RNSG 1430| RN CONCEPT BASED ASSESSMENT LEVEL 1 NEWEST 2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

RNSG 1430| RN CONCEPT BASED ASSESSMENT LEVEL 1 NEWEST 2024 ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ A nurse is providing discharge teaching about nutrition management to a client who has COPD. Which of the following instructions should the nurse include in the teaching? - ...ANSWER...Have a high-calorie protein drink between meals. RATIONALE: The nurse should encourage a client who has COPD to drink a high-calorie protein drink between meals. Anorexia is a manifestation of COPD and this added nutritional intake promotes weight gain.) A nurse is caring for a client who has dysphagia following a stroke. Which of the following actions should the nurse take to facilitate safe swallowing and decrease the risk of aspiration? - ...ANSWER...Delay the clients meal-time if he is fatigued. RATIONALE: To facilitate safe swallowing and decrease the risk of aspiration, the nurse should encourage the client to test prior to meal-time. If the client is fatigued, the nurse should delay the meal-time and give the client time to rest.) A nurse is teaching the parent of a toddler about home injury prevention. When discussing snacks, which of the following statements by the parent indicates an understanding of the teaching? - ...ANSWER..."I can give her watermelon pieces after I remove the seeds." RATIONALE: The nurse should inform the parent that toddlers can easily choke on seeds from fruits, such as watermelon seeds or cherry pits, because of their round shape and size. Removing the seeds and cutting the watermelon into pieces provides the toddler with a nutritious snack that does not increase the toddler's risk of foreign body obstruction.) A nurse is asked by a provider to perform an invasive procedure for which he has not received training. Which of the following actions should the nurse take to ensure that it is within his legal scope of practice to perform this procedure? - ...ANSWER...Check the states nurse practice act before performing the procedure. RATIONALE: The nurse should check the state's nurse practice act to verify that performance is within his scope of practice. This will ensure that the nurse follows legal guidelines for his scope of practice. If the nurse works in more than one state, he should check the nurse practice act for each state, because guidelines for this procedure might differ from state to state. If the procedure is within the nurse's scope of practice, he should take necessary steps to gain competence in the procedure before performing it on a client.) A nurse is caring for a older adult client who has a leg wound following a fall on the stairs. The nurse would identify which of the following factors as an expected, age-related change in older adults that can impair wound healing? - ...ANSWER...Elastin fibers separate and thicken. RATIONALE: The nurse should identify that elastin fibers in an older adult client thicken and separate, which can cause delayed wound healing and lead to a "saggy" appearance due to decreased skin elasticity.) A nurse in a long-term care facility discovers a small fire in a client's trash can. After moving the client to safety, which of the following actions should the nurse take next? - ...ANSWER...Pull the alarm to notify emergency services. RATIONALE: Evidence-based practice indicates the nurse should first rescue and remove clients in immediate danger and then activate the alarm to notify authorities of the situation.) A nurse is preparing to leave the room who is on isolation precautions. Which of the following actions should the nurse take when removing a tied surgical mask? - ...ANSWER...Remove the mask by securely holding the ties and moving it away from the face. RATIONALE: The nurse should untie the bottom strings and then the top strings. Finally, while still holding the strings, the nurse should remove the mask from her face. This action prevents the nurse from touching the front of the mask, which is contaminated.) A nurse is searching electronic databases for clinical research about behavioral indicators. Which of the following online sources should the nurse select to research this infant care issue? - ...ANSWER...Cumulative Index to Nursing and Allied Health Literature (CINAHL) RATIONALE: The nurse should select the Cumulative Index to Nursing and Allied Health Literature (CINAHL) to locate clinical research about health-related client care issues. CINAHL is a cumulative index that the nurse can search electronically to locate reliable data related to the specific topic being researched.)