Assessment q&A fully answered
A nurse is submitting a dietary request for a client who devoutly follows Mormon
dietary practices. The nurse should ask the client if they would like which of the
following foods or beverages excluded from meals? - (CORRECT ANSWER)Coffee
A nurse is assessing a client who has a rash on their hands and forearms after
working in a garden. The nurse should identify that which of the following findings
indicates contact dermatitis? - (CORRECT ANSWER)Well-defined margins of the
erythematous area
home health nurse is teaching a client about fire extinguishers. Which of the
following instructions should the nurse include in the teaching? - (CORRECT
ANSWER)Call the fire department before using a fire extinguisher
A nurse is performing a fall risk assessment for a client. Which of the following
findings should the nurse identify as a fall risk? - (CORRECT ANSWER)the client
has a history of urinary frequency
A nurse is assessing a 10-month-old infant who has a urinary tract infection (UTI).
which of the following findings should the nurse expect? - (CORRECT
ANSWER)Decreased appetite
A nurse is preparing to administer acetaminophen drops 60 mg PO to an infant who
has a fever. The amount available is 160mg/5 mL. How many mL should the nurse
administer? (Round the answer to the nearest tenth. Use a leading zero if it applies.
Do not use a training zero.) - (CORRECT ANSWER)1.8 mL
A nurse is teaching a client to self-administer 8 units of NPH insulin and 2 units of
regular insulin in the same syringe. Which of the following client statements indicates
an understanding of the teaching? - (CORRECT ANSWER)"I'll draw up regular
insulin in the syringe before the NPH insulin."
A nurse on a mental health unit is planning an in-service for a newly hired staff about
the use of restraints. Which of the following information should the nurse include? -
(CORRECT ANSWER)Document a client's condition every 15 while in restraints.
A nurse is a part of an informatics committee to improve safety with medications
administration. Which of the following recommendations should the nurse make to
decrease the risk of errors at the bedside? - (CORRECT ANSWER)Use an
electronic medication administration record for documentation
A nurse is discussing informed consent with a group of newly licensed nurses. Which
of the following actions is the responsibility of the nurses when obtaining informed
consent? - (CORRECT ANSWER)Verify that the client voluntarily gave consent for
the procedure
A nurse is teaching a client who has a new diagnosis of obstructive sleep apnea.
Which of the following statements should the nurse include? - (CORRECT
ANSWER)"Obstructive sleep apnea occurs when you stop breathing for at least 10
seconds."
, A nure is teaching the parent of a 5-month-old infant who is breastfed about the
introductions of complementary foods. Which of the following statements should the
nurse make? - (CORRECT ANSWER)"Give your baby iron-fortified infant rice
cereals before starting other foods."
A nurse is teaching a group of newly licensed nurses about using abbreviations
when transcribing prescriptions. Which of the following transcriptions should the
nurse use as an example of the correct usage of abbreviations? - (CORRECT
ANSWER)Docusate sodium 100 mg PO bid
A nurse is preparing an in-service on different types of pain. Which of the following
information should the nurse plan to include as a characteristic of acute pain? -
(CORRECT ANSWER)It is part of the body's attempt to protect itself
A nurse is teaching about applying the National Patient Safety Goals to reduce
health care-associated infections in clients. Which of the following information should
the nurse include in the teaching? - (CORRECT ANSWER)Bathe clients using a
chlorhexidine solution
A nurse is teaching a client about carbon monoxide and home safety. The nurse
should instruct the client that which of the following is a manifestation of carbon
monoxide exposure? - (CORRECT ANSWER)Blurred vision
A nurse is providing change-of-shift report on a client using Situation Background
Assessment Recommendation (SBAR) communication tool. The nure should identify
which of the following information is included in the background step? - (CORRECT
ANSWER)Admission diagnosis
A nurse is using the SOAP format to document in the electronic medical record of a
client who is 2 days postoperative following an open cholecystectomy. Which of the
following entries should the nurse practice in the "A" portion of the SOAP progress
note? - (CORRECT ANSWER)"Ineffective airway clearance due to inadequate use
of spiromimeter."
A nurse is performing a health screening assessment on a client. Which of the
following findings should the nurse identify as a risk factor for developing colorectal
cancer? - (CORRECT ANSWER)History of polyps
A nurse is discussing a wellness approach to preventing excessive nutrition intake
with a group of clients. Which of the following statements should the nurse make? -
(CORRECT ANSWER)Keep a record of cues that trigger a desire to eat."
A nurse is preparing to administer enoxaparin to a client via subcutaneous injection.
Which of the following actions should the nurse take? - (CORRECT
ANSWER)Administer the medication to the client's abdomen.
