WITH ACCURATE SOLUTIONS
1. In a scenario where a patient with pneumonia requires tracheostomy care,
what factors should the RN consider before delegating this task to an
LPN?
The RN should consider the LPN's training, the patient's stability,
and the complexity of the care required.
The RN should only focus on the LPN's workload and not the
patient's needs.
The RN should delegate without considering the patient's
condition.
The RN should only consider the hospital policy on delegation.
2. Which healthcare team member is responsible for arranging meal
delivery services for patients?
Physical therapist
Occupational therapist
Social worker
Registered dietitian
3. If a nurse observes that a patient requires frequent suctioning due to
excessive secretions, what should the nurse consider regarding the
suctioning protocol?
Perform suctioning without assessing the patient's condition
Increase the routine suctioning to every hour
Adjust the suctioning frequency based on the patient's needs
,Use a single catheter for multiple attempts
,4. What will the nurse teach about home O2 safety?
it is safe to use nail polish while on O2
cotton bedding should be replaced with wool
must be at least 10 ft away from tank to smoke
a no smoking sign should be placed on the front door
5. The nurse is caring for a client who is 2 days postoperative from a left hip
replacement. The client states the incision is warm to touch, red, with
increasing pain. Which assessment is correct?
The incision is healing
The client is drug-seeking
The client has an infection
The client has had too much physical therapy
6. In the electronic medical record, the nurse finds an order for 1 L
D5/0.45% NaCl every 5 hours. The nurse uses IV tubing drop factor 15
gtt/mL. What is the correct flow rate in drops per minute for this IV
infusion?
40 gtt/min
50 gtt/min
30 gtt/min
20 gtt/min
7. When a patient is receiving oxygen at home, which instruction to the
family would help them understand how to use the oxygen safely?
Keep oxygen 5 feet away from anything that can generate a spark
Increase oxygen level as needed for the patient's comfort
Store extra oxygen cylinders horizontally
, Place a "No Smoking" sign at the entrance of the home
8. What is the formula used to calculate pulse deficit?
Radial pulse rate + Apical pulse rate
Radial pulse rate - Apical pulse rate
Apical pulse rate / Radial pulse rate
Apical pulse rate - Radial pulse rate
9. Why is it important for a nurse to assist a postoperative client in changing
positions frequently?
To promote circulation and reduce the risk of thrombus
formation
To ensure the client is comfortable
To monitor vital signs more effectively
To prepare the client for discharge
10. If a client incorrectly pulls their ear up and back instead of down and
back while administering ear drops, what potential issue could arise?
The ear drops may cause irritation to the outer ear.
The ear drops may be absorbed too quickly.
The ear drops may cause a blockage in the ear canal.
The ear drops may not reach the ear canal effectively.
11. If a young adult male presents with an exaggerated lumbar curvature
during a musculoskeletal assessment, what nursing intervention should
be prioritized?
Provide education on dietary changes.
Refer the client for further evaluation by a specialist.