A+ Graded (2025)
A .nurse .is .caring .for .a .client .who .fell .at .a .nursing .home. .the .client .is .oriented .to
.person, .place, .and .time .and .can .follow .directions. .which .of .the .following .actions
.should .the .nurse .take .to .decrease .the .risk .of .another .fall? .(select .all .that .apply.
.- .CORRECT .ANSWER--make .sure .the .client's .call .light .is .within .reach; .enables
.the .client .to .contact .the .nursing .staff .to .ask .for .assistance .& .prevents .the .client
.from .falling .out .of .bed .while .reaching .for .the .call .light
-provide .the .client .with .nonskid .footwear; .keeps .the .client .from .slipping .
-complete .a .fall-risk .assessment; .serves .as .the .basis .for .a .plan .of .care .that .can
.then .individualize .for .the .client
a .nurse .manager .is .reviewing .with .nurses .on .the .unit .in .the .care .of .a .client .who
.has .had .a .seizure. .which .of .the .following .statements .by .a .nurse . requires .further
.instruction? .- .CORRECT .ANSWER-"I .will . go .to .the .nurses' .station .for
.assistance."; .during .a .seizure, .stay .with .the .client .& .use .the .call .light .to
.summon .assistance.
a .nurse .observes .smoke .coming .from .under .the .door .of .the .staff's .lounge.
.which .of .the .following .actions .is .the .nurse's .priority? .- .CORRECT .ANSWER-
move .clients .who .are .nearby; .the .greatest .risk .to .this .client .is .injury .from .the
.fire. .therefore, .the .priority .intervention .is .to .rescue .the .clients. .protect .and .move
.clients .in .close .proximity .to .the .fire.
a .nurse .is .caring .for .a .client .who .has .a .history .of .falls. .which .of .the .following
.actions .is .the .nurse's .priority? .- .CORRECT .ANSWER-complete .a .fall-risk
.assessment; .the .first .action .to .take .using .the .nursing .process .is .to .assess .or
.collect .data .from .the .client. .therefore, .the .priority .action .is .to .determine .the
.client's .fall .risk. .this .will .work .as .a .guide .in .implementing .appropriate .safety
.measures.
a .nurse .discovers .a .small .paper .fire .in .a .trash .can .in .a .client's .bathroom. .the
.client .has .been .taken .to .safety .and .the .alarm .has .been .activated. .which .of .the
.following .actions .should .the .nurse .take? .- .CORRECT .ANSWER-place .wet .towels
.along .the .base .of .the .door .to .the .client's .room; .this .contains .the .fire .& .the
.smoke .in .the .room
, a .nurse .is .providing .discharge .instructions .to .a .client .who .has .a .prescription .for
.oxygen .use .at .home. .which .of .the .following .information .should .the .nurse
.include? .(select .all .that .apply) .- .CORRECT .ANSWER--nail .polish .should .not .be
.used .near .a .client .who .is .receiving .oxygen; .remind .the .client .to .not .use .nail
.polish .or .other .flammable .materials .in .the .home
-a ."no .smoking" .sign .should .be .placed .on .the .front .door; .have .the .client .place .a
."no .smoking" .sign .near .the .front .door .and .possibly .on .the .client's .bedroom
.door
-a .fire .extinguisher .should .be .readily .available .in .the .home; .this .is .especially
.important .for .a .client .who .is .receiving .oxygen
a .nurse .educator .is .presenting .a .module .on .basic .first .aid .for .newly .licensed
.home .health . nurses. .the .client .who .has .heat .stroke .will .have .which .of .the
.following? .- .CORRECT .ANSWER-hypotension; .it .is .a .manifestation .of .heat
.stroke
a .nurse .educator .is .conducting .a .parenting .class .for .new .guardians .of .infants.
.which .of .the .following .statements .made .by .a .participant .indicates
.understanding? .- .CORRECT .ANSWER-"once .my .infant .starts .to .push .up, .i .will
.remove .the . mobile .from .over .the .crib.";the .guardian .should .plan .to .remove .crib
.toys .(mobiles) .from .over .the .bed .as .soon .as .the .infant .begins .to .push .up .so .the
.infant .is .unable .to .touch .them
a .home .health .nurse .is .discussing .the .dangers .of .carbon .monoxide .poisoning
.with .a .client. .which .of .the .following .information .should .the .nurse .include? .-
.CORRECT .ANSWER-carbon .monoxide .binds .with .hemoglobin .in .the .body; .warn
.the .client .that .carbon .monoxide .is .very .dangerous .because .it .binds .with
.hemoglobin .and .ultimately .reduces .the .oxygen .supplied .to .the .tissues .in .the
.body.
a .home .health .nurse .is .discussing .the .dangers .of .foodpoisoning .with .a .client.
.which .of .the .following .information .should .the .nurse .include? .(select .all .that
.apply) .- .CORRECT .ANSWER--immunocompromised .individuals .are .at .increased
.risk .for .complications .from .food .poisoning; .warn .the .client .that .very . young,
.very .old, .immunocompromised .& .pregnant .individuals .are .at .increased .risk .for
.complications .from .food .poisoning
-clients .who .are .at .high .risk .should .eat .or .drink .only .pasteurized .dairy .products;
.include .that .clients .who .are .at .high .risk .should .follow .a .low-microbial .diet,
.which .includes .eating .or .drinking .only .pasteruized .milk, .yogurt, .cheese, .and
.other .dairy .products
-handling .raw .& .fresh .food .separately .can .prevent .food .poisoning; .include
.interventions .to .prevent .food .poisoning .(performing .proper .hand .hygiene,
.cooking .meat .& .fish .to .the .correct .temp, .handling .raw .& .fresh .food .separately .to
.avoid .cross-contamination .& .refrigerating .perishable .items).
a .nurse .is .caring .for .a .client .who .has .terminal .lung .cancer. .the .nurse .observed
.the .client's .family .assisting .with .all .ADLs. .which .of .the .following .rationales .for
.self-care .should .the .nurse .communicate .to .the .family? .- .CORRECT .ANSWER-the
.client's .sense .of .loss .can .be .lessened .through .retaining .control .of .some .areas