A nurse is applying a bed safety monitoring device for a client. Which of the following
actions should the nurse take? - (CORRECT ANSWER)Connect the sensor pad to
the call system
A nurse is submitting a dietary request for a client who devoutly follows Mormon
dietary practices. The nurse should ask the client if they would like which of the
following foods or beverages excluded from meals? - (CORRECT ANSWER)Coffee
A nurse is assessing a client who has a rash on their hands and forearms after
working in a garden. The nurse should identify that which of the following findings
indicates contact dermatitis? - (CORRECT ANSWER)Well-defined margins of the
erythematous area
home health nurse is teaching a client about fire extinguishers. Which of the
following instructions should the nurse include in the teaching? - (CORRECT
ANSWER)Call the fire department before using a fire extinguisher
A nurse is performing a fall risk assessment for a client. Which of the following
findings should the nurse identify as a fall risk? - (CORRECT ANSWER)the client
has a history of urinary frequency
A nurse is assessing a 10-month-old infant who has a urinary tract infection (UTI).
which of the following findings should the nurse expect? - (CORRECT
ANSWER)Decreased appetite
A nurse is preparing to administer acetaminophen drops 60 mg PO to an infant who
has a fever. The amount available is 160mg/5 mL. How many mL should the nurse
administer? (Round the answer to the nearest tenth. Use a leading zero if it applies.
Do not use a training zero.) - (CORRECT ANSWER)1.8 mL
A nurse is teaching a client to self-administer 8 units of NPH insulin and 2 units of
regular insulin in the same syringe. Which of the following client statements indicates
an understanding of the teaching? - (CORRECT ANSWER)"I'll draw up regular
insulin in the syringe before the NPH insulin."
A nurse on a mental health unit is planning an in-service for a newly hired staff about
the use of restraints. Which of the following information should the nurse include? -
(CORRECT ANSWER)Document a client's condition every 15 while in restraints.
A nurse is a part of an informatics committee to improve safety with medications
administration. Which of the following recommendations should the nurse make to
decrease the risk of errors at the bedside? - (CORRECT ANSWER)Use an
electronic medication administration record for documentation
A nurse is discussing informed consent with a group of newly licensed nurses. Which
of the following actions is the responsibility of the nurses when obtaining informed
consent? - (CORRECT ANSWER)Verify that the client voluntarily gave consent for
the procedure
A nurse is teaching a client who has a new diagnosis of obstructive sleep apnea.
Which of the following statements should the nurse include? - (CORRECT
ANSWER)"Obstructive sleep apnea occurs when you stop breathing for at least 10
seconds."
, A nure is teaching the parent of a 5-month-old infant who is breastfed about the
introductions of complementary foods. Which of the following statements should the
nurse make? - (CORRECT ANSWER)"Give your baby iron-fortified infant rice
cereals before starting other foods."
A nurse is teaching a group of newly licensed nurses about using abbreviations
when transcribing prescriptions. Which of the following transcriptions should the
nurse use as an example of the correct usage of abbreviations? - (CORRECT
ANSWER)Docusate sodium 100 mg PO bid
A nurse is preparing an in-service on different types of pain. Which of the following
information should the nurse plan to include as a characteristic of acute pain? -
(CORRECT ANSWER)It is part of the body's attempt to protect itself
A nurse is teaching about applying the National Patient Safety Goals to reduce
health care-associated infections in clients. Which of the following information should
the nurse include in the teaching? - (CORRECT ANSWER)Bathe clients using a
chlorhexidine solution
A nurse is teaching a client about carbon monoxide and home safety. The nurse
should instruct the client that which of the following is a manifestation of carbon
monoxide exposure? - (CORRECT ANSWER)Blurred vision
A nurse is providing change-of-shift report on a client using Situation Background
Assessment Recommendation (SBAR) communication tool. The nure should identify
which of the following information is included in the background step? - (CORRECT
ANSWER)Admission diagnosis
A nurse is using the SOAP format to document in the electronic medical record of a
client who is 2 days postoperative following an open cholecystectomy. Which of the
following entries should the nurse practice in the "A" portion of the SOAP progress
note? - (CORRECT ANSWER)"Ineffective airway clearance due to inadequate use
of spiromimeter."
A nurse is performing a health screening assessment on a client. Which of the
following findings should the nurse identify as a risk factor for developing colorectal
cancer? - (CORRECT ANSWER)History of polyps
A nurse is discussing a wellness approach to preventing excessive nutrition intake
with a group of clients. Which of the following statements should the nurse make? -
(CORRECT ANSWER)Keep a record of cues that trigger a desire to eat."
A nurse is preparing to administer enoxaparin to a client via subcutaneous injection.
Which of the following actions should the nurse take? - (CORRECT
ANSWER)Administer the medication to the client's abdomen.
A nurse is applying a bed safety monitoring device for a client. Which of the following
actions should the nurse take? - (CORRECT ANSWER)Connect the sensor pad to
the call system
