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CLINICAL NCLEX 3 Unit 1 NSG 207 FA DAVIS ATI RN FUNDAMENT
1,392 terms Teacher 128 terms 200 terms
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A nurse is planning care for a d
group of clients. Which of the
following tasks should the nurse
delegate to an assistive
personnel?
a. Changing the dressing for a
client who has a stage 3
pressure injury
b. Determining a client's
response to a diuretic
c. Comparing radial pulses for a
client who is postoperative
d.Providing postmortem care to
a client
A nurse is conducting a health c
assessment for a client who
takes herbal supplements.
Which of the following
statements by the client
indicates an understanding of
the use of the supplements?
A. I take ginkgo biloba for a
headache
B. I take echinacea to control my
cholesterol
C. I use ginger when I get car
sick
D. I use garlic for my
menopausal symptoms
,A nurse is caring for a client who a
has influenza and isolation
precautions in place. Which of
the following actions should the
nurse take to prevent the spread
of infection?
A. Wear a mask when working
within 3 feet of the client
B. Administer metronidazole
C. Don protective eyewear
before entering the room.
D. Place the client in a negative
airflow room.
A nurse obtains a prescription c
for wrist restraints for a client
who is trying to pull out his NG
tube. Which of the following
actions should the nurse take?
A. Attach the restraints securely
to the side rails of the client's
bed.
B. Apply the restraints to allow
as little movement as possible
C.Allow room for two fingers to
fit between the clients skin and
the restraints
d. remove the restraints every 4
hours
A nurse is admitting a client who b
has tuberculosis. Which of the
following types of transmission
precautions should the nurse
plan to initiate?
A. Droplet
B. Airbornes
c. protective environment
d. contact
A nurse in a well-child clinic a
receives a telephone call from a
parent who states that their child
accidentally swallowed paint
thinner. The child is awake and
alert. Which of the following
responses should the nurse
make?
A. Have your child drink one
large glass of water.
B. Hang up and call a poison
control center hotline.
C. Bring your child into the clinic
later today.
D. Induce vomiting in your child
with syrup of ipecac.
, A nurse is documenting a client's b
medical record. Which of the
following entries should the
nurse record.
A. Oral temperature slightly
elevated at 0800
B. Administered pain medication
C. Incision without redness or
drainage
D. Drank adequate amounts of
fluid with meals.
A nurse is providing oral care for a
a client who is unconscious.
Which of the following actions
should the nurse take?
A. Place the client in a side-lying
position.
B. Brush the clients teeth daily
C. Apply mineral oil to the
client's lips
D. Rinse the client's mouth with
an alcohol-based mouthwash
A nurse is collaborating with a c
risk management team about
potential legal issues involving
client care. The nurse should
identify which of the following
situations is an example of
negligence?
A. A nurse administers a
medication without first
identifying the client.
B. An assistive personnel
discusses client care in the
facility cafeteria with visitors
present.
C. A nurse begins a blood
transfusion without obtaining
consent.
D. An assistive personnel
prevents a client from leaving
the facility.
A nurse is collecting a sputum b
specimen for culture from a
client who has a respiratory
infection. Which of the following
actions should the nurse take?
A. Wear sterile gloves when
collecting the specimen.
B. Offer the client oral hygiene
after the collection
C. Collect the specimen in the
evening.
D Collect 1 ml of sputum.