A08nurse08is08submitting08a08dietary08request08for08a08client08who08devoutly08follows08Mormon08di
etary08practices.08The08nurse08should08ask08the08client08if08they08would08like08which08of08the08foll
owing08foods08or08beverages08excluded08from08meals?Bacon
Coffee0
8Shrim
p
Milk08-08Coffee
A08nurse08is08assessing08a08client08who08has08a08rash08on08their08hands08and08forearms08after08w
orking08in08a08garden.08The08nurse08should08identify08that08which08of08the08following08findings08i
ndicates08contact08dermatitis?
Pustules08in08a08scatter08pattern08across08the08erythematous08area08
Elevations08of08the08skin08with08darkened08areas08and08irregular08bord
ers08Well-defined08margins08of08the08erythematous08area
Straight,08black,08threadlike08lesions08-08Well-defined08margins08of08the08erythematous08area
home08health08nurse08is08teaching08a08client08about08fire08extinguishers.08Which08of08the08followi
ng08instructions08should08the08nurse08include08in08the08teaching?
Store08a08fire08extinguisher08next08to08the08kitchen08stove.
Call08the08fire08department08before08using08a08fire08extinguisher.
08Use08a08class08A08extinguisher08to08put08out08an08electrical08fire
.
Aim08the08hose08of08the08fire08extinguisher08toward08the08top08of08the08flames.08-
08Call08the08fire08department08before08using08a08fire08extinguisher
A08nurse08is08performing08a08fall08risk08assessment08for08a08client.08Which08of08the08following08findi
ngs08should08the08nurse08identify08as08a08fall08risk?
The08client08uses08a08raised08toilet08seat.
The08client08takes08a08flaxseed08supplement.
The08client08looks08at08the08ground08while08walking.
The08client08has08a08history08of08urinary08frequency.08-
08the08client08has08a08history08of08urinary08frequency
A08nurse08is08assessing08a0810-month-
old08infant08who08has08a08urinary08tract08infection08(UTI).08which08of08the08following08findings08sh
ould08the08nurse08expect?
Decreased08appetite08Gene
ralized08rash08Decreased08re
spiratory08rate
Constipation08-08Decreased08appetite
A08nurse08is08preparing08to08administer08acetaminophen08drops086008mg08PO08to08an08infant08wh
o08has08a08fever.08The08amount08available08is08160mg/508mL.08How08many08mL08should08the08nu
rse08administer?08(Round08the08answer08to08the08nearest08tenth.08Use08a08leading08zero08if08it08a
pplies.08Do08not08use08a08training08zero.)08-081.908mL
,A08nurse08is08teaching08a08client08to08self-
administer08808units08of08NPH08insulin08and08208units08of08regular08insulin08in08the08same08syringe
.08Which08of08the08following08client08statements08indicates08an08understanding08of08the08teachin
g?
"I'll08draw08up08regular08insulin08into08the08syringe08before08the08NPH08insuli
n."08"I'll08inject08air08into08the08regular08insulin08vial08before08the08NPH08vial."
"I'll08inject081008units08of08air08into08the08regular08insulin08vial."
"I'll08inject081008units08of08air08into08the08NPH08insulin08vial."08-
08"I'll08draw08up08regular08insulin08in08the08syringe08before08the08NPH08insulin."
A08nurse08on08a08mental08health08unit08is08planning08an08in-
service08for08a08newly08hired08staff08about08the08use08of08restraints.08Which08of08the08following08i
nformation08should08the08nurse08include?
- Document08a08client's08condition08every081508min08while08in08restraints.
- Request08a08prescription08for08PRN08restraints08for08a08client08who08has08a08history08of08violence
.
- Restrain08a08client08as08a08consequence08of08not08following08rules08on08the08unit.
- Limit08the08time08an08adult08client08is08in08restraints08to08508hr.08-
08Document08a08client's08condition08every081508while08in08restraints.
A08nurse08is08a08part08of08an08informatics08committee08to08improve08safety08with08medications08a
dministration.08Which08of08the08following08recommendations08should08the08nurse08make08to08de
crease08the08risk08of08errors08at08the08bedside?
- Disable08Internet08access08from08computers08used08for08medication08administration.
- Use08an08electronic08medication08administration08record08for08documentation.
- Create08a08computer-
specific08password08that08staff08share08for08each08computer08on08the08unit.
