Complete Accurate Exam Questions With Verified Answers
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1. 1. A nurse is assessing pressure ulcers on four clients to evaluate the
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f effectiveness of a change in the wound care procedure.Which of the following
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findings indicate wound healing.
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a. Erythema on the skin surrounding a client's wound
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b. Deep red color on the center of the clients wound
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c. Inflammation noted on the tissue edges of a client's wound
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d. Increase in serosanguineous exudate from the clients wound
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…Answer>: b. Deep redcolor on the center of the clients wound
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,2. 2. A nurse received change of shift report at 0700 for four clients.Which of
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the following actions should the nurse perform first?
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a. Obtain a breakfast tray for a client who received a morning dose of insulin
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as part
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b. Administer pain medication to a client who has rheumatoid arthritis f f f f f f f f f
f andreceived the last dose at
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0400
c. Restart an infiltrated IV for a client whose IV antibiotic is scheduled for 0900
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d. Replace a client's enteral nutrition feeding solution that has been hanging
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for 24 hours. (To prevent bacterial contamination, fill the bag with only enough
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formula to
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last over a 4-8 hour period, and change the feeding bag every 24 hours)
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…Answer>: a. Obtain a breakfast tray for a client who received a morning dose of
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insulin as part
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3. 3. A nurse is orienting a newly licensed nurse on the neurological unit.
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f Which of the following clients should the nurse assign to the newly licensed
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nurse?
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a. A client who has multiple sclerosis and ataxia
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b. A client who has brain tumor and is admitted for chemotherapy
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c. A client who has guillain-barre syndrome and a tracheostomy
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,d. A client who sustained a concussion and is being monitored for complica-
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tion
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…Answer>: a. A client who has multiple sclerosis and ataxia
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4. 4. A nurse is providing teaching to a client about advance directives.Which
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of the following statements by the client indicates an understanding of the
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f teaching?
a. "Once I sign my living will, a family member must co sign it"
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b. "I will wait until I have a serious health problems to sign my advance
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directives"
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, c. "My doctor will need to provide approval for the decisions outlines in my
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living will
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d. "My durable power of attorney for health care is part of my advance di-
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f rectives"
…Answer>: d. "My durable power of attorney for health care is part of my
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f advancedirectives" f
5. 5. A nurse is chairing a committee about preventing infant abduction in a
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f new birth care center.Which of the following quality control tasks should the
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nurse assign to be completed first?
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a. Identify the industry standards for infant safety
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b. Evaluate the selected infant safety system f f f f f
c. Choose an infant safety system f f f f
d. Establish measurement criteria for infant safety systems
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…Answer>: a. Identify theindustry standards for infant safety f f f f f f f f
6. 6. A nurse notes that a client is eating about half of the food on his plate
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f and coughs frequently during meals.The nurse plans to perform dysphagia
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screening to determine the client's need for a referral to which of the
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f following providers? f
a. Physical therapist f
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