Latest Update With All Correct Answers
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RN delegating the ambulation of a client who had knee arthroplasty .
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Which of the following info should the nurse share with the AP? -
ANSWER-client ambulates with his slippers on over his antiembolic
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stockings
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client uses a front wheeled walker when ambulating client
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had pain meds 30 minutes ago
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RN is making assignments. Which of the following assignments should
the LPN question? - ANSWER-D. Replacing the cartridge and tubing on a
PCA pump
RN on a MS. Which of the following clients needs will the nurse assign
to an AP? - ANSWER-Reapplying a condom catheter for a client who has
urinary incontinence
,inservice program about delegation. Which of the following elements
should she identify when presenting the 5 rights of delegation. -
ANSWER-B. Right supervision/evaluation
C. Right direction/communication
E. Right circumstances
A client is waiting transfer back to the unit from the PACU following
thoracic surgery. To which staff member should the nurse assign the
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client? - ANSWER-B. RN
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A nurse is caring for a client who decides not to have surgery despite
significant blockages in his coronary arteries. The nurse understands
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that this clients choice is an example of what principles? - ANSWER-A.
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Fidelity
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A nurse offers pain meds to a client who is postop prior to ambulation.
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The nurse understands that this aspect of care delivery is an example of
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which of the following ethical principles? - ANSWER-D. Beneficience
A nurse is instructing a group of nursing students about the
responsibilities involved with organ donation and procurement. When
the nurse explains that all clients waiting for a kidney transplant have
to meet the same qualifications, the students should understand that
this aspect of care delivery is an example of which ethical principle -
ANSWER-C. Justice
,A nurse questions a med prescription as too extreme and light of the
clients advanced age and unstable status. The nurse understands that
this action is an example of which ethical principle - ANSWER-D.
NonMalificence
Which of the following situations can be identified as an ethical
dilemma? - ANSWER-C. A family has conflicting feelings about the
initiation of enteral tube feedings of their father who is terminally ill
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A four-month-old infant is admitted to the pediatric intensive care unit
with a temperature of 105°F (40.5 °C). The infant is irritable, and the
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nurse observes nuchal rigidity. Which assessment finding would
indicate an increase in intracranial pressure? - ANSWER-2.High-pitched
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cry
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A client is receiving total parenteral nutrition (TPN). To determine the
client's tolerance of this treatment, the nurse should assess for which
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of the Following? - ANSWER-4.Urine output of at least 30cc per hour.
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The client is exhibiting symptoms of myxedema. The nursing
assessment should reveal - ANSWER-2. decreased temperature
A nonstress test is scheduled for a client at 34-weeks gestation who
developed hypertension, periorbital edema, and proteinuria. Which of
the following nursing actions should be included in the care plan in
, order to BEST prepare the client for the diagnostic test? - ANSWER-3.
Instruct client to push a button when she feels fetal movement.
Which of the following nursing interventions is MOST important for a
45-year-old woman with rheumatoid arthritis? - ANSWER-4. Assist her
with heat application and ROM exercises.
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The nurse is caring for a young adult admitted to the hospital with a
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severe head injury. The nurse should position the patient. - ANSWER-1.
with his neck in a midline position and the head of the bed elevated
30°.
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The nurse is teaching a 40-year-old man diagnosed with a lower motor
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neuron disorder to perform intermittent self-catheterization at home.
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The nurse should instruct the client to - ANSWER-2. perform the
Valsalva maneuver "holding breath and bearing down" before doing
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the catheterization.
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A client is being discharged with sublingual nitroglycerin (Nitrostat).
The client should be cautioned by the nurse to. - ANSWER-4. avoid
abrupt changes in posture.
A 38-year-old woman is returned to her room after a subtotal
thyroidectomy for treatment of hyperthyroidism. Which of the