Questions and Answers 100% Pass
The home health nurse is caring for a client with urinary problems. What information
should be included when teaching the client how to perform intermittent self
catheterization?
1. To be done in an emergency department (ED).
2. Important in treating urinary catheter infections.
3. To be done as a clean procedure.
4. To be done while using sterile gloves. - ✔✔To be done as a clean procedure.
The nurse is preparing a client for surgery. Which methods are appropriate for the
nurse to use in removing excessive body hair?
1. Shaving the hair with a razor.
2. Removing the hair with clippers.
3. Lathering the skin with soap and water prior to shaving with a razor.
4. Using a depilatory cream.
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,5. Always use a new, sharp razor. - ✔✔2. Removing the hair with clippers.
4. Using a depilatory cream.
The charge nurse is observing a new nurse perform a dressing change on a client with a
Stage III pressure ulcer. What observation by the charge nurse would indicate a need
for further teaching?
1. Irrigates the pressure ulcer with 50ml normal saline.
2. Irrigates the pressure ulcer with half-strength hydrogen peroxide.
3. Packs the wound with sterile Kerlix soaked in normal saline.
4. Applies a Duoderm dressing over the wound after cleansing. - ✔✔Irrigates the
pressure ulcer with half-strength hydrogen peroxide.
The nurse administers chemotherapeutic drugs to a client with breast cancer. Where
should the nurse dispose of the medication vials?
1. In a puncture-resistant biohazard container
2. In a chemotherapy sharps container
3. In a biohazard waste container
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,4. In a chemical container - ✔✔In a chemotherapy sharps container
An 18 month old is admitted to the unit with a diagnosis of pertussis. The mother asks
the nurse, "How did my child get this disease? I didn't think anyone got that anymore."
What is the best response by the nurse?
1. "Pertussis is a common childhood disease since there is no vaccine."
2. "Since not all children are immunized against pertussis, the disease has reemerged."
3. "Your baby got this disease because you didn't have your child immunized."
4. "Since your child is already sick, let's just focus on getting well." - ✔✔"Since not all
children are immunized against pertussis, the disease has reemerged."
A client comes into the emergency department (ED) and demands to be seen
immediately, but refuses to tell the triage nurse the problem. During the initial
assessment, the client starts yelling and shaking their fist. What should be the nurse's
initial action?
1. Tell the client to stay calm, and they will be treated soon.
2. Explain that unless the client behaves, they will be sent away from the ED.
3. Notify the client that security will be called if they do not go to the waiting room
immediately.
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, 4. Find a safe place away from the client and then notify security. - ✔✔Find a safe place
away from the client and then notify security.
The nurse is evaluating care provided by an unlicensed assistive personnel (UAP).
Which action should the nurse stop the UAP from performing?
1. Emptying the Jackson-Pratt (JP) drainage of the client post cholecystectomy.
2. Performing passive range of motion (ROM) on the client with right sided paralysis.
3. Placing the traction weights on the bed to transfer the client to x-ray.
4. Discarding the first urine voided by the client starting a 24 hour urine test. -
✔✔Placing the traction weights on the bed to transfer the client to x-ray.
Which information should the nurse plan to teach to family members of a client
diagnosed with hepatitis B to decrease their risk of exposure?
1. Do not share personal items with the client, such as razors or toothbrushes.
2. Wash dishes separately from the rest of the family's.
3. Wear a surgical mask when in close proximity to the client.
4. Use a separate bathroom from the client. - ✔✔Do not share personal items with the
client, such as razors or toothbrushes.
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