VERSION 2024 TEST BANK WITH ALL
QUESTIONS FROM ACTUAL PAST EXAM AND
100%CORRECT ANSWERS
A speech-language pathologist can initiate specific therapy for clients who have
difficulty feeding due to swallowing difficulties
A nursing instructor is acquainting a group of nursing students w/the roles of the various
members of the health care team they will encounter on a medical-surgical unit. When
she gives examples of the types of tasks CNAs may perform, which of the following
client activities should she include? Select all.
A. Bathing
B. Ambulating
C. Toileting
D. Determining pain level
E. Measuring vital signs - CORRECT ANSWERS-A, B, C, E
Determining pain level requires assessment, which is the job of the licensed personnel.
A nurse in a provider's office is preparing to assess a young adult male client's
musculoskeletal system as part of a comprehensive physical examination. Which of the
following findings should the nurse expect? Select all.
A. A concave thoracic spine posteriorly
B. An exaggerated lumbar curvature
C. A concave lumbar spine posteriorly
D. An exaggerated thoracic curvature
E. Muscles slightly larger on his dominant side - CORRECT ANSWERS-C, E
A nurse is evaluating a client's neurosensory system. To evaluate stereognosis, she
would ask the client to close his eyes & identify which of the following items?
A. A word she whispers 30cm from his ear
B. A number she traces on the palm of his hand
C. The vibration of a tuning fork she places on his foot
D. A familiar object she places in his hand - CORRECT ANSWERS-D.
Stereognosis is tactile recognition
A nurse is assessing a client who reports pain when the nurse evaluates the internal
rotation of her right shoulder. Which of the following activities is this problem likely to
affect?
,A. Mopping her floors
B. Brushing the back of her hair
C. Fastening her bra behind her back
D. Reaching into a cabinet above her sink - CORRECT ANSWERS-C.
Fastening a bra from behind requires internal rotation of the shoulder, so this activity will
illicit pain
Can an RN delegate to the LPN to provide tracheostomy care to a client with
pneumonia? - CORRECT ANSWERS-Yes.
A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients.
Which of the following client's needs may the nurse assign to an assistive personnel
(AP)?
A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia
B. Reinforcing teaching w/a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer - CORRECT ANSWERS-C.
Reapplying a condom catheter for a client who has urinary incontinence
Rationale: The application of a condom catheter is a noninvasive, routine procedure that
the nurse may delegate to the AP
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago
to an AP. Which of the following information should the nurse share with the AP? Select
All.
A. The roommate is up independently.
B. The client ambulates w/his slippers on over his antiembolic stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning - CORRECT ANSWERS-B, C, D
An RN is making assignments for client care to a LPN at the beginning of the shift.
Which of the following assignments should the LPN question?
A. Assisting a client who is 24hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on the
previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
, D. Replacing the cartridge and tubing on a PCA pump - CORRECT ANSWERS-D.
Replacing the cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
A nurse is preparing an in-service program about delegation. Which of the following
elements should she identify when presenting the 5 rights of delegation? Select all.
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances - CORRECT ANSWERS-B, C, E
A and D are rights of medication administration
A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming
shift. A client is awaiting transfer back to the unit from the PACU following thoracic
surgery. To which staff member should the nurse assign to this client?
A. Charge nurse
B. RN
C. LPN
D. AP - CORRECT ANSWERS-B. RN
A client returning from surgery requires assessment and establishment of a plan of
care. RNs are responsible for this, especially if the client is potentially unstable.
A nurse observes an AP reprimanding a client for not using the urinal properly. The AP
tells him she will put a diaper on him if he does not use the urinal more carefully next
time. Which of the following torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy - CORRECT ANSWERS-A. Assault
By threatening the client, the AP is committing assault.
An adult client who is competent tells the nurse that he is thinking about leaving the
hospital against medical advice. The nurse believes that this is not in the client's best
interest, so she administers a PRN sedative med that the client has not requested along
w/his usual meds. Which of the following tort has the nurse committed?
A. Assault
B. False imprisonment