Questions And Answers
A case manager is reviewing the medical records of several clients. For
which of the following clients should the nurse request an interprofessional
care conference?
a client who has diabetes mellitus and has had repeated hospitalization for
DKA
A community health nurse is assisting with the development of disaster
management plan. The nurse should include which of the following nursing
responsibilities in the disaster response stage of the plan?
performing a rapid needs assessment
A nurse is teaching a client who has a new prescription for estradiol. For
which of the following adverse effects of this medication should the nurse
instruct the client to monitor and report to the provider? headaches
A charge nurse is observing a newly licensed nurse performing a physical
assessment on a client. Which of the following actions by the nurse
indicates that the charge nurse should intervene?
the newly licensed nurse writes detailed notes while performing the headto-
toe
A nurse is assessing a client who has macular degeneration. Which of the
following findings should the nurse expect?
decreased central vision
A nurse is providing colostomy care for a client using a two-piece pouching
system. Which of the following actions should the nurse take?
place the skin barrier over the stoma and hold for 30 sec
,An Rn is planning care for a group of clients and is working with a licensed
practice nurse and an AP. Which of the following tasks should the RN
delegate to the LPN?
insertion of a nasogastric tube
A nurse is preparing a sterile field in order to insert an indwelling urinary
cath for a male. Which of the following techniques should the nurse use to
maintain surgical aseptic technique.
set the cath tray on the overbed table at waist height
A nurse is providing dietary teaching to the parents of a 6 mo old. Which of
the following instructions should the nurse include? introduce new foods
one at a time over 5 to 7 days
A nurse is planning care for a client who is receiving heparin to treat a
deep-vein thrombosis of the left lower leg. Which of the following
interventions should the nurse include in the plan of care?
elevate the affected leg
A nurse is teaching about TPN and IV lipid emulsions with a client who has
an extensive burn injury. Which of the following information should the
nurse include?
you will receive finger sticks for blood glucose testing
A nurse is teaching a group of guardians about child safety measures.
Which of the following statements by a guardian indicates an
understanding of the teaching?
i should have my child avoid sun exposure between 10 am and 2 pm
A nurse is providing teaching to na adolescent following insertion of a
tunneled central venous catheter without a pressure-sensitive valve. Which
of the following information should the nurse include in the teaching?
you should keep the catheter clamped when not in use
, A nurse is assessing a preschooler who has CF and has been receiving O2
for the past 36 hr. Which of the following findings should the nurse identify
is an indication that the client has developed oxygen toxicity?
substernal pain
A nurse is planning care for a client who is receiving hemodialysis via an
established arteriovenous. fistula in the right arm. Which of the following
interventions should the nurse include in the client's plan of care? ascultate
the affects extremity for a bruit
A nurse is caring for a client who is 4 hr postpartum and has a boggy
uterus with heavy lochia. Which of the following actions should the nurse
take first?
massage the uterus to expel clots
A nurse is creating a plan of care for a child who has acute lymphoid
leukemia and an absolute neutrophil count of 400/mm3. Which of the
following interventions should the nurse include in this plan?
withhold administering the varicella vaccine the child
A nurse is providing teaching to a client about newborn safety. Which of the
following statements should the nurse include in the teaching?
set your hot water heater temp at or below 120
A nurse is caring for a client who has generalized anxiety disorder and is to
begin taking alprazolam. Which of the following actions should the nurse
take? initiate fall precautions for the client
- OH
A nurse manager is on a planning committee to develop an emergency
preparedness plan. The nurse should recommend that which of the
following actions takes place first when implementing an emergency
preparedness plan?