Exam 100% verified Questions
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A nurse is collecting a sputum specimen for culture
from a client who has a respiratory infection. Which
of the following actions should the nurse take?
A. Wear sterile gloves when collecting the specimen.
B. Offer the client oral hygiene after the collection
C. Collect the specimen in the evening.
D Collect 1 ml of sputum.
THE CORRECT ANSWER IS B.
A nurse is assessing an older client. Which of the
following findings should the nurse expect?
a. Decreased sense of balanced
b. Increased nighttime sleeping
c. Heightened sense of pain
d. Nighttime urinary incontinence
THE CORRECT ANSWER IS A
,A nurse is completing discharge teaching about
ostomy care with a client who has a new stoma.
Which of the following instructions should the nurse
include in the teaching? (select all that apply)
a. "Cut the opening of the pouch 1⁄8 of an inch larger
than the stoma "
b. "Place a piece a gauze over the stoma while
changing the pouch"
c. "Use povidone-iodine to clean around the stoma"
d. "Empty the ostomy pouch when it becomes one-
third full of contents"
e. “Expect the stoma to turn a purple-blue color as
its heals"
THE CORRECT ANSWERS ARE; a, b, c, d
A nurse is preparing to obtain informed consent from
a client who speaks a different language than the
nurse. Which of the following actions should the
nurse take?
a. "Request that an assistive-personnel interpret the
information for the client"
b. "Use proper medical terms when giving
information to the client"
,c. "Offer written information in the client's language"
d. "Avoid using gestures when speaking to the
client"
THE CORRECT ANSWER IS C
A nurse is teaching a client about home care
equipment. Which of the following information should
the nurse include in the teaching? (select all that
apply)
a. "Avoid using wool blankets when receiving
oxygen"
b. Check the O2 delivery rate at least once a day
c. Align the middle of the ball in the flow meter with
the line of the prescribed flow rate
d. "Keep the oxygen delivery system 0.6 m (2 feet)
from any heat source"
e. "Lay the oxygen tank flat when storing"
THE CORRECT ANSWERS ARE; a, b, c
A nurse is planning care for a client who reports
insomnia. Which of the following actions should the
nurse perform shortly before bedtime?
, a. Provide a late supper.
b. Offer a wet washcloth for the client to wash her
face
c. Perform range-of-motion exercises
d. Prepare hot cocoa or tea for the client
THE CORRECT ANSWER IS A
A nurse on a medical-surgical unit is receiving a
change-of-shift report for four clients. Which of the
following clients should the nurse see first?
a. A client who has acute abdominal pain of 4 on a
scale from 0 to 10
b. A client who has pneumonia and an oxygen
saturation of 96%
c. A client who has new onset of dyspnea 24hr after
a total hip arthroplasty •
d. A client who has a urinary tract infection and low-
grade fever
THE CORRECT ANSWER IS C
A nurse is reviewing a client's intake and output and
notes the following: 0.9% sodium chloride 600mL IV