TESTS A & B QUESTIONS WITH
CORRECT ANSWERS
Asnursesisscaringsforsasclientswhosreportsspain.sWhensdocumentingsthesqualitysofsthesclient
'sspainsonsansinitialspainsassessment,sthesnursesshouldsrecordswhichsofsthesfollowingsclien
tsstatements?s
"Isamshavingsmildspain"s
"Thespainsisslikesasdullsachesinsmysstomach"
"IsnoticesthatsthespainsgetssworsesaftersIseat"s
"Thespainsmakessmesfeelsnauseous"s-sans✔✔"Thespainsisslikesasdullsachesinsmysstomach"
Asclientsinsnonsambulatorysnotifiessthesnursesthatshisstrashscansissonsfire.sAftersthesnursesc
onfirmssthespresencesofsthesfire,swhichsofsthesfollowingsactionssshouldsthesnursestakesnext
?s
Activatesthesemergencysfiresalarms
Extinguishsthesfires
Evacuatesthesclients
Confinesthesfires-sans✔✔Evacuatesthesclient
Asnursesisscompletingsansadmissionsassessmentsforsasclientswhosreportssvomitingsandsdia
rrheasforsthespasts3sdays.sWhichsofsthesfollowingsfindingssshouldsthesnursesexpect?
Necksveinsdistentions
Urinesspecificsgravitys1.010
RapidsHeartsrates
Bloodspressures144/82smmHgs-sans✔✔Rapidsheartsrate
Asnurseshassacceptedsasverbalsprescriptionsfors"theestenthssofsasmilligramsofslevothyroxin
esIVsstat"sforsasclientswhoshassmyxedemascoma.sHowsshouldsthesnursestranscribesthesdos
agesofsthissmedicationsinsthesclient'ssmedicalsrecord?s
.3smg
0.3smgs
0.30smgs
3/10smgs-sans✔✔0.3smg
Asnursesisspreparingsasheparinsinfusionsforsasclientswhoswassadmittedstosthesfacilityswithsd
eepsveinsthrombosis.sThesprescriptionsreads:s25,000sunitssofsheparinsins0.9%ssodiumschl
orides250smlstosinfusesats800sunits/hour.sAtswhatsratesshouldsthesnursessetsthesinfusionspu
mp?s-sans✔✔8sml/hour
,Asnursesisscaringsforsasclientswhoshassasprescriptionsforswoundsirrigation.sWhichsofsthesfoll
owingsactionssshouldsthesnursestake?s
Wearssterilesglovesswhensremovingsthesoldsdressings
Warmsthesirrigationssolutionstos40.5sCs(105sF)
Cleansestheswoundsfromsthescentersoutwards
Usesas20smlssyringestosirrigatestheswounds-
sans✔✔Cleansestheswoundsfromsthescentersoutward
AsnursesisscaringsforsasclientswhosissreceivingsfluidsthroughsasperipheralsIVscatheter.sWhic
hsofsthesfollowingsfindingssatsthesIVssitesshouldsthesnursesidentifysassindicatingsinfiltration?s
Purulentsexudates
Warmths
Skinsblanchings
Bleedings-sans✔✔Skinsblanching
Asnursesissteachingsasclientswhosesleftslegsissinsascastsaboutsusingscrutches.sWhichsofsthesf
ollowingsstatementssshouldsthesnursesidentifysassansindicationsthatsthesclientsunderstands
sthesteaching?s
"Whensdescendingsthesstairs,sIswillsfirstsshiftsmysweightstosmysrightsleg"
"Isshouldsplacesmyscrutchess12sinchessinsfrontsandstosthessidesofseachsfoot"
"AssIssitsdown,sIswillsholdsonescrutchsinseachshand"s
"Iswillsmakessuresthesshouldersrestssaressnugsagainstsmysarmpits"s-
sans✔✔"Whensdescendingsthesstairs,sIswillsfirstsshiftsmysweightstosmysrightsleg"
AsnursesisscaringsforsasclientswhoshassansNGstubesandsissreceivingsintermittentsfeedingssth
roughsansopenssystem.sWhichsofsthesfollowingsactionssshouldsthesnursestakesfirst?s
Rinsesthesfeedingsbackswithswatersbetweensfeedings
Tellsthesclientstoskeepsthesheadsofsthesbedselevatedsatsleasts30sdegrees
Makessuresthesenteralsformulasissatsroomstemperatures
Wipesthestopsofsthesformulascanswithsalcohols-
sans✔✔Tellsthesclientstoskeepsthesheadsofsthesbedselevatedsatsleasts30sdegrees
