Questions With All Correct & Verified
Answers
"Please explain what you mean by the word 'nervous'." Correct answer-A nurse asks a client how
he is feeling. The client states, "I'm feeling a bit nervous today." Which of the following responses
should the nurse make?
Cranberry juice Correct answer-A nurse is caring for a client who is postoperative following
abdominal surgery. The surgeon initially prescribes a clear liquid diet. Which of the following items
should the nurse include on the lunch tray?
A. The client faces the direction of movement when sliding an object across the floor (sliding an
object across the floor rather than lifting it prevents strain on the lower back muscles and facing the
direction prevents from twisting his back) Correct answer-A nurse is assessing a client at a follow-
up clinic for acute low back pain. A goal for this client is to use proper body mechanics at all times.
Which of the following findings indicates that the client is meeting this goal?
a. The client faces the direction of movement when sliding an object across the floor
b. When pushing an object the client moves his front foot backward
c. When moving an object to one side, the client pushes his weight on his heels
d. The client stands with his feet close together when lifting an object
c. Contact the provider to question the dosage (when a nurse believes there is an error in a
prescription, the nurse must question the provider) Correct answer-4. When reviewing the
admitting prescriptions for a client, the nurse notes that the dose of one medication is three times
the usual dose of this medication. Which of the following actions should this nurse take?
a. Contact the pharmacy and confirm that the dosage is safe to administer
b. Ask another nurse to verify that the dosage is appropriate for the client
c. Contact the provider to question the dosage
d. Inform the charge nurse and administer the dose of the medication the provider prescribed
a. Occupational therapist (an occupational therapist assists clients who have physical challenges to
use adaptive devices and strategies to help with self-care activities such as feeding) Correct
answer-5. A nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty
feeding herself using adaptive devices. The nurse should initiate a referral with which of the
following members of the interprofessional health care team?
a. Occupational therapist
b. Social worker
c. Registered dietician
d. Speech pathologist
c. Interpersonal (interpersonal communication is face-to-face interaction with another person. It
results in an exchange of ideas, problem solving expression of feelings, decision making, and
personal growth) Correct answer-6. A nurse receives a client care assignment from the charge
nurse that he believes is unfair. The nurse voices his concern to the charge nurse. The nurse is using
which level of communication at this time?
a. Transpersonal
,b. Intrapersonal
c. Interpersonal
d. Public
b. Determine the client's level of fluency in his primary language (it is important to determine the
client's level of fluency in her primary language and the nurse's language to provide teaching the
client can understand) Correct answer-7. A nurse is developing a plan of care for a client who does
not speak the same language as the nurse. Which of the following interventions should the nurse
include?
a. Make sure a family member is present to interpret for the staff.
b. Determine the client's level of fluency in his primary language
c. Speak directly to the interpreter when teaching the client
d. Encourage the client to nod to indicate understanding
c. Surgeon (the health care provider who will perform the treatment or procedure is responsible for
obtaining informed consent from the client) Correct answer-8. A nurse is caring for a client who
has a hip fracture that requires surgical repair. Which of the following health care professionals is
responsible for obtaining informed consent from the client for the procedure?
a. Nurse
b. Anesthesiologist
c. Surgeon
d. Surgical suite nurse
a. Complete a neurological check (appropriate nursing intervention when a client displays sudden
confusion) Correct answer-9. A nurse on a medical unit is caring for a client who suddenly becomes
confused and drowsy. Additional data includes pulse 100/min, RR 24/min, BP 124/76 mm Hg, and
temp 36.8C (98.2 F). which of the following actions should the nurse perform?
a. Complete a neurological check
b. Administer the prescribed PRN antihypertensive medication
c. Increase the fluid intake
d. Hold the client's evening dose of digoxin
a. Documentation is a communication tool for the interprofessional health care team Correct
answer-10. A nurse is orienting a newly licensed nurse about documentation of a client's information
in the electronic health record. Which of the following statements by the newly licensed nurse
indicates understanding of the purpose of documentation?
a. Documentation is a communication tool for the interprofessional health care team
b. Documentation provides information to the client about financial charges for care provided
c. Documentation provides information for a client audit
d. Documentation allows providers to monitor the nurse's activities
c. Washes and rinses her hands for 10 seconds Correct answer-11. A nurse is orienting a new
assistive personal (AP) to the unit. For which of the following actions should the nurse intervene?
a. Wears a gown when entering the room of a client who requires contact precautions
b. Dons gloves to empty a urinary drainage device
c. Washes and rinses her hands for 10 seconds
d. Wears a respirator mask when entering the room of a client who requires airborne precautions
c. Industry vs inferiority (a school age child (6-12) is in this stage of development) Correct answer-
12. A nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma.
Which of the following of Erikson's developmental stages should the nurse consider in the planning?
, a. Autonomy vs shame and doubt
b. Initiative vs guilt
c. Industry vs inferiority
d. Identity vs role confusion
b. Assigning tasks to an AP (delegation is considered indirect care) Correct answer-13. A nurse is
implementing direct nursing care for a group of clients in an acute care facility. Which of the
following actions by the nurse is considered an indirect nursing care activity?
a. Determining the client's length of stay
b. Assigning tasks to an AP
c. Providing anticipatory guidance to a client in crisis
d. Establishing the client's secondary medical diagnoses
b. Notify the surgeon that the client wishes to withdraw informed consent for the procedure (the
client has the right to withdraw consent therefore the surgeon should be the one notified of the
request) Correct answer-14. A nurse has completed an informed consent form with a client. The
client then states, "I have changed my mind and do not want to have the procedure done." Which of
the following actions should the nurse take?
a. Remind the client that a signed informed consent form is a legally binding document
b. Notify the surgeon that the client wishes to withdraw informed consent for the procedure
c. Inform the surgical team to cancel the client's surgery
d. Proceed with the preparation of the patient's surgical procedure
b. Asking for an explanation Correct answer-15. A nurse is caring for a client who has a mental
health disorder. The client asks about his medications and their effects. The nurse asks why the client
needs to know this. Which of the following nontherapeutic communication techniques is the nurse
using?
a. Changing the subject
b. Asking for an explanation
c. Behaving defensively
d. Arguing
a. I'll apply ankle to my ankle today and tomorrow (the RICE acronym outlines how to treat an ankle
sprain: rest, ice, compression, elevation) Correct answer-16. A nurse is discharging a client who has
come to the outpatient clinic with an ankle sprain. Which of the following statements should the
nurse identify as an indication that the client understands the discharge information?
a. I'll apply ankle to my ankle today and tomorrow
b. I'll rewrap my ankle starting from the knee down
c. I'll bear weight on my ankle for 10 minutes every hour
d. I'll put a heating pad on my ankle at bedtime tonight
d. I have a set of my brothers' crutches in the basement I can also use (the client should not use
crutches that belong to someone else; the crutches must fit body dimensions) Correct answer-17.
A nurse is assisting a client who has received crutches in an urgent care center following a foot injury.
Which of the following statements should the nurse identify as an indication that the client needs
further teaching?
a. I will keep spare crutch tips handy
b. I will bear the weight of my body on my hands
c. I will inspect my crutches everyday for signs of wear
d. I have a set of my brothers' crutches in the basement I can also use