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A nurse is admitting a client who has pulmonary tuberculosis which of the following transmission based
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precautions should the nurse initiate
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{{Correct Ans- Airborne vb vb
A nurse in a mental health facility is preparing an educational program for a group of staff nurses about
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the proper use of restraints which of the following information should the nurse plan to include
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{{Correct Ans- An adult client may be in mechanical restraint for up to four hours
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A nurse is teaching sleep hygiene to a client who has insomnia which of the following statements should
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the nurse make
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{{Correct Ans- Exercise in the morning after araising
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A nurse is preparing to leave the room of a client who is on isolation precautions which of the following
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actions should the nurse take when removing a tight surgical Mask
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{{Correct Ans- Remove the mask by securely holding the ties and moving it away from the face
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A nurse is caring for an adolescent client who is in critical condition following a motor vehicle crash in
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which he was a passenger. the clients parent Shouts at the Nurse asking why her son is dying instead of
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the driver which of the following actions should the nurse take to provide emotional support to the
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parent
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{{Correct Ans- Inform the parent that anger is a natural response when dealing with loss
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A community health nurse is planning prevention strategies for hypertension among members of our
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community the nurse should identify that which of the following ethnic groups in the community is at
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great risk for developing hypertension
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{{Correct Ans- African Americans vb vb vb
A community health nurse is planning interventions to promote healthy people 2020 initiatives in the
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community which of the following actions should the nurse plan to take first
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{{Correct Ans- Determine the level of health equity among groups in the community
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A nurse is reviewing a clients new prescriptions that were just documented in the clients medical record
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by the provider which of the following abbreviation should the nurse clarify with the provider
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,{{Correct Ans- Enoxaparin 40 mg sq qd
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A nurse is talking with a client who has major depressive disorder the client states nobody cares if I'm
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around or not which of the following responses should the nurse night
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{{Correct Ans- It sounds as though you're feeling hopeless
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A nurse is preparing to administer a unit of packed red blood cells to a client in adherence with the joint
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commission national patient safety goals regarding blood administration which of the following actions
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should the nurse plan to take
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{{Correct Ans- Verify the client and blood component using a two person process
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The nurse on a medical surgical unit is caring for a group of clients which of the following clients should
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the nurse monitor for the development of reflex urinary incontinence
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{{Correct Ans- A client who has a T 12 spinal cord injury
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A nurse is documenting and assessment in a clients electronica health record when an assistive
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personnel asked to enter the morning blood glucose by the client which of the following actions should
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the nurse take
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{{Correct Ans- Request that AP to use another computer to enter the data
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A nurse is preparing to administer acetaminophen 120 mg PO to a toddler Available is acetaminophen
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drops 80 mg/0.8 ML. How many ML Should the nurse administer? Round to nearest tenth
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{{Correct Ans- 1.2ml vb vb
A nurse is preparing to administer 0.9% sodium chloride 1000 ML over eight hours IV to a client the
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nurse should say the infusion infusion pump to deliver how many ML per hour round the answer to the
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nearest whole number
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{{Correct Ans- 125ml/hr vb vb
A nurse is providing teaching about nutrition management to the parent of an 18 month old toddler who
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has phenylketonuria which of the following foods should the nurse recommend
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{{Correct Ans- Baked potato vb vb vb
A nurse is preparing to extinguish a small fire in a clients room which of the following actions should the
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nurse take when using a fire extinguisher
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{{Correct Ans- Slide the pin on top of the fire extinguisher to allow for use to extinguish the fire
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A nurse is planning meals for a client who practices Judaism and reports that she strictly adhere's to
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Orthodox dietary laws the nurse should recognize that which of the following dietary practices applies to
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the clients beliefs
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{{Correct Ans- The client is permitted to eat fish That have scales
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,A nurse is caring for a client who has CDF infection and is incontinent of stool following long-term
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antibiotic therapy. Which of the following actions should the nurse take?
