Nunya A, CC PROCTOR 4 (C), RN Comprehensive Online Practice
2019 A with NGN
A nurse is preparing to delegate client care tasks to an assistive personnel. Which of the following tasks should the
nurse delegate?
Ambulatory a client who is postoperative
A nurse is caring for a client who has decreased mobility. Which of the following actions should the nurse take to
decrease the clients risk of developing plantar flexion contractures?
Apply an ankle foot orthotic device to the clients feet
A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The clients partner wants the
client to have the blood transfusion. Which of the following actions should the nurse take?
Withhold the blood transfusion.
A charge nurse is discussing the responsibility of nurses carig for clients who have C. difficile. Which of the following
information should the nurse include in the teaching?
Have family members wear a gown and gloves when cisiting
A nurse is giving change-of-shift report about a client they admitted earlier that day who has pneumonia. Which of the
following pieces of information is the priority for the nurse to provide?
Breath sounds
,A nurse enters a clients room and finds her on the floor. The clients roommate reports that the client was trying to get
out of bed and fell over the side rail onto the floor. Which of the following statements should the nurse document
about this incident?
Client found lying on floor
A nurse is caring for a client who has a prescription for wound irrigation. Which of the following actions should the
nurse take?
Cleanse the wound from the center outward
A nurse is admitting a client who has rubella. Which of the following types of transmission based precautions should
the nurse initiate?
Droplet
A nurse is providing discharge teaching for a client who has a new prescription for a home oxygen concentrator.
Which of the following instructions should the nurse provide to the client and his family?
Check the cord routinely for grays or tearing
Consider purchasing a generator for power backup
Observe for signs of hypoxia
A nurse is calculating a client's fluid intake over the past 8 hr. Which of the following should the nurse plan to
document on the client's intake and output record as 120 mL of fluid?
8 oz of ice chips
A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take?
Place the client in a room with negative-pressure airflow.
Wear gloves when assisting the client with oral care.
,Use antimicrobial sanitizer for hand hygiene.
A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the following statements should
the nurse identify as an indication that the client understands the teaching?
when descending stairs, I will first shift my weight to my right leg.
A nurse has accepted a verbal prescription for three tenths of a milligram of levothyroxine IV stat for a client who has
myxedema coma. How should the nurse transcribe the dosage of this medication in the client's medical record?
0.3 mg
A nurse is caring for a client who has an in dwelling urinary catheter. Which of the following findings indicates that the
catheter requires irrigation?
Bladder scan shows 525 mL of urine
A nurse is assessing an adult who has been immobile for the past 3 weeks. For which of the following findings should
the nurse intervene?
Erythema on pressure points
A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through an open system.
Which of the following actions should the nurse take first?
Tell the client to keep the head of the bed elevated at least 30 degrees.
A nurse on a medical unit is preparing to discharge a client to home. Which of the following actions should the nurse
take as part of the medication reconciliation process?
Compare prescriptions with medications the client received during hospitalization.
, A nurse is caring for a client who is receiving 24 hour urine collection. Which of the following statements by the client
indicates an understanding of the teaching?
I flushed what I urinated at 7:00 am and have saved all urine since
A nurse is planning an educational program for a group of older adults at a senior living center. Which of the following
recommendations should the nurse include?
You should receive a pneumococcal immunization every 10 years
A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days.
Which of the following findings should the nurse expect?
Rapid heart rate
A nurse is caring for a client who is receiving pain medication through a patient controlled analgesia pump. Which of
the following actions should the nurse take?
Instruct the family to refrain from pushing the button for the client while she is asleep
A community health nurse is checking blood pressures for a group of clients at a community health screening. Which
of the following clients is at an increased risk for hypertension?
A client who smokes one pack of cigarettes each day
A nurse in a clinic is caring for a middle adult client who states, "the doctor says that, since I am at an average risk for
colon cancer, I should have a routine screening. What does that involve?" Which of the following responses should
the nurse make?
You should have a fecal occult blood test every year