QUESTIONS BOOK WITH CORRECT DETAILED ANSWERS
LATEST UPDATE THIS YEAR!!
59. a nurse is caring for a client who has a tracheostomy which of the following actions should the nurse
take? - CORRECT ANSWERS-Cleanse the skin around the stoma with normal saline
61. a nurse is caring for a client who has a drainage evacuator. Which of the following is a appropriate
action by the nurse? - CORRECT ANSWERS-Ensure the drainage suction is set on high pressure
60. a charge nurse is monitoring the documentation of the medication by a newly licensed nurse the
charge nurse should intervene if the newly licensed nurse uses which of the following abbreviations? -
CORRECT ANSWERS-
61. a nurse is caring for a client who has a drainage evacuator. Which of the following is a appropriate
action by the nurse? - CORRECT ANSWERS-Ensure the drainage suction is set on high pressure
62. nurse is preparing to transfer a client is partially weight bearing from the bed to a chair. Which of the
following actions should the nurse take? - CORRECT ANSWERS-Have the client bear weight on
the stronger leg
. a nurse is providing teaching to a client about colorectal cancer prevention guidelines. Which of the
following recommendations should the nurse include? - CORRECT ANSWERS-Reduce intake of
red meats
a nurse is planning care to prevent skin breakdown for a client who is immobile and is urinary
incontinent. Which of the following actions should the nurse include in the plan of care? -
CORRECT ANSWERS-Request a prescription for an indwelling urinary catheter
a nurse is preparing to apply a condom catheter for a client who is uncircumcised which of the following
actions should the nurse plan to take? - CORRECT ANSWERS-Place adhesive tape directly on
the penis
, a nurse is teaching a client who had an enucleation about care of an artificial eye. Which of the following
information should the include in the teaching? (select all that apply) - CORRECT ANSWERS--
Apply pressure just below artificial eye to break the suction
-Retract the upper and lower lids to reinsert the artificial eye
9. a nurse is reviewing client confidentiality with a newly licensed nurse. The nurse should identify which
of the following examples as a violation of HIPPA? - CORRECT ANSWERS-Discussing the clients
transfer to a long-term care facility with a nurse from another unit
64. a nurse in an acute care facility is preparing to transfer a client to a long term care facility. Which of
the following information should the nurse include in the hand off report? - CORRECT
ANSWERS-Effectiveness of the last dose of pain medication
65. nurse is teaching a client how to perform breast self-examination. Which of the following instructions
should the nurse include? - CORRECT ANSWERS-Squeeze the nipple to see if discharge
66. nurse is assessing a breath sounds of an adult client who has pneumonia. which of the following
actions should the nurse take? - CORRECT ANSWERS-Follow systemic pattern side to side by
moving down the clients chest
67. nurse is assessing a client's bowel sounds. Which of the following actions should the nurse take -
CORRECT ANSWERS-Place diaphragm of stethoscope over each quadrant
69. nurse is caring for a client who is prescribed a special diet the client is concerned that he does not
have the resources to purchase the food he needs to adhere to. The nurse should notify which of the
following members of the health care team? - CORRECT ANSWERS-Social worker
70. nurse is providing teaching to a client who is self-administer an ophthalmic solution. Which of the
following statements by the client indicates understanding of the teaching? - CORRECT
ANSWERS-I will press the inner corner of my eye after insert drops
10. a nurse is caring for a client who is 2 days postoperative following bowel resection and reports
sudden severe abdominal pain. Which of the following actions should the nurse take first? -
CORRECT ANSWERS-Expose the clients abdomen to look for changes in appearance