ANSWERS EXAM - ACTUAL EXAM WITH A STUDY
GUIDE AND PRACTICE EXAM | GUARANTEED PASS |
LATEST UPDATE
A nurse enters a client's room and finds the client on the floor
experiencing a seizure. Which of the following actions should the nurse
take?
Apply restraints to the client's arms and legs.
Transfer the client from the floor to the bed.
Insert a tongue depressor into the client's mouth.
Position the client on their side. - CORRECT ANSWER Position the client
on their side;
The nurse should position the client on their side. This assists the client's
airway to remain open and can prevent aspiration if the client has
emesis or secretions in their mouth.
A nurse is preparing to administer medications to a client. Which of the
following information should the nurse use to verify the client's identity?
Home telephone number
The provider's name
Work address
Room number - CORRECT ANSWER Home telephone number;
The nurse should recognize the client's home telephone number is an
acceptable identifier to use when identifying the client prior to
medication administration. Other acceptable client identifiers can be the
,client's medical identification number, the name on the client's
wristband, or a photograph of the client.
A nurse is reviewing a new prescription from a provider that reads:
regular insulin 12 units before meals. Which of the following parts of the
prescription should the nurse clarify with the provider?
Medication name
Route of administration
Dose
Frequency of administration - CORRECT ANSWER Route of
administration;
The nurse should identify the route of administration for the medication
is missing from the prescription. All prescriptions should include the
client's name, the date and time of the prescription, the name of the
medication, the dose, and the frequency of administration along with
the provider's name and the name of the person who is transcribing the
prescription.
A nurse is communicating with a client who has hearing loss. Which of
the following actions should the nurse take?
Avoid using hand gestures when speaking to the client.
Repeat the same information verbatim if the client does not understand.
Sit at the same level as the client.
Use a raised tone of voice when speaking with the client. - CORRECT
ANSWER Sit at the same level as the client;
The nurse should sit or stand at the same level as the client when
communicating. The nurse should also face the client and ensure that
the lighting in the room is adequate for the reading of lips.
,a nurse is assessing a client who has completed a session of meditation.
Which of the following findings indicates a therapeutic response to this
therapy?
Client report of stiff muscles
Decrease in respiratory rate
Increase in blood pressure
Client report of decreased ability to focus - CORRECT ANSWER
Decrease in respiratory rate;
The intention of meditation is to allow the client to relax the body and
still the mind by focusing on becoming "mindful." The nurse should
expect the client to exhibit a decrease in respiratory rate as a
therapeutic response to the meditation session.
A nurse is communicating with a client who has hearing loss. Which of
the following actions should the nurse take?
Shout when speaking to the client.
Speak at a moderate rate.
Use short phrases when speaking.
Overarticulate words when speaking. - CORRECT ANSWER Speak at a
moderate rate;
The nurse should assist the client who has hearing loss by speaking at a
moderate to slow rate when addressing the client. Clients who have
hearing loss sometimes need a longer time to process the words being
spoken.
A nurse is reinforcing teaching with a client about how to use her new
hearing aids. Which of the following client statements indicates an
understanding of the teaching?
, "I should turn the volume on my hearing aid up until I hear a whistling
sound."
"I should begin wearing my hearing aid for 4 hours each day."
"I should wipe my hearing aid with a damp cloth."
"I should turn my hearing aid on before I insert it into my ear." -
CORRECT ANSWER "I should wipe my hearing aid with a damp cloth."
The nurse should instruct the client to clean their hearing aid by wiping
it with a soft, damp cloth. If the device has a detachable earmold, the
client can soak it in soapy water if necessary. The client should avoid
using alcohol to clean the hearing aid or submerging it in water to
prevent damage to the device.
A nurse is planning to administer medications to a client. which of the
following actions should the nurse take?
Administer a stat medication 30 min after the prescription is written.
Return medications that the client refuses to take to their original
container.
Compare the medication label with the client's medication
administration record three times.
Use at least one client identifier to verify the client's identity before
administering a medication. - CORRECT ANSWER Compare the
medication label with the client's medication administration record
three times;
The nurse should compare the medication label with the client's
medication administration record a minimum of three times before
administration. This ensures the nurse is following the six rights of
medication administration to prevent medication errors.