QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
TheBnurseBisBassessingBaBmiddle-
agedBadultBwhoBisBdiagnosedBwithBosteoarthritis.BWhichBfactorBinBthisBclient'sBhistoryBisBaBcontributorBtoBt
heBosteoarthritis?B-BANSWERBLongBdistanceBrunnerBsinceBhighBschool.
heBnurseBmanagerBisBconductingBanBin-
servicesBeducationBprogramBonBtheBfireBevacuationBofBtheBnewbornBrecovery.BWhatBinterventionBshouldBt
heBnurseBmanagerBdisseminateBtoBtheBstaff?B-BANSWERBEvacuateBeachBinfantBwithBmotherBviaBwheelchair
ABclientBwithBsevereBfull-
thicknessBburnsBisBscheduledBforBanBallograftingBprocedure.BWhichBinformationBshouldBtheBnurseBprovideB
theBclientB-BANSWERBHumanBsourceBgraftsBrequireBmonitoringBforBsignsBofBgraftBrejection
nBadultBmanBreportsBthatBheBrecentlyBexperiencedBanBepisodeBofBchestBpressureBandBbreathlessnessBwhen
BheBwasBjoggingBinBtheBneighborhood.BHeBexpressesBconcernBbecauseBbothBofBhisBdeceasedBparentsBhadBh
eartBdiseaseBandBhisBfatherBwasBaBdiabetic.BHeBlivesBwithBhisBmaleBpartner,BisBaBvegetarian,BandBtakesBaten
ololBwhichBmaintainBhisBbloodBpressureBatB138/74.BWhichBriskBfactorsBshouldBtheBnurseBexploreBfurtherBwi
thBtheBclient?BSelectBallBthatBapplyB-BANSWERBHistoryBofBhypertension.
B FamilyBheathBhistory
TheBnursingBstaffBonBaBmedicalBunitBincludesBaBregisteredBnurseB(RN),BpracticalBnurseB(LPN),BandBunlicense
dBassistantBpersonnelB(UAP).BWhichBtaskBshouldBtheBchargeBnurseBassignBtoBtheBRN?B-
BANSWERBSupervisedBaBnewlyBhiredBgraduateBnurseBduringBanBadmissionBassessment
TheBnurseBisBadministeringBaB750BmlBcleansingBenemaBtoBanBadultBclient.BAfterBapproximately150BmlBofBen
emaBhasBinformed,BtheBclientBstates,B'stopBIBcan'tBholdBanymore."BWhatBactionBshouldBtheBnurseBtakeB-
BANSWERBClampBtheBtubingBandBinstructBtheBclientBtoBbreatheBdeeplyBbeforeBcontinuing.
TheBnurseBrequestsBaBmealsBtrayBforBaBclientBfollowsBMormonBbeliefsBandBwhoBisBonBclearBliquidBdietBfollo
wingBabdominalBsurgery.BWhichBmealBitemBshouldBtheBnurseBrequestBforBthisBclient?B(SelectBallBthatBapply)
B-BANSWERBAppleBjuice
B ChickenBbroth
,FollowingBbreakfast,BtheBnurseBisBpreparingBtoBadministerB0900BmedicationsBtoBclientsBonBaBmedicalBfloor.B
WhichBmedicationBshouldBbeBheldBuntilBaBlaterBtime?B-
BANSWERBTheBmucosalBbarrier,BsucralfateB(Carafate),BforBaBclientBdiagnosedBwithBpepticBulcerBdisease
TheBfatherBofB4-year-
oldBhasBbeenBbattlingBmetastaticBlungBcancerBforBtheBpastB2Byears.BAfterBdiscussingBtheBremainingBoptionsB
withBhisBhealthcareBprovider,BtheBclientBrequestsBthatBallBtreatmentBstopBandBthatBnoBheroicBmeasuresBbeB
takenBtoBsaveBhisBlife.BWhenBtheBclientBisBtransferredBtoBtheBpalliativeBcareBunit,BwhichBactionBisBmostBimpo
rtantBforBtheBnurseBworkingBonBtheBpalliativeBcareBunitBtoBtakeBinBfacilitatingBcontinuityBofBcare?B-
BANSWERBObtainBaBdetailedBreportBfromBtheBnurseBtransferringBtheBclient.
TheBhealthcareBproviderBprescribesBoxycodone/BaspirinB1BtabBPOBeveryB4hBasBneededBforBpain,BforBaBclient
BwithBpolycysticBkidneyBdisease.BBeforeBadministeringBthisBmedication,BwhichBcomponentBofBtheBprescripti
onBshouldBtheBnurseBquestion?B-BANSWERBAspirinBcontent.
