Verified Actual Questions & Detailed Rationales Study
Guide (Next-Gen NGN Concepts Included, Graded A+)
QUESTION 1
A nurse manager is developing strategies to care for the increasing number of clients
who have obesity. Which of the following actions should the nurse include as a
primary health care strategy?
A. Collaborating with providers to perform obesity screenings during routine office
visits
B. Ensuring the availability of specialized beds in rehabilitation centers for clients who
have obesity
C. Providing specialized intraoperative training regarding surgical treatments for
obesity
D. Educating acute care nurses on postoperative complications related to obesity
Answer: A. Collaborating with providers to perform obesity screenings during
routine office visits
Rationale: Primary health care strategies focus on health promotion and disease
prevention. Collaborating with providers to perform obesity screenings during routine
office visits represents a primary prevention strategy aimed at early identification and
intervention . Secondary and tertiary care strategies such as specialized beds, surgical
training, and postoperative education address existing conditions rather than
prevention.
QUESTION 2
A nurse is discussing the purpose of regulatory agencies during a staff meeting.
Which of the following tasks should the nurse identify as the responsibility of state
licensing boards?
,A. Monitoring evidence-based practice for clients who have a specific diagnosis
B. Ensuring that health care providers comply with regulations
C. Setting quality standards for accreditation of health care facilities
D. Determining if medications are safe for administration to clients
Answer: B. Ensuring that health care providers comply with regulations
Rationale: State licensing boards are responsible for ensuring that health care providers
comply with regulations and practice within their scope of practice . Setting quality
standards for accreditation is the role of organizations like The Joint Commission, and
determining medication safety is the role of the FDA.
QUESTION 3
A nurse is explaining the various levels of health care services to a group of newly
licensed nurses. Which of the following examples of care or care settings should the
nurse classify as tertiary care? (Select all that apply)
A. Intensive care unit
B. Oncology treatment center
C. Burn center
D. Cardiac rehabilitation
E. Home health care
Answer: A, B, C (Intensive care unit, Oncology treatment center, Burn center)
Rationale: Tertiary care involves highly specialized, complex services typically provided
in settings such as intensive care units, oncology treatment centers, and burn centers .
Cardiac rehabilitation (D) and home health care (E) are examples of restorative and
continuing care services, not tertiary care.
QUESTION 4
,A nurse is caring for a group of clients on a medical-surgical unit. For which of the
following client care needs should the nurse initiate a referral for a social worker?
(Select all that apply)
A. A client who has terminal cancer requests hospice care in her home
B. A client asks about community resources available for older adults
C. A client states that she wants her child baptized before surgery
D. A client requests an electric wheelchair for use after discharge
E. A client states that he does not understand how to use a nebulizer
Answer: A, B, D (Hospice care, Community resources, Electric wheelchair)
Rationale: Social workers assist with discharge planning, community resources, and
end-of-life care arrangements . A client requesting a child's baptism (C) would be
referred to spiritual care services, and a client who does not understand how to use a
nebulizer (E) would require further teaching from the nurse rather than a social work
referral.
QUESTION 5
A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is
to use adaptive devices. The nurse caring for the client should initiate a referral to
which of the following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Registered dietitian
D. Occupational therapist
Answer: D. Occupational therapist
Rationale: An occupational therapist specializes in helping clients with physical
challenges use adaptive devices and strategies to perform self-care activities such as
eating, dressing, and bathing . Social workers assist with community resources, CNAs
provide direct care assistance, and dietitians focus on nutritional needs.
, QUESTION 6
A client who is postoperative following knee arthroplasty is concerned about the
adverse effects of the medication he is receiving for pain management. Which of the
following members of the interprofessional care team can assist the client in
understanding the medication's effects? (Select all that apply)
A. Provider
B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
E. Respiratory therapist
Answer: A, C, D (Provider, Pharmacist, Registered nurse)
Rationale: The provider, pharmacist, and registered nurse are all qualified to educate
clients about medication effects, side effects, and safety concerns . Certified nursing
assistants (B) provide basic care but are not responsible for medication education, and
respiratory therapists (E) focus on respiratory function, not pain medications.
QUESTION 7
A client who has had a cerebrovascular accident has persistent problems with
dysphagia (difficulty swallowing). The nurse caring for the client should initiate a
referral with which of the following members of the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist
Answer: D. Speech-language pathologist