(Detail Solutions and Resource for the test)
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1. A policy requiring the removal of acrylic nails by all nursing p
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ersonnel was implemented 6 months ago. Which assessment measur
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e best determines if the intended outcome of the policy is being achie
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ved.
a. Number of staff induced injury g g g g
b. Client satisfaction survey g g
c. Health care-associated infection rate. g g g
d. Rate of needle-stick injuries by nurse. g g g g g
2. The nurse is preparing to assist a newly admitted client with p
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ersonal hygiene measures. The client...the client’s gag reflex. Whic
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h action should the nurse include?
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A. Offer smalls g
sips of water throu g g g g
gh a straw B. Place g g g g g
tongue blade on ba g g g
ck half of tongue g g g
C.
Use a penlight to observe back o g g g g g g
f oral cavity D.
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Auscultate breath sounds after c g g g g
lient swallows 3. The father of an 11-year-
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old boy…. inform the father that it is most important
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to let the son that nocturnal emissions are normal
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4. The nurse explains to an older adult male the procedure for co
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llecting a 24-hour urine specimen for creatinine clearance.
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A. Assess the client for confusion and reteach the g g g g g g g g
procedure
B. Check the urine for color and texture g g g g g g
C. Empty the urinal contents into the 24- g g g g g g
hour collection container g g
D. Discard the contents of the urinal g g g g g
5. A 54-year- g
old male client and his wife were informed this morning that he ha
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s terminal cancer. Which nursing intervention is likely to be most
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A. Ask her how she would like to participate in the c g g g g g g g g g g
lient’s care g
B. Provide the wife with information about hospice g g g g g g
, C.
Encourage the wife to visit after painful t g g g g g g g
reatments are completed g g
D. Refer her to support group for family members g g g g g g g g
of those dying of cancer g g g g
6. A client who has a body mass index (BMI) of 30 is requesting inf
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ormation on the initial approach to a weight loss plan. Which acti
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on should the nurse recommend?
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A. Plan low carbohydrate and high protein meals g g g g g g g
Engage in strenuous activity for an hour daily g g g g g g g
B. Keep a record of food and drinks consumed g g g g g g g g
daily
C. Participated in a group exercise class 3 times a g g g g g g g g g
week
7. The nurse assesses a client who has a nasal cannula delivering o
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xygen at 2 L/min. To assess for skin damage related to the cann
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ula, which areas should the nurse observe?
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A. Tops of the ear g g g
B. Bridge of the nose g g g
C. Around the nostrils g g
D. Over the cheeks g g
E. Across the forehead g g
8. The nurse observes an unlicensed assistive personnel (UAP) who i
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s providing a total bed bath for a confused and lethargic client. The
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g UAP is soaking the client’s foot in a basin of warm water placed o
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n the bed. What action should the nurse take?
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a. Remove the basin of water from the client’s bed i g g g g g g g g g
mmediately
b. Remind the UAP to dry between the client’s toes c g g g g g g g g g
ompletely
c. Advise the UAP that this procedure is damaging t g g g g g g g g
o the skin g g
d. Add skin cream to the basin of water while the f g g g g g g g g g g
oot is soaking g g
9. The nurse in the emergency department observes a colleague view
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ing the electronic health record (EHR) of a client who holds an ele
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cted position in the community. The client is not a part of the colle
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ague’s assignment. Which action should the nurse implement?
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a. Communicate the colleague’s actions to the unit g g g g g g g
charge nurse g
, b.
Send an email to facility administration g g g g g g
reporting the action g g
c. Write an anonymous complaint to a professional g g g g g g g
website
d. Post a comment about the action on a staff d g g g g g g g g g
iscussion board g
10. At 0100 on a male client’s second postoperative night, the cli
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ent states he is unstable to sleep and plans to read until feeling slee
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py. What action should the nurse implement?
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a. Leave the room and close the door to the client’s r g g g g g g g g g g
oom
b. Assess the appearance of the client’s surgical g g g g g g g
dressing
c. Bring the client a prescribed PRN sedative- g g g g g g
hypnotic g
d. Discuss symptoms of sleep deprivation with the g g g g g g g
client
11. The nursing staff in the cardiovascular intensive care unit are c
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reating a continuous quality improvement project on social media t
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hat addresses coronary artery disease (CAD). Which action should
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the nurse implement to protect client privacy?
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a. b. Remove identifying information o g g g
c. f the clients who participated credible, peer g g g g g
Share material fr Recall that authored content
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om reviewed sources o may be legally discoverable
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nly
d.
copyright laws when adding website content g g g g g
12. A male client with unstable angina needs a cardiac catheteri
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zation, so the healthcare provider explains the risks and benefits o
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f the procedure, and then leaves to set up for the procedure. When
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the nurse presents the consent form for signature, the client hesit
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ates and asks how the wires will keep his heart going. Which acti
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on should the nurse take?
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a.
Answer the client’s specific questions g g g g g
b. c. with a short
Postpone theunderstandable
procedure untilexplanation
the client un g g g g g g g g g g
derstands the risks and benefits g g g g
Call the client’s next of kin and ask the g g g g g g g g
m to provide verbal consent g g g g
, c. Page the healthcare provider to return
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HESI PN MATERNAL NEWBERN OB EXAM (4 VERS
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IONS) / PN HESI MATERNAL NEWBERN OB EXAM (
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