Answers
1. a nurse is reinforcing teaching about the use of crutches with a client who
has a fractured right tibia and fibula. which of the following statements
indicates understanding?
Answer "I will be sure to keep the crutch tips dry"
2. a client who had a recent BTK amputation says, "I don't know how I can
continue to live my life without my leg." which is the appropriate response?
Answer tell me what concerns you have about your future
3. a nurse is preparing to administer oxygen to a client with HF and severe
difficulty breathing. which of the following oxygen delivery equipment
should the nurse select to provide the highest concentration of oxygen to the
client?-
Answer nonrebreather mask
4. intake for a client in 8
hours 150mL/hr IV
120mL juice
,500mL water
Answer 1820Ml
5. a charge nurse is reinforcing teaching with an AP about performing pulse
oximetry. which of the following information should be included in the
teach- ing?
Answer remove polish from the clients fingers before applying
6. a nurse is reinforcing teaching with a client about using guided imagery.
which of the following actions should the nurse take?
Answer direct the client to visualize tension leaving the body
7. a nurse is preparing to administer topical medication to a client. which of the
following actions should the nurse take?
Answer compare the label of the medication container with the MAR 3 times
8. a nurse is assisting with the plan of care for a client with aphasia following a
stroke. which of the following interventions should the nurse use to assist the
client with communication?
Answer ask close-ended questions
9. a nurse is caring for a. client who has metastatic cancer and practices
Catholicism. the client asks the nurse to discuss the afterlife with her. which of
, the following statements by the nurse assists in meeting the client's spiritual
needs?
Answer "tell me what the afterlife means to you"
10. a nurse is contributing to the plan of care for a client who has a
prescription for elastic bandages to the lower extremities. which of the
following actions
should the nurse recommend for the plan of care?
Answer compare pedal pulses bilaterally every 4 hours
11. nurse finds a fire. what should she
do? RACE
Answer Evacuate clients
Pull the fire alarm
Close the fire doors
Use the fire extinguisher
12. a nurse in a LTC facility is contributing to the care plan for a client at
risk for pressure ulcers. which recommendations should be included in the
plan?
Answer per- form a thorough skin inspection each day
13. a nurse is planning to perform wound irrigation for a client who has a