QUESTIONS AND ANSWERS 100% CORRECT!!
,RN on a MS. Which of the following clients needs will the nurse assign to an AP? -
ANSWER Reapplying a condom catheter for a client who has urinary incontinence
RN delegating the ambulation of a client who had knee arthroplasty . Which of the
following info should the nurse share with the AP? - ANSWER client ambulates with his
slippers on over his antiembolic stockings
client uses a front wheeled walker when ambulating
client had pain meds 30 minutes ago
RN is making assignments. Which of the following assignments should the LPN
question? - ANSWER D. Replacing the cartridge and tubing on a PCA pump
inservice program about delegation. Which of the following elements should she identify
when presenting the 5 rights of delegation. - ANSWER B. Right supervision/evaluation
C. Right direction/communication
E. Right circumstances
A client is waiting transfer back to the unit from the PACU following thoracic surgery. To
which staff member should the nurse assign the client? - ANSWER B. RN
A nurse is caring for a client who decides not to have surgery despite significant
blockages in his coronary arteries. The nurse understands that this clients choice is an
example of what principles? - ANSWER A. Fidelity
A nurse offers pain meds to a client who is postop prior to ambulation. The nurse
understands that this aspect of care delivery is an example of which of the following
ethical principles? - ANSWER D. Beneficience
A nurse is instructing a group of nursing students about the responsibilities involved with
organ donation and procurement. When the nurse explains that all clients waiting for a
kidney transplant have to meet the same qualifications, the students should understand
that this aspect of care delivery is an example of which ethical principle - ANSWER C.
Justice
A nurse questions a med prescription as too extreme and light of the clients advanced
age and unstable status. The nurse understands that this action is an example of which
ethical principle - ANSWER D. Non-Malificence
, Which of the following situations can be identified as an ethical dilemma? - ANSWER C.
A family has conflicting feelings about the initiation of enteral tube feedings of their
father who is terminally ill
Which of the following nursing interventions is MOST important for a
45-year-old woman with rheumatoid arthritis? - ANSWER 4. Assist her with heat
application and ROM exercises.
The nurse is caring for a young adult admitted to the hospital with a
severe head injury. The nurse should position the patient. - ANSWER 1. with his neck in
a midline position and the head of the bed elevated 30°.
The nurse is teaching a 40-year-old man diagnosed with a lower motor neuron disorder
to perform intermittent self-catheterization at home. The nurse should instruct the client
to - ANSWER 2. perform the Valsalva maneuver "holding breath and bearing down"
before doing the catheterization.
A client is being discharged with sublingual nitroglycerin (Nitrostat).
The client should be cautioned by the nurse to. - ANSWER 4. avoid abrupt changes in
posture.
A 38-year-old woman is returned to her room after a subtotal
thyroidectomy for treatment of hyperthyroidism. Which of the following, if found by the
nurse at the patient's bedside, is nonessential? - ANSWER 1. Potassium chloride for IV
administration.
A nurse recognizes that an initial positive outcome of treatment for a
victim of sexual abuse by one parent would be that the client - ANSWER 3. verbalizes
that s/he is not responsible for the sexual abuse.
An adolescent client is ordered to take tetracycline HCL
250 mg PO bid. Which of the following instructions should be given to this client by the
nurse? - ANSWER 2. "Wear sunscreen and a hat when outdoors."
After a client develops left-sided hemiparesis from a cerebral vascular accident (CVA),
there is a decrease in muscle tone. Which of the following nursing diagnoses would be
a priority to include in his care plan? - ANSWER 2. Alteration in skin integrity related to
decrease in tissue oxygenation.
A client has a history of oliguria, hypertension, and peripheral edema.