Questions with Correct Verified Answers
|Complete Study Guide| Full Nursing Review|
Latest Exam and Brand new Version!!!!
A nurse is caring for a group of clients, which of the following can be
assigned to an assistive person
ANSWER: Collecting a stool specimen to test for occult blood.
A nurse is working on a unit for clients with dementia. Which of the
following client situations requires the nurse to write an incident
report?
ANSWER: c. A client is found lying on the floor next to a chair
A nurse is discharging a client who was admitted for newly
diagnosed type 2 diabetes mellitus. The client is independent and
lives alone. Which of the following should be included in the
discharge plan?
ANSWER: c. Refer the client to a diabetic support group.
A nurse is caring for a client who has type 2 diabetes mellitus and a
blood glucose level of 60 mg/dL. For which of the following findings
should the nurse monitor?
ANSWER: a. Clammy Skin
A female client who is an abusive marriage has discusses with the
nurse strategies to prevent this abuse. which of the following client
statements indicate an understanding of an appropriate strategy?
,ANSWER: a. "I need to recognize the signs that my husband is
becoming abusive." c. "I need to identify what triggers my husband's
anger to prevent his abuse."
A charge nurse in a long-term care facility is preparing to administer
noon insulin to a client. The nurse observes that the assistive
personnel (AP) has no documented the client's blood glucose level.
Which of the following actions should the charge nurse take first?
ANSWER: d. Determine if the AP has completed the assignment.
A client is scheduled for an outpatient colonoscopy. which of the
following actions is a nursing responsibility in the informed consent
process?
ANSWER: a. Verify that there is a signed and witnesses consent form
in the client's chart.
A nurse smells alcohol on the breath of an assistive personnel (AP)
during report. Which of the following actions should the nurse take?
ANSWER: c. Report the situation to the nurse manager.
A nurse from a medical-surgical unit is floating to a postpartum unit.
Which of the following clients is an appropriate assignment for the
nurse to accept?
ANSWER: b. A client who had a cesarean delivery 24hr ago.
A nurse in a provider's office is collecting data from a parent of an
infant who is being screened for cystic fibrosis. Which of the
following supports a diagnosis of cystic fibrosis?
ANSWER: a. Frothy stools.
When caring for an assigned group of clients, the nurse should wear
gloves when
ANSWER: a. performing oral hygiene.
A nurse is preparing a client for surgery. The client tells the nurse
that he is concerned about the safety of a large sum of money in his
,wallet. Which of the following actions is appropriate for the nurse to
take?
ANSWER: b. contact security personnel to place the money in the
facility safe.
A nurse is caring for a client who is receiving heparin. Which of the
following is the appropriate route of administration?
ANSWER: d. Subcutaneously.
A nurse is reinforcing teaching about car seat safety to the parents
of a newborn. The nurse should instruct the parents to place the car
seat in a?
ANSWER: c. Rear-facing position in the back seat.
A nurse is caring for a client and recognizes the client's rights to
confidentiality have been breached in which of the following
situations?
ANSWER: a. A hospital risk manager includes information from a
client's medical record in
A nurse is caring for a client who had a femoral-popliteal bypass
graft 2 days ago. When monitoring peripheral pulses, the nurse is
unable to locate a pulse on the affected leg. Which of the following
actions should the nurse take?
ANSWER: c. Notify the charge nurse of the finding.
A nurse is caring for a full-term newborn who was circumcised 6 hrs.
ago. Which of the following findings indicates that the newborn is
experiencing pain?
ANSWER: b. Furrowed Brow
A nurse is reinforcing teaching with a client about organ donation.
Which of the following client statements indicated a need for further
teaching?
ANSWER: c. "My doctor should decide if my organs will be donated."
, A Client who is prescribed metoprolol (Lopressor) for hypertension
tells the nurse, "I don't want to take this medication because it
makes me tired all the time." Which of the following is the
appropriate response?
ANSWER: c. "Let's talk with your doctor about other options."
A nurse is preparing to administer an IM injection to a client. To
reduce the risk of neddlestick injury, the nurse should?
ANSWER: b. dispose of the used needle immediately in a puncture-
proof sharps container.
A nurse is contributing to the discharge plan for a client following
surgery. Which of the following findings indicate the need for an
interdisciplinary care conference?
ANSWER: d. The client requires assistance to pay for dressing
supplies.
A client who is 24 hours postoperative suddenly develops chest pain,
dyspnea, anxiety, diaphoresis, and cough. Which of the following
actions should the nurse take first?
ANSWER: c. Elevate the head of the client's bed.
A nurse is caring for a 17-year old client who is admitted for an
emergency appendectomy. Which of the following is an appropriate
action by the nurse in obtaining informed consent?
ANSWER: a. Obtain verbal consent from the client while waiting for
the parents to arrive. b. Witness the signature of the client's parent
when he arrives. c. Have the client's older sibling give consent if a
parent is not available. d. Delay the procedure if the provider cannot
contact the parents.
A nurse has delegated care to an assistive personnel. At the end of
the shift, the AP asks the nurse to enter data for her because the AP
has forgotten her password and needs to leave. Which of the
following actions should the nurse take?