PN comprehensive predictor practice B 2023 QUESTIONS/ ANSWERS AND RATIONALE

A nurse at a long-term care facility is caring for a client who requires oral suctioning. Which of the following supplies should the nurse plan to use for this task? - ANSWER yankeurs catheter rationale: A Yankauer catheter is a clean suction catheter used when performing oral and oropharyngeal suctioning to remove secretions from the client's mouth to facilitate breathing or obtain a sample for diagnostic evaluation. A nurse in a long-term care facility is serving on the ethics committee, which is addressing a client care dilemma. Which of the following strategies will facilitate resolving the dilemma? (Select all that apply.) - ANSWER [1] determine the facts related to the dilemma. [2] identify possible solution [3]consider the client wishes A nurse is talking with a client whose son died in a motor-vehicle crash 2 weeks ago. The client states, "l really thought I'd be back to my usual routines by now, but I can't think of anything else except that my son is gone." Which Of the following responses should the nurse make? - ANSWER Grieving for your son is hard work. it will take as much time as you need to come to terms with your loss. A nurse is reinforcing teaching with a client about cancer prevention. The nurse should include that frequent consumption of which of the following foods increases the risk for developing cancer? - ANSWER Lamb rationale: including tuna fish reduces risk of developing cancer. including poultry reduces risk, A nurse notices an assistive personnel (AP) taking a nap in the break room during meal time. The nurse also notes that the AP is drowsy while performing routine tasks. Which of the following actions should the nurse take? - ANSWER Report the observation about the AP to the Unit nurse manager A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of the following clients should the nurse identify as being at risk for urinary retention? - ANSWER A school age child who has allergic rhinitis and is taking diphenhydramine. A nurse is caring for a client following a bronchoscopy. Which of the following actions should the nurse take first? - ANSWER check for gag reflex A nurse is assisting with the admission of a client who has a latex allergy. The nurse should identify that which of the following supplies has the potential to contain latex? - ANSWER Indwelling urinary catheter A nurse is performing postmortem care for a client prior to the arrival Of the client's family for viewing Of the body. Which Of the following actions should the nurse take? - ANSWER Gently close the client's eyelids A nurse is reinforcing teaching with a client who has dumping syndrome about measures to reduce manifestations. Which of the following instructions should the nurse include in the teaching? - ANSWER avoid foods high in sugar content. rationale: The nurse should instruct the client to avoid sweet foods, which often increase the manifestations of dumping syndrome. These manifestations include nausea, sweating