TEST A 2023 QUESTIONS WITH
COMPLETE ANSWERS
A aanurse aais aacaring aafor aaa aaclient aawho aais aareceiving aacontinuous aaNG aatube
aafeedings. aaThe aanurse aalistens aato aathe aaclient's aabowel aasounds. aaWhich aaof aathe
aafollowing aaactions aashould aathe aanurse aatake? aa(Click aaon aathe aaaudio aabutton aato
aalisten aato aathe aaclip.) aa- aaANS-Decrease aathe aarate aaof aathe aafeeding
- aaRationality: aaThe aanurse aashould aaexpect aato aahear aabowel aasounds aaevery aa5
aato aa35 aaseconds. aaThis aaaudio aaclip aaindicates aahypermotility aabecause aathere aaare
aagreater aathan aa40 aabowel aasounds/min. aaHypermotility aaleads aato aadiarrhea aaand
aais aaan aaindication aaof aaintolerance aato aathe aaenteral aafeeding. aaTherefore, aathe
aanurse aashould aaslow aathe aarate aaof aathe aafeeding aato aapromote aathe aaclient's
aatolerance aaof aathe aafeeding.
The aanurse aashould aamaintain aaa aaclient aawho aais aareceiving aacontinuous aaNG aatube
aafeedings aain aaa aaposition aawith aathe aahead aaof aathe aabed aaelevated aa30° aato aa45°
aato aaprevent aaaspiration aaof aathe aaformula.
A aanurse aais aapreparing aato aaadminister aaoxygen aato aaa aaclient aawho aahas aaheart
aafailure aaand aais aahaving aasevere aadifficulty aabreathing. aaWhich aaof aathe aafollowing
aaoxygen aadelivery aaequipment aashould aathe aanurse aaselect aato aaprovide aathe
aahighest aaconcentration aaof aaoxygen aato aathe aaclient? aa- aaANS-Nonrebreather
aamask
Rationality:
A aanonrebreather aamask aaprovides aathe aahighest aapercentage aaof aaoxygen
aaconcentration aawithout aaintubation aaand aamechanical aaventilation.
A aaVenturi aamask aacan aabe aaadjusted aato aaprovide aaa aaconsistent aalower aaoxygen
aaconcentration.
,A aasimple aaface aamask aacan aabe aaadjusted aafor aashort-term aadelivery aaof aalow aato
aamedium aaoxygen aaconcentration.
A aanasal aacannula aaprovides aaa aalow aaoxygen aaconcentration.
A aacharge aanurse aasmells aasmoke, aaenters aathe aavisitor aarestroom, aaand aasees
aaflames aain aathe aatrash aacan. aaWhat aais aathe aasequence aaof aaactions aathat aathe
aanurse aashould aatake? aa(Move aathe aasteps aainto aathe aabox aaon aathe aaright, aaplacing
aathem aain aathe aaselected aaorder aaof aaperformance. aaUse aaall aathe aasteps.) aa- aaANS-
Evacuate aaclients aafrom aathe aaarea aais aathe aafirst aastep. aa
Rationality: aaThe aafirst aaaction aathe aanurse aashould aatake aawhen aausing aathe aaRACE
aaprotocol aais aato aa"rescue" aaor aaevacuate aathe aaclients aafrom aathe aaarea aato
aaprevent aaharm.
Pull aathe aalever aaon aathe aafire aaalarm aabox aais aathe aasecond aastep. aa
Rationality: aaFor aathe aanext aastep, aa"alarm," aathe aanurse aashould aaactivate aathe
aafacility aafire aaalarm aaand aacall aato aareport aathe aafire aato aathe aafacility aaemergency
aaextension.
Close aathe aafire aadoors aaon aathe aaunit aais aathe aathird aastep. aa
Rationality: aaClose aathe aafire aadoors aaon aathe aaunit aais aathe aathird aastep. aaFor aathe
aathird aastep, aa"confine," aathe aanurse aashould aaclose aathe aaunit aafire aadoors aato
aaprevent aathe aafire aafrom aaspreading.
Use aaa aafire aaextinguisher aato aaput aaout aathe aafire aais aathe aafourth aastep.
Rationality: aaFor aathe aafinal aastep, aa"extinguish," aathe aanurse aashould aause aaa aafire
aaextinguisher aato aaput aaout aathe aafire aaby aaaiming aathe aanozzle aaat aathe aabase aaof
aathe aafire aaand aausing aaa aasweeping aamotion.
