EXAM | 150+ QUESTIONS AND
VERIFIED ANSWERS | 100%
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1. A nurse is reinforcing reaching for a preoperative client on how to use
an incentive spirometer. Which of the following actions by the client
indicates an understanding of the teaching?
- Correct Answer - The client attempts to elevate the cylinder by
inhaling deeply.
2. A nurse at a long term care facility is part of a team preparing a report
on the quality of care at the facility. Which of the following information
should the nurse recommend including in the report to demonstrate
improvement in care quality?
- Correct Answer - The facility had 12% fewer urinary tract infections
over the past 6 months.
3. A nurse is reviewing laboratory reports for a client who has an
Escherichia Coli infection and is receiving gentamicin. Which of the
following results should the nurse report to the provider before
administering the next dose?
- Correct Answer - Creatinine 2.5 mg/dL
,4. A nurse working in a community clinic is caring for an adolescent who
has infectious mononucleosis. The client asks the nurse to explain
how the disease was acquired. The nurse should explain that an
individual acquires this disease by which of the following
- Correct Answer - Sharing eating utensils with an infected person
5. A nurse is caring for a client who requests information about advance
directives. Which of the following responses should the nurse make?
- Correct Answer - "Advance directives are written instructions
regarding end-of-life care."
6. A nurse is contributing to the plan of care for a client who is at risk of
developing pressure ulcers. Which of the following actions should the
nurse include in the plan of care?
- Correct Answer - Place the client in a 30° lateral position.
7. A nurse is assisting with performing a non stress test for a client who
is at 39 weeks of gestation which of the following instructions should
the nurse reinforce with the client?
- Correct Answer - "You should depress the button on the handheld
when you feel your baby move."
8. A nurse is reinforcing discharge teaching with a client following
cataract surgery. Which of the following instructions should the nurse
include in the teaching marker?
- Correct Answer - Sleep on the non-operative side for 2 weeks.
,9. A nurse manager is preparing to complete a performance analysis for
a group of assistive personnel. The manager asks a sta following
nurse for feedback on each assistants abilities. Which of the following
actions should the sta following nurse take?
- Correct Answer - Discuss how each AP's actions measure against
the job description.
10. A nurse working in a provider's office receives a phone call from
the parent of a school- age child who has varicella. The parent asked
the nurse when the child can return to school. Which of the following
responses should the nurse make?
- Correct Answer - "When the lesions have scabbed over."
11. A nurse in a pediatric clinic is collecting the data from a school-age
child whose injuries are inconsistent with the parent's stated cause.
Which of the following actions should the nurse take?
- Correct Answer - Report the suspected abuse to a appropriate
agency.
12. A nurse is collecting data from a middle adult female client who is
taking melatonin. Which of the following responses to the med should
the nurse expect?
- Correct Answer - improved sleep
, 13. A nurse on a pediatric unit is collecting data from four newly
admitted clients. Which of the following clients should the nurse
identify as being at risk for urinary retention?
- Correct Answer - A school-age child who has allergic rhinitis and is
taking diphenhydramine.
14. A nurse is preparing to administer purified protein derivative (PPD)
to a client who has suspected TB. Which of the following actions
should the nurse plan to take?
- Correct Answer - Ensure the injection produces a wheal on the skin
15. A nurse is contributing to the plan of care for a care for a client who
has chest tube connected to a closed drainage system. Which of the
following actions should the nurse include in the plan of care?
- Correct Answer - Maintain the drainage system below the level of
the client's chest.
16. A nurse in an acute mental health facility is caring for a client who
has borderline personality disorder and reports. "I am going to kill my
girlfriend when I get out of here." Which of the following actions
should the nurse take?
- Correct Answer - Notify the client's care team of the threats against
the partner
17. A nurse is admitting a client who is at high risk for suicide.
Which of the following actions is the nurse's priority?