UNITEK TERM 2 FINALS A PRACTICE
SET QUESTIONS & ANSWERS(RATED
A+)
A nurse is caring for a pt who is receiving continuous NGT feedings. Nurse listens to
bowel sounds. Which of the following actions should the nurse take? (Has clip for
you to listen to) - ANSWERDecrease the rate of feeding
A nurse is preparing to to remove client peripheral IV catheter. After hand hygiene
and applying don clean gloves, which of the following actions should the nurse take
first? - ANSWERclamp the infusion tubing
a nurse is contributing to the plan of care for a client who has a positive throat culture
for streptococci. Which of the following interventions should the nurse recommend to
be included in the plan of care? - ANSWEREnsure client wears a surgical mask
during transportation throughout facility.
A nurse is caring for a pt who has just died and practiced his Islamic faith. Which of
the following cultural practices should the nurse expect? - ANSWERThe clients face
should be turned towards Mecca.
A nurse is preparing to administer oxygen to a pt who has heart failure and is having
severe difficulty breathing. Which of the following oxygen delivery equipment should
the nurse select to provide highest concentration oxygen to the client? -
ANSWERNon-rebreather mask
A charge nurse who sells smoke, enters the visitor restroom, and sees flames in the
trash can. What is the sequence of actions that the nurse should take? - ANSWER1.
Evacuate Clients from area
2. Pull lever on alarm box
3. Close the fire doors
4. Use fire extinguisher
A nurse is caring for a pt who has metastatic cancer and practices Catholicism. The
client nurse asks the nurse to discuss the afterlife with them. Which of the following
statements by the nurse assists in meeting the clients spiritual needs? -
ANSWER"Tell me what the afterlife means to you"
A nurse is reinforcing teaching with a client about the prevention of stress injuries.
Which of the following instruction should the nurse include? - ANSWER"When lifting
a heavy object, keep it close to your body"
A nurse is reinforcing teaching with a client about the use of crutches. Which of the
following actions but the client indicated an understanding of teaching? -
ANSWERThe client advances the unaffected leg first while climbing stairs.
, A client who has advanced cancer tells the nurse they have a difficult time talking to
anyone about the illness. Which of the following actions should the nurse take to
encourage therapeutic communication? - ANSWERLet the client know, as their
nurse, you are available to listen
A nurse is preparing to transport a client to an acute care facility to a long term care
facility. Which of the following information should the nurse plan to include in the
transfer report? - ANSWERResolved health conditions
A nurse is contributing to the plan of care for a client who has a prescription for
elastic bandages to the lower extremities. Which of the following actions should the
nurse recommend for the plan of care? - ANSWERCompare the clients pedal pulses
bilaterally every 4 hours
A nurse is taking notes of client information on a piece of paper while receiving the
report. Which of the following actions should the nurse take while disposing the
paper? - ANSWERShred the paper in a secured container
A nurse is assisting with care of a recently deceased pt. Which of the following
actions should the nurse take prior to the family views the body? - ANSWERClean
soiled areas of the body
A nurse is preparing to administer an enteral feeding tube to a client who has a NGT
in place. Which of the following should the nurse do to verify correct placement of the
NG Tube? - ANSWERCheck the pH of the gastric aspirate A nurse i
A nurse is caring for a pt who has a terminal illness and the pt family member asks
why the pt mouth is continually open. Which of the following should the nurse
respond? - ANSWERThe reduced muscle tone has relaxed the jaw muscles.
A nurse is caring for a postoperative client who is at risk for thrombus formation.
