Graded A+
1. Why is it important for the nurse to report the client's inability to grasp eating
utensils to the interprofessional team?
It implies that the client prefers to eat alone.
It suggests that the client is not following dietary recommendations.
It indicates a potential impairment in the client's ability to perform
activities of daily living independently.
It shows that the client is not interested in learning about his
medication.
2. A nurse is creating a plan of care for a group of clients. Which of the
following interventions is a priority for the nurse to include.
Provide teaching to a client has schizophrenia bought a new
prescription for clozapine
Offering a high calorie beverage to a client who is in the manic
phase of bipolar disorder.
Practicing relaxation techniques with a client who has anxiety disorder.
Assisting a client who has depressive disorder with decision making
regarding group activities.
3. What is the primary responsibility of a nurse when a client decides to stop
dialysis treatment?
Respect the client's decision and provide support.
Encourage the client to reconsider their decision.
Immediately inform the physician.
, Document the decision without further discussion.
4. A new graduate nurse receives report for the shift. What is an effective
strategy to assist with time management?
Ask the charge nurse to help with medication administration.
Delegate as many tasks as possible.
Wait to document until all tasks are complete.
Make a list and prioritize care throughout the shift.
5. Describe how pancreatic enzymes assist in the management of cystic fibrosis
in children.
Pancreatic enzymes improve lung function by increasing airflow.
Pancreatic enzymes help in the digestion of fats, leading to reduced
fat in the stools.
Pancreatic enzymes reduce sodium levels in the body.
Pancreatic enzymes enhance the absorption of all vitamins.
6. Why is it important for the nurse to encourage the client to express their
thoughts about stopping treatment?
It is a way for the nurse to share their personal experiences.
Encouraging the client to express their thoughts allows for open
communication and understanding of their feelings.
It allows the nurse to gather more information for documentation.
It helps the nurse to convince the client to continue treatment.
7. If the nurse finds that the client in restraints is stable, what should be the next
priority assessment?
, The client receiving a PRN dose of haloperidol two hours ago for
increased anxiety
The new limited client presents history of 4.5kg weight loss in the past
two months
The client will receive his first ECT treatment today
The client placed in restraints for aggressive behavior
8. When dealing with a patient's confidential health information, a nurse must:
Share information with all healthcare team members.
Discuss patient information in public areas for educational purposes.
Only disclose information with the patient's consent or when legally
required.
Share details with family members for support.
9. The nurse is caring for a group of hospitalized clients. Which task is
appropriate to delegate to the unlicensed assistive personnel?
Measuring the leg circumference of a client with calf pain
Reporting back on the appearance of a pressure injury
Assessing the severity of peripheral edema in a client
Obtaining vital signs on a client who had surgery yesterday
10. Why is it important for the nurse to report the medication schedule during a
change of shift?
It updates the team on the client's social interactions.
It provides emotional support to the family.
It informs the next nurse about the client's family history.
, It ensures continuity of care and proper medication administration.
11. In a scenario where a nurse is about to perform a procedure on a patient
with a known infection, what hand hygiene practice should the nurse
prioritize?
Washing hands with soap and water for 20 seconds.
Using an alcohol-based cleanser regardless of visible soil.
Wearing sterile gloves without washing hands.
Rinsing hands quickly under running water.
12. The nurse supports an older client's autonomy; which decision supports this
ethical principle?
Client treatment information is kept from client because of family
request.
Client is given more education regarding medication side effects.
Client wants to see case management for Medicaid resources.
Client decides to stop further chemotherapy treatments.
13. What symptom is reported by the client with a femur fracture that indicates a
priority need for nursing intervention?
Severe pruritus
Pink-tinged urine
Numbness of the toes
Surgery 8 hours ago
14. Why is allowing a client to choose treatment times considered a way to
promote autonomy?