NS119 Exam 4 Questions and Answers Latest Update 2025 Graded A+
A nurse is caring for a 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. - Answers C, D, E
A nurse manager is 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 - Answers B
A nurse observes smoke 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. - Answers C. Move clients who are nearby
A nurse is caring for a 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. - Answers A. complete a fall risk
assessment
,A nurse discovers a small paper fire in a trash can in 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. - Answers D. place wet towels along
the base of the door to the clients room.
A nurse is providing 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. - Answers B, C, E
A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The
nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who
has heat stroke will have which of the following?
A. Hypotension
B. Bradycardia
C. Clammy skin
D. Bradypnea - Answers A
A nurse educator is conducting a parenting class for new guardians of infants. Which of the following
statements made by a participant indicates understanding?
A I will set my water heater at 130 F
B. Once my baby can sit up they should be safe in the bathtub
C. I will place my baby on their stomach to sleep.
D. Once my infant starts to push up, I will remove the mobile from over the crib - Answers D.
,A home health nurse is discussing the dangers of carbon monoxide poisoning with a client. Which of the
following information should the nurse include
A. Carbon monoxide has a distinct odor
B. Water heaters should be inspected every 5 years
C. the lungs are damaged from carbon monoxide inhalation
D. Carbon monoxide binds with hemoglobin in the body - Answers D.
A home health nurse is discussing the dangers of food poisoning with a client. Which of the following
information should the nurse include? (Select all that apply)
A. Most food poisoning is caused by a virus
B. Immunocompromised individuals are at increased risk for complications from food poisoning
C. Clients who are at high risk should eat or drink only pasteurized dairy products
D. Healthy individuals usually recover from the illness in a few weeks.
E. Handling raw and fresh food separately can prevent food poisoning - Answers B, C, E
A nurse is caring for multiple clients during a mass casualty event. Which of the following clients is the
nurse's priority?
A. A client who received crush injuries to the chest and abdomen and is expected to die
B. A client who has a 4 inch laceration to the head
C. A client who has partial-thickness and full-thickness burns to his face, neck and chest
D. A client who has a fractured fibula and tibia - Answers C
A nurse eduator is teaching staff members about facility protocol in the event of a tornado. Which of the
following should the nurse include? (select all that apply)
A. Open doors to client rooms
B. Place blankets over clients who are confined to beds.
C. Move beds away from windows.
D. Draw shades and close drapes
E. Instruct ambulatory clients in the hallways to return to their rooms - Answers B,C,D
, An occupational health nurse is caring for an employee who was exposed to an unknown dry chemical,
resulting in a chemical burn. Which of the following interventions should the nurse include in the plan of
care?
A. Irrigate the affected area with running water
B. Was the affected area with soap
C. Brush the chemical off the skin and clothing
D. Leave the clothing in place until emergency personnel arrive - Answers C.
A security officer is reviewing actions to take in the event of a bomb threat by phone to a group of
nurses. Which of the following statements by a nurse indicates understanding?
A. I will get the caller off the phone as soon as possible so I can alert the staff.
B. I will begin evacuating clients using the elevators
C. I will not ask any questions and just let the caller talk
D. I will listen for background noise - Answers D.
A nurse on a med-surg unit is informed that a mass casualty event occurred in the community and that it
is necessary to discharge stable clients to make beds available for injury victims. Which of the following
clients should the nurse recommend for discharge? (Select all that apply)
A. A client who is dehydrated and receiving IV fluid and electrolytes
B. A client who has a nasogastric tube to treat a small bowel obstruction
C. A client who is scheduled for elective surgery
D. A client who has chronic hypertension and a blood pressure of 135/85
E. A client who has acute appendicitis and is scheduled for an appendectomy - Answers C, D
A nurse on a med-surg unit has received change of shift report and will care for four clients. Which of
the following tasks should the nurse assign to a CNA?
A. Updating the plan of care for a client who is postoperative
B. Reinforcing teaching with a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client
D. Applying a sterile dressing to a pressure injury - Answers C, because teaching, updating plan of care
and applying sterile dressing are all nurses job.
