AND EXPERT VERIFIED ANSWERS LATEST
UPDATED 2024 FOR A GUARANTEED PASS
A nurse is caring for a client who is receiving pain medication through a PCA pump. Which
of the following actions should the nurse take?
Instruct the family to refrain from pushing the button for the client while the client is asleep.
A nurse is caring for a client who has a NG tube and is receiving intermittent feeding
through the 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 middle adult client tells the nurse, "I feel so useless now that my children do not need me
anymore." Which of the following responses should the nurse make?
"People in middle adulthood often find satisfaction in nurturing and guiding young people."
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 vaccine when you are when you are 65 years old"
A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a chair. To
prevent self-injury, which of the following actions should the nurse take when lifting this
object?
Stand close to the cabinet when lifting it
A nurse is caring for a client who is scheduled to be transferred to a long-term care facility.
The client's family questions the nurse about the reasons for the transfer. Which of the
following responses made by the nurse is appropriate.
"Would you like it if we discussed the transfer with your family memeber"
A nurse is using an open irrigation technique to irrigate a client's indwelling urinary
catheter. Which of the following actions should the nurse take?
Subtract the amount of irrigant used from the client's urine output.
, A nurse is caring for a client who is having difficulty breathing. The client is supine and is
receiving supplemental oxygen via a nasal cannula. Which of the following interventions
should the nurse take first?
Assist the client to an upright position
A nurse is assessing four adult clients. Which of the following physical assessment
techniques should the nurse use?
Ensure the bladder of the blood pressure cuff surrounds 80% of the clients arm.
A nurse is planning care for a client who has vision loss. Which of the following
interventions should the nurse include in the plan of care to assist the client with feeding?
Arrange food in consistent pattern on the client's plate.
A nurse is talking with the partner of a client who has dementia. The client's partner
expresses frustration about finding time to manage household responsibilities while caring
for their partner. The nurse should identify that the partner is experiencing which of the
following types of role-performance stress.
Role overload
A nurse is admitting a new client. Which of the following should the nurse take while
performing medication reconciliation?
Compare the client's home medications with the provider's prescriptions.
A client who is postoperative is verbalizing pain as a 2 pain scale of 0-10. Which of the
following statements should the nurse identify as an indication that the client understands
the preoperative teaching they received about pain management.
"It might help me to listen to music while I'm lying in bed"
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 manager is preparing to review medication documentation with a group of newly
licensed nurses. Which of the following statements should the manager plan to include in
the teaching.
"Use the complete name of the medication magnesium sulfate"
A nurse is admitting a client who is having an exacerbation of HF. In planning this client's
care, when should the nurse initiate discharge planning?
During the admission process