N310 Exam 5 Questions and Answers Already Passed Latest Update 2025-2026
a nurse is caring for a client who fell at a nursing home. the client is oriented to person, place,
and time and can follow directions. which of the following actions should the nurse take to
decrease the risk of another fall? (select all that apply. - Answers -make sure the client's call
light is within reach; enables the client to contact the nursing staff to ask for assistance &
prevents the client from falling out of bed while reaching for the call light
-provide the client with nonskid footwear; keeps the client from slipping
-complete a fall-risk assessment; serves as the basis for a plan of care that can then
individualize for the client
a nurse manager is reviewing with nurses on the unit in the care of a client who has had a
seizure. which of the following statements by a nurse requires further instruction? - Answers "I
will go to the nurses' station for assistance."; during a seizure, stay with the client & use the call
light to summon assistance.
a nurse observes smoke coming from under the door of the staff's lounge. which of the
following actions is the nurse's priority? - Answers move clients who are nearby; the greatest
risk to this client is injury from the fire. therefore, the priority intervention is to rescue the clients.
protect and move clients in close proximity to the fire.
a nurse is caring for a client who has a history of falls. which of the following actions is the
nurse's priority? - Answers complete a fall-risk assessment; the first action to take using the
nursing process is to assess or collect data from the client. therefore, the priority action is to
determine the client's fall risk. this will work as a guide in implementing appropriate safety
measures.
a nurse discovers a small paper fire in a trash can in a client's bathroom. the client has been
taken to safety and the alarm has been activated. which of the following actions should the
nurse take? - Answers place wet towels along the base of the door to the client's room; this
contains the fire & the smoke in the room
a nurse is providing discharge instructions to a client who has a prescription for oxygen use at
home. which of the following information should the nurse include? (select all that apply) -
Answers -nail polish should not be used near a client who is receiving oxygen; remind the client
to not use nail polish or other flammable materials in the home
-a "no smoking" sign should be placed on the front door; have the client place a "no smoking"
sign near the front door and possibly on the client's bedroom door
-a fire extinguisher should be readily available in the home; this is especially important for a
client who is receiving oxygen
, a nurse educator is presenting a module on basic first aid for newly licensed home health
nurses. the client who has heat stroke will have which of the following? - Answers hypotension;
it is a manifestation of heat stroke
a nurse educator is conducting a parenting class for new guardians of infants. which of the
following statements made by a participant indicates understanding? - Answers "once my infant
starts to push up, i will remove the mobile from over the crib.";the guardian should plan to
remove crib toys (mobiles) from over the bed as soon as the infant begins to push up so the
infant is unable to touch them
a home health nurse is discussing the dangers of carbon monoxide poisoning with a client.
which of the following information should the nurse include? - Answers carbon monoxide binds
with hemoglobin in the body; warn the client that carbon monoxide is very dangerous because it
binds with hemoglobin and ultimately reduces the oxygen supplied to the tissues in the body.
a home health nurse is discussing the dangers of foodpoisoning with a client. which of the
following information should the nurse include? (select all that apply) - Answers -
immunocompromised individuals are at increased risk for complications from food poisoning;
warn the client that very young, very old, immunocompromised & pregnant individuals are at
increased risk for complications from food poisoning
-clients who are at high risk should eat or drink only pasteurized dairy products; include that
clients who are at high risk should follow a low-microbial diet, which includes eating or drinking
only pasteruized milk, yogurt, cheese, and other dairy products
-handling raw & fresh food separately can prevent food poisoning; include interventions to
prevent food poisoning (performing proper hand hygiene, cooking meat & fish to the correct
temp, handling raw & fresh food separately to avoid cross-contamination & refrigerating
perishable items).
a nurse is caring for a client who has terminal lung cancer. the nurse observed the client's family
assisting with all ADLs. which of the following rationales for self-care should the nurse
communicate to the family? - Answers the client's sense of loss can be lessened through
retaining control of some areas of life; allowing the client as much control as possible maintains
dignity and self-esteem.
a nurse is caring for a client who has stage IV lung cancer and is 3 days postop following a
wedge resection. the client stats, "i told myself that i would go through with the surgery and quit
smoking, if i could just live long enough to attend my child's wedding." based on the kubler-ross
model, which stage of grief is the client experiencing? - Answers bargaining; the client is
bargaining by attempting to negotiate more time to live to see the child get married.
