Answers
A charge nurse is educating unit staff about the cultural aspects of client care
following death. Which of the following statements by an assistive personnel
indicates an understanding of the teaching? correct answer "The body of a client
who practices Islam is washed and wrapped in a cloth following death."
A charge nurse is observing a newly licensed nurse prepare medications for a
client. Which of the following actions by the newly licensed nurse adheres to safe
medication administration practices? correct answer The nurse compares the
medication label with the client's medication administration record.
A charge nurse is teaching a groups of licensed nurses how to prevent errors
during administration of blood transfusions. Which of the following action should
the nurse include? correct answer Use a new blood administration tubing set for
each blood bag infused.
A community health nurse is developing a brochure about the use of smokeless
tobacco. Which of the following information should the nurse plan to include?
correct answer Smokeless tobacco provides a higher dose of nicotine than
cigarettes.
A community health nurse is participating in a task force initiative to reduce the
incidence of disease from injection drug use among the city's homeless
population. Which of the following plans should the nurse recommend as part of
tertiary prevention? correct answer Start a needle-exchange program.
A community health nurse is planning interventions to promote Healthy People
2020 initiatives in the community. Which of the following actions should the
,nurse plan to take first? correct answer Determine the level of health equity
among groups in the community.
A community health nurse is planning prevention strategies for hypertension
among members of her community. The nurse should identify that which of the
following ethnic groups in the community is at greatest risk of developing
hypertension? correct answer African Americans
A home health nurse is providing teaching to the parent of a child who is receiving
chemotherapy and experiencing nausea. Which of the following statements
should the nurse make? correct answer Have your child rest with his head
elevated after meals - you do this because this will help digestion go easier.
A home health nurse manager is assisting in the implementation of an electronic
medical record (EMR) system for client care. Which of the following actions
should the nurse manager take to promote interoperability? correct answer
Recommend a single coding system for each department to use.
A hospice nurse is planning care for a client who has terminal cancer. The client
tells the nurse that she practices Hindu religion. Which of the following
interventions should the nurse include in the plan of care to support the clients
religious beliefs? correct answer Allow time for a family member to perform a
ritual bath after the client dies.
A newly licensed nurse asks a charge nurse where to find information about scope
of practice for registered nurses. Which of the following responses should the
charge nurse make? correct answer "The state board of nursing can provide this
information."
, A nurse at a provider's office is counseling a client who reports insomnia. Which
of the following statements should the nurse make to include the client's
preferences into a sleep promotion plan? correct answer "Sleep in the location of
your home where you feel you rest best."
A nurse enters client's room and finds the client lying on the floor. The client
states that on the way to the bathroom her "knee locked", causing her to fall.
Which of the following actions should the nurse take first? correct answer Check
the client for injuries.
A nurse in a community health clinic is screening a 10-year-old girl for scoliosis.
Which of the following instructions should the nurse give the child for this
examination? correct answer "Bend forward at the waist and let your arms hang
down."
A nurse in a long-term care facility discovers a small fire in the client's trash can.
After moving the client to safety, which of the following actions should the nurse
take next? correct answer Pull the alarm to notify emergency services.
A nurse in a long-term care facility is performing a fall risk assessment on a newly
admitted client using the Timed Up and Go (TUG) test. The client reports using a
tripod cane for ambulation. Which of the following should the nurse take when
using this test? correct answer Observe the client when ambulating a distance of
3 m (10 feet) during the TUG test.
IF it takes longer than 14 seconds the client is at a increased risk of falls.
A nurse in a long-term facility is admitting a new client following a brief stay in
acute care. In adherence with the Joint Commission National Patient Safety Goals
regarding medication administration, which of the following actions should the