|ACTUAL QUESTIONS AND VERIFIED
Question 1
A nurse is teaching a client who has been newly diagnosed with systemic lupus
erythematosus (SLE). Which statement by the client indicates an understanding of the
teaching?
"I should wear SPF 15 sunscreen when outdoors."
"I should inspect my skin daily for cuts and rashes."
"I will avoid using lotion on my skin."
"I will limit using a tanning bed to once a month."
CORRECT ANSWER
"I should inspect my skin daily for cuts and rashes"
-The client who has SLE should inspect her skin daily for cuts and abrasions and report
them to her provider.
Question 2
A nurse is caring for a client who has Parkinson's disease. Which of the following actions
should the nurse take to promote the client's mobility?
Provide the client with a cool bath.
Encourage the client to jog on the treadmill daily.
Instruct the client to perform range-of-motion exercises.
Assist the client to walk with a narrow-based gait.
CORRECT ANSWER
1
, Instruct the client to perform range-of-motion exercises
-exercising and walking help to delay the progression of the disease
Question 3
A nurse is caring for a client who has had a myocardial infarction and suspects cardiogenic
shock. The nurse should monitor for which of the following manifestations?
Pulmonary congestion
Bradycardia
Hypertension
Bounding pulse
CORRECT ANSWER
Pulmonary Congestion
-Pulmonary congestion is a result of decreased cardiac output due to damage to the
cardiac muscle
Question 4
A nurse is assessing a client who has a DNR order and has stopped breathing. The family
asks the nurse to resuscitate the client. Which action should the nurse take?
Begin CPR on the client.
Respect the client's preferences.
Apply oxygen at 4 L/min via nasal cannula.
Gather equipment for mechanical ventilation.
CORRECT ANSWER
Respect the client's preferences.
2
, -The nurse should inform the client's family that he is obligated to respect the client's
preferences and follow the DNR order.
Question 5
A nurse manager is teaching a group of nurses about OSHA. What information should the
nurse include?
Provides fact sheets containing biological agent information for health care providers
Establishes universal protocols and language for disaster response
Sets standards for hazardous exposures in the workplace
Regulates school breakfast and lunch programs
CORRECT ANSWER
Sets standards for hazardous exposures in the workplace.
-The nurse manager should include in the teaching that OSHA sets standards for
hazardous exposures in the workplace and also sets the objectives for Healthy People
2020 that focus on occupational health.
Question 6
A nurse manager identifies that the number of client medication administration errors on
the unit has increased. When creating a cause-and-effect chart, which of the following
information should the nurse manger include?
Possible reasons for the medication errors
Number of medication errors per month
The staff responsible for reporting medication errors
The facility's policy for preventing medication errors
CORRECT ANSWER
3
, Possible reasons for the medication errors
-The nurse manager should identify and include possible reasons for the occurrence of
medication errors when creating a cause and effect chart. This data assists in the
prevention of future medication errors.
Question 7
A nurse manager notices that he has exceeded the amount of money allocated for labor
costs for the quarter. Which action should the nurse manager take?
Involve staff nurses in budget planning.
Ask case management to increase client length of stay.
Increase the number of assistive personnel on each shift.
Schedule additional training sessions on prioritizing client care.
CORRECT ANSWER
involve staff nurses in budge planning.
-this promotes awareness of the costs of staffing a unit and encourages cost-effective
care.
Question 8
A nurse is providing teaching to a client who has a halo device applied to prevent further
cervical spinal cord injury following a diving accident. What info should the nurse include?
"Avoid using a pillow when sleeping."
"Resume driving a vehicle after 1 month."
"Abstain from sexual activity."
"Avoid leaning forward when attempting to stand."
CORRECT ANSWER
4
Question 1
A nurse is teaching a client who has been newly diagnosed with systemic lupus
erythematosus (SLE). Which statement by the client indicates an understanding of the
teaching?
"I should wear SPF 15 sunscreen when outdoors."
"I should inspect my skin daily for cuts and rashes."
"I will avoid using lotion on my skin."
"I will limit using a tanning bed to once a month."
CORRECT ANSWER
"I should inspect my skin daily for cuts and rashes"
-The client who has SLE should inspect her skin daily for cuts and abrasions and report
them to her provider.
Question 2
A nurse is caring for a client who has Parkinson's disease. Which of the following actions
should the nurse take to promote the client's mobility?
Provide the client with a cool bath.
Encourage the client to jog on the treadmill daily.
Instruct the client to perform range-of-motion exercises.
Assist the client to walk with a narrow-based gait.
CORRECT ANSWER
1
, Instruct the client to perform range-of-motion exercises
-exercising and walking help to delay the progression of the disease
Question 3
A nurse is caring for a client who has had a myocardial infarction and suspects cardiogenic
shock. The nurse should monitor for which of the following manifestations?
Pulmonary congestion
Bradycardia
Hypertension
Bounding pulse
CORRECT ANSWER
Pulmonary Congestion
-Pulmonary congestion is a result of decreased cardiac output due to damage to the
cardiac muscle
Question 4
A nurse is assessing a client who has a DNR order and has stopped breathing. The family
asks the nurse to resuscitate the client. Which action should the nurse take?
Begin CPR on the client.
Respect the client's preferences.
Apply oxygen at 4 L/min via nasal cannula.
Gather equipment for mechanical ventilation.
CORRECT ANSWER
Respect the client's preferences.
2
, -The nurse should inform the client's family that he is obligated to respect the client's
preferences and follow the DNR order.
Question 5
A nurse manager is teaching a group of nurses about OSHA. What information should the
nurse include?
Provides fact sheets containing biological agent information for health care providers
Establishes universal protocols and language for disaster response
Sets standards for hazardous exposures in the workplace
Regulates school breakfast and lunch programs
CORRECT ANSWER
Sets standards for hazardous exposures in the workplace.
-The nurse manager should include in the teaching that OSHA sets standards for
hazardous exposures in the workplace and also sets the objectives for Healthy People
2020 that focus on occupational health.
Question 6
A nurse manager identifies that the number of client medication administration errors on
the unit has increased. When creating a cause-and-effect chart, which of the following
information should the nurse manger include?
Possible reasons for the medication errors
Number of medication errors per month
The staff responsible for reporting medication errors
The facility's policy for preventing medication errors
CORRECT ANSWER
3
, Possible reasons for the medication errors
-The nurse manager should identify and include possible reasons for the occurrence of
medication errors when creating a cause and effect chart. This data assists in the
prevention of future medication errors.
Question 7
A nurse manager notices that he has exceeded the amount of money allocated for labor
costs for the quarter. Which action should the nurse manager take?
Involve staff nurses in budget planning.
Ask case management to increase client length of stay.
Increase the number of assistive personnel on each shift.
Schedule additional training sessions on prioritizing client care.
CORRECT ANSWER
involve staff nurses in budge planning.
-this promotes awareness of the costs of staffing a unit and encourages cost-effective
care.
Question 8
A nurse is providing teaching to a client who has a halo device applied to prevent further
cervical spinal cord injury following a diving accident. What info should the nurse include?
"Avoid using a pillow when sleeping."
"Resume driving a vehicle after 1 month."
"Abstain from sexual activity."
"Avoid leaning forward when attempting to stand."
CORRECT ANSWER
4
