COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
A client is admitted with severe pain in the left lower extremity. The client is scheduled for a
complete blood count (CBC), urinalysis, chest x-ray, and x-ray of the lower extremities. The client asks
the nurse, "Why do I have to have all these tests? The pain is in my leg." Which of the following
responses by the nurse will best help the client deal with feelings of anxiety?
1.
"The tests will not take long to complete."
2.
"These tests are part of the admission procedure."
3.
"It must be difficult not understanding what is happening to you."
4.
"Perhaps that is something you need to discuss with your physician." / ANSWER/
.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? / ANSWER/
.The charge nurse in a long-term care facility has been advised that the following assigned clients will
be admitted during the shift. The charge nurse should assign the only available private room to the
client with
,1.
Pneumocystis pneumonia (PCP)
2.
a positive varicella zoster titer
3.
hepatitis C (HCV)
4.
a positive cytomegalovirus (CMV) titer / ANSWER/
.The charge nurse in a long-term care facility has been advised that the following clients will be
admitted during the shift. The charge nurse should assign the only available private room to the client
with
1.
scabies
2.
salmonellosis
3.
hepatitis B (HBV)
4.
cytomegalovirus (CMV) / ANSWER/
,.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? / ANSWER/
.The charge nurse in a long-term care facility has just completed client care assignments for
unlicensed assistive personnel (UAP). Which of the following statements by the charge nurse would
provide the best direction to a UAP about the assignment?
1.
"The client with heart failure should be weighed and have vital signs checked before breakfast is
served."
2.
"You will need to assist the client with mild Alzheimer's disease (AD) with activities of daily living
(ADL)."
3.
"You need to follow proper infection control precautions when assisting the client with active
pulmonary tuberculosis (TB)."
4.
"The client with paraplegia should have the monthly safety check completed on the wheelchair." /
ANSWER/
.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?
1.
"The client with a urinary tract infection (UTI) should drink two pitchers of water this shift."
2.
, "The client with mild dementia needs assistance with bathing."
3.
"The client who had a stroke needs to ambulate in the hallway."
4.
"The client with peripheral neuropathy should receive good skin care." / ANSWER/
.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? / ANSWER/
.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 a UAP?
1.
removing a condom catheter for the male client who has a fractured pelvis
2.
providing discharge teaching to the client with chronic obstructive pulmonary disease (COPD)
3.
evaluating the pain level for the client who had an abdominal hysterectomy several hours ago
4.
determining the effectiveness of an antianxiety medication for the client with moderate Alzheimer's
disease (AD) / ANSWER/
.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?