RN CONCEPT BASED ASSESSMENT LEVEL COMPLETE 100
QUESTIONS AND CORRECT ANSWERS|AGRADE
which of the following statements shows understanding of the breast self-exam -
ANSWER: I should expect to feel a firm ridge along the bottom curve of each breast
Which of the following actions should the nurse take to provide emotional support
to the parent - ANSWER: inform the parent that anger is a natural response when
dealing with loss
Accessing electronic resources- which should the nurse include - ANSWER: websites
endin gin .gov are reliable
pt had knee "lock" and is lying on the floor. Which action - ANSWER: check the pt. for
injuries
RA about chronic pain. Which indicates understanding - ANSWER: I should use a
warm paraffin dip for the hands and feet
preventative hypertension. Which ethnic group is at greatest risk - ANSWER: African
americans
Estinguishing fire, which should the nurse take using the fire extinguisher - ANSWER:
slide the pin on top of the fire extinguisher straight out
enteral nutrition in NG tube. Put steps in order - ANSWER: 1. high fowler's
2. verify with aspirating 5 ml gastric contents
3. test pH
4. check for gastric residual volume
5. flush with 30 ml water
nurse caring for 47 year old female, urinary incontinence. Why action? - ANSWER:
obtain a specimen from client for culture (rule out UTI)
a nurse is talking with a client who has major depressive disorder "nobody cares if
I'm around" - ANSWER: "it feels as though you are hopeless"
a charge nurse is teaching a group of newly licensed nurses how to prevent errors
during admin of blood transfusions. which should include? - ANSWER: use a new
blood admin tubing set for each blood bag infused
C. diff infection and is incontinent of stool. which action do you take - ANSWER: wear
a gown
, a nurse is providing discharge teaching about nutrition manage who has COPD.
Which instruction - ANSWER: have a high calorie protein drink after meals b/c
anorexia is a manifestation of COPD
nurse has pt. who has dysphagia. which action facilitates safe swallowing - ANSWER:
delay meal time if he is tired
toddler home injury prevention. snacks - ANSWER: watermelon but remove seeds
invasive procedure. why actions to ensure in scope of practice - ANSWER: check the
state's nurse practice act before performing
leg wound. age related in older adults that impaired wound healing - ANSWER:
elastin fibers separate and thicken
long-term care facility small fire. move client and then what? - ANSWER: pull alarm
isolation precautions. which actions when removing tied surgical mask - ANSWER:
remove mask by holding ties and moving it away from face
electronic data about behavior indicators of pain in infant. which online source
should be used to research infant care issue - ANSWER: cumulative index to nursing
and allied health lit
a nurse is preparing to administer three medications to a client who has an NG tube:
a levothyroxine tablet, an ibuprofen gel cap, and a delayed release omeprazole
capsule. which actions - ANSWER: crush the levo tablet into a powder and dissolve in
30 mL of warm water
indwelling urinary Cath. prevent UTI - ANSWER: secure to leg
2 yr old toddler who is post op. which scale to assess pain - ANSWER: FLACC scale. 2
months to 7 years
client w cancer and planning discharge with hospice. which indicates spiritual
distress - ANSWER: I wish God didn't let cancer happen
breast cancer. nausea and vomiting. which to include? - ANSWER: administer
ondansetron
long-term care facility in acute care. joint commission national patient safety goals
regarding medication admin. which action - ANSWER: compare list of client's
medications with the ones he will take in long term care
timed up and go test. tripod cane for ambulation. which action - ANSWER: observe
client ambulating a distance of 3 m during TUG test
QUESTIONS AND CORRECT ANSWERS|AGRADE
which of the following statements shows understanding of the breast self-exam -
ANSWER: I should expect to feel a firm ridge along the bottom curve of each breast
Which of the following actions should the nurse take to provide emotional support
to the parent - ANSWER: inform the parent that anger is a natural response when
dealing with loss
Accessing electronic resources- which should the nurse include - ANSWER: websites
endin gin .gov are reliable
pt had knee "lock" and is lying on the floor. Which action - ANSWER: check the pt. for
injuries
RA about chronic pain. Which indicates understanding - ANSWER: I should use a
warm paraffin dip for the hands and feet
preventative hypertension. Which ethnic group is at greatest risk - ANSWER: African
americans
Estinguishing fire, which should the nurse take using the fire extinguisher - ANSWER:
slide the pin on top of the fire extinguisher straight out
enteral nutrition in NG tube. Put steps in order - ANSWER: 1. high fowler's
2. verify with aspirating 5 ml gastric contents
3. test pH
4. check for gastric residual volume
5. flush with 30 ml water
nurse caring for 47 year old female, urinary incontinence. Why action? - ANSWER:
obtain a specimen from client for culture (rule out UTI)
a nurse is talking with a client who has major depressive disorder "nobody cares if
I'm around" - ANSWER: "it feels as though you are hopeless"
a charge nurse is teaching a group of newly licensed nurses how to prevent errors
during admin of blood transfusions. which should include? - ANSWER: use a new
blood admin tubing set for each blood bag infused
C. diff infection and is incontinent of stool. which action do you take - ANSWER: wear
a gown
, a nurse is providing discharge teaching about nutrition manage who has COPD.
Which instruction - ANSWER: have a high calorie protein drink after meals b/c
anorexia is a manifestation of COPD
nurse has pt. who has dysphagia. which action facilitates safe swallowing - ANSWER:
delay meal time if he is tired
toddler home injury prevention. snacks - ANSWER: watermelon but remove seeds
invasive procedure. why actions to ensure in scope of practice - ANSWER: check the
state's nurse practice act before performing
leg wound. age related in older adults that impaired wound healing - ANSWER:
elastin fibers separate and thicken
long-term care facility small fire. move client and then what? - ANSWER: pull alarm
isolation precautions. which actions when removing tied surgical mask - ANSWER:
remove mask by holding ties and moving it away from face
electronic data about behavior indicators of pain in infant. which online source
should be used to research infant care issue - ANSWER: cumulative index to nursing
and allied health lit
a nurse is preparing to administer three medications to a client who has an NG tube:
a levothyroxine tablet, an ibuprofen gel cap, and a delayed release omeprazole
capsule. which actions - ANSWER: crush the levo tablet into a powder and dissolve in
30 mL of warm water
indwelling urinary Cath. prevent UTI - ANSWER: secure to leg
2 yr old toddler who is post op. which scale to assess pain - ANSWER: FLACC scale. 2
months to 7 years
client w cancer and planning discharge with hospice. which indicates spiritual
distress - ANSWER: I wish God didn't let cancer happen
breast cancer. nausea and vomiting. which to include? - ANSWER: administer
ondansetron
long-term care facility in acute care. joint commission national patient safety goals
regarding medication admin. which action - ANSWER: compare list of client's
medications with the ones he will take in long term care
timed up and go test. tripod cane for ambulation. which action - ANSWER: observe
client ambulating a distance of 3 m during TUG test
