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2024/LATEST UPDATE EXAM QUESTIONS &
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ANSWERS WITH RATIONALES |A+ GRADE
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Can an RN delegate to the LPN to provide tracheostomy care to a client
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with pneumonia?
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- Answer-Yes.
xx
A nurse on a med-surg unit has received change-of-shift report & will
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xx care for 4 clients.Which of the following client's needs may the nurse
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xx assign to an assistive personnel (AP)?
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A. Feeding a client who was admitted 24 hrs. ago w/aspiration pneumoni
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B. Reinforcing teaching w/a client who is learning to walk using a quad
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cane
xx
C. Reapplying a condom catheter for a client who has urinary incontinence
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D. Applying a sterile dressing to a pressure ulcer
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- Answer-
xx xx Reapplying a condom catheter for a client who has urinary
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C.
xx incontinence
Rationale: The application of a condom catheter is a noninvasive, routine
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procedure thatthe nurse may delegate to the AP
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A client returning from surgery requires assessment and establishment of
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,xx a plan of care.RNs are responsible for this, especially if the client is
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xx potentially unstable. xx
A nurse observes an AP reprimanding a client for not using the urinal
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xx properly. The APtells him she will put a diaper on him if he does not
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xx use the urinal more carefully next time. Which of the following torts is
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xx the AP committing?
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A.
xx Assault
B.
x
xx Battery
C. False
xx
xx imprisonmentD. x
xx Invasion of xx
xx privacy
- Answer-A. Assault xx
Rationale: By threatening the client, the AP is committing assault.
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An adult client who is competent tells the nurse that he is thinking
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xx about leaving the hospital against medical advice. The nurse believes that
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xx this is not in the client's best interest, so she administers a PRN sedative
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xx med that the client has not requested alongw/his usual meds. Which of
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,xx the following tort has the nurse committed?
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A. Assault
B. False
imprisonmentC.
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xx Negligence
D. Breach of confidentiality
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- Answer-B. False imprisonment xx xx
Rationale: The nurse gave the med as a chemical restraint to keep the
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client from leavingthe facility against medical advice. The client did not
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xx consent.
An RN is making assignments for client care to a LPN at the beginning
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xx of the shift.Which of the following assignments should the LPN
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xx question?
A. Assisting a client who is 24hr postop to use an incentive spirometer
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B. Collecting a clean-catch urine specimen from a client who was
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admitted on theprevious shift
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C. Providing nasopharyngeal suctioning for a client who has pneumonia
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D. Replacing the cartridge and tubing on a PCA pump
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- Answer-D. Replacing the cartridge and tubing on a PCA pump
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, Rationale: The RN is responsible for the PCA pump
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A client who will undergo neurosurgery the following week tells the
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xx nurse in the surgeon's office that he will prepare his advance directives
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xx before he goes to the hospital.Which of the following statements by the
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xx client indicates to the nurse that he understandsadvance directives?
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A. "I'd rather have my brother make decisions for me, but I know it
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has to be my wife."B. "I know they won't go ahead w/the surgery
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xx unless I prepare these forms."
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C. "I plan to write that I don't want them to keep me on a breathing
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machine."
xx
D. "I will get my regular doctor to approve my plan before I hand it
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xx in at the hospital." -Answer-C.
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Rationale: The client has the right to decide and specify which medical
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procedures hewants when a life-threatening situation arrives
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A client is about to undergo an elective surgical procedure. Which of
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xx the following actions are appropriate for the nurse who is providing
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people care regarding informedconsent? Select all.
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A. Make sure the surgeon obtained the
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