2025) | QUESTIONS AND CORRECT ANSWERS|
GRADED A+ | LATEST VERSION | VERIFIED
ANSWERS
A nurse is checking a client for a pulse deficit after detecting an irregular
heart rate. Which of the following actions should the nurse take? ---------
CORRECT ANSWER-----------------Count the client's radial and apical
pulses simultaneously with another nurse
A nurse is preparing to remove staples from a client's incision. Which of the
following actions should the nurse take? ---------CORRECT ANSWER--------
---------Remove the staple from the skin after both sides are visible
A nurse is caring for a client who is at risk for falls. Which of the following
actions should the nurse take? ---------CORRECT ANSWER-----------------
Put the client's bed in the lowest position
A nurse is preparing to administer a medication to preschooler and must
convert the child's weight from pounds to kilograms. The child weighs 30 lb.
How many kilograms does the child weight? ---------CORRECT ANSWER---
--------------13.6
A nurse is contributing to the plan of care for a client who is dying. Which of
the following interventions should the nurse recommend to include the
client's family in the plan of care? ---------CORRECT ANSWER-----------------
A. keep the family updated about the client's status
C. Encourage the family to comb the client's hair
D. Tell the client's family what to expect as the client's death nears
,A nurse is caring for a client who has dyspnea caused by a respiratory
infection. The nurse should assist the client into which of the following
positions? ---------CORRECT ANSWER-----------------Orthopeic
A client 24 hour postop for repair of hernia He's tolerating clear liquids well
and has active bowel sounds and is expressing desire for real food the
nurse says she will call the surgeon to ask. What level level of critical
thinking is this ---------CORRECT ANSWER-----------------Basic
The patient has a prescription for an anabiotic the nurse notices that this is
listed in their allergies she calls the provider to prescribe something
different she has demonstrated what critical thinking ---------CORRECT
ANSWER-----------------Responsibility
Nurse nurse notices that a patient 24 hours postop for abdominal surgery
has in adequate pain relief which of the following reinforces the suspicion --
-------CORRECT ANSWER-----------------The client is non-adherent to cough
and deep breathing and dangling
The client may have pain medication every 4 to 6 hours but only takes it
every 6 to 7
Heart rate is 124 respiratory rate is 22 and temperature is 98.6 blood
pressure is 156/80
The nurse uses a electronica database for newly prescribed anti-tense
medication before administration this is an example of which critical
thinking step ---------CORRECT ANSWER-----------------Knowledge
,A nurse performs a head to toe assessment for a patient who will have
surgery next week what part of the critical thinking is this ---------CORRECT
ANSWER-----------------Discipline
After performing an admission assessment for an older client what should
the next priority of the nurse be ---------CORRECT ANSWER-----------------
Orient the patient to his room
A nurse admitting a patient with a cute Coley cystitis to the MedSurg unit
what actions are essential steps of the admission process ---------
CORRECT ANSWER-----------------Explain the roles of the other care
members
Began discharge planning
Document the client wishes about organ donation
Introduce the client to his roommate
A client who had a stroke is about to be transferred to a rehab center what
is the responsibility of the nurse ---------CORRECT ANSWER-----------------
Ensure the client has possession of his valuables
confirm the rehab center has a room available at the time of transfer
give verbal transfer report over the telephone
complete a transfer form to for the receiving facility
A patient preparing to be discharged after knee surgery, what information
does the nurse include in the discharge summary ---------CORRECT
ANSWER-----------------Follow up care
instructions for diet and medications
contact information for the home healthcare agency
, During admission of a patient with dementia to long-term care facility what
priority information should the nurse obtain from the family in regards to
diet ---------CORRECT ANSWER-----------------If the patient has any difficulty
swallowing
What action should the nurse take prevent falls in a nursing home ---------
CORRECT ANSWER-----------------call bell within reach
provide nonskid footwear complete fall risk assessment
What statement by the nurse requires further instruction for patient with
seizures ---------CORRECT ANSWER-----------------I will go to the nurses
station for assistance
The nurse observes smoke coming from the door of the nurses lounge
what is her first action ---------CORRECT ANSWER-----------------Remove
nearby clients
A nurse has a patient with history of falls what is her first priority ---------
CORRECT ANSWER-----------------Complete a fall risk assessment
When assigning rooms to clients to prevent falls which of the following
clients should the nurse assign closest to the nurses station ---------
CORRECT ANSWER-----------------An older client who was postop knee
amputation
What is the rationale for reporting infectious diseases such as SARS --------
-CORRECT ANSWER-----------------Planning and evaluating control
prevention strategies