Which of the following interventions should the nurse delegate to an assistive
personal (AP)? - ANSWERApply thromboembolic stockings
A nurse is preparing to collect data from a client for a health assessment. Which of
the following actions should the nurse take? - ANSWERProvide privacy for pt
A nurse is planning care for a client who is disorientated and at risk for falls. Which of
the following interventions should the nurse include? (SATA) - ANSWER1. Reinforce
teaching about call bell
2. Nonslip slippers/socks
3. place client in room near nurses station
A nurse is providing wound care for a group of clients. Which of the following wound
should the nurse identify as healing by secondary intention? - ANSWERA stage
three pressure injury on the coccyx
SET QUESTIONS & ANSWERS(RATED
A+)
A nurse is caring for a pt who is receiving continuous NGT feedings. Nurse listens to
bowel sounds. Which of the following actions should the nurse take? (Has clip for
you to listen to) - ANSWERDecrease the rate of feeding
A nurse is preparing to to remove client peripheral IV catheter. After hand hygiene
and applying don clean gloves, which of the following actions should the nurse take
first? - ANSWERclamp the infusion tubing
a nurse is contributing to the plan of care for a client who has a positive throat culture
for streptococci. Which of the following interventions should the nurse recommend to
be included in the plan of care? - ANSWEREnsure client wears a surgical mask
during transportation throughout facility.
A nurse is caring for a pt who has just died and practiced his Islamic faith. Which of
the following cultural practices should the nurse expect? - ANSWERThe clients face
should be turned towards Mecca.
A nurse is preparing to administer oxygen to a pt who has heart failure and is having
severe difficulty breathing. Which of the following oxygen delivery equipment should
the nurse select to provide highest concentration oxygen to the client? -
ANSWERNon-rebreather mask
A charge nurse who sells smoke, enters the visitor restroom, and sees flames in the
trash can. What is the sequence of actions that the nurse should take? - ANSWER1.
Evacuate Clients from area
2. Pull lever on alarm box
3. Close the fire doors
4. Use fire extinguisher
A nurse is caring for a pt who has metastatic cancer and practices Catholicism. The
client nurse asks the nurse to discuss the afterlife with them. Which of the following
statements by the nurse assists in meeting the clients spiritual needs? -
ANSWER"Tell me what the afterlife means to you"
A nurse is reinforcing teaching with a client about the prevention of stress injuries.
Which of the following instruction should the nurse include? - ANSWER"When lifting
a heavy object, keep it close to your body"
A nurse is reinforcing teaching with a client about the use of crutches. Which of the
following actions but the client indicated an understanding of teaching? -
ANSWERThe client advances the unaffected leg first while climbing stairs.
, A client who has advanced cancer tells the nurse they have a difficult time talking to
anyone about the illness. Which of the following actions should the nurse take to
encourage therapeutic communication? - ANSWERLet the client know, as their
nurse, you are available to listen
A nurse is preparing to transport a client to an acute care facility to a long term care
facility. Which of the following information should the nurse plan to include in the
transfer report? - ANSWERResolved health conditions
A nurse is contributing to the plan of care for a client who has a prescription for
elastic bandages to the lower extremities. Which of the following actions should the
nurse recommend for the plan of care? - ANSWERCompare the clients pedal pulses
bilaterally every 4 hours
A nurse is taking notes of client information on a piece of paper while receiving the
report. Which of the following actions should the nurse take while disposing the
paper? - ANSWERShred the paper in a secured container
A nurse is assisting with care of a recently deceased pt. Which of the following
actions should the nurse take prior to the family views the body? - ANSWERClean
soiled areas of the body
A nurse is preparing to administer an enteral feeding tube to a client who has a NGT
in place. Which of the following should the nurse do to verify correct placement of the
NG Tube? - ANSWERCheck the pH of the gastric aspirate A nurse i
A nurse is caring for a pt who has a terminal illness and the pt family member asks
why the pt mouth is continually open. Which of the following should the nurse
respond? - ANSWERThe reduced muscle tone has relaxed the jaw muscles.
A nurse is caring for a postoperative client who is at risk for thrombus formation.
Which of the following interventions should the nurse delegate to an assistive
personal (AP)? - ANSWERApply thromboembolic stockings
A nurse is preparing to collect data from a client for a health assessment. Which of
the following actions should the nurse take? - ANSWERProvide privacy for pt
A nurse is planning care for a client who is disorientated and at risk for falls. Which of
the following interventions should the nurse include? (SATA) - ANSWER1. Reinforce
teaching about call bell
2. Nonslip slippers/socks
3. place client in room near nurses station
A nurse is providing wound care for a group of clients. Which of the following wound
should the nurse identify as healing by secondary intention? - ANSWERA stage
three pressure injury on the coccyx
