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watery diarrhea. Which of the following actions should the nurse
plan to take while waiting for the client's lab results?
1. obtain stool culture from all client on the nursing unit
2.Place all client who have manifestation on contact precaution
3. Perform hand hygiene with an alcohol based agent
4. Request the provider to initiate antibiotic therapy for every client
on the unit. - CORRECT ANSWER 2.Place all client who have
manifestation on contact precaution
A nurse is reinforcing home safety information with an older adult
client. Which of the following statements should the nurse identify
as an indication that the client needs further instruction?
1. " I should have grab bars installed in my bathroom"
2. " I should leave a night light on when I go to bed a night"
3. " I should use my walker carefully when going upstairs"
4. " I should have my son change the batteries in my smoke detetors
each years. - CORRECT ANSWER 3. " I should use my walker
carefully when going upstairs"
A nurse is caring for a client who presents to an urgent care with a
laceration on his forearm. Which of the following activities is an
example of primary prevention?
1. Suturing the client's wound
,2. Applying a sterile dressing
3. Administering a tetanus immunization
4. Teaching the client about follow-up care - CORRECT ANSWER
3. Administering a tetanus immunization
A nurse has accepted a position on a pediatric unit and is learning
more about psychosocial development. Identify the order of
Erikson's stages of psychosocial development from birth through 18
years.
( move the step and select order)
Trust vs. mistrust
Initiative vs. guilt
Identity vs. role confusion
Industry vs. inferiority
Autonomy vs. shame and doubt - CORRECT ANSWER Trust vs.
mistrust
Autonomy vs. shame and doubt
Initiative vs. guilt
Industry vs. inferiority
Identity vs. role confusion
A nurse is reinforcing teaching to a group of older adults about
sources of complete and incomplete protein. Which of the following
foods should the nurse include as a complete protein?
1. Yogurt
2. Fresh vegetables
3.Nuts
4. dried bean - CORRECT ANSWER 1. Yogurt
A nurse is assisting in preparing a presentation at a senior center
about age-related musculoskeletal changes. Which of the following
alterations is appropriate for the nurse to include?
,1. Decreased muscle mass
2. Thickened vertebral disk
3. Decrease chest width
4. Increased force of isometric contraction - CORRECT ANSWER
1. Decreased muscle mass
A client with pneumonia is experiencing respiratory distress. The
order states, "if respiratory distress occurs, apply a face mask with
precise concentration of oxygen". Which of the following masks
delivers precise oxygen concentration?
1. Partial rebreather mask
2. Venturi mask
3. Non-rebreather mask
4. Aerosol mask - CORRECT ANSWER 2. Venturi mask
The RN has just received a client who is schedule for a subtotal
thyroidectomy. The RN has just delegated to the LPN to receive the
client. Which of the following interventions would the LPN defer to
the RN to perform?
1. Provide client education.
2. Organize in the room , necessary equipment
3. provide hospital attire and assist as needed
4. Apply the identification bracelet and allergy band if needed. -
CORRECT ANSWER 1. Provide client education.
A nurse is assigned care of a client who has HIV. Which of the
following infection control precautions should the nurse plan to use
while caring for this client?
1. standard precaution
2. Airborne precaution
3. contact precaution
, 4. Droplet precaution - CORRECT ANSWER 1. standard
precaution
A nurse is reviewing a provider's prescriptions for a group of
clients. Which of the following client prescriptions should the
licensed practical nurse (LPN) clarify with the provider?
1. Administer 1 g of vancomycin intrathecally.
2. Insert an indwelling urinary catheter if bladder scan is greater
than 500 ml
3. Perform sterile dressing change on leg wound
4. Reinforce teaching about foot care for type 1 diabetes mellitus -
CORRECT ANSWER 1. Administer 1 g of vancomycin
intrathecally.
A nurse is caring for an older adult client who has constipation.
Which of the following actions should the nurse take?
1. Request that the provider prescribe a stool softener
2. Promote active range of motion activities
3. Add fluid and fiber to the diet
4. Avoid gas-producing foods. - CORRECT ANSWER 3 add fluid
and fiber to the diet
A nurse is planning to perform passive range of motion for a client
who is immobilized. Which of the following actions should the nurse
plan to take?
1. Spending extra time to calm an agitated client
2. Describing the adverse effects of a client's medication
3. Supporting a client's wishes to refuse prescribed treatment.