CBC B level 1
A nurse is reviewing the medical record of a client prior to medication administration.
Which of the following actions should the nurse plan to take? - answer Instruct the client
to refrain from taking St. John's wort
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? - answer
It is part of the body's attempt to protect itself
A nurse is documenting information in a clients medical record. Which of the following
entries should the nurse make? - answer “Client reports no pain while ambulating in the
hallway."
A charge nurse is providing an educational session to a group of newly licensed nurses
about the purpose of the national patient safety goals. Which of the following objectives
should the nurse include as a component of the national patient safety goals? -
answerDecrease errors related to invasive procedures
A nurse is caring for a client who has a history of depressive disorder. The client states,
"It feels pointless to get up in the morning." Which of the following responses should the
nurse make? - answer"It sounds as if life seems meaningless to you now."
A nurse is administering a liquid oral medication from a multi dose bottle to a client. The
nurse calculates that the dose to be administered is 4 mL. Which of the following
actions should the nurse take? - answerLabel the medication after measuring the
dosage
A nurse is teaching a group of parents and guardians about identifying substance use
disorder among adolescents. Which of the following adolescent behaviors should the
nurse include as a possible indication fo substance use disorder? - answerWearing dark
glasses indoors
A community health nurse is teaching a group of older adult clients at a senior center.
Which of the following factors should the nurse include as an age-related change that
increases the risk for constipation in older adult clients? - answerDelayed gastric
emptying
A nurse is discussing informed consent with a group of newly licensed nurses. Which of
the following actions is the responsibility of the nurse when obtaining informed consent?
- answerVerify that the client voluntarily gave consent for the procedure
, A nurse is providing handoff report on a client. Which of the following information should
the nurse include in the report? - answer"The client is scheduled for a chest x-ray on the
next shift."
A nurse is teaching a newly licensed nurse about the patient self-determination act
(PSDA). Which of the following actions should the nurse include as an example of
PSDA compliance? - answerInforming clients they can decline any treatment the
provider prescribes
A nurse is planning to teach a class about standard precautions and preventing
puncture injuries. Which of the following information should the nurse include in the
plan? - answerRecap needles using the one-handed scoop method
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? - answerWell-defined margins of the erhythematous area
A nurse is teaching a client who has chronic fatigue syndrome. Which of the following
statements should the nurse include? - answer"Reduce stress by taking tai chi classes."
A nurse is caring for a client who has a recent diagnosis of iron deficiency. The client
asks the nurse for food suggestions to increase iron in their diet. Which of the following
foods should the nurse recommend? - answerRaisins
A nurse is initiating droplet precautions for a newly admitted client. Which of the
following actions should the nurse take? (SATA) - answerPlace client in a private room
Ensure the client wears a face mask for transport to x-ray
A nurse is reviewing the advance directives of a client who is being sustained on life
support. The family disagrees regarding the continuation of life support measures.
Which of the following individuals should the nurse identify as having the legal ability to
determine the clients course of treatment? - answerThe clients younger child, who is the
client's health care proxy.
A nurse is caring for a client who has a pressure ulcer and a prescription for a culture to
evaluate the effect of antibiotic therapy on wound healing. Which of the following actions
should the nurse take first when obtaining the culture? - answerRemove dressings
covering the wound
— according to evidence-based practice, the nurse should first remove dressings
covering the wound
A nurse is assessing a 10-month old infant who has a UTI. Which of the following
findings should the nurse expect? - answerDecreased appetite
A nurse is reviewing the medical record of a client prior to medication administration.
Which of the following actions should the nurse plan to take? - answer Instruct the client
to refrain from taking St. John's wort
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? - answer
It is part of the body's attempt to protect itself
A nurse is documenting information in a clients medical record. Which of the following
entries should the nurse make? - answer “Client reports no pain while ambulating in the
hallway."
A charge nurse is providing an educational session to a group of newly licensed nurses
about the purpose of the national patient safety goals. Which of the following objectives
should the nurse include as a component of the national patient safety goals? -
answerDecrease errors related to invasive procedures
A nurse is caring for a client who has a history of depressive disorder. The client states,
"It feels pointless to get up in the morning." Which of the following responses should the
nurse make? - answer"It sounds as if life seems meaningless to you now."
A nurse is administering a liquid oral medication from a multi dose bottle to a client. The
nurse calculates that the dose to be administered is 4 mL. Which of the following
actions should the nurse take? - answerLabel the medication after measuring the
dosage
A nurse is teaching a group of parents and guardians about identifying substance use
disorder among adolescents. Which of the following adolescent behaviors should the
nurse include as a possible indication fo substance use disorder? - answerWearing dark
glasses indoors
A community health nurse is teaching a group of older adult clients at a senior center.
Which of the following factors should the nurse include as an age-related change that
increases the risk for constipation in older adult clients? - answerDelayed gastric
emptying
A nurse is discussing informed consent with a group of newly licensed nurses. Which of
the following actions is the responsibility of the nurse when obtaining informed consent?
- answerVerify that the client voluntarily gave consent for the procedure
, A nurse is providing handoff report on a client. Which of the following information should
the nurse include in the report? - answer"The client is scheduled for a chest x-ray on the
next shift."
A nurse is teaching a newly licensed nurse about the patient self-determination act
(PSDA). Which of the following actions should the nurse include as an example of
PSDA compliance? - answerInforming clients they can decline any treatment the
provider prescribes
A nurse is planning to teach a class about standard precautions and preventing
puncture injuries. Which of the following information should the nurse include in the
plan? - answerRecap needles using the one-handed scoop method
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? - answerWell-defined margins of the erhythematous area
A nurse is teaching a client who has chronic fatigue syndrome. Which of the following
statements should the nurse include? - answer"Reduce stress by taking tai chi classes."
A nurse is caring for a client who has a recent diagnosis of iron deficiency. The client
asks the nurse for food suggestions to increase iron in their diet. Which of the following
foods should the nurse recommend? - answerRaisins
A nurse is initiating droplet precautions for a newly admitted client. Which of the
following actions should the nurse take? (SATA) - answerPlace client in a private room
Ensure the client wears a face mask for transport to x-ray
A nurse is reviewing the advance directives of a client who is being sustained on life
support. The family disagrees regarding the continuation of life support measures.
Which of the following individuals should the nurse identify as having the legal ability to
determine the clients course of treatment? - answerThe clients younger child, who is the
client's health care proxy.
A nurse is caring for a client who has a pressure ulcer and a prescription for a culture to
evaluate the effect of antibiotic therapy on wound healing. Which of the following actions
should the nurse take first when obtaining the culture? - answerRemove dressings
covering the wound
— according to evidence-based practice, the nurse should first remove dressings
covering the wound
A nurse is assessing a 10-month old infant who has a UTI. Which of the following
findings should the nurse expect? - answerDecreased appetite