a nurse is consoling the partner of a client who just died after a long battle with liver cancer. the
grieving partner states, "i hate them for leaving me." which of the following statements should
a nurse is caring for a client who fell at a nursing home. the client is oriented to person, place,
and time and can follow directions. which of the following actions should the nurse take to
decrease the risk of another fall? (select all that apply. - Answers -make sure the client's call
light is within reach; enables the client to contact the nursing staff to ask for assistance &
prevents the client from falling out of bed while reaching for the call light
-provide the client with nonskid footwear; keeps the client from slipping
-complete a fall-risk assessment; serves as the basis for a plan of care that can then
individualize for the client
a nurse manager is reviewing with nurses on the unit in the care of a client who has had a
seizure. which of the following statements by a nurse requires further instruction? - Answers "I
will go to the nurses' station for assistance."; during a seizure, stay with the client & use the call
light to summon assistance.
a nurse observes smoke coming from under the door of the staff's lounge. which of the
following actions is the nurse's priority? - Answers move clients who are nearby; the greatest
risk to this client is injury from the fire. therefore, the priority intervention is to rescue the clients.
protect and move clients in close proximity to the fire.
a nurse is caring for a client who has a history of falls. which of the following actions is the
nurse's priority? - Answers complete a fall-risk assessment; the first action to take using the
nursing process is to assess or collect data from the client. therefore, the priority action is to
determine the client's fall risk. this will work as a guide in implementing appropriate safety
measures.
a nurse discovers a small paper fire in a trash can in a client's bathroom. the client has been
taken to safety and the alarm has been activated. which of the following actions should the
nurse take? - Answers place wet towels along the base of the door to the client's room; this
contains the fire & the smoke in the room
a nurse is providing discharge instructions to a client who has a prescription for oxygen use at
home. which of the following information should the nurse include? (select all that apply) -
Answers -nail polish should not be used near a client who is receiving oxygen; remind the client
to not use nail polish or other flammable materials in the home
-a "no smoking" sign should be placed on the front door; have the client place a "no smoking"
sign near the front door and possibly on the client's bedroom door
-a fire extinguisher should be readily available in the home; this is especially important for a
client who is receiving oxygen
, a nurse educator is presenting a module on basic first aid for newly licensed home health
nurses. the client who has heat stroke will have which of the following? - Answers hypotension;
it is a manifestation of heat stroke
a nurse educator is conducting a parenting class for new guardians of infants. which of the
following statements made by a participant indicates understanding? - Answers "once my infant
starts to push up, i will remove the mobile from over the crib.";the guardian should plan to
remove crib toys (mobiles) from over the bed as soon as the infant begins to push up so the
infant is unable to touch them
a home health nurse is discussing the dangers of carbon monoxide poisoning with a client.
which of the following information should the nurse include? - Answers carbon monoxide binds
with hemoglobin in the body; warn the client that carbon monoxide is very dangerous because it
binds with hemoglobin and ultimately reduces the oxygen supplied to the tissues in the body.
a home health nurse is discussing the dangers of foodpoisoning with a client. which of the
following information should the nurse include? (select all that apply) - Answers -
immunocompromised individuals are at increased risk for complications from food poisoning;
warn the client that very young, very old, immunocompromised & pregnant individuals are at
increased risk for complications from food poisoning
-clients who are at high risk should eat or drink only pasteurized dairy products; include that
clients who are at high risk should follow a low-microbial diet, which includes eating or drinking
only pasteruized milk, yogurt, cheese, and other dairy products
-handling raw & fresh food separately can prevent food poisoning; include interventions to
prevent food poisoning (performing proper hand hygiene, cooking meat & fish to the correct
temp, handling raw & fresh food separately to avoid cross-contamination & refrigerating
perishable items).
a nurse is caring for a client who has terminal lung cancer. the nurse observed the client's family
assisting with all ADLs. which of the following rationales for self-care should the nurse
communicate to the family? - Answers the client's sense of loss can be lessened through
retaining control of some areas of life; allowing the client as much control as possible maintains
dignity and self-esteem.
a nurse is caring for a client who has stage IV lung cancer and is 3 days postop following a
wedge resection. the client stats, "i told myself that i would go through with the surgery and quit
smoking, if i could just live long enough to attend my child's wedding." based on the kubler-ross
model, which stage of grief is the client experiencing? - Answers bargaining; the client is
bargaining by attempting to negotiate more time to live to see the child get married.
a nurse is consoling the partner of a client who just died after a long battle with liver cancer. the
grieving partner states, "i hate them for leaving me." which of the following statements should
