PN COMPREHENSIVE ONLINE
PRACTICE 2021 B WITH 100%
VERIFIED ANSWERS
A nurse at a long-term care facility is caring for a client who requires oral suctioning. Which
of the following supplies should the nurse plan to use for this task? - ANSWER Yankauer
catheter
A nurse in a long-term care facility is serving on the ethics committee, which is addressing a
client care dilemma. Which of the following strategies will facilitate resolving the dilemma?
(Select all that apply) - ANSWER Determine the facts related to the dilemma
Identify possible solutions
Consider the client's wishes
A nurse is talking with a client whose son died in a motor-vehicle crash 2 weeks ago. The
client states, "I really thought I'd be back to my usual routines by now, but I can't think of
anything else except that my son is gone." Which of the following responses should the nurse
make? - ANSWER "Grieving for your son is hard work. It will take as much time as you need
to come to terms with your loss."
A nurse is reinforcing teaching with a client about cancer prevention. The nurse should
include that frequent consumption of which of the following foods increases the risk for
developing cancer? - ANSWER Lamb
A nurse notices an assistive personnel (AP) taking a nap in the break room during meal time.
The nurse also notes that the AP is drowsy while performing routine tasks. Which
,of the following actions should the nurse take? - ANSWER Report the observations about the
AP to the unit's nurse manager
A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of the
following clients should the nurse identify as being at risk for urinary retention? - ANSWER A
school-age child who has allergic rhinitis and is taking diphenhydramine
A nurse is caring for a client following a bronchoscopy. Which of the following actions should
the nurse take first? - ANSWER Check for a gag reflex
A nurse is assisting with the admission of a client who has a latex allergy. The nurse should
identify that which of the following supplies has the potential to contain latex? - ANSWER
Indwelling urinary catheter
A nurse is performing postmortem care for a client prior to the arrival of the client's family
for viewing of the body. Which of the following actions should the nurse take? - ANSWER
Gently close the client's eyelids
A nurse is reinforcing teaching with a client who has dumping syndrome about measures to
reduce manifestations. Which of the following instructions should the nurse include in the
teaching? - ANSWER Avoid foods with a high sugar content
A nurse is collecting data from a client who is experiencing a situational crisis following the
loss of a job. The client states, "I don't think I can go through this again." Which of the
following actions is the nurse's priority? - ANSWER Determine if the client is experiencing
psychotic thinking
A nurse is contributing to the plan of care for a client following a transurethral resection of
the prostate (TURP). Which of the following interventions should the nurse include? -
ANSWER Irrigate the bladder using sterile technique
, A nurse is caring for an infant who is receiving IV fluids for dehydration. Which of the
following should the nurse recognize as a positive response to therapy? - ANSWER Moist
mucous membranes
A nurse is assisting with the admission of a client who is experiencing alcohol withdrawal.
Which of the following medications should the nurse expect the provider to prescribe for the
client? - ANSWER Chlordiazepoxide
A nurse is caring for a client who is scheduled for surgery in the morning. The nurse learns
that the client has decided not to have surgery even though they have already signed the
informed consent form. Which of the following actions should the nurse take? - ANSWER
Report the situation to the provider who obtained the informed consent
A nurse is collecting data from a client who is in severe pain. Which of the following
questions should the nurse ask first? - ANSWER "Where is your pain located?"
A nurse in a provider's office is reinforcing teaching with a client who has a new prescription
for ferrous sulfate elixir. Which of the following statements by the client should indicate to
the nurse an understanding of the teaching? - ANSWER "I will rinse my mouth after taking
this medication"
A nurse is contributing to the plan of care for a client who is postoperative following a
rhinoplasty. Which of the following interventions should the nurse recommend? - ANSWER
Instruct the client to avoid the Valsalva maneuver
A nurse is collecting data from a postpartum client who had a vaginal birth 2 days ago. Which
of the following findings is the nurse's priority to report to the provider? - ANSWER Client
reports burning with urination
PRACTICE 2021 B WITH 100%
VERIFIED ANSWERS
A nurse at a long-term care facility is caring for a client who requires oral suctioning. Which
of the following supplies should the nurse plan to use for this task? - ANSWER Yankauer
catheter
A nurse in a long-term care facility is serving on the ethics committee, which is addressing a
client care dilemma. Which of the following strategies will facilitate resolving the dilemma?