- Ask08providers08to08handwrite08prescriptions08that08are08then08scanned08into08the08comput
er.08-08Use08an08electronic08medication08administration08record08for08documentation
A08nurse08is08discussing08informed08consent08with08a08group08of08newly08licensed08nurses.08Whi
ch08of08the08following08actions08is08the08responsibility08of08the08nurses08when08obtaining08inform
ed08consent?
- Answer08a08client's08questions08about08the08risks08of08a08procedure.
- Provide08information08about08alternative08treatment08options.
- Explain08the08steps08of08the08medical08procedure08documented08on08the08consent08form.
- Verify08that08the08client08voluntarily08gave08consent08for08the08procedure.
MY08ANSWER08-08Verify08that08the08client08voluntarily08gave08consent08for08the08procedure
A08nurse08is08teaching08a08client08who08has08a08new08diagnosis08of08obstructive08sleep08apnea.08
Which08of08the08following08statements08should08the08nurse08include?
Obstructive08sleep08apnea08occurs08when08you08stop08breathing08for08at08least081008seconds."08"
Obstructive08sleep08apnea08is08caused08by08a08dysfunction08in08the08brain."
"Obstructive08sleep08apnea08increases08your08risk08for08developing08diabetes08mellitus."08"Ob
structive08sleep08apnea08causes08excessive08episodes08of08deep08sleep."08-
08"Obstructive08sleep08apnea08occurs08when08you08stop08breathing08for08at08least081008seconds.
"
A08nurse08is08teaching08the08parent08of08a085-month-
old08infant08who08is08breastfed08about08the08introductions08of08complementary08foods.08Which08
of08the08following08statements08should08the08nurse08make?
, "Wait08until08your08baby08is08808months08old08to08begin08solid08foods
."08"Start08by08spoon-
feeding08your08baby08¼08cup08of08a08new08food."08"Introduce08up08to
08three08new08foods08to08your08baby08every08week."
"Give08your08baby08iron-fortified08infant08rice08cereals08before08starting08other08foods."08-
08"Give08your08baby08iron-fortified08infant08rice08cereals08before08starting08other08foods."
A08nurse08is08teaching08a08group08of08newly08licensed08nurses08about08using08abbreviations08wh
en08transcribing08prescriptions.08Which08of08the08following08transcriptions08should08the08nurse08
use08as08an08example08of08the08correct08usage08of08abbreviations?
Eszopiclone08108mg08PO08hs08PRN08for08sleep08Ne
bivolol08508mg08PO08OD
Atorvastatin082008mg08PO08qd
Docusate08sodium0810008mg08PO08bid08-08Docusate08sodium0810008mg08PO08bid
A08nurse08is08preparing08an08in-
service08on08different08types08of08pain.08Which08of08the08following08information08should08the08nur
se08plan08to08include08as08a08characteristic08of08acute08pain?
t08can08lead08to08social08isolation.
It08is08part08of08the08body's08attempt08to08protect08its
elf.08It08lasts08for08an08extended08duration.
It08has08no08identifiable08physical08cause.08-
08It08is08part08of08the08body's08attempt08to08protect08itself
A08nurse08is08teaching08about08applying08the08National08Patient08Safety08Goals08to08reduce08he
alth08care-
associated08infections08in08clients.08Which08of08the08following08information08should08the08nurse08
include08in08the08teaching?
Insert08an08indwelling08catheter08in08clients08who08are08incontine
nt.08Use08a08safety08razor08to08remove08hair08from08surgical08site
s.
Bathe08clients08using08a08chlorhexidine08solution.
Reposition08clients08who08are08immobile08every08408hr.08-
08Bathe08clients08using08a08chlorhexidine08solution
A08nurse08is08teaching08a08client08about08carbon08monoxide08and08home08safety.08The08nurse08sh
ould08instruct08the08client08that08which08of08the08following08is08a08manifestation08of08carbon08mon
oxide08exposure?
Rotten-
egg08odor08Metallic08ta
ste08Paresthesia
Blurred08vision08-08Blurred08vision
A08nurse08is08providing08change-of-
shift08report08on08a08client08using08Situation08Background08Assessment08Recommendation08(S
BAR)08communication08tool.08The08nurse08should08identify08which08of08the08following08informati
on08is08included08in08the08background08step?
Admission08diagnosis
08Current08problem08R
ecent08vital08signs
Suggested08nursing08interventions08-08Admission08diagnosis