CORRECT AND VERIFIED ANSWERS
A bnurse bis bassisting ba bclient bwho bhas bright-sided bweakness bwhile bambulating
busing ba bcane. bWhich bof bthe bfollowing bclient bactions bshould bindicate bto bthe bnurse
bthat bthe bclient bunderstands bthe bprocedure bof bcane bwalking?
A. bThe bclient bholds bthe bcane bon bthe baffected bside.
B. bThe bclient badvances bthe bunaffected bleg bfollowed bby bthe bcane.
C. bThe bclient bsupports bthis bweight bon bthe bunaffected bleg bwhen bmoving bthe bcane
bforward.
D. bThe bclient bkeeps b2 bpoints bof bsupport bon bthe bground. b- bcorrect banswer b✔✔D.
bThe bclient bkeeps b2 bpoints bof bsupport bon bthe bground.
When bambulating bwith ba bcane, bthe bclient bshould bkeep b2 bpoints bof bsupport bon bthe
bground bat ball btimes.
A bnurse bon ba bmedical-surgical bunit bis bwashing bher bhands bprior bto bassisting bwith
ba bsurgical bprocedure. bWhich bof bthe bfollowing bactions bby bthe bnurse bdemonstrates
bproper bsurgical bhandwashing btechnique?
A. bThe bnurse bwashes beach bpart bof bher bhands bwith b5 bstrokes.
B. bThe bnurse bwashes bfrom bthe belbows bdown bto bher bhands.
C. bThe bnurse bholds bher bhands bhigher bthan bher belbows bwhile bwashing.
D. bThe bnurse buses bminimal bfriction bwhen bwashing bher bhands. b- bcorrect banswer
b✔✔C. bThe bnurse bholds bher bhands bhigher bthan bher belbows bwhile bwashing.
The bnurse bwho bis bperforming ba bsurgical bhandwashing btechnique bshould bwash
bwhile bholding bher bhands bhigher bthan bthe belbows bso bthat bwater band bsoapsuds
bcan bdrain baway bfrom bthe bclean barea btoward bthe bdirty barea.
A bnurse bis bsupervising ba bnewly blicensed bnurse bwho bis bsuctioning ba bclient's
btracheostomy. bWhich bof bthe bfollowing bactions bby bthe bnewly blicensed bnurse
bindicates ban bunderstanding bof bthe bprocedure?
A. bUsing bclean btechnique bto bperform bthe bprocedure.
B. bApplying bsuction bwhile binserting bthe bcatheter.
,C. bLubricating bthe bsuction bcatheter bwith ban boil-based blubricating bjelly.
D. bAdministering bhigh-flow boxygen bprior bto bthe bprocedure. b- bcorrect banswer b✔✔D.
bAdministrating bhigh-flow boxygen bprior bto bthe bprocedure.
The bnurse bshould binstruct bthe bnewly blicensed bnurse bto badminister b3 bto b4 bbreaths
bof b100% boxygen bvia ba bresuscitation bbag bbefore bsuctioning bto bthe bclient bto
breduce brisk bof bhypoxia.
A bnurse bis bproviding bteaching bto ba bclient babout ba bsurgical bprocedure bthat bshe bis
bscheduled bfor blater bin bthe bday. bThe bclient bstates bthat bno bone bhas bspoken bto bher
babout bthe bprocedure bbefore. bWhich bof bthe bfollowing bactions bshould bthe bnurse
btake?
A. bContinue bthe bteaching, bbut bcheck bafterward bwith bthe bsurgeon babout binformed
bconsent.
B. bStop bthe bteaching band bcheck bwith bthe bsurgeon babout binformed bconsent. b
C. bStop bthe bteaching band bask bthe bclient bto bsign ban binformed bconsent bform. b
D. bContinue bthe bteaching band bcheck bwith bthe bclient's bmedical brecord bafterward bfor
ba bsigned bconsent bform. b- bcorrect banswer b✔✔B. bStop bthe bteaching band bcheck
bwith bthe bsurgeon babout binformed bconsent.
The bclient's bstatement bindicates bthat bshe bhas bnot bgiven binformed bconsent;
btherefore, bthe bnurse bshould binterrupt bthe bteaching band bnotify bthe bsurgeon.
A bnurse bmanager bis bproviding bteaching bto ba bgroup bof bnewly blicensed bnurses
babout bways bthat bclients bacquire bhealth bcare-associated binfections b(HAIs). bWhich
bof bthe bfollowing broutes bof binfection bshould bthe bmanager bidentify bas ban biatrogenic
bHAI?
A. bInfection bacquired bfrom bimproper bhand bhygiene. b
B. bInfection bacquired bby bdrug bresistance.
C. bInfection bacquired bby binappropriate bwaste bdisposal.
D. bInfection bacquired bfrom ba bdiagnostic bprocedure. b- bcorrect banswer b✔✔D.
bInfection bacquired bfrom ba bdiagnostic bprocedure.
Iatrogenic bHAIs bdirectly bresult bfrom bdiagnostic bor btherapeutic bprocedures.
A bcharge bnurse bis bproviding bteaching bto ba bnewly blicensed bnurse babout bremoving
bsutures bfrom ba bclient's blaceration. bWhich bof bthe bfollowing bstatements bby bthe
bnewly blicensed bnurse bindicates ban bunderstanding bof bthe bteaching?
A. b"I bwill buse ba bstaple bremover band bremove beach bsuture bindividually."
B. b"Bandage bscissors bare bused bto bcut bthe bsutures."
C. b"Tweezers bare bnecessary bonly bfor bremoving bretention bsutures."
,D. b"I bwill bclip beach bsuture bclose bto bthe bskin band bpull bit bthrough bfrom bthe bother
bside." b- bcorrect banswer b✔✔D. b"I bwill bclip beach bsuture bclose bto bthe bskin band bpull
bit bthrough bfrom bthe bother bside."
