COMPLETE QUESTIONS WITH DETAILED VERIFIED ANSWERS (100%
CORRECT) /ALREADY GRADED A+ //BRAND NEW!! GRADED A+
A charge nurse is observing a newly licensed nurse prepare a sterile
field. Which of the following actions should the charge nurse identify as
contaminating the sterile field? ANS: ✔- The nurse opens the sterile
field on a wet surface
A nurse assessing a client after administering epinephrine for an
anaphylactic reaction. The nurse should monitor the client for with of
the following adverse effects of this medication? ANS: ✔- Reports
of chest pain
A nurse enters a client's room ad finds her on the floor. The client's
roommate reports that the client fell getting out of bed. Which of the
following statements should the nurse document? ANS: ✔- "Client
was found lying on floor."
A nurse has accepted a verbal prescription for three tenths of a
milligram of levothyroxine IV stat for a client who has myxedema coma.
How should the nurse transcribe the dosage of this medication in the
client's medical record? ANS: ✔- 0.3 mg
A nurse has an order to remove sutures from a client. After retrieving
the suture remover kit and applying sterile gloves, which of the
following actions should the nurse take next? ANS: ✔- Clean
sutures along the incision site.
A nurse has just inserted an NG tube for a client. Which of the following
,assessment findings should the nurse expect to confirm correct tube
placement? ANS: ✔- An x-ray shows the end of the tube above the
pylorus
A nurse in a clinic is caring for a middle adult client who states, "The
doctor says that, since I am at an average risk for colon cancer, I should
have routine screening. What does that involve?" Which of the
following responses should the nurse make? ANS: ✔- "You should
have a fecal occult blood test every year."
A nurse in a long-term care facility is caring for a client who dies during
the nurse's shift. Identify the sequence in which the nurse should
perform the following steps. ANS: ✔- ▪️Obtain the pronouncement
of death from the provider
▪️Remove tubes and indwelling lines
▪️Wash the client's body
▪️Ask the client's family members if they would like to view the body
▪️Place a name tag on the body
A nurse in a long-term care facility is planning to perform hygiene care
for a new resident. Which of the following assessment questions is the
nurse's priority before beginning this procedure? ANS: ✔- "Are you
able to help with your hygiene care?"
A nurse in a provider's office is obtaining the health and medication
history of a client who has a respiratory infection. The client tells the
nurse that she is not aware of any allergies, but that she did develop a
rash the last time she was taking an antibiotic. Which of the following
information should the nurse give to the client? ANS: ✔- "We need
to document the exact medication you were taking because you might
be allergic to it."
A nurse is administering 1L of 0.9% sodium chloride to a client who is
postoperative and has fluid-volume deficit. Which of the following
changes should the nurse identify as an indication that the treatment
was successful? ANS: ✔- Decrease in Heart Rate
,A nurse is administering an otic medication to an older adult client.
Which of the following actions should the nurse take to ensure that the
medication reaches the inner ear? ANS: ✔- Pressing gently on the
tragus of the client's ear.
A nurse is administering IV fluid to an older adult client. The nurse
should perform which priority assessment to monitor for adverse
effects? ANS: ✔- Auscultate Lung Sounds
A nurse is admitting a client who has an abdominal wound with a large
amount of purulent drainage. Which of the following types of
transmission precautions should the nurse initiate? ANS: ✔-
Contact Precautions
A nurse is admitting a client who has been having frequent tonic-clonic
seizures. Which of the following actions should the nurse add to the
client's plan of care? ANS: ✔- Wrap blankets around all four side
rails
A nurse is admitting a client who has varicella. Which of the following
types of transmission precautions should the nurse initiate? ANS:
✔- Airborne
A nurse is assessing a client who has been on bed rest for the past
month. Which of the following findings should the nurse identify as an
indication that the client has developed thrombophlebitis? ANS: ✔-
Calf Swelling
A nurse is assessing a client who reports increased pain following
physical therapy. Which of the following questions should the nurse ask
when assessing the quality of the client's pain? ANS: ✔- "Is your
pain sharp or dull?"
A nurse is assessing an adult client who has been immobile for the past
3 weeks. The nurse should identify that which of the following findings
, requires further intervention? ANS: ✔- Erythema on pressure
points
A nurse is assessing an older client's risk for falls. Which of the following
assessments should the nurse use to identify the client's safety needs?
ANS: ✔- Pupil Clarity
Visual Fields
Visual Acuity
A nurse is assisting a client who is post operative with the use of an
incentive spirometer. Into which of the following positions should the
nurse place the client? ANS: ✔- Semi-Fowler's
A nurse is caring for a child who has a prescription for a blood
transfusion. The parents have refused the treatment due to religious
beliefs. Which of the following actions should the nurse take? ANS:
✔- Examine personal values about the issue
A nurse is caring for a client receiving fluid through a peripheral IV
catheter. Which of the following findings at the IV site should the nurse
identify as infiltration? ANS: ✔- Skin Blanching
A nurse is caring for a client who asks about the purpose of advance
directives. Which of the following statements should the nurse make?
ANS: ✔- "They indicate the form of treatment a client is willing to
accept in the event of a serious illness."
A nurse is caring for a client who has a heart murmur. The nurse is
preparing to auscultate the pulmonary valve. Over which of the
following locations should the nurse place the bell of the stethoscope?
ANS: ✔- Second intercostal space at the left sternal boarder
A nurse is caring for a client who has a pharyngeal diphtheria. Which of
the following types of transmission precautions should the nurse
initiate? ANS: ✔- Droplet