TheBnurseBisBmakingBaBhomeBvisitBtoBaBmaleBclientBwhoBisBinBtheBmoderateBstageBofBAlzheimer'sBdiseases.B
TheBclient'sBwifeBisBexhaustedBandBtellsBtheBnurseBthatBtheBfamilyBplansBtoBtakeBturnsBcaringBforBtheBclientBi
nBtheirBhome,BeachBkeepingBhimBforBtwoBweeksBatBaBtime.BHowBshouldBtheBnurseBrespond?B-
BANSWERBSuggestBenrollingBtheBclientBinBadultBdaycareBinsteadBofBrotatingBamongBfamily
AByoungBadultBmaleBwasBadmittedB36BhoursBagoBforBaBheadBinjuryBthatBoccurredBasBtheBresultBofBaBmotorc
ycleBaccident.BInBtheBlastB4Bhours,BhisBurineBoutputBhasBincreasedBtoBoverB200Bml/H.BBeforeBreportingBtheBf
indingBtoBtheBhealthcareBprovider,BwhichBinterventionBshouldBtheBnurseBimplement?B-
BANSWERBEvaluateBtheBurineBosmolalityBandBtheBserumBosmolalityBvalues.
ABmaleBclientBhasBreceivedBaBprescriptionBforBorlistatBforBweightBandBnutritionBmanagement.BInBadditionBt
oBtheBmedication,BtheBclientBstatesBheBplansBtoBtakeBaBmultivitamin.BWhatBteachingBshouldBtheBnurseBprov
ide?B-
BANSWERBBeBsureBtoBtakeBtheBmultivitaminBandBtheBmedicationBatBleastBtwoBhoursBapartBforBbestBabsorpti
onBandBeffectiveness
ABfemaleBclientBisBtakingBalendronate,BaBbisphosphate,BforBpostmenopausalBosteoporosis.BTheBclientBtellsB
theBnurseBthatBsheBisBexperiencingBjawBpain.BHowBshouldBtheBnurseBrespondB-
BANSWERBReportBtheBclient'sBjawBpainBtoBtheBhealthcareBprovider.
,WhichBinterventionBshouldBtheBnurseBimplementBforBaBclientBwithBaBsuperficialB(firstBdegree)Bburn?B-
BANSWERBPlaceBwetBclothsBonBtheBburnedBareasBforBshortBperiodsBofBtime.
WhatBisBtheBprimaryBgoalBwhenBplanningBnursingBcareBforBaBclientBwithBdegenerativeBjointBdiseaseB(DJD)?B-
BANSWERBAchieveBsatisfactoryBpainBcontrol.
AnBadultBwomanBwhoBisBseenBinBtheBclinicBwithBpossibleBneuropathicBpainBofBtheBrightBlegBratesBherBpainBa
sBaB7BonBaB10BpointBscale.BWhatBactionBshouldBtheBnurseBtakeB-
BANSWERBEncourageBtheBclientBtoBdescribeBtheBpain.
ABclientBhasBbothBprimaryBIVBinfusionBandBaBsecondaryBinfusionBofBmedication.BAnBinfusionBpumpBisBnotBav
ailable.BTheBnurseBneedsBtoBdetermineBtheBcurrentBrateBofBinfusionBofBtheBprimaryBIV.BWhereBshouldBtheBn
urseBobserveBtoBdetermineBtheBrateBofBinfusion?B-BANSWERBdripBchamber
TheBnurseBisBcaringBaBclientBwithBNGBtube.BWhichBtaskBcanBtheBnurseBdelegateBtoBtheBUAPB-
BANSWERBDisconnectBtheBNGBsuctionBsoBtheBclientBcanBambulateBinBtheBhallway
TheBnurseBisBconductingBtheBinitialBassessmentBofBanBillBclientBwhoBisBfromBanotherBculture....BWhatBrespo
nseBshouldBtheBnurseBprovide?B-BANSWERBWhatBpracticesBdoByouBbelieveBwillBhelpByouBheal?"