Clipping bclose bto bthe bskin band bpulling bthe bsuture bfrom bthe bother bside bdoes bnot
bdisrupt bthe bwound-healing bprocess.
A bnurse bis bassessing ba bclient. bWhich bof bthe bfollowing bfindings bshould bthe bnurse
bidentify bas ban bindication bof bprotein-calorie bmalnourishment? b(Select bAll bThat
bApply)
A. bGingivitis
B. bDry, bbrittle bhair
C. bEdema
D. bSpoon-shaped bnails
E. bPoor bwound bhealing b- bcorrect banswer b✔✔B. bDry, bbrittle bhair
C. bEdema
E. bPoor bwound bhealing
Dry, bbrittle bhair bthat bfalls bout beasily bsuggests binadequate bprotein bintake band
bmalnutrition. bEdema bcan boccur bwhen balbumin blevels bare blower bthan bthe bexpected
breference brange band bindicates bprotein-calorie bmalnutrition. bAdequate bwound
bhealing bdepends bon bthe bingestion bof bsufficient bprotein, bcalories, bwater, bvitamins
b(especially bC band bA), biron band bzinc.
A bnurse bis bpreparing bto birrigate ba bclient's bwound. bWhich bof bthe bfollowing bactions
bshould bthe bnurse btake?
A. bUse ba b10 bmL bsyringe
B. bAttach ba b22-gauge bcatheter bto bthe bsyringe
C. bWarm bthe birrigating bthe bsolution bto b37°C b(98.6°F)
D. bAdminister ban banalgesic b10 bmin bbefore bthe birrigation b- bcorrect banswer b✔✔C.
bWarm bthe birrigating bthe bsolution bto b37°C b(98.6°F)
The bnurse bshould bprepare b200 bmL bof birrigating bsolution band bwarm bit bto bbody
btemperature bto bminimize bdiscomfort band bvascular bconstriction.
A bcharge bnurse bis bobserving ba bnewly blicensed bnurse bperform btracheostomy bcare
bfor ba bclient. bWhich bof bthe bfollowing bactions bby bthe bnewly blicensed bnurse brequires
bintervention?
A. bObtaining bhydrogen bperoxide bfor btracheostomy bcare
B. bObtaining bcotton bballs bfor btracheostomy bcare
C. bObtaining bsterile bgloves bfor btracheostomy bcare
D. bObtaining ba bsterile bbrush bfor btracheostomy bcare b- bcorrect banswer b✔✔B.
bObtaining bcotton bballs bfor btracheostomy bcare
, Cotton bball bparticles bcan bbe baspirated binto bthe btracheostomy bopening, bpossibly
bcausing ba btracheal babscess. bThe bcharge bnurse bshould bintervene bfor bthis baction.
A bnurse bis bcaring bfor ba bclient bwho bhas ba bcuffed bendotracheal btube bin bplace. bThe
bnurse bshould bidentify bthat bthe bpurpose bof binflating bthe bcuff bincludes bwhich bof bthe
bfollowing? b(Select bAll bThat bApply)
A. bAllowing bthe bclient bto bspeak
B. bStabilizing bthe bposition bof bthe btube
C. bPreventing baspiration bof bsecretions
D. bPreventing bair bleaks
E. bPreventing btracheal binjury b- bcorrect banswer b✔✔B. bStabilizing bthe bposition bof
bthe btube
C. bPreventing baspiration bof bthe bsecretions
D. bPreventing bair bleaks
An binflated bcuff bhelps bprevent bmovement bof bthe bendotracheal btube, breduces bthe
brisk bof baspiration bof boropharyngeal bsecretions, band bkeeps bair bfrom bleaking
baround bthe bouter bportion bof bthe bendotracheal btube.
A bnurse bis bpreparing ba bsterile bfield bfor ba bprocedure bthe bprovider bwill bperform bat
bthe bclient's bbedside. bWhich bof bthe bfollowing bactions bshould bthe bnurse btake?
A. bHold bthe bsterile bdrape babove bthe bwaste band baway bfrom bthe bbody
B. bDrop bsterile bobjects btoward bthe bedges bof bthe bsterile bfield
C. bHold bpackaged bsupplies b7.6 bcm b(3 bin) babove bthe bsterile bfield
D. bHold bsterile bobjects bover bthe bfield bbefore bsetting bthem bdown bon bthe bfield b-
bcorrect banswer b✔✔A. bHold bthe bsterile bdrape babove bthe bwaste band baway bfrom
bthe bbody
Contamination boccurs bwhen bthe bnurse bholds bany bobject bthat bwill bbe bpart bof bthe
bsterile bfield bbelow bthe bwaist bor ballows bit bto btouch banything bother bthan ba bsterile
bobject.
A bnurse bis bcalculating bthe bprotein bneeds bof ba byoung badult bclient bwho bweighs b132
blb. bThe bRDA bfor bprotein bfor ban badult bwho bhas bno bmedical bconditions bis b0.8g/kg.
bHow bmany bgrams bof bprotein bper bday bshould bthe bnurse brecommend bfor bthis
bclient? b- bcorrect banswer b✔✔48 bGrams
132/2.2=60 bkg
60 bkg bx b0.8 bg b= b48 bg
A bnurse bis breviewing ba bclient's blaboratory bresults band bnotes ba bWBC bcount bof
b3,600/mm^3. bThe bnurse bshould bidentify bthis bresult bas bwhich bof bthe bfollowing
bconditions?