A nurse is caring for a 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. - Answers C, D, E
A nurse manager is 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 - Answers B
A nurse observes smoke 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. - Answers C. Move clients who are nearby
A nurse is caring for a 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. - Answers A. complete a fall risk
assessment
,A nurse discovers a small paper fire in a trash can in 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. - Answers D. place wet towels along
the base of the door to the clients room.
A nurse is providing 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. - Answers B, C, E
A nurse educator is presenting a module on basic first aid for newly licensed home health nurses. The
nurse educator evaluates the teaching as effective when the newly licensed nurse states the client who
has heat stroke will have which of the following?
A. Hypotension
B. Bradycardia
C. Clammy skin
D. Bradypnea - Answers A
A nurse educator is conducting a parenting class for new guardians of infants. Which of the following
statements made by a participant indicates understanding?
A I will set my water heater at 130 F
B. Once my baby can sit up they should be safe in the bathtub
C. I will place my baby on their stomach to sleep.
D. Once my infant starts to push up, I will remove the mobile from over the crib - Answers D.
,A home health nurse is discussing the dangers of carbon monoxide poisoning with a client. Which of the
following information should the nurse include
A. Carbon monoxide has a distinct odor
B. Water heaters should be inspected every 5 years
C. the lungs are damaged from carbon monoxide inhalation
D. Carbon monoxide binds with hemoglobin in the body - Answers D.
A home health nurse is discussing the dangers of food poisoning with a client. Which of the following
information should the nurse include? (Select all that apply)
A. Most food poisoning is caused by a virus
B. Immunocompromised individuals are at increased risk for complications from food poisoning
C. Clients who are at high risk should eat or drink only pasteurized dairy products
D. Healthy individuals usually recover from the illness in a few weeks.
E. Handling raw and fresh food separately can prevent food poisoning - Answers B, C, E
A nurse is caring for multiple clients during a mass casualty event. Which of the following clients is the
nurse's priority?
A. A client who received crush injuries to the chest and abdomen and is expected to die
B. A client who has a 4 inch laceration to the head
C. A client who has partial-thickness and full-thickness burns to his face, neck and chest
D. A client who has a fractured fibula and tibia - Answers C
A nurse eduator is teaching staff members about facility protocol in the event of a tornado. Which of the
following should the nurse include? (select all that apply)
A. Open doors to client rooms
B. Place blankets over clients who are confined to beds.
C. Move beds away from windows.
D. Draw shades and close drapes
E. Instruct ambulatory clients in the hallways to return to their rooms - Answers B,C,D
, An occupational health nurse is caring for an employee who was exposed to an unknown dry chemical,
resulting in a chemical burn. Which of the following interventions should the nurse include in the plan of
care?
A. Irrigate the affected area with running water
B. Was the affected area with soap
C. Brush the chemical off the skin and clothing
D. Leave the clothing in place until emergency personnel arrive - Answers C.
A security officer is reviewing actions to take in the event of a bomb threat by phone to a group of
nurses. Which of the following statements by a nurse indicates understanding?
A. I will get the caller off the phone as soon as possible so I can alert the staff.
B. I will begin evacuating clients using the elevators
C. I will not ask any questions and just let the caller talk
D. I will listen for background noise - Answers D.
A nurse on a med-surg unit is informed that a mass casualty event occurred in the community and that it
is necessary to discharge stable clients to make beds available for injury victims. Which of the following
clients should the nurse recommend for discharge? (Select all that apply)
A. A client who is dehydrated and receiving IV fluid and electrolytes
B. A client who has a nasogastric tube to treat a small bowel obstruction
C. A client who is scheduled for elective surgery
D. A client who has chronic hypertension and a blood pressure of 135/85
E. A client who has acute appendicitis and is scheduled for an appendectomy - Answers C, D
A nurse on a med-surg unit has received change of shift report and will care for four clients. Which of
the following tasks should the nurse assign to a CNA?
A. Updating the plan of care for a client who is postoperative
B. Reinforcing teaching with a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client
D. Applying a sterile dressing to a pressure injury - Answers C, because teaching, updating plan of care
and applying sterile dressing are all nurses job.
