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QUESTIONS, ANSWERS, AND DETAILED
RATIONALES.
Which of the following situations can be identified as an ethical
dilemma?
A. A nurse on a med surge unit demonstrates signs of chemical
impairment
B. A nurse over hears another nurse telling an older adult client
that if he doesnt stay in bed she will restrain him
C. A family has conflicting feelings about the initiation of enteral
tube feedings of their father who is terminally ill
D. A client who is terminally ill hesitates to name her spouse on
her durable power of attorney form Correct Answer C
Home health nurse is carefully planned for Alzheimer's disease.
To the following action should the nurse
include in the plan of care
a) Place a daily calendar in the kitchen
,b) Replace button clothing with zippered items
c) Replace the carpet with hardwood floors
d) Create variation in daily routine Correct Answer a) Place a daily
calendar in the kitchen
Nurse is performing change of shift assessments on 4 clients.
Which of the following findings should the
nurse report to provider first?
a) The client was cystic fibrosis and has a thick productive clock
and reports thirst
b) Client who has gastroenteritis and is lethargic and confused
c) The Client has diabetes mellitus has morning fasting Legal cost
of 185 mg over deal
d) The client was sick of signing it reports pain 15 minutes after
receiving oral analgesic Correct Answer b) Client who has
gastroenteritis and is lethargic and confused
A nurse is caring for a client was in the second trimester of
pregnancy and asks how to treat constipation.
Which of the following statements by the nurse is appropriate?
a) Decrease taking vitamins and supplements to every other day
b) Eat 15 g of fiber per day
c) Consume 48 ounces of water each day
,d) Drink hot water with lemon juice each morning when you wake
up Correct Answer d) Drink hot water with lemon juice each
morning when you wake up
A nurse is caring for a client who is preparing his advance
directives. Which is the following statements by
the client indicates an understanding of advanced directives?
select all that apply
a) I can't change my instructions once a minute
b) My doctor will need to approve my advance directives
c) I need an attorney to witness my signature on the advance
directives
d) I have the right to refuse treatment
e) My health care proxy can make medical decisions for me
Correct Answer d) I have the right to refuse treatment
e) My health care proxy can make medical decisions for me
A nurse is caring for a client who is at 32 weeks gestation and has
a history of cardiac disease. Which of
the following positions should the nurse place the client to best
promote optimal cardiac output?
a) The chest
b) Standing
c) Supine
, d) Left lateral Correct Answer d) Left lateral
A nurse is caring for a group of clients. Which of the following
clients should the nurse assign to an AP?
a) Client who has chronic obstructive pulmonary disease and
needs guidance on incentive spirometry
b) Client who has awoken following a bronchoscopy and requests
a drink
c) Client who had a myocardial infarction 3 days ago reports chest
discomfort
d) Client who had a cerebrovascular accident two days ago and
needs help toileting Correct Answer d) Client who had a
cerebrovascular accident two days ago and needs help toileting
Nurse providing discharge teaching to the client who has
schizophrenia and is starting therapy with
clozapine. Which of the following is the highest priority for the
client to report to the provider?
a) Constipation
b) blurred vision
c) Fever
d) Dry Mouth Correct Answer c) Fever