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1. 1.An eight-year-old child is eating hotdog and begins coughing.What is the priority action of the nurse?
a) Begin the Heimlich maneuver quickly
b) Tell the child to put his hands by his neck to signify that he is choking
c) promote coughing
d) leave the child alone to find a phone
Answer
promote coughing
2. 2.A client with dementia is being admitted to the medical surgical unit after a period of syncope.The charge
nurse should place the nighttime safety and decrease the risk of falling?
a) In a room close to the nurses' station, and with tightly applied posey restraint
b) In a room close to the nurses' station with quite atmosphere.
c) In a room away from nurses' station so that the client can sleep better.
d) In a room with television for distraction
,Answer
In a room close to the nurses' station with quite atmosphere.
3. 3. A nurse from predominately Latino culture works in a hospital that services are a large Hmong population.
What action by the nurse best demon- strates cultural competency?
a) The nurse asks the client what matters most to them in their illness and treatment.
b) The nurse the client that they should not continue taking herbs.
c) The nurse asks the client if they utilize shaman
d) the nurse tells the client that they should follow the provider 's orders.
Answer
The nurse asks the client what matters most to them in their illness and treatment.
4. 4. A client states that they are experiencing pain.What question should the nurse asks in performing a focused
pain assessment (select all that apply)
a) What does the pain feel like?
b) when did your pain start?
c) why didn't you tell someone sooner?
d) Is it really painful?
e) How does the pain affect your sleep?
Answer
What does the pain feel like?
b) when did your pain start?
f) How does the pain affect your sleep?
5. 5. A client states that he is a Muslim.The client has type two diabetes mellitus and has been prescribed along-
acting insulin.The client says that he fasts for Ramadan.What intervention is most appropriate for this client?
a) Educate the client that fasting is not an option.
,b) Tell the client not to take his insulin the night before.
c) Inform the client he will need to change his lifestyle completely.
d) Collaborate with the client and provider to develop a client-centered plan of care.
Answer
Collaborate with the client and provider to develop a client-centered plan of care.
6. 6. What would be the best education for a nurse to give a client to prevent poisoning a child at home?
a) Take only prescription medications as prescribed.
b) Never share your prescription drugs.
C) Keep cleaning liquids in a locked cabinet.
Answer
Keep cleaning liquids in a locked cabinet.
7. 7. A nurse is teaching a community group about poisoning prevention. Which of the following statements
from an attendee would indicate the need for further teaching?
a) "I should take prescription medication only as they are prescribed".
b) "I should never share my prescription medication with anyone".
c) "I should immediately induce vomiting if I suspect poisoning".
d) "I should take the phone number of for the poison control center easily accessible".
Answer
"I should immediately induce vomiting if I suspect poisoning".
8. 8. Which of the following responses by the nurse could create a barrier to communication?
a) "What you did was wrong.You shouldn't do that."
b) "Good morning Mrs. Nightingela. Is there anything I can do to make you more comfortable?"
c) "Let's see what we can do to find a solution."
d) Is it a good time to discuss your new diagnosis?"
, Answer
"What you did was wrong.You shouldn't do that."
9. 9. What is not a standard practice in the North American Healthcare system?
a) Punctuality
b) Folk medicine
c) Handwashing
d) Annual exams
Answer
Folk medicine
10. 10. Which of the following statements creates a barrier to communica- tion?
a) Do you Know how to change your dressing?
b) What did your healthcare provider tell you about your need for this hospi- talization?
c) You mention your dad earlier. Did he develop complications related to high blood pressure?
Answer
You mention your dad earlier. Did he develop complications related to high blood pressure?
11. 11. What complication may be a result of decreased mobility?
a) Pressure injuries
b) Diarrhea
c) Euphoria
Answer
Pressure injuries
12. 12. accepting pauses or silences that may extend for some time without interjecting a verbal response is
consider which of the following?
a) Rude behavior