Health Midterm Bonus |
Study Guide, Practice
Questions & Exam
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,A nurse and an experienced licensed practical nurse Obtaining vital signs from a client who is 6 hr postoperative is correct.
(LPN) are caring for a group of clients. Which of the Obtaining is a task that is appropriate to the education and skills of an LPN.
following tasks should the nurse delegate to the LPN? Administering a tap-water enema to a client who is preoperative is correct.
(Select all that apply.) Administering a tap-water enema is a task that is appropriate to the education
Provide discharge instructions to a confused client's and skills of an LPN.
spouse. Catheterizing a client who has not voided in 8 hr is correct. Urinary
Obtain vital signs from a client who is 6 hr catheterization is a task that is appropriate to the education and skills of an
postoperative. LPN.
Administer a tap-water enema to a client who is
preoperative.
Initiate a plan of care for a client who is postoperative
from an appendectomy.
Catheterize a client who has not voided in 8 hr.
An RN is delegating care activities to a licensed State Nurse Practice Act for the LPN
practical nurse (LPN). Which of the following is the
priority criterion the RN should consider when According to evidence-based practice, the nurse should first consider the state
delegating? Nurse Practice Act for the LPN. This act guides agency policies and provides
Agency policies for the LPN the legal authority for nursing practice, including delegation.
The documented experience level of the LPN
The documented skill level of the LPN
State Nurse Practice Act for the LPN
A nurse is preparing to witness informed consent for a "Have you discussed other treatments with your provider?"
client who is preoperative. The client asks the nurse,
"Are there other options besides surgery?" Which of The nurse should seek clarification to determine what the client may or may not
the following responses should the nurse make? know about alternatives to the surgical procedure. The nurse should notify the
"It is time to sign the consent so your treatment can provider about the need to discuss alternatives to surgery if necessary.
begin." Informed consent requires that the client is aware of the limitations and
"I would not have this type of surgery if I were you." alternatives to the procedure.
"Have you discussed other treatments with your
provider?"
"I can inform the surgeon you do not want the surgery."
A nurse is assessing a client who has posttraumatic Increasing feelings of anger.
stress disorder (PTSD) following a sexual assault.
Which of the following is an expected finding? Increasing anger and irritability are findings associated with PTSD.
Sleeping 12 hr or more each day.
Increasing sense of attachment to others.
Constant need to talk about the event.
Increasing feelings of anger.
, A nurse is observing a newly licensed nurse as she "You should try to see your partner's point of view before your own."
interacts with a client regarding his concerns about
his relationship with his partner. Which of the This statement gives advice, which is nontherapeutic.
following statements by the newly licensed nurse
requires intervention by the nurse?
"Tell me about the concerns that you have regarding
your relationship."
"You should try to see your partner's point of view
before your own."
"We could develop a plan for how to talk about this
with your partner."
"Relationship difficulties are stressful and require effort
to resolve."
A nurse is triaging clients in the emergency A school-age child who has acute epiglottitis, is drooling, and has an
department. Which of the following clients should the absence of spontaneous cough
nurse ask the provider to care for first?
A toddler who has asthma and has a pulse oximetry A client who has acute epiglottitis, is drooling, and has an absence of
reading of 95% while receiving oxygen at 2 L/min spontaneous cough is unstable and requires immediate medical attention;
A toddler who has otitis media, a temperature of 39.2° C therefore, this client is the priority and the nurse should have the provider care
(102.6° F), and purulent ear discharge for this client first.
A school-age child who has acute epiglottitis, is
drooling, and has an absence of spontaneous cough
An adolescent who has sickle cell disease, reports pain
as 7 on a scale of 0 to 10, and requests pain medication
A nurse who is leading a team of nurse managers is Sit in front of the group for the meeting and then stand for the
planning to make a major announcement. The nurse announcement.
should use which of the following nonverbal
communication techniques to enhance the The weight of a message increases when the sender stands.
importance of the announcement?
Sit in front of the group for the meeting and then stand
for the announcement.
Cross her arms over her chest when beginning the
announcement.
Stare at the people the announcement will affect the
most.
Lean gently over the back of a chair sitting to one side
of the room when making the announcement.
A nurse is planning a community diabetes mellitus Clients will have a decreased incidence of foot amputations.
management program. Which of the following goals
should the nurse include for the program? A goal is the desired result toward which effort is directed. A reduced
Proper foot care will be demonstrated to clients during incidence of foot amputations is an appropriate, measurable, and realistic goal
the program. for a community diabetes management program.
Clients will have a decreased incidence of foot
amputations.
A facility will be reserved for the program.
Handouts and teaching materials will be distributed at
the program.