ACTUAL COMPLETE 100 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+.
A client is having problems with blood clotting. Which food item
should the nurse encourage the client to eat? -
ANSWER-Green,
leafy vegetables
Green, leafy vegetables are high in vitamin K, which acts as a catalyst
for facilitating blood-clotting factors. Legumes are high in folic acid
and thiamine. Citrus fruits are high in vitamin C, which helps with
wound healing. Vegetable oil is high in vitamin E, which acts as an
antioxidant.
The nurse is caring for a client who has hand restraints. How often
should the nurse assess the skin integrity of the
restrained hands? -
ANSWER-every 30 mins
The nurse is assisting with planning care for a client with an internal
radiation implant. Which should be included in
the plan of care? Select all that apply. - ANSWER-Wearing
gloves when emptying the client's bedpan
,2.
Keeping all linens in the room until
the implant is removed
3.
Wearing a film (dosimeter) badge
when in the client's room
4.
Wearing a lead apron when
providing direct care to the client
The community health nurse has completed a teaching session about
anthrax with members of the community. The
licensed practical nurse reinforcing the teaching tells those
attending that anthrax can be transmitted via which
routes? Select all that apply. -
ANSWER-Inhalation
Skin
Gastrointestinal
Rationale:
, Anthrax is caused by Bacillus anthracis, and it can be contracted
through the digestive system, abrasions in the skin, or inhalation. It
cannot be spread from person to person.
The nurse obtains a prescription from the health care provider to
restrain a client using a jacket (safety) restraint and instructs the
unlicensed assistive personnel (UAP) to apply the restraint. Which
observation, if made by the nurse, should indicate unsafe application
of the restraint? - ANSWER-The restraint straps are safely secured to
the side rails.
Rationale:
A half-bow or safety knot should be used when applying a restraint,
because it does not tighten when force is applied against it and
allows for the quick and easy removal of the restraint in case of an
emergency. The restraint strap is secured to the bed frame (never to
the side rail) to avoid accidental injury in case the side rail is released.
The
The nurse is preparing to reposition a dependent client who weighs
more than 250 pounds. Which intervention is best
for the nurse to consider when moving this client? -
ANSWER-Find someone who can help.
The nurse is administering a cleansing enema to a client with a fecal
impaction. Before administering the enema, the
nurse should assist the client to which position - ANSWER-Left
Sims' position, with the head of the bed flat