NS119 Exam 4 (2025)Actual Exam
Test|COMPLETE QUESTIONS WITH VERIFIED
ANSWERS With rationales (100% Accurate
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A nurse is caring for a C, D, E
client who fell at a
nursing home. The client
is oriented to person,
place, and time and can
follow directions. Which
of the following actions
should the nurse take to
decrease the risk of
another fall (Select all)
A) Place a belt restraint
on the client when they
are sitting on the bedside
commode.
B) Keep the bed in its
lowest position with all
side rails up
C) Make sure that the
client's call light is within
reach
D) Provide the client with
non-skid footwear
E) complete a fall risk
assessment.
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A nurse manager is B
reviewing with nurses on
the unit in the care of a
client who has had a
seizure. Which of the
following statements by a
nurse requires further
instruction?
A. I will place client on
side
B. I will go to the nurses
station for assistance
C. I will note the time that
the seizure begins
D. I will prepare to insert
an airway
A nurse observes smoke C. Move clients who are nearby
coming from under the
door of the staff's lounge.
Which of the following
actions is the nurse's
priority?
A. Extinguish the fire.
B. Activate the fire alarm
C. Move clients who are
nearby
D. Close all open doors
on the unit.
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A nurse is caring for a A. complete a fall risk assessment
client who has a history
of falls. Which of the
following actions is the
nurse's priority?
A. Complete a fall-risk
assessment
B. educate the client and
family about fall risks.
C. Eliminate safety
hazards from the client's
environment
D. Make sure the client
uses assistive aids in their
possessions.
A nurse discovers a small D. place wet towels along the base of the door to
paper fire in a trash can in the clients room.
a client's bathroom. The
client has been taken to
safety and the alarm has
been activated. Which of
the following actions
should the nurse take?
A. Open the windows in
the client's room to allow
smoke to escape
B. Obtain a class C fire
extinguisher to extinguish
the fire.
C. Remove all electrical
equipment from the
client's room
D. Place wet towels along
the base of the door to
the client's room.
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A nurse is providing B, C, E
discharge instructions to
a client who has a
prescription for oxygen
use at home. Which of
the following information
should the nurse include?
(select all that apply)
A. Family members who
smoke must be at least 10
ft from the client when
oxygen is in use
B. Nail polish should not
be used near a client
who is receiving oxygen.
C. A "No Smoking" sign
should be placed on the
front door.
D. Cotton bedding and
clothing should be
replaced with items
made from wool.
E. A fire extinguisher
should be readily
available in the home.
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