1. which of the following statements shows understanding of the breast
self-exam Ans: I should expect to feel a firm ridge along the bottom curve of each breast
2. Which of the following actions should the nurse take to provide emotional support
to the parent Ans: inform the parent that anger is a natural response when dealing with
loss
3. Accessing electronic resources- which should the nurse include Ans: websites
endin gin .gov are reliable
4. pt had knee "lock" and is lying on the floor. Which action Ans: check the pt. for
injuries
5. RA about chronic pain. Which indicates understanding Ans: I should use a warm
paraffin dip for the hands and feet
6. preventative hypertension. Which ethnic group is at greatest risk Ans: African
americans
7. Estinguishing fire, which should the nurse take using the fire extinguisher-
Ans: slide the pin on top of the fire extinguisher straight out
8. enteral nutrition in NG tube. Put steps in order Ans: 1. high fowler's
2. verify with aspirating 5 ml gastric contents
1/
13
, 3. test pH
4. check for gastric residual volume
5. flush with 30 ml water
9. nurse caring for 47 year old female, urinary incontinence. Why action? Ans: ob-
tain a specimen from client for culture (rule out UTI)
10. a nurse is talking with a client who has major depressive disorder "nobody cares if
I'm around" Ans: "it feels as though you are hopeless"
11. a charge nurse is teaching a group of newly licensed nurses how to prevent errors
during admin of blood transfusions. which should include? Ans: use a new blood
admin tubing set for each blood bag infused
12. C. diff infection and is incontinent of stool. which action do you take Ans: wear a
gown
13. a nurse is providing discharge teaching about nutrition manage who has COPD.
Which instruction Ans: have a high calorie protein drink after meals b/c anorexia is a
manifestation of COPD
14. nurse has pt. who has dysphagia. which action facilitates safe swallowing-
Ans: delay meal time if he is tired
15. toddler home injury prevention. snacks Ans: watermelon but remove seeds
16. invasive procedure. why actions to ensure in scope of practice Ans: check the
2/
13