Asnursesissreviewingsasclient'ssmedicationsprescriptionsthatsreads,s"digoxins0.25sbysmouths
everysday".sWhichsofsthesfollowingscomponentssofsthesprescriptionsshouldsthesnursesverify
swithsthesprovider?s
Medicationsnames
Routesofsadministrations
Medicationsdose
Frequencysofsadministrations-sans✔✔Medicationsdose
Asnursesisscaringsforsasclientswhoshassrecentlysstartedsusingsasbehindsthesearshearingsaid.s
Whichsofsthesfollowingsstatementssshouldsthesnursesidentifysassansindicationsthatsthesclien
tsunderstandssthesusesofsthissassistivesdevice?s
"Thisstypesofshearingsaidsdoessnotsallowsforsfinestuningsofsvolume"
"Isshouldn'tshavestroubleskeepingstheshearingsaidsinsplacesduringsexercise"
"IsexpectstoshearsaswhistlingssoundswhensIsfirstsinsertstheshearingsaid"s
, "Iswillsbessurestosremovesmyshearingsaidsbeforestakingsasshower"s-
sans✔✔"Iswillsbessurestosremovesmyshearingsaidsbeforestakingsasshower"
Asnursesenterssasclient'ssroomsandsfindsshersonsthesfloor.sThesclient'ssroommatesreportssth
atsthesclientswasstryingstosgetsoutsofsbedsandsfellsoversthessidesrailsontosthesfloor.sWhichsofs
thesfollowingsstatementssshouldsthesnursesdocumentsaboutsthissincident?s
"Incidentsreportscompleted"
"Clientsclimbedsoversthessidesrails"s
"Clientsfoundslyingsonsthesfloor"
"Clientswasstryingstosgetsoutsofsbed"s-sans✔✔"Clientsfoundslyingsonsthesfloor"
Asnursesonsasmedicalsunitsisspreparingstosdischargesasclientstoshome.sWhichsofsthesfollowi
ngsactionssshouldsthesnursestakesasspartsofsthesmedicationsreconciliationsprocess?s
Sealsunusedsmedicationssfromsthesfacilitysinsasplasticsbags
Evaluatesthesclient'ssabilitystosselfsadministersmedicationss
ReportsansidentifiedsdiscrepancystosThesJointsCommissions
Comparesprescriptionsswithsmedicationssthesclientsreceivedswhilesatsthesfacilitys-
sans✔✔Comparesprescriptionsswithsmedicationssthesclientsreceivedswhilesatsthesfacility
Asnursesisscaringsforsasclientswhosrequiressansinformedsconsentsforsassurgicalsprocedure.s
Whichsofsthesfollowingsactionssissthesnurse'ssresponsibility?s
Describesthesprocedurestosthesclients
Witnesssthesclient'sssignaturesonsthesconsentsforms
Informsthesclientsofsalternativesstosthesprocedures
Tellsthesclientswhichsteamsmembersswillsassistswithsthesprocedures-
sans✔✔Witnesssthesclient'sssignaturesonsthesconsentsform
Asnursesissplanningsanseducationalsprogramsforsasgroupsofsoldersadultssatsasseniorslivingsc
enter.sWhichsofsthesfollowingsrecommendationssshouldsthesnursesinclude?s
"Yousshouldshavesanseyesexaminationseverys2syears"
"Yousshouldsreceivesastetanussboosterseverys5syears"
"Yousshouldsreceivesasshinglessvaccineswhensyousares70syearssold"s
"Yousshouldsreceivesaspneumococcalsvaccineswhensyousares65syearssold"s-
sans✔✔"Yousshouldsreceivesaspneumococcalsvaccineswhensyousares65syearssold"
Asnursesisscaringsforsasclientswhosissrefusingsasbloodstransfusionsforsreligioussreasons.sTh
esclient'sspartnerswantssthesclientstoshavesthesbloodstransfusion.sWhichsofsthesfollowingsac
tionssshouldsthesnursestake?s
Asksthesclientstosconsidersasdirectsdonations
Withholdsthesbloodstransfusion
Requestsasconsultationswithsthesethicsscommittees
Asksthesclient'ssfamilystosintervenes-sans✔✔Withholdsthesbloodstransfusion
Asnursesissadmittingsasclientswhoshassrubella.sWhichsofsthesfollowingstypessofstransmissio
nsbasedsprecautionssshouldsthesnursesinitiate?s
droplets