QUESTIONS AND CORRECT ANSWERS
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A nurse is assisting in the care of a client who has a fractured femur and
is in Buck's traction, which of the following actions should the nurse
take?
- Correct Answer - Ensure that the weights are hanging freely
A nurse is reviewing the medication record of a client who requires
continuous oxygen saturation monitoring. Which of the following should
the nurse identify as a factor that can affect the validity of the readings?
- Correct Answer - peripheral vascular disease
A nurse is collecting data from a group of clients. Which of the following
clients should the nurse identify as having xanthelasma?
- Correct Answer - Lady with eyes closed with nodules on eye lid
A nurse is assisting with the admission of a client who has Vancomycin-
resistant enterococcus of the urine. Which of the following types of
precautions should the nurse implement for this client?
- Correct Answer - contact precautions
,A community health nurse is assisting in the development of a brochure
about hypertension. Which of the following actions should the nurse
take?
- Correct Answer - Explain the medical terminology using basic one
syllable words
A nurse is collecting data from an adolescence during an anual physical
examination which of the following statements by the client is the nurses
priority
- Correct Answer - "I would rather be alone than with my friends."
A nurse is placing a dressing over a stage 1 pressure ulcer on a clients
heal which of the following dressing should the nurse use?
- Correct Answer - Transparent film
a charge nurse in a long-term care facility is developing a performance
improvement plan for an assistive personnel (AP). Which of the following
actions should the nurse take when developing the plans?
(Select all that apply)
- Correct Answer - Set a specific time frame for meeting performance
goals
Ask the nurse supervisor to review the plan
Include the performance standard that the AP should meet
,A nurse is reinforcing teaching with a client who has primary open-angle
glaucoma and has a prescription for timolol eye drops. Which of the
following statements by the client indicates an understanding of the
teaching?
- Correct Answer - I should check my heart rate while taking this
medication
A nurse is collecting data from a preschooler who has severe
dehydration. Which of the following findings should the nurse expect?
- Correct Answer - Weight loss of 10%
A nurse is contributing to the plan of care for an older adult client. Which
of the following physiological changes should the nurse consider when
administering medication?
- Correct Answer - decreased kidney function
A nurse is caring for a client who is taking multiple medications and asks
about possible interactions. To which of the following members of the
interdisciplinary team should the nurse make a referral?
- Correct Answer - advanced practice nurse
A nurse is collecting data from a client who just received his first dose of
sulfasalazine to treat ulcerative colitis. Which of the following findings
, should the nurse identify as an indication of an allergic reaction to this
medication?
- Correct Answer - dyspnea
A nurse is collecting nutritional data from a group of adult clients. For
which of the following clients should the nurse recommend an
interprofessional care conference with a dietician?
- Correct Answer - A client who has a body mass index of 32
charge nurse is reinforcing teaching with a newly licensed nurse about
infection control measures
Which of the following statements by the newly licensed nurse indicates
an understanding of the teaching?
- Correct Answer - Soiled dressings should be placed in a biohazard
trash receptacle
A nurse is preparing a vitamin K injection to give to a newborn. The
newborn's mother questions the purpose of this medication. Which of the
following responses should the nurse make?
- Correct Answer - This medication will decrease the risk of hemorrhage
in your newborn
A nurse is collecting data from a client who has diabetic ketoacidosis.
Which of the following findings should the nurse report to the provider?