EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS ) ALREADY GRADED A+.
Which type of accidental poisoning would the nurse expect to
occur in children under age 6?
A) Oral ingestion
B) Topical contact
C) Inhalation
D) Eye splashes - ANSWER-A) Oral ingestion
The nurse is responsible for several elderly clients, including a
client on bed rest with a skin tear and hematoma from a fall 2
days ago. What is the best care assignment for this client?
A) Assign an RN to provide total care of the client
B) Assign a nursing assistant to help the client with self-care
activities
C) Delegate complete care to an unlicensed assistive personnel
D) Supervise a nursing assistant for skin care - ANSWER-D)
Supervise a nursing assistant for skin care
,The nursing student is discussing with a preceptor the
delegation of tasks to an unlicensed assistive personnel (UAP).
Which tasks, delegated to a UAP, indicates the student needs
further teaching about the delegation process?
A) Assist a client post cerebral vascular accident to ambulate
B) Feed a 2 year-old in balanced skeletal traction
C) Care for a client with discharge orders
D) Collect a sputum specimen for acid fast bacillus - ANSWER-C)
Care for a client with discharge orders
After working with a very demanding client, an unlicensed
assistive personnel(UAP) tells the nurse, "I have had it with that
client. I just can't do anything that pleases him. I'm not going in
there again." The nurse should respond by saying
A) "He has a lot of problems. You need to have patience with
him.
"B) "I will talk with him and try to figure out what to do."
C) "He is scared and taking it out on you. Let's talk to figure
out what to do." D) "Ignore him and get the rest of your work
done. Someone else can take care of him forthe rest of the
day." - ANSWER-C) "He is scared and taking it out on you.
Let's talk to figure out what to do."
A client with a diagnosis of bipolar disorder has been referred to
a local boarding home for consideration for placement. The
,social worker telephoned the hospital unit for information about
the client's mental status and adjustment. The appropriate
response of the nurse should be which of these statements?
A) I am sorry. Referral information can only be provided by the
client's health care providers.
B) "I can never give any information out by telephone. How do I
know who you are?"
C) Since this is a referral, I can give you this information.
D) I need to get the client's written consent before I release any
information to you. - ANSWER-D) I need to get the client's
written consent before I release any information to you.
A client is admitted with a diagnosis of schizophrenia. The client
refuses to take medication and states "I don't think I need those
medications. They make me too sleepy and drowsy. I insist that
you explain their use and side effects." The nurse should
understand that
A) A referral is needed to the psychiatrist who is to provide the
client with answers
B) The client has a right to know about the prescribed
medications
C) Such education is an independent decision of the individual
nurse whether or not to teach clients about their medications
D) Clients with schizophrenia are at a higher risk of psychosocial
complications when they know about their medication side
, effects - ANSWER-B) The client has a right to know about the
prescribed medications
Which statement by the nurse is appropriate when asking an
unlicensed assistive personnel (UAP) to assist a 69 year-old
surgical client to ambulate for the first time?
A) "Have the client sit on the side of the bed for at least 2
minutes before helping him stand."
B) "If the client is dizzy on standing, ask him to take some deep
breaths."
C) "Assist the client to the bathroom at least twice on this shift."
D) "After you assist him to the chair, let me know how he feels." -
ANSWER-A) "Have the client sit on the side of the bed for at
least 2 minutes before helping him stand."
The nurse receives a report on an older adult client with
middle stage dementia.What information suggests the nurse
should do immediate follow up rather than delegate care to
the nursing assistant? The client A) Has had a change in
respiratory rate by an increase of 2 breaths
B) Has had a change in heart rate by an increase of 10 beats
C) Was minimally responsive to voice and touch
D) Has had a blood pressure change by a drop in 8 mmHg
systolic - ANSWERC) Was minimally responsive to voice and
touch