TEST A Questions With Complete Solutions
A charge nurse is anticipating the admission of four clients and
planning their room assignments. Which of the following clients
should the nurse assign to the room closest to the nurses station?
Correct Answer A client who sustained a head injury and is
having periods of confusion.
A nurse finds an open vial of morphine lying on top of the
cabinet in a clients room. Which of the following actions should
the nurse take? Correct Answer Report the discrepancy
immediately
A nurse has just finished a wound irrigation for a client who
requires contact precautions. Which of the following pieces of
ppe should the nurse remove first? Correct Answer Gloves
A nurse in a long term care facility is assisting a client with
eating during meal time and recognizes another client indicating
he is choking. Which of the following situations requires the
nurse to perform the Heimlich maneuver? Correct Answer The
client is not making any sounds
A nurse intercepts a messenger at the nurses station who has a
flower delivery for a client on the unit. As the nurse accepts the
flowers, the messenger says, "I know Mrs. Welch from the
neighborhood. What is happening to her? Which of the
following responses should the nurse provide? Correct Answer
It's my responsibility to remind you that we have to respect our
clients privacy
, A nurse is admitting a client from a long term care facility. The
nurse should use closed ended questions when assessing which
of the following factors? Correct Answer When asking if the
client took his medications this morning
A nurse is admitting a client who has a wound infected with
vancomycin-resistant enterococci. Which of the following types
of precautions should the nurse plan to initiate? Correct Answer
Contact
A nurse is admitting a client who reports anorexia and is
experiencing malnutrition. Which of the following laboratory
findings should the nurse expect to be altered? Correct Answer
Albumin
A low albumin is a measure of plasma proteins which reflects
the nutritional condition of a client experiencing anorexia and
malnutrition over an extended period of time.
A nurse is assessing a client for putting edema and notes and
indentation of 6mm at the point of pressure. Which of the
following notations should the nurse use to document the
severity of the clients edema? Correct Answer 3+
A nurse is assessing a client who has a wrist restraint applied.
For which of the following findings should the nurse loosen
restraint? Correct Answer The clients hand is cool and pale
A nurse is assessing a client who is experiencing prostatic
hypertrophy. Which of the following findings associated with