LEARNING SYSTEM RN FUNDS 3.0 FINAL EXAM QUESTIONS WITH
100% VERIFIED ANSWERS
1. A nurse is providing discharge teaching to a client Washing dishes
who is recovering from lung cancer. The provider in- Rationale: Wash-
structed the client that he could resume lower-inten- ing dishes re-
sity activities of daily living. Which of the following quires a low lev-
activities should the nurse recommend to the client? el of activity and is
appropriate for this
client.
2. A home health nurse is planning to provide health Educating clients
promotion activities for a group of clients in the com- about the rec-
munity. Which of the following activities is an example ommended immu-
of the nurse promoting primary prevention? nization schedule
for adults
Rationale: Prima-
ry prevention in-
cludes health ed-
ucation about dis-
ease prevention.
3. A client who reports shortness of breath requests her Observe the rate,
nurse's help in changing positions. After reposition- depth, and charac-
ing the client, which of the following actions should ter of the client's
the nurse take next? respirations.
Observe the rate, depth, and character of the client's Rationale: nurse
respirations.Rationale:The nurse should apply the should apply
nursing process priority-setting framework when car- the nursing
ing for this client. The nurse can use the nursing process priori-
process to plan client care and prioritize nursing ac- ty-setting frame-
tions. Each step of the nursing process builds on work when caring
the previous step, beginning with assessment or data for this client. The
collection. Before the nurse can formulate a plan of nurse can use the
action, implement a nursing intervention, or notify a nursing process to
provider of a change in the client's status, the nurse plan client care
must first collect adequate data from the client. As- and prioritize nurs-
sessing or collecting additional data will provide the ing actions. Each
nurse with knowledge to make an appropriate deci- step of the nursing
sion; therefore, the first action the nurse should take process builds on
is to assess the client's respiratory status. the previous step,
beginning with as-
, LEARNING SYSTEM RN FUNDS 3.0 FINAL EXAM QUESTIONS WITH
100% VERIFIED ANSWERS
sessment or data
collection. Before
the nurse can for-
mulate a plan of
action, implement
a nursing inter-
vention, or no-
tify a provider
of a change in
the client's sta-
tus, the nurse must
first collect ade-
quate data from
the client. As-
sessing or collect-
ing additional data
will provide the
nurse with knowl-
edge to make an
appropriate deci-
sion; therefore, the
first action the
nurse should take
is to assess the
client's respiratory
status.
4. A nurse is caring for a client who, while sitting in Lower the client to
a chair, starts to experience a seizure. Which of the the floor and place
following actions should the nurse take? a pad under the
client's head.
Rationale: To re-
duce the risk of in-
jury to the client,
the nurse should
lower the client to
the floor and place
a pillow or other
, LEARNING SYSTEM RN FUNDS 3.0 FINAL EXAM QUESTIONS WITH
100% VERIFIED ANSWERS
soft object under
the client's head.
5. A nurse is using the I-SBAR communication tool to Assessment
provide the client's provider with information about Rationale: nurse
the client. The nurse should convey the client's pain provides informa-
status in which portion of the report? tion about assess-
ment findings in
this portion of the
report. This in-
cludes vital signs,
pain assessment,
and changes in as-
sessment findings.
6. A nurse is caring for a client who is receiving IV ther- Edema at the infu-
apy via a peripheral catheter. nurse should identify sion site
which of the following findings is an indication of Rationale: Edema
infiltration? due to fluid enter-
ing subcutaneous
tissue is an indica-
tion of infiltration.
7. A nurse is caring for a client who has acute renal Daily weight
failure. Which of the following assessments provides Rationale:Accord-
the most accurate measure of the client's fluid status? ing to the
evidence-based
priority-setting
framework, daily
weight provides
important
information about
the client's fluid
status. gain or loss
of 1 kg (2.2 lb)
indicates gain or
loss of 1 liter of
fluid; therefore,
weighing the
100% VERIFIED ANSWERS
1. A nurse is providing discharge teaching to a client Washing dishes
who is recovering from lung cancer. The provider in- Rationale: Wash-
structed the client that he could resume lower-inten- ing dishes re-
sity activities of daily living. Which of the following quires a low lev-
activities should the nurse recommend to the client? el of activity and is
appropriate for this
client.
2. A home health nurse is planning to provide health Educating clients
promotion activities for a group of clients in the com- about the rec-
munity. Which of the following activities is an example ommended immu-
of the nurse promoting primary prevention? nization schedule
for adults
Rationale: Prima-
ry prevention in-
cludes health ed-
ucation about dis-
ease prevention.
3. A client who reports shortness of breath requests her Observe the rate,
nurse's help in changing positions. After reposition- depth, and charac-
ing the client, which of the following actions should ter of the client's
the nurse take next? respirations.
Observe the rate, depth, and character of the client's Rationale: nurse
respirations.Rationale:The nurse should apply the should apply
nursing process priority-setting framework when car- the nursing
ing for this client. The nurse can use the nursing process priori-
process to plan client care and prioritize nursing ac- ty-setting frame-
tions. Each step of the nursing process builds on work when caring
the previous step, beginning with assessment or data for this client. The
collection. Before the nurse can formulate a plan of nurse can use the
action, implement a nursing intervention, or notify a nursing process to
provider of a change in the client's status, the nurse plan client care
must first collect adequate data from the client. As- and prioritize nurs-
sessing or collecting additional data will provide the ing actions. Each
nurse with knowledge to make an appropriate deci- step of the nursing
sion; therefore, the first action the nurse should take process builds on
is to assess the client's respiratory status. the previous step,
beginning with as-
, LEARNING SYSTEM RN FUNDS 3.0 FINAL EXAM QUESTIONS WITH
100% VERIFIED ANSWERS
sessment or data
collection. Before
the nurse can for-
mulate a plan of
action, implement
a nursing inter-
vention, or no-
tify a provider
of a change in
the client's sta-
tus, the nurse must
first collect ade-
quate data from
the client. As-
sessing or collect-
ing additional data
will provide the
nurse with knowl-
edge to make an
appropriate deci-
sion; therefore, the
first action the
nurse should take
is to assess the
client's respiratory
status.
4. A nurse is caring for a client who, while sitting in Lower the client to
a chair, starts to experience a seizure. Which of the the floor and place
following actions should the nurse take? a pad under the
client's head.
Rationale: To re-
duce the risk of in-
jury to the client,
the nurse should
lower the client to
the floor and place
a pillow or other
, LEARNING SYSTEM RN FUNDS 3.0 FINAL EXAM QUESTIONS WITH
100% VERIFIED ANSWERS
soft object under
the client's head.
5. A nurse is using the I-SBAR communication tool to Assessment
provide the client's provider with information about Rationale: nurse
the client. The nurse should convey the client's pain provides informa-
status in which portion of the report? tion about assess-
ment findings in
this portion of the
report. This in-
cludes vital signs,
pain assessment,
and changes in as-
sessment findings.
6. A nurse is caring for a client who is receiving IV ther- Edema at the infu-
apy via a peripheral catheter. nurse should identify sion site
which of the following findings is an indication of Rationale: Edema
infiltration? due to fluid enter-
ing subcutaneous
tissue is an indica-
tion of infiltration.
7. A nurse is caring for a client who has acute renal Daily weight
failure. Which of the following assessments provides Rationale:Accord-
the most accurate measure of the client's fluid status? ing to the
evidence-based
priority-setting
framework, daily
weight provides
important
information about
the client's fluid
status. gain or loss
of 1 kg (2.2 lb)
indicates gain or
loss of 1 liter of
fluid; therefore,
weighing the
