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Guide 2025|Test Bank | Revised Retake
A home health nurse is teaching a client about home safety. Which of the following statements by the
client indicates an understanding of the teaching? (SATA)
a. I need to check my medications for expiration dates
b. I will use the grab bars when getting in and out of the bathtub
c. I need to have a fire escape plan with my family
I need to check my medications for expiration dates
- I will use the grab bars when getting in and out of the bathtub
- I need to have a fire escape plan with my family
A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing the client's
signature, the client states, I trust my doctor, but I don't understand what is meant by resecting my
intestine. Which of the following actions should the nurse take?
a. notify the provider
notify the provider
A nurse is discussing the stages of general adaptation syndrome with a newly
licensed nurse. The nurse should identify that which of the following manifestations occurs during the
alarm reaction stage?
A. Dilated pupils
B. Physical exhaustion
C. Bradycardia
D. Depression
Dilated pupils
,A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging in the IV
pump. Which of the following actions should the nurse take first?
A. Unplug the pump
B. obtain a replacement pump
C. Notify the biomedical department to fix the pump
D. Label the pump with a defective equipment sticker
Unplug the pump
A nurse is caring for a client who is receiving a warm, moist compress to relieve lower back pain. Which
of the following findings should indicate to the nurse that the compress has been effective?
A. The client's skin on the lower back is intact without redness
B. The client's laughing at a television show
C. The client states that he is able to concentrate while eating
D. The clients's vital signs are within the expected reference range
The client states that he is able to concentrate while eating
.
A nurse is preparing a sterile field to assist with suturing a clients laceration. Which of the following
actions should the nurse plan to take?
A. Pour the sterile solution with the bottle 20cm(8in) above the sterile bowl
B. Hold the bottle of sterile solution so that the label is facing the palm of the hand
C. Place the lid of the sterile solution bottle face down on the sterile drape
D. Apply sterile gloves before opening the bottle of sterile solution
Hold the bottle of sterile solution so that the label is facing the palm of the hand
,A nurse is caring for a client who is scheduled to have his alanine amino transferase (ALT) level checked.
The client asks the nurse to explain the laboratory test. Which of the following is an appropriate
response by the nurse?
A. This test will determine if your heart is performing properly
B. This test will indicate if you are at risk for developing blood clots
C. This test is used to check how your kidneys are working
D. This test will provide information about the function of your liver
This test will provide information about the function of your liver
A nurse receives a new prescription over the telephone from a client's provider. Which of the following
actions should the nurse take first?
A. Ensure that the provider signs the prescription
B. Write down the complete prescription.
C. Read back the prescription to the Dr.
d. Document the prescription as a telephone prescription in the medical record.
Write it down, then read back the prescription to the Dr.
A nurse is caring for a client who is on bed rest following abdominal surgery. Which of the following
findings indicates the need to increase the frequency of position changes?
A. Petechiae on the client's right anterior thigh
B. Flat rash on the client's ankle
C. Non-palpable macule on the client's left shoulder
D. Non-blanching darkened area over the client's trochanter
Non-blanching darkened area over the client's trochanter
A nurse is providing teaching to a client who has a newly prescribed hearing aid. Which of the following
statements by the client indicates an understanding of the teaching?
, A. After insert the hearing aid, i will turn it up as high as it will go
B. I should leave the battery in the hearing aid when i take it out to sleep
C. I will need to get a new hearing aide every year
D. I should gradually increase the time that i wear the hearing aid
I should gradually increase the time that i wear the hearing aid
A nurse is preparing to collect a specimen from a client. Which of the following actions should the nurse
take?
a. Collect the sputum specimen in the morning
Collect the sputum specimen in the morning
A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of
the following findings should indicate to the nurse that the client has hyperglycemia?
A. Thirst
B. Confusion
C. Cool skin
D. Shakiness
thirst
A nurse is assessing an older adult client. Which of the following findings should the nurse expect?
a. Decreased sense of balance
Decreased sense of balance
A nurse is preparing to administer a controlled substance to a client for pain management. Which of the
following actions should the nurse take?
A. Report any discrepancy in the count total of the controlled substance after administration