COMPLETE 120 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+ .
A nurse is assisting with triage following a bus crash that caused
multiple casualties. The nurse should identify which of the
following clients as the priority? - ANSWER-A client who has
asymmetrical lung expansion and dyspnea
When using the survival approach to client care, the nurse should
give priority immediate transport. A client who has asymmetrical
lung expansion and dyspnea has airway compromise, which
requires immediate intervention for survival.
A nurse is caring for a client who is 2 days postoperative
following a bowel resection. Which of the following information
should the nurse communicate to the next nurse caring for this
client? - ANSWER-A new prescription for PO analgesics
When giving change-of-shift.report, the nurse should include any
changes in the treatment plan, such as switching the client from
parenteral to oral pain medication.
,A nurse is assisting with the admission of a client who has a
Clostridium difficile infection. Which of the following precautions
should the nurse take? (Select all that apply.) - ANSWER-Clean
the client's room using a bleach solution is correct. The nurse
should clean the client's room using a bleach solution to kill the
bacterial spores,
Wear clean gloves while performing client care is correct. The
nurse should wear clean gloves while caring for a client who has
a C. difficile infection.
Place the client in a private room is correct. The nurse should
place the client in a private room to isolate the infection from
other clients. If a private room is not available, the nurse should
place this client in a room with another client who is infected with
the same bacteria.
A nurse is reviewing the medication administration record of a
client and notes that the client received an incorrect dose of
medication. After ensuring that the client is safe, which of the
following actions should the nurse take? - ANSWER-Complete an
incident report about the medication error.
Once the nurse ensures the client is safe, the nurse who
discovered the error should complete an incident report in a
, timely manner. An incident report allows the facility to analyze
collected information to improve client safety and prevent future
errors.
A nurse is preparing assignments for the upcoming shift. Which
of the following tasks should the nurse delegate to an assistive
personnel (AP)? – ANSWER-Obtain a scheduled blood glucose
reading is stable.
The nurse should assign the AP to obtain a scheduled blood
glucose reading on a stable client. This task is within the range of
function for an AP. However, if a client's condition is unstable, a
licensed nurse should obtain the client's blood glucose reading.
A nurse is assisting with the plan of care for a group of clients.
Which of the following actions by the nurse demonstrates an
effective use of time management skills? - ANSWER-Creating a
list of tasks to be completed for the day
The nurse should create a list of tasks at the beginning of the
shift to provide safe and effective care in a timely manner.
A nurse is completing an incident report for a client found on the
bathroom floor next to his wheelichair. Which of the failiowing