ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
1. A nurse is assisting with the plan of care for four clients . Which of the following
tasks should the nurse assign to an assistive personnel (AP)?: Assist a client to get out of bed after
breathing treatment.
2. A nurse is reinforcing teaching with a client about the use of crutches. Which of the
following actions by the client indicates an understanding of the teach- ing?: The client advance
the unattected legs first while climbing stairs
3. A nurse is preparing to remove a client's peripheral IV catheter. After perform- ing hand
hygiene and applying clean gloves, which of the following actions should the nurse take
first?: Clamp the infusion tubing.
4. A nurse is reinforcing teaching with a client about living wills, Which of the following
clients statements indicates an understanding of the teaching?: The living will direct my medical care
when I am unable to make decision".
5. A nurse is contributing to the plan of care for a client who has a positive throat culture for
streptococci. Which of the following interventions should the nurse recommend to be included
in the plane of care?: Ensure that the client wears a surgical mask during transportation throughout the facility.
6. A nurse is caring for a client who has an indwelling urinary catheter. Which of the following
actions should the nurse take to prevent urinary tract infection.-
: Drain urine from the tubing before ambulation.
7. A nurse at a long term care facility is caring for a client who is alert. Which of the following
actions should the nurse take to protect the clients privacy?: Speak with the clients about their condition after
visitors have left.
8. A nurse is reinforcing preoperative teaching with a client who speaks a differ- ent language
than the nurse. Which of the following in actions should the nurse take?: Provide handouts written in
the client's primary language.
9. A nurse is taking notes of clients' information on a piece of paper while receiving
a report. Which of the following actions should the nurse take to dispose of the paper?:
Shred the paper in a secure container.
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, 10. A nurse is reinforcing teaching with a client about smoking cessation. Which of the
following should the nurse identify as the first stage of health behavior change?:
Precontemplation
11. A nurse is collecting data from a client who has an NG tube set to low intermittent
suction. Which of the following findings indicates hypomagne- semia?: Positive Chvostek's
sign
12. A charge nurse is reinforcing teaching with an assistive personnel (AP) about
performing pulse oximetry. Which of the following information should the nurse include
in the teaching?: Remove polish from the client's fingernail before applying the oximetry probe
13. A nurse is collecting data on four clients. Which of the following findings should
the nurse report to the provider?: Urine output of 200 mL over 8 hr
14. A nurse is assisting with the care of a recently deceased client. Which of the following
actions should the nurse complete prior to the family viewing the body?: - Clean soiled areas of
the body
15. A nurse is explaining ethics and values to a newly licensed nurse. The nurse should
explain that allowing a client to make a decision about a treatment is an example of
which of the following ethical principles?: Autonomy
16. A nurse is planning to perform wound irrigation for a client who has a large
abdominal wound. Which of the following actions should the nurse plan to take?:
Administer an analgesic 30 min before starting the procedure.
17. A nurse is assisting with the admission of a client who has active tuberculosis. Which of
the following actions should the nurse plan to take?: Assign the client to a negative- pressure airflow
room
18. A nurse is reinforcing teaching with a client about the prevention of stress injuries.
Which of the following instructions should the nurse include?: When lifting a heavy object, keep it
close to your body."
19. A nurse is assisting with a presentation to a group of older adults at a com- munity
center about hypothermia and hyperthermia. Which of the following information should
the nurse include about age-related change?: Circulation become less eflcient with age
20. A nurse is caring for a client who has COPD. Which three findings that require follow-up?:
Breath sounds, blood pressure, oxygen saturation
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