A aanurse aais aacaring aafor aaa aaclient aawho aahas aametastatic aacancer aaand aapractices
aaCatholicism. aaThe aaclient aaasks aathe aanurse aato aadiscuss aathe aaafterlife aawith
aathem. aaWhich aaof aathe aafollowing aastatements aaby aathe aanurse aaassists aain
aameeting aathe aaclient's aaspiritual aaneeds? aa- aaANS-"Tell aame aawhat aathe aaafterlife
aameans aato aayou."
Rationale: aaThis aastatement aarespects aathe aaclient's aaspiritual aaneeds aaby aausing
aaopen-ended aatherapeutic aacommunication aato aaassist aathe aaclient aato aatalk aaabout
aatheir aaconcerns.
A aanurse aais aareinforcing aateaching aawith aaa aaclient aaabout aathe aaprevention aaof
aastress aainjuries. aaWhich aaof aathe aafollowing aainstructions aashould aathe aanurse
, aainclude? aa- aaANS-"When aalifting aaa aaheavy aaobject, aakeep aait aaclose aato aayour
aabody."
Rationality: aaThe aanurse aashould aainstruct aathe aaclient aato aakeep aathe aaobject aaas
aaclose aato aatheir aabody aaas aapossible aato aaincrease aastability aaand aadecrease aaback
aastrain aawhen aalifting aaa aaheavy aaobject.
A aanurse aais aareinforcing aateaching aawith aaa aaclient aaabout aathe aause aaof aacrutches.
aaWhich aaof aathe aafollowing aaactions aaby aathe aaclient aaindicates aaan aaunderstanding
aaof aathe aateaching? aa- aaANS-The aaclient aaadvances aathe aaunaffected aaleg aafirst
aawhile aaclimbing aastairs.
Rationality: aaWhen aaascending aastairs, aathe aaclient aashould aafirst aaadvance aathe
aaunaffected aaleg.
The aanurse aashould aareinforce aawith aathe aaclient aathat aatheir aaaxilla aashould aanot
aabear aaany aaweight aawhile aain aathe aatripod aaposition aabecause aathis aacan aacause
aapressure aainjury aaformation. aaThe aaclient aashould aabear aatheir aaweight aawith aatheir
aaarms aaand aahands.
A aaclient aawho aahas aaadvanced aacancer aatells aathe aanurse aathat aathey aahave aaa
aadifficult aatime aatalking aato aaanyone aaabout aathe aaillness. aaWhich aaof aathe aafollowing
aaactions aashould aathe aanurse aatake aato aaencourage aatherapeutic aacommunication?
aa- aaANS-Let aathe aaclient aaknow aathat, aaas aatheir aanurse, aathey aaare aaavailable aaand
aawilling aato aalisten.
- aaRationality: aaActive aalistening aaconveys aathe aanurse's aarespect aaand aaacceptance
aafor aathe aaclient's aafeelings aaand aagives aathe aaclient aaan aaopportunity aato aaexpress
aatheir aathoughts aaand aaneeds.
A aanurse aais aapreparing aato aaremove aaa aaclient's aaperipheral aaIV aacatheter. aaAfter
aaperforming aahand aahygiene aaand aaapplying aaclean aagloves, aawhich aaof aathe
aafollowing aaactions aashould aathe aanurse aatake aafirst? aa- aaANS-Clamp aathe aainfusion
aatubing.
Rationality: aaEvidence-based aapractice aaindicates aathat aathe aanurse aashould aafirst
aaclamp aathe aainfusion aatubing aaafter aaapplying aaclean aagloves. aaThis aaaction aastops
aathe aaflow aaof aathe aaIV aafluid aaand aaprevents aait aafrom aaleaking aaout aaduring aathe
aaIV aaremoval.
A aanurse aais aacontributing aato aathe aaplan aaof aacare aafor aaa aaclient aawho aahas aaa
aapositive aathroat aaculture aafor aastreptococci. aaWhich aaof aathe aafollowing
aainterventions aashould aathe aanurse aarecommend aato aabe aaincluded aain aathe aaplan
aaof aacare? aa- aaANS-Ensure aathat aathe aaclient aawears aaa aasurgical aamask aaduring
aatransportation aathroughout aathe aafacility.