QUESTIONS AND ANSWERS [ALREADY
GRADED A+} REAL EXAM 100%
A nurse notices an assistive personnel taking a nap in the break room during he
meal t ime. The AP appears drowsy while performing routine tasks. Which of the
following a ctions should the nurse take? - ANS✔✔---Report the
observations about the ap to the unit's nurse manager.
A nurse is reinforcing teaching with a client who has a fluid volume deficit about
selec ting foods that have a high water content. The nurse should include that
which of the following raw foods contains the highest amount of water per 1 cup
serving? - ANS✔✔---cherry tomatoes
,The nurse is position a client who is scheduled for a lumbar puncture. The nurse
should assist the client into which of the following positions? - ANS✔✔---
lateral recumbent
A nurse is talking with a client whose son died in a motor- vehicle crash 2 weeks
ago. The client states "I really thought I'd be back to my usual routines by now,
but I can't think of anythingelse except my son is gone" Which of the following
responses should the nurse make? - ANS✔✔---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 assisting with monitoring a client who is at 40 weeks of gestation and
is in active labor. The nurse recognizes late deceleration on the fetal monitor
tracing. Whichof the following actions should the nurse take? - ANS✔✔---
Place the client in the lateral position.
A nurse manager is providing an in-
service on hand hygiene to assistive personnel. which of the following
information should the nurse manager include in the in-service? - ANS✔✔---
Remove rings when washing hands with soap and water
A nurse is reinforcing home safety instructions with the parent of a newborn.
Which of the following statements should the nurse include in the instructions? -
ANS✔✔---Place your baby's crib away from heat vents.
A nurse is preparing to administer a client's morning medications.
, Which of the follow ing actions should the nurse take to verify the client's
identity? - ANS✔✔---Scan the facility identification board.
A nurse is caring for a client following a bronchoscopy procedure. Which of the
following actions should the nurse perform first? - ANS✔✔---check for a gag
reflex
While administering a medication to a client, a nurse notices a trayed electrical
cord connecting the client's continuous passive motion machine to the electrical
outlet. Which of the following actions should the nurse take? - ANS✔✔---
Remove the device from the client's room.
A nurse is caring for a client who is 4 hr postoperative following a total
thyroidectomy. Which of the following manifestations should the nurse report to
the provider as indicating possible hypocalcemia? - ANS✔✔---Tingling of
fingers
A nurse is assisting with the plan of care for a client following a
transurethral resection of the prostate. Which of the following interventions
should the nurse include in the plan of care? - ANS✔✔---The nurse should
irrigate the bladder using strict sterile technique and maintain closed catheter
drainage system to minimize the rick of infection.
A nurse is reviewing a client's electronic medical record and finds that an
assistive per sonnel recorder the client's temperature as 35.3 degrees Celsius
(95.5 degrees F) 2 hrs earlier. Which of the following actions should the nurse
take firsT? - ANS✔✔---check the clients temp