caring for a client who is at 40 weeks gestation and experiences a
sudden gush of vaginal fluids. Which of the following findings is evidence of an obstetric
complication?
A. Has a pH of 7
B. Appears greenish-brown in color
C. Preceded by bloody mucus
D. Turns a nitrating strip blue -ANSWER-
A nurse is contributing to the plan of care for a client who has COPD. which of the
following interventions should the nurse make?
A. Provide the client with 3 large meals each day.
B. Limit fluid intake to 1,000 mL daily.
C. Place the client in an orthopedic position.
D. Encourage the client to cough and deep breathe once every 8 hours.
, A nurse is collecting data from a client who is taking an oral contraceptive. Which of the
following findings is a contraindication for the use of oral contraceptives?
A. Irregular menstrual cycles
B. History of mononucleosis 1 year ago
C. Headaches with aura
D. GERD
A nurse is reinforcing teaching with a client who had primary open-angle glaucoma and
a new prescription for tombolo eye drops. Which of the following statements indicates
an understanding of the teaching?
A. "I should take a zinc supplement while taking this med."
B. "I should check my heart rate while taking this medication."
C. "This medication will darken the color of my eyes."
D. "This medication will dilate my eyes."
A nurse is preparing to administer eye drops to a child. Which of the following actions
should the nurse take?
A. Wipe from the outer to the inner canthus after administering the drops.
B. Apply pressure to the lacrimal uncut after administering the drops.
C. Flush the eye with normal saline solution before administering the drops.
D. Position the child side-lying on the bed before administering the drops.
A charge nurse is reinforcing teaching with a newly licensed nurse about the nurse's
role in obtaining informed consent. Which of the following statements by the newly
licensed nurse indicates an understanding of the teaching?
A. "When I sign the consent form, i am stating that the client appears to be competent to
give consent"
B. "I will sign the consent form to indicate that the client has received written materials
explaining the procedure."