WhichBinterventionsBshouldBtheBnurseBincludeBinBaBlong-termBplanBofBcareBforBaBclientBwithBCOPDB-
BANSWERBReduceBriskBfactorsBforBinfection
TheBnurseBisBcollectingBaBsterileBurineBspecimenBusingBaBstraightBcatheterBtrayBforBculture....B(ArrangeBfrom
BfirstBactionBtoBlast).B-BANSWERB1.BDrapeBtheBclientBinBaBrecumbentBpositionBforBprivacy
2.BOpenBtheBurinaryBcatheterizationBtray
3.BDonBsterileBglovesBusingBasepticBtechnique
4.BUseBforcepsBandBswapsBtoBcleanBtheBurinaryBmeatus
TheBnurseBisBcaringBforBaBtoddlerBwithBaBsevereBbirthBanomalyBthatBisBdying.BTheBparents...BholdingBtheBchil
dBasBdeathBapproaches.BWhichBinterventionBisBmostBimportantBforBtheBnurse?B-
BANSWERBNotifyBnursingBsupervisorBandBhospitalBchaplainBofBtheBchild'sBimpendingBdeath.
, TheBnurseBisBassessingBaB4-year-
oldBboyBadmittedBtoBtheBhospitalBwithBtheBdiagnosisBofBpossibleBnephroticBsyndrome.BWhichBstatementBb
yBtheBparentsBindicatesBaBlikelyBcorrelationBtoBtheBchild'sBdiagnosisB-
BANSWERBIBcouldn'tBgetBmyBson'sBsocksBandBshoesBonBthisBmorning"
ABfemaleBclientBreportsBsheBhasBnotBhadBaBbowelBmovementBforB3Bdays,BbutBnowBisBdefecatingBfrequentBs
mallBamountBofBliquidBstool.BWhichBactionBshouldBtheBnurseBimplement?B-
BANSWERBDigitallyBcheckBtheBclientBforBaBfecalBimpaction
ABhealthBcareBproviderBcontinuouslyBdismissesBtheBnursingBcareBsuggestionsBmadeBbyBstaffBnurses.BAsBaBre
sult...dealingBwithBtheBhealthcareBprovider.BWhatBactionBshouldBtheBnurseBmanagerBimplement?B-
BANSWERBPlanBanBinterdisciplinaryBstaffBmeetingBtoBdevelopBstrategiesBtoBenhanceBclientBcare
AB2-year-
oldBgirlBisBbroughtBtoBtheBclinicBforBaBroutineBassessmentBandBallBfindingsBareBwithinBtheBnormalBlimits.BHo
wever,BtheBmomBexpressesBconcernBoverBherBdaughter'sBprotrudingBabdomenBandBtellsBtheBnurseBthatBsh
eBisBworryBthatBherBchildBisBbecomingBoverweight.BHowBshouldBtheBnurseBrespondBtoBtheBmother'sBcomm
ent?B-BANSWERBExplainBthatBaBprotrudingBabdomenBisBtypicalBforBtoddler
ABclientBadmittedBwithBanBacuteBcoronaryBsyndromeB(ACS)BreceivesBeptifibatide,BaBglycoproteinB(GP)BIIBBIII
ABinhibitor,BwhichBimportantBfindingBplacesBtheBclientBatBgreatestBrisk?B-
BANSWERBUnresponsiveBtoBpainfulBstimuli
ABtoddlerBpresentsBtoBtheBclinicBwithBaBbarkingBcough,Bstrider,BrefractionsBwithBrespiration,BtheBchild'sBskin
BisBpinkBwithBcapillaryBrefillBofB2Bseconds.BWhichBinterventionBshouldBtheBnurseBimplement?B-
BANSWERBAdministeredBNebulizedBEpinephrine
AnBAfrican-
AmericanBmanBcomeBintoBtheBhypertensionBscreeningBboothBatBaBcommunityBfair.BTheBnurseBfindsBthatBisB
bloodBpressureBisB170/94BmmHg.BTheBclientBtellsBtheBnurseBthatBheBhasBneverBbeenBtreatedBforBhighBblood
Bpressure.BWhatBresponseBshouldBtheBnurseBmake?B-
BANSWERBYourBbloodBpressureBisBaBlittleBhigh.BYouBneedBtoBhaveBitBrecheckedBwithinBoneBwee
TheBnurseBcaringBforBaBclientBwithBdysphagiaBisBattemptingBtoBinsertBanBNGBtube,BbutBtheBclientBwillBnotBsw
allowBandBisBnotBgagging.BWhatBactionBshouldBtheBnurseBimplementBtoBfacilitateBtheBNGTBpassageBintoBthe
Besophagus?B-BANSWERBFlexBtheBclient'sBheadBwithBchinBtoBtheBchestBandBinsert.