QUESTIONS AND WELL
VERIFIED ANSWERS[GRADED
A+] ACTUAL EXAM 100% REAL
EXAM!! REAL EXAM!!!
A nurse is observing assistive personnel check the tympanic temperature.
Which indication that the AP understands how to perform the procedure.
- The AP pulls the pinna up and back.
- The AP inserts the probe with a straight, forward motion.
- The AP points the probe posteriorly.
,- The AP positioned the client facing her. - ANS✔✔---The AP pulls the pinna
up and back.
A nurse is assisting with the care of a client following electroconvulsive therapy
for the use
of the expected finding should the nurse expect 15 min following the
procedure.?
- Paresthesia
- Tonic- clonic-seizures.
- Disorientation
- Sleep apnea - ANS✔✔---Disorientation
A nurse is assisting with a prenatal examination of a client who is at 8 weeks of
gestation .
The nurse notes that the client's vagina and vulva purplish color. The nurse
should docket this
finding as which of the following?
- Ballottement
- Chadwick's sign
- Chloasma
- Hagar's sign - ANS✔✔---Chadwick's sign
A nurse is assisting in providing postmortem care to a client who was a devout
follower of
Hinduism. Which of the following request should the nurse anticipate from the
client's family?
,- To bury the client's body within 24hr of their death.
- To cremate the client's body pg 25
- To stay with the client's body for 8hr following their death
- To prohibit medical personnel from touching the client's body - ANS✔✔---
To cremate the client's body pg 25
A nurse is reinforcing with a client who has a new diagnosis of COPD. Which of
the following statements by the client indicates understanding of the teaching?
- I should practice pursed-lip breathing exercises.
- I should do aerobic exercises once per day.
- I will consume low protein, low calorie foods.
- I will increase my fluid intake to 1,700 milliliter per day. - ANS✔✔---I should
practice pursed -lip breathing exercises.
A nurse is contributing to the plan of care for a client who has ascites due to
cirrhosis. Which of the following interventions should the nurse recommend
including in the plan?
- Measure the client's abdominal girth daily.
- Restrict the client's sodium intake to 3 g per day.
- Keep the client's daily protein intake below o.8g/kg
- Position the client supine with legs elevated. - ANS✔✔---Measure the
client's abdominal girth daily.
, A nurse is completing documentation in the medical record about a client who
fell on the floor. Which of the following statements should the nurse include in
the documentation?
- The client fell because the assistive personnel did not place non skid slippers
on the client.
- Client stated, I lost my balance and fell when I got out of bed to go to the
bathroom.
- An incident report has been completed and sent to risk management.
- The client does not appear to have any injuries resulting from the fall. -
ANS✔✔---Client stated, I lost my balance and fell when I got out of bed to go
to the bathroom.
A nurse is assisting with a community health program for caregivers of clients
who have Alzheimer's disease. Which of the following should the nurse include?
- Use written signs to assist the client with locating the bathroom.
- Use confrontation to manage the client 's behavior.
- Limit the number of choices for the client.
- Provider a stimulating environment for the client. - ANS✔✔---Limit the
number of choices for the client.
A nurse overhears two assistive personnel AP in the nurse station discussing a
client who was recently admitted. Which of them should the nurse take?
- Document the event in the client's progress notes.
- Tell the APs to stop the conversation.
- Submit an incident report to the risk manager.