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{{Correct Ans- Wear a gown when providing care for the client
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A nurse is planning the menu for a client who practices seventh day Adventism which of the following
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food selections should the nurse make
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{{Correct Ans- Scrambled eggs vb vb vb
A nurse in a long-term facility discovers a small fire in a clients trashcan after moving the client to safety
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which of the following actions should the nurse take next
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{{Correct Ans- Pull the alarm to notify emergency services
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A community health nurse is developing brochure about the use of smokeless tobacco which of the
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following information should the nurse plan to include
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{{Correct Ans- Smokeless tobacco provide a higher dose of nicotine than cigarettes
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A nurse is preparing to administer three medications to a client who has an NG tube a levothyroxine
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tablet and ibuprofen gel cap and a delayed release omeprazole capsule which of the following actions
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should the nurse take
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{{Correct Ans- Chrush the levo thyroxine tablet into a powder and dissolve it in 30 ML's of of warm sterile
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water
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A nurse is caring for a child who has contact dermatitis due to poison ivy the parent asked the nurse how
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to prevent further reactions which of the following responses should the nurse make
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{{Correct Ans- Wash your child's exposed clothing with hot water and detergent
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A nurse is planning care for a client who has an indwelling urinary catheter which of the following
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interventions should the nurse include in the plan to prevent the development of a catheter associated
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urinary tract infection
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{{Correct Ans- Secure the catheter tubing to the clients leg
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A nurse in a long-term care facility is admitting a new client following a brief stay in acute care in
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adherence with the joint commission national patient safety goals regarding medication administration
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which of the following actions should the nurse take
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{{Correct Ans- Compare a list of the clients current medications with the ones he will take in long-term
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care
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A nurse is creating a plan of care for a client who is non-ambulatory and has bladder and bowel
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incontinence which of the following interventions should the nurse include to prevent skin breakdown
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{{Correct Ans- Offered the client a glass of water every two hours when repositioning
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, A home health nurse is providing teaching to the parent of a child who is receiving chemotherapy and
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experiencing nausea which of the following statements shit the nurse make
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{{Correct Ans- Have your child rest with his head elevated after meals
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A nurse is caring for a client who has cancer and is planning discharge to home with hospice care which of
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the following statements by the client indicates that he is experiencing spiritual distress
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{{Correct Ans- I wish God had not allowed this cancer to invade my body
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A nurse is beginning nutrition counseling with a client who has a BMI of 34.2 which of the following
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questions should the nurse asked first to address the clients excessive nutrition and obesity
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{{Correct Ans- Are you ready to make a lifelong commitment to a healthier lifestyle
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A nurse is administering Enoxaparin subcutaneously to a client who is post operative and is at risk of
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thromboembolic event which of the following actions should the nurse take
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{{Correct Ans- Pull up a small amount of skin using the thumb and forefinger of the non-dominant hand
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A nurse is searching electronic data bases for clinical research about behavioral indicators of pain in an
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infant which of the following online sources should the nurse late to research this infant care issue
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{{Correct Ans- Cumulative index to nursing and allied health literature
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A nurse is planning to use an interpreter to assist her when interviewing a client who does not speak the
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same language as the nurse which of the following actions should the nurse plan to take
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{{Correct Ans- Ensure the client and the interpreter are compatible
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A nurse is planning a community health program about substance use disorders which of the following
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information should the nurse include when discussing the guidelines for safety limits of alcohol
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consumption
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{{Correct Ans- A healthy woman of any age should consume no more than seven drinks in a week
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A nurse is caring for a client who is two day's post operative following an above the knee amputation the
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client states he is experiencing a dull burning pain in the leg that was amputated which of the
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following actions should the nurse take to treat the clients neuropathic pain
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{{Correct Ans- And minister of Beto blocking medication to the client
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A nurse is developing a plan of care for an older adult client who is experiencing functional incontinence
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following hip arthroplasty which of the following intervention should the nurse include
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{{Correct Ans- Please grab bars by the toilet
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Which of the following statements shows understanding of the breast self-exam
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{{Correct Ans- I should expect to feel a firm ridge along the bottom curve of each breast
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