Correct Answers | Verified & Graded A+
1) Question not seen A,B,C, D
2) The nurse is caring for a client (patient) in a long-term care facility. Which action
contributes to encouraging autonomy in the client (patient): Answer
B) Allowing the client (patient) to choose social activities.
3) A male client (patient) with terminal illness is unconscious. His wife wants his status
to be full code. His sister, who is the durable power of at least which person has legal
precedence.
Answer
C) The Sister’s wishes are legally binding.
4) While sponging a client (patient) who has a high fever, the nurse observes the client (patient)
shivering. Which is the nurse’s priority action? Answer
D) Stopping Sponging the client (patient).
5) In which of the following answers in the answers is the hospital in compliance with
the Consolidation Omnibus Budget Reconciliation Act and E Answer
B) A client (patient) chest pain is triaged directly to a room for evaluation and registration
information is obtained after the…..”
6) A client (patient) will be undergoing palliative surgery. The client (patient)’s
daughter asks what this meant. What is the nurse’s best response? Answer
D) The surgery will relieve the symptoms but will not cure your father,”
7) A client (patient) had a colon resection for the removal of a cancerous tumor.
Postoperatively, on the surgical floor which of the following activities postoperative
,complications? (Select all the apply) Answer
B) Assist the client (patient) to turn, breathe deeply and cough every 2 hours
,D) Monitor vital sign on a regular basis.
E) Assess the drainage from the surgical site.
8) The nurse is interviewing a client (patient) to help the health care provider determine
the client (patient)’s for osteomalacia. Which assessment is the nurse most likely to
perform? Answer
D) Typical 24-hour dietary intakes.
9) The nurse notes the client (patient)’s temperature over the past 24hours risen from 98.8 to
101.6 F the nurse completes a head-to-toe assessment. Based on the nurse’s documentation what
is the nurse next action? 14:00 temperature 101.6 F pulse 88 beat/minute. Respiration 24
breaths/minute. Blood pressure 132/78 mm Hg lung clear. Harsh cough noted. Sputum. Denies
chest pain sounds in all 4 quadrants. Last bowel movement this morning. Voiding dark amber
urine. Gait steady with ambulation. No lower extremity edema noted. R. Brown, RN Answer
D) Notify the health care provider
10) A student nurse is educating a client (patient) with newly diagnosed osteoporosis.
Which statement nurse would not apply to diagnosis of osteoporosis?
Answer
D) Osteoporosis is degeneration disease characterized by the decrease in bone density.
11) A diagnosed with lung cancer who is receiving morphine complains of constipation. Which
instruction(s) by the nurse might help relieve the client (patient)’s constipation ?
(Select all that apply) Answer
A) Drink at least eight 8-ounce glasses of water each day
B) Be sure the amount of fruit, vegetables and fiber in your diet is adequate.”
, D) Include psyllium supplements in your diet daily”.