and answers exit exam
A charge nurse in a long term care facility notices an assistants epeated failure to provide oral
care for clients. Which of the following actions should the nurse take? Discuss the
unacceptable behavior with the AP while reinforcing expectati
ons.
A charge nurse in a long term care facility notices an assistants repeated failure to provide oral
care for clients. Which of the following actions should the nurse take? Discuss the
unacceptable behavior with the AP while reinforcing expectations.
A client who is diagnosed with Parkinson's disease verbalizes frustration due to increas e
difollowingiculty with ambulation.
Which of the following responses should the nurs e take? Perform active ROM with your arms
and legs two times a day.
A community health nurse is helping to reinforce teaching about hepatitis A with a group of
employees at a childcare facility.
Which of the following characteristics should t he nurse identify as an external factor that can
impede learning for the participants? Poor lighting in the learning setting
A licensed practical nurse on a medical surgical unit is working with an RN and an As sistive
personnel. Which of the following assignments should the LPN expect to receive? Administering
an NG tube feeding to a client who had a stroke
A nurse assisting with a childbirth class is discussing non pharmacological strategies used during
labor. Which of the following statements by a client indicates an understanding of cutaneous
stimulation? "I should use counterpressure for back pain during labor."
A nurse at a clinic is performing vision testing for a client following a head injury. Which of the
following findings should the nurse identify as a problem with pupil accommodation? Lack
of change in pupil size when the client looks from a far to a near object.
A nurse at a long term care facility is part of a team preparing a report on the quality of care at
the facility. Which of the following information should the nurse recommendincluding in the
report to demonstrate improvement in care quality? The facility had 12% fewer urinary tract
infections over the past 6 months.
A nurse at a long term care facility is transcribing new prescriptions for 4 client
s. Which of the following prescriptions is accurately transcribed by the nurse? Potassium
chloride 20 mEq PO every morning
A nurse delegates the collection of a sputum specimen from a client who has tu berculosis to an
assistive personnel. At which of the following times should the nurse instruct the AP to collect
the specimen? As soon as the client wakes up.
A nurse has to administer medications to a group of clients. For which of the following client
situations should the nurse complete and incident report? The nurse administered insulin lispro
to a client who has diabetes mellitusand is NPO.
A nurse I caring for a client who has expressive aphasia following a stroke. Which of the
following communication methods should the nurse use? Provide a picture board.
, A nurse I caring for a client who has expressive aphasia following a stroke. Which of the
following communication methods should the nurse use? Provide a picture board.
A nurse in a long term care facility is contributing to the plan of care for a client whohas a new
ostomy. Which of the following
actions should the nurse plan include? Change the appliance two times each week.
A nurse in a long term care facility is reviewing information about health care associated
infection with a newlylicensed nurse. Which of the following information should the nurse
include? prolonged use of corticosteroids is a risk factor for infection
A nurse in a long term care facility is serving on the ethics committee, which is addressing a
client care dilemma. Which of the following strategies will facilitate reso Iving the dilemma?
Determine the facts related to the dilemma. Identify possible solutions. Consider the
client's wishes
A nurse in a long term care facility is using validation therapy with a client wh o has dementia.
The client becomes agitated and asks why his wife who died several years ago has not visited
him.
Which of the following responses should the nurse make? You must miss your wife. Let's take
a walk and you can tell me about her.
A nurse in a long-
term care facility is assisting with the admission of a client who requires oropharyngeal
suctioning. Which of the following supplies does the nurse need to perform this task?
Yankauer catheter|
A nurse in a long-term care facility is assisting with an in-service for newly hired assistive
personnel about legal issues within the facility. Which of the following should the nurse include
as an example of assault? Informing a client the nurse is going to administer an injection
even though the client refuses.
A nurse in a pediatric clinic is collecting the data from a school-age child whose injuries are
inconsistent with the parent's stated cause. Which of the following actions should the nurse take?
Report the suspected abuse to a appropriate agency.
A nurse in a pediatric clinic is collecting the data from a school-age child whose injuries are
inconsistent with the parent's stated cause. Which of the following actions should the nurse take?
Report the suspected abuse to a appropriate agency.
A nurse in a provider's followingice is collecting data from a preschooler. Which of the
following findings should the nurse report to the provider? Heart rate 146/min
A nurse in a provider's office is reinforcing teaching with a client who has a new prescription for
ferrous sulfate elixir. Which of the following statements by the client should indicate to the nurse
an understanding of the teaching? "I will rinse my mouth after taking this medication"
A nurse in an acute mental health facility is caring for a client who has borderline personality
disorder and reports. "I am going to kill my girlfriend when I get out of here." Which of the
following actions should the nurse take? Notify the client's care team of the threats against
the partner
a Nurse in maintaining droplet precautions for a client who has meningitis. Which of t he
following actions should the nurse take? Wear a surgical mask within 3 feet of the client.
A nurse in reinforcing teaching about weight loss with a female older adult client who is
overweight. Which of the following statements should the nurse include in teaching? keep
fat intake to no more that 30% of daily caloric intake.