ANSWERS 2025 LATEST UPDATE//ALL YOU NEED TO PASS
NURS 120 EXAM//GRADED A+
a nurse is delegating client care assignment for the shift. which of the following tasks should the
nurse delegate to an AP?
-perform wound irrigation for a client
-evaluate pain relief for a client following the administration of pain meds
-measure and record intake and output for a client
-teach a client about low-Na foods - ANSWER-measure and record intake and output for a client
a nurse is providing discharge teaching about clean intermittent self-catheterization a client who has
benign prostatic hyperplasia. which of the following instructions should the nurse include -
ANSWER-use soap and water to wash the catheter after each us
a nurse on the postpartum unit is caring for a group of clients with an AP. which of the following
tasks should the nurse plan to delegate to the AP?
a. Observe an area of redness on the breast of a client who is 1 day postpartum.
b . Change the perineal pad of a client who just transferred from labor and delivery.
c. Provide a sitz bath to a client who has a fourth degree laceration and is 2 days postpartum.
d. Monitor vital signs during admission of a client who has a gestational hypertension - ANSWER-
provide a sitz bath to a client who has a fourth-degree laceration and is 2 days postpartum
a nurse is caring for a client who falls in his room. after the nurse assesses the client. notifies the
client's provider, and completes an incident report, which of the following actions should the nurse
take?
a. make a copy of the incident report for the provider
b.submit the incident report to the risk manager
c.place the incident report in the client's chart
d.document in the chart that incidence report has been filed - ANSWER-submit the incident report
to the risk manager
,a nurse is caring for a client who is scheduled for surgery. the nurse's role in regard to informed
consent is which of the following? - ANSWER-Determining the client's level of understanding
about the procedure
a charge nurse is observing a nurse insert an indwelling urinary catheter into a female client. for
which of the following actions by the nurse should the charge nurse intervene? - ANSWER-the
nurse separates the client's labia with her dominant hand
a nurse is providing teaching to an assistive personnel about caring for clients with restraints. which
of the following statements by the AP indicates the an understanding of the teaching - ANSWER-i
will tie a restraint to the portion of the bed that moves when the head of the bed is moved
a nurse is providing postmortem care for a client. identify the sequence of steps the nurse should
follow - ANSWER--make sure the provider has certified the client's dead
-verify the client's organ and tissue donation status
-remove medical equipment from the client
-cleanse the body while adhering to body fluid precautions
-attach ID tags to the body
a nurse in a long term facility is planning care for several clients. which of the following activities
should the nurse delegate to the LPN? - ANSWER-schedule a diagnostic study for a client
a nurse is caring for a client with a tracheostomy. the client's partner has been taught to perform
suctioning. which of the following actions by the partner should indicate to the nurse a readiness for
the client's discharge? - ANSWER-performing the procedure independently
a nurse is reviewing the goals of the nurse-client therapeutic relationship with a client who is seeking
counseling. which of the following information should the nurse include in this discussion -
ANSWER-The client achieves optimal personal growth
A nurse manager hears a staff nurse on the unit speak openly about her dislike of a new policy
regarding client care. When discussing the issue with the nurse, which of the following statements by
the nurse manager is appropriate?
A. You should support this policy change because it is based on EBP
B. Being open to change is an expectation for nurses who work on this unit
, C. Why didnt you voice your concerns before the new policy was initiated?
D. Lets talk about your concerns about the new policy - ANSWER-D. Lets talk about your concerns
about the new policy
a nurse is caring for a client who is at risk for falls. which of the following actions should the nurse
take - ANSWER--teach the client to use the call light
-keep the clients bed in the lowest position
-place fall-risk ID band on the clients wrist
a nurse is organizing care for a group of clients. which of the following tasks should the nurse
delegate to the AP? - ANSWER-assisting a client who is 12 hr postop following an appendectomy
to use a bed pan
a nurse is teaching a class on torts. the nurse should instruct the class that administering an
antibiotic medication to a competent client after the client has refused it is an example of which of
the following torts? - ANSWER-battery
a nurse in an urgent care clinic is studying the developmental stages of various clients. in which of
the following clients should the nurse expect to see manifestation of autism - ANSWER-toddler
a nurse who his left-handed is preparing to perform a straight catheterization for a client. which of
the following actions should the nurse take - ANSWER-raise the bed to a comfortable height
a nurse is caring for a client who is confused and has pulled out her peripheral IV catheter three
times. which of the following actions should the nurse consider - ANSWER-place mitten restraints
on the client's hand
a nurse is providing discharge teaching to a client who was recently diagnosed with a latex allergy.
which of the following client statements indicates an understanding of the teaching? - ANSWER-"I
will use ink pens for writing"
A nurse is providing care to a client who is on strict bed rest following surgery. The nurse assists the
pt to the bedside commode and the client sustains an injury to the operative area. Which of the
following types of torts has the nurse committed?-battery-negligence-malpractice-assault -
ANSWER-negligence