LATEST QUESTIONS AND ANSWERS UPDATED
(VERIFIED BY EXPERT)
While providing oral care for a client who is unconscious, the nurse positions the
client laterally and uses a basin to collect secretions. Which intervention is best for
the nurse to implement? - ANSWER Provide a Yankauer tip for oral suction (oral
suction being placed on the buccal area).
At the patient's room the doctor tells the nurse to trim the toenails of the DM patient's
toes. What will you do? - ANSWER Advise the doctor about the facility's policy.
Mastectomy incision is healing well but patient refuses to look at the incision site.
What will be your intervention? - ANSWER It is ok not to look at it, I am available
for you when you are ready for it.
A college student states that his roommate is hearing voices that says "Kill, kill, kill",
what should be the intervention? - ANSWER Ask the client "are you planning to
obey the voices?"
Which task could the nurse safely delegate to a UAP? - ANSWER Oral feeding of
a two-year-old child after the application of a hip spica cast.
In monitoring a child with Type 1 diabetes mellitus, the nurse observes that the child
is exhibiting Kussmaul respiration. What additional finding is suspected - ANSWER
fruity odor breath.
The nurse concludes that the client is developing pulmonary edema after observing -
ANSWER cough with pink frothy sputum.
a client with hypertension complains of a persistent, dry cough. the PN should tell the
client that this is a common side effect of which daily medication? - ANSWER
Quinapril
The HCP gives a pregnant women a prescription for one prenatal vitamin with iron
daily, and tells her that she needs to increase foods in her diet because her
hemoglobin is 8.2 grams/dL. When a list of iron rich foods is given to the client, She
tells the PN that she is vegetarian and does not eat anything that "bleeds." Which
instruction should the PN provide? Select All That Apply
A. Take two prenatal vitamins with iron daily
B. Increase green leafy vegetables in the diet
C. Oatmeal is a good choice for breakfast
D. Add lentils and black beans to soup
, E. Eat red meat just until the anemia is resolved - ANSWER -B. Increase green
leafy vegetables in the diet
-C. Oatmeal is a good choice for breakfast
-D. Add lentils and black beans to soup
The practical nurse is caring for a client whose urine drug screen is positive for
cocaine, Which behavior is this client likely to exhibit during cocaine withdrawal?
A. Elevated energy level
B. Euphoria
C. High self-esteem
D. Powerful craving for more - ANSWER D. Powerful craving for more
When the practical nurse (PN) attempts to assist an 18 year old client with a mild
mental disability to ambulate on the first postoperative day after an appendectomy.
She becomes angry and yells at the PN "Get out of here I'll get up when I'm ready"
Which response is best for the PN to make? - ANSWER I know you feel angry
about the pain of the ambulation, but this is a necessary part of getting well./
returning in 30 minutes
The UAP reports to the PN that an older client has a radial pulse of 55 bpm. which
intervention should the PN implement first - ANSWER Listen to the apical pulse for
a full minute, obtain a full minute apical pulse assessment.
GI bleeding - ANSWER Coffee ground emesis, black tarry stool.
Hypospadias - ANSWER Abnormal congenital opening of the male urethra on the
undersurface of the penis.
The most common cause of pulmonary edema is - ANSWER Left-sided heart
failure.
Right-sided heart failure - ANSWER The patient has increased central venous
pressure, jugular venous distention, abdominal engorgement, and dependent
edema.
An oil retention enema is prescribed for a hospitalized client. The practical nurse
(PN) should administer the enema solution at which temperature? - ANSWER The
enema should be body temperature. The solution should approximate the client's
body temperature ( 98 F or 36 C)
postpartum woman tells PN she has been voiding every hour, "is this okay"? what
does the nurse do - ANSWER measure the client's next void
A 6-month-old infant brought for injections, what should you do (SATA) - ANSWER
- Vastus lateralis muscle
-encourage mother to hold the infant still
-Administer injection at a 90 degree angle.