AND CORRECT DETAILED ANSWERS
2025
The nurse is caring for assigned clients. The nurse should recognize that the client at
highest risk for developing peritonitis is a client who had - CORRECT ANSWERS
The nurse is caring for a client with moderate Alzheimer's disease (AD). The nurse
should immediately intervene if a staff member is observed - CORRECT ANSWERS
The charge nurse in a long-term care facility has completed client care assignments for
unlicensed assistive personnel (UAP). Which of the following statements by the charge
nurse would provide the best directions to a UAP regarding the assignment? -
CORRECT ANSWERS
The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients.
Which of the following activities would be appropriate for the nurse to assign to UAP? -
CORRECT ANSWERS
The nurse is contributing to a staff development conference about informed consent for
surgery. Which of the following information should the nurse suggest including? -
CORRECT ANSWERS
A nurse who is pregnant is assigned to care for a 3-month-old client with respiratory
syncytial virus (RSV) pneumonia. The client is receiving ribavirin therapy. Which of the
following actions would be most appropriate for the nurse to take? - CORRECT
ANSWERS
The nurse is contributing to the plan of care for a client with multiple sclerosis (MS).
Which of the following should the nurse recommend be included? - CORRECT
ANSWERS
The nurse has participated in a staff development conference about caring for clients
with various religious beliefs who are terminally ill. Which of the following statements by
the nurse would indicate a correct understanding of the teaching?
1."A family member will turn a client who practices Buddhism east to face Mecca prior to
death."
2."After death, a member of a burial society will wash the body of a client who practices
Orthodox Judaism."
3."After death, a family member will cover the mirrors in the room of a client who
practices the Greek Orthodox religion."
,4."A priest will tie a thread around the wrist of a client who practices Roman Catholicism
to signify a blessing prior to death." - CORRECT ANSWERS 2."After death, a member
of a burial society will wash the body of a client who practices Orthodox Judaism."
The nurse is contributing to a staff education conference about advance directives.
Which of the following information should the nurse recommend including? Select all
that apply. - CORRECT ANSWERS
The nurse is caring for a client who has mycoplasma pneumonia. Which of the following
infection control precautions should the nurse implement? - CORRECT ANSWERS
The nurse is observing a coworker suctioning a client with a tracheostomy. The nurse
should intervene if the coworker:
1.applies suction as the catheter is being withdrawn
2.wears a face shield throughout the procedure
3.applies suction for 10 seconds at each pass of the catheter
4.wears clean, nonsterile gloves throughout the procedure - CORRECT ANSWERS
3.applies suction for 10 seconds at each pass of the catheter
The nurse is reinforcing teaching with the parents of a child who is scheduled for
surgical repair of hypospadias. The nurse should reinforce that intended outcomes of
the procedure include:
1.relief from pain
2.relief from bladder obstruction
3.the ability to void while standing
4.the ability to achieve an erection - CORRECT ANSWERS
The nurse is collecting data from a client who had a kidney transplant 5 days ago.
Which of the following findings would require immediate intervention? - CORRECT
ANSWERS
The nurse is contributing to a staff development conference about client confidentiality.
Which of the following information should the nurse suggest including? Select all that
apply. - CORRECT ANSWERS
The nurse is contributing to the plan of care for a client who had a stroke 3 days ago
and has right-sided hemiplegia and dysphagia. Which of the following nutritional
outcomes would be most appropriate for the nurse to recommend including in the
client's plan of care? - CORRECT ANSWERS
The nurse is collecting data on a client with chronic obstructive pulmonary disease
(COPD). Which of the following findings would be a priority to report to the charge
nurse? - CORRECT ANSWERS
,The nurse is contributing to a staff education conference about the stages of grief in
clients with terminal illness. Which of the following information should the nurse suggest
including? - CORRECT ANSWERS
The nurse in a long-term care facility is making client care assignments for unlicensed
assistive personnel (UAP). Which of the following statements by the nurse would
provide UAP with the best directions about an assignment? - CORRECT ANSWERS
The nurse has reinforced teaching with a female client who sustained a spinal cord
injury at T5 three weeks ago. Which of the following statements by the client would
indicate a correct understanding of the teaching? Select all that apply. - CORRECT
ANSWERS
The charge nurse in a long-term care facility has made client care assignments for
unlicensed assistive personnel (UAP). Which of the following statements by the charge
nurse would provide the best directions to a UAP about the assignment? - CORRECT
ANSWERS
The nurse is collecting data from a client with Guillain-Barré. The client is experiencing
paralysis and paresthesias of the lower extremities and has a respiratory rate of 18.
Which of the following actions should the nurse take? - CORRECT ANSWERS
The nurse has reinforced discharge teaching with the parent of a newborn. Which of the
following statements by the parent would require follow-up?
1.
"I will leave my baby's diaper off when possible if the diaper area starts to become red."
2.
"I will secure my baby in a rear-facing infant seat in the front seat of the car since there
is an airbag there."
3.
"I should give my baby a pacifier at bedtime to reduce the risk for sudden infant death
syndrome (SIDS)."
4.
"I should squeeze the bulb syringe before inserting it into my baby's mouth when I
suction excess secretions." - CORRECT ANSWERS 2."I will secure my baby in a
rear-facing infant seat in the front seat of the car since there is an airbag there."
The nurse is collecting data from a client with sickle cell anemia. Which of the following
statements by the client would be essential to follow up?
1.
"I usually drink 4 L of water or juice daily."
, 2.
"I am scheduled to receive the influenza vaccine."
3.
"I may need to receive a prescribed anti-infective if I develop a fever."
4.
"I have been applying cold packs daily to help relieve the pain in my knees." -
CORRECT ANSWERS 3."I may need to receive a prescribed anti-infective if I develop
a fever."
The nurse has received the following information about assigned clients. The nurse
should first check the client
1.
who has right-sided heart failure and is reporting frequent urination
2.
with active pulmonary tuberculosis (TB) who is reporting expectorating blood-tinged
mucus
3.
who has a fractured femur and received a dose of pain medication intramuscularly 1
hour ago and is reporting that the pain has not been relieved
4.
with benign prostatic hyperplasia (BPH) who is reporting having no bowel movement for
the past 3 days and is requesting a dose of a prescribed laxative - CORRECT
ANSWERS 3.who has a fractured femur and received a dose of pain medication
intramuscularly 1 hour ago and is reporting that the pain has not been relieved
The nurse is talking with the spouse of a client who has malignant melanoma and is
terminally ill. Which of the following statements by the spouse would be essential to
follow up?
1.
"I give my spouse the prescribed pain medication regularly even though the medication
causes my spouse to become drowsy."
2.
"I feel as though there is so much happening now and I have been relying on my adult
children to help care for my spouse."
3.
"I sometimes feel bad because I often have 1 or 2 glasses of wine to help me relax and
sleep at night."