PN Management Online Practice 2023 B
Which of the following cash should the nurse delegate to the assistive personnel (AP)? - ANS -apply
barrier cream to the clients buttocks
-Place an absorbent pad on the client bed
-Report the client blood pressure to the nurse
-Document the clients vital signs
The nurse is monitoring the client. Select five findings that indicate that the client is experiencing an
adverse reaction to the nursing interventions, and the plan of care should be updated. - ANS -blood
pressure
-Heart rate
-Respiratory rate
-Temperature
-Pain level
Complete the following sentence by using the list of options. Following the interaction with the client
the nurse should _____ followed by_____. - ANS -notify the nurse manager of the problem
-Complete of facility incident report
A nurses reinforcing discharge teaching with a client who is two days postpartum. The patient expresses
concern about a lack of family support and limited financial resources. Which of the following responses
should the nurse make? - ANS How do you feel about discussing your concerns with a social worker?
A nurse is assisting with the discharge planning for a client. Which of the following actions should the
nurse plan to take? - ANS Include community resource phone numbers with the clients discharge
instructions
, A nurse observes an assistive personnel (AP) taking a picture of a client who has not given consent. The
nurse should identify that the AP has committed which of the followings torts? - ANS Invasion of privacy
A nurse is assisting with the discharge of a client who was in a motor vehicle crash 24 hours ago. The
client tells the nurse, "My vision, seems blurry, and I am having difficulty speaking clearly." which of the
following action should the nurse take first? - ANS Check the client for indications of increased
intercranial pressure
A nurse in a skilled nursing facility is caring for a group of clients. Which of the following actions
demonstrates the nurses role as client advocate? - ANS The nurse assists a client in communication end
of life decisions to the provider
A nurse is contributing to the plan of care for a client who states they are devout Hindu. To adhere to
the clients, religious dietary practices, which of the following food options should the nurse offer to the
client? - ANS yogurt
A nurse is preparing to reinforce discharge, teaching with a client who speaks a different language than
the nurse. The client has a new diagnosis of diabetes mellitus and their partner is at bedside. Which of
the following actions to the nurse take? - ANS Contact and interpreting service via telephone to assist
with the instructions
A nurse in a long-term care facility is preparing to demonstrate administration of a cleaning enema to a
group of newlywed nurses. Which of the following action should the nurse plan to take during
demonstration? - ANS Place the client on a left side-lying position
A nurse is planning to delegate care for a group of clients following change of shift report. Which of the
following task should the nurse plan to assign to an assistive personnel (AP)? - ANS Applying bilateral
sequential compression devices to a client legs
A home health nurse is reinforcing teaching about the effects of carbon monoxide poisoning. Which of
the following manifestation should the nurse include? - ANS Headache
Which of the following cash should the nurse delegate to the assistive personnel (AP)? - ANS -apply
barrier cream to the clients buttocks
-Place an absorbent pad on the client bed
-Report the client blood pressure to the nurse
-Document the clients vital signs
The nurse is monitoring the client. Select five findings that indicate that the client is experiencing an
adverse reaction to the nursing interventions, and the plan of care should be updated. - ANS -blood
pressure
-Heart rate
-Respiratory rate
-Temperature
-Pain level
Complete the following sentence by using the list of options. Following the interaction with the client
the nurse should _____ followed by_____. - ANS -notify the nurse manager of the problem
-Complete of facility incident report
A nurses reinforcing discharge teaching with a client who is two days postpartum. The patient expresses
concern about a lack of family support and limited financial resources. Which of the following responses
should the nurse make? - ANS How do you feel about discussing your concerns with a social worker?
A nurse is assisting with the discharge planning for a client. Which of the following actions should the
nurse plan to take? - ANS Include community resource phone numbers with the clients discharge
instructions
, A nurse observes an assistive personnel (AP) taking a picture of a client who has not given consent. The
nurse should identify that the AP has committed which of the followings torts? - ANS Invasion of privacy
A nurse is assisting with the discharge of a client who was in a motor vehicle crash 24 hours ago. The
client tells the nurse, "My vision, seems blurry, and I am having difficulty speaking clearly." which of the
following action should the nurse take first? - ANS Check the client for indications of increased
intercranial pressure
A nurse in a skilled nursing facility is caring for a group of clients. Which of the following actions
demonstrates the nurses role as client advocate? - ANS The nurse assists a client in communication end
of life decisions to the provider
A nurse is contributing to the plan of care for a client who states they are devout Hindu. To adhere to
the clients, religious dietary practices, which of the following food options should the nurse offer to the
client? - ANS yogurt
A nurse is preparing to reinforce discharge, teaching with a client who speaks a different language than
the nurse. The client has a new diagnosis of diabetes mellitus and their partner is at bedside. Which of
the following actions to the nurse take? - ANS Contact and interpreting service via telephone to assist
with the instructions
A nurse in a long-term care facility is preparing to demonstrate administration of a cleaning enema to a
group of newlywed nurses. Which of the following action should the nurse plan to take during
demonstration? - ANS Place the client on a left side-lying position
A nurse is planning to delegate care for a group of clients following change of shift report. Which of the
following task should the nurse plan to assign to an assistive personnel (AP)? - ANS Applying bilateral
sequential compression devices to a client legs
A home health nurse is reinforcing teaching about the effects of carbon monoxide poisoning. Which of
the following manifestation should the nurse include? - ANS Headache
