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A nurse is submitting a dietary request for a client who devoutly follows Mormon dietary
practices. The nurse should ask the client if they would like which of the following foods
or beverages excluded from meals?
A. Bacon
B. Coffee
C. Shrimp
D. Milk - ANSWERS-B. Coffee
A nurse on a mental health unit is planning an in-service for a newly hired staff about
the use of restraints. Which of the following information should the nurse include?
A. Document a client's condition every 15 min while in restraints.
B. Request a prescription for PRN restraints for a client who has a history of violence.
C. Restrain a client as a consequence of not following rules on the unit.
D. Limit the time an adult client is in restraints to 5 hr. - ANSWERS-A. Document a
client's condition every 15 min while in restraints.
,A nurse is a part of an informatics committee to improve safety with medications
administration. Which of the following recommendations should the nurse make to
decrease the risk of errors at the bedside?
A. Disable Internet access from computers used for medication administration.
B. Use an electronic medication administration record for documentation.
C. Create a computer-specific password that staff share for each computer on the unit.
D. Ask providers to handwrite prescriptions that are then scanned into the computer. -
ANSWERS-B. Use an electronic medication administration record for documentation.
A nurse is discussing informed consent with a group of newly licensed nurses. Which of
the following actions is the responsibility of the nurses when obtaining informed
consent?
A. Answer a client's questions about the risks of a procedure.
B. Provide information about alternative treatment options.
C. Explain the steps of the medical procedure documented on the consent form.
D. Verify that the client voluntarily gave consent for the procedure. - ANSWERS-D.
Verify that the client voluntarily gave consent for the procedure
A nurse is teaching a client who has a new diagnosis of obstructive sleep apnea. Which
of the following statements should the nurse include?
A. "Obstructive sleep apnea occurs when you stop breathing for at least 10 seconds."
B. "Obstructive sleep apnea is caused by a dysfunction in the brain."
C. "Obstructive sleep apnea increases your risk for developing diabetes mellitus."
D. "Obstructive sleep apnea causes excessive episodes of deep sleep." - ANSWERS-A.
"Obstructive sleep apnea occurs when you stop breathing for at least 10 seconds."
A nurse is teaching the parent of a 5-month-old infant who is breastfed about the
introductions of complementary foods. Which of the following statements should the
nurse make?
A. "Wait until your baby is 8 months old to begin solid foods."
B. "Start by spoon-feeding your baby ¼ cup of a new food."
,C. "Introduce up to three new foods to your baby every week."
D. "Give your baby iron-fortified infant rice cereals before starting other foods." -
ANSWERS-D. "Give your baby iron-fortified infant rice cereals before starting other
foods."
A nurse is teaching a group of newly licensed nurses about using abbreviations when
transcribing prescriptions. Which of the following transcriptions should the nurse use as
an example of the correct usage of abbreviations?
A. Eszopiclone 1 mg PO hs PRN for sleep
B. Nebivolol 5 mg PO OD
C. Atorvastatin 20 mg PO qd
D. Docusate sodium 100 mg PO bid - ANSWERS-D. Docusate sodium 100 mg PO bid
A nurse is preparing an in-service on different types of pain. Which of the following
information should the nurse plan to include as a characteristic of acute pain?
A. It can lead to social isolation.
B. It is part of the body's attempt to protect itself.
C. It lasts for an extended duration.
D. It has no identifiable physical cause. - ANSWERS-B. It is part of the body's attempt to
protect itself.
A nurse is teaching about applying the National Patient Safety Goals to reduce health
care-associated infections in clients. Which of the following information should the nurse
include in the teaching?
A. Insert an indwelling catheter in clients who are incontinent.
B. Use a safety razor to remove hair from surgical sites.
C. Bathe clients using a chlorhexidine solution.
D. Reposition clients who are immobile every 4 hr. - ANSWERS-C. Bathe clients using
a chlorhexidine solution.
, A nurse is teaching a client about carbon monoxide and home safety. The nurse should
instruct the client that which of the following is a manifestation of carbon monoxide
exposure?
A. Rotten-egg odor
B. Metallic taste
C. Paresthesia
D. Blurred vision - ANSWERS-D. Blurred vision
A nurse is providing change-of-shift report on a client using Situation Background
Assessment Recommendation (SBAR) communication tool. The nurse should identify
which of the following information is included in the background step?
A. Admission diagnosis
B. Current problem
C. Recent vital signs
D. Suggested nursing interventions - ANSWERS-A. Admission diagnosis
A nurse is using the SOAP format to document in the electronic medical record of a
client who is 2 days postoperative following an open cholecystectomy. Which of the
following entries should the nurse practice in the "A" portion of the SOAP progress
note?A. "Respiratory rate 22. Temperature 99.8º F. O2 sat 92%. Lung sounds
diminished in bases bilaterally. Has not ambulated or used incentive spirometer since
last evening."
B. "Client states, 'I've been coughing up some thick mucus this morning.'"
C. "Set up ambulation schedule and offer incentive spirometer hourly during the day and
when awake at night."
D. "Ineffective airway clearance due to inadequate use of spirometer. - ANSWERS-D.
"Ineffective airway clearance due to inadequate use of spirometer.
A nurse is assessing a client who has a rash on their hands and forearms after working
in a garden. The nurse should identify that which of the following findings indicates
contact dermatitis?
A. Pustules in a scatter pattern across the erythematous area
B. Elevations of the skin with darkened areas and irregular borders