Correct Answers
1. A nurse is planning care for a group of clients. Which of the following tasks sh
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ouldmthemnursemdelegatemtomanmassistivempersonnel?
a. Changing the dressing for a client who has a stage 3 pressure injury
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b. Determining a client's response to a diuretic
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c. Comparing radial pulses for a client who is postoperative d.Providi
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ngmpostmortemmcaremtomamclient:md
2. A nurse is conducting a health assessment for a client who takes her
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balmsupplements.mWhichmofmthemfollowingmstatementsmbymthemclientmindicat
esmanmunderstandingmofmthemusemofmthemsupplements?
A. Imtakemginkgombilobamformamheadache
B. Imtakemechinaceamtomcontrolmmymcholesterol
C. ImusemgingermwhenmImgetmcarmsick
D. Imusemgarlicmformmymmenopausalmsymptoms:mc
3. A nurse is caring for a client who has influenza and isolation precautions in pl
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ace.mWhichmofmthemfollowingmactionsmshouldmthemnursemtakemtompreventmthemspreadmo
fminfection?
A. Wear a mask when working within 3 feet of the client
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B. Administer metronidazole m
C. Don protective eyewear before entering the room.
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D. Place the client in a negative airflow room.: a
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4. A nurse obtains a prescription for wrist restraints for a client who is trying to pull
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m outmhismNGmtube.mWhichmofmthemfollowingmactionsmshouldmthemnursemtake?
A. Attach the restraints securely to the side rails of the client's bed.
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,B. Apply the restraints to allow as little movement as possible
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C. Allow room for two fingers to fit between the clients skin and the restraints
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d.mremovemthemrestraintsmeverym4mhours:mc
5. A nurse is admitting a client who has tuberculosis. Which of the following type
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smofmtransmissionmprecautionsmshouldmthemnursemplanmtominitiate?
A. Droplet
B. Airbornes
c.mprotectivemenvironment
d.mcontact:mb
6. A nurse in a well-
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childmclinicmreceivesmamtelephonemcallmfrommamparentmwhomstatesmthatmtheirmchildmaccid
entallymswallowedmpaintmthinner.mThemchildmismawakemandmalert.mWhichmofmthemfollowin
gmresponsesmshouldmthemnursemmake?
A. Have your child drink one large glass of water.
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B. Hang up and call a poison control center hotline.
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C. Bring your child into the clinic later today.
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D. Induce vomiting in your child with syrup of ipecac.: a
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7. A nurse is documenting a client's medical record. Which of the following entr
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iesmshouldmthemnursemrecord.
A. Oral temperature slightly elevated at 0800
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B. Administered pain medication m m
C. Incision without redness or drainage
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D. Drank adequate amounts of fluid with meals.: b
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8. A nurse is providing oral care for a client who is unconscious. Which of
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themfollowingmactionsmshouldmthemnursemtake?
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,A. Place the client in a side-lying position.
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, B. Brush the clients teeth daily
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C. Apply mineral oil to the client's lips
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D. Rinse the client's mouth with an alcohol-based mouthwash: a
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9. A nurse is collaborating with a risk management team about potential legal issues
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m involvingmclientmcare.mThemnursemshouldmidentifymwhichmofmthemfollowingmsituationsmism
anmexamplemofmnegligence?
A. A nurse administers a medication without first identifying the client.
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B. An assistive personnel discusses client care in the facility cafeteria with visit
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orsmpresent.
C. A nurse begins a blood transfusion without obtaining consent.
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D. An assistive personnel prevents a client from leaving the facility.: c
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10.A nurse is collecting a sputum specimen for culture from a client who ha
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smamrespiratoryminfection.mWhichmofmthemfollowingmactionsmshouldmthemnursemtak
e?
A. Wear sterile gloves when collecting the specimen.
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B. Offer the client oral hygiene after the collection
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C. Collect the specimen in the evening.
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DmCollectm1mmlmofmsputum.:mb
11.A nurse is assessing an older client. Which of the following findings should
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m themnursemexpect?
a. Decreased sense of balanced m m m
b. Increased nighttime sleeping m m
c. Heightened sense of pain m m m
d. Nighttime urinary incontinence: a m m m
12.A nurse is completing discharge teaching about ostomy care with a client who
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hasmamnewmstoma.mWhichmofmthemfollowingminstructionsmshouldmthemnursemincludeminmt
hemteaching?m(selectmallmthatmapply)
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