(Select all that apply) - ANSWER Determine the facts related to the dilemma
Identify possible solutions
Consider the client's wishes
A nurse is talking with a client whose son died in a motor-vehicle crash 2 weeks ago. The
client states, "I really thought I'd be back to my usual routines by now, but I can't think of
anything else except that my son is gone." Which of the following responses should the nurse
make? - ANSWER "Grieving for your son is hard work. It will take as much time as you need
to come to terms with your loss."
A nurse is reinforcing teaching with a client about cancer prevention. The nurse should
include that frequent consumption of which of the following foods increases the risk for
developing cancer? - ANSWER Lamb
A nurse notices an assistive personnel (AP) taking a nap in the break room during meal time.
The nurse also notes that the AP is drowsy while performing routine tasks. Which
,of the following actions should the nurse take? - ANSWER Report the observations about the
AP to the unit's nurse manager
A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of the
following clients should the nurse identify as being at risk for urinary retention? - ANSWER A
school-age child who has allergic rhinitis and is taking diphenhydramine
A nurse is caring for a client following a bronchoscopy. Which of the following actions should
the nurse take first? - ANSWER Check for a gag reflex
A nurse is assisting with the admission of a client who has a latex allergy. The nurse should
identify that which of the following supplies has the potential to contain latex? - ANSWER
Indwelling urinary catheter
A nurse is performing postmortem care for a client prior to the arrival of the client's family
for viewing of the body. Which of the following actions should the nurse take? - ANSWER
Gently close the client's eyelids
A nurse is reinforcing teaching with a client who has dumping syndrome about measures to
reduce manifestations. Which of the following instructions should the nurse include in the
teaching? - ANSWER Avoid foods with a high sugar content
A nurse is collecting data from a client who is experiencing a situational crisis following the
loss of a job. The client states, "I don't think I can go through this again." Which of the
following actions is the nurse's priority? - ANSWER Determine if the client is experiencing
psychotic thinking
A nurse is contributing to the plan of care for a client following a transurethral resection of
the prostate (TURP). Which of the following interventions should the nurse include? -
ANSWER Irrigate the bladder using sterile technique
, A nurse is caring for an infant who is receiving IV fluids for dehydration. Which of the
following should the nurse recognize as a positive response to therapy? - ANSWER Moist
mucous membranes
A nurse is assisting with the admission of a client who is experiencing alcohol withdrawal.
Which of the following medications should the nurse expect the provider to prescribe for the
client? - ANSWER Chlordiazepoxide
A nurse is caring for a client who is scheduled for surgery in the morning. The nurse learns
that the client has decided not to have surgery even though they have already signed the
informed consent form. Which of the following actions should the nurse take? - ANSWER
Report the situation to the provider who obtained the informed consent
A nurse is collecting data from a client who is in severe pain. Which of the following
questions should the nurse ask first? - ANSWER "Where is your pain located?"
A nurse in a provider's office is reinforcing teaching with a client who has a new prescription
for ferrous sulfate elixir. Which of the following statements by the client should indicate to
the nurse an understanding of the teaching? - ANSWER "I will rinse my mouth after taking
this medication"
A nurse is contributing to the plan of care for a client who is postoperative following a
rhinoplasty. Which of the following interventions should the nurse recommend? - ANSWER
Instruct the client to avoid the Valsalva maneuver
A nurse is collecting data from a postpartum client who had a vaginal birth 2 days ago. Which
of the following findings is the nurse's priority to report to the provider? - ANSWER Client
reports burning with urination
