FOR A+ STUDENTS LATEST UPDATE GRADED A+
1. A nurse is performing an admission assessment for an older adult
client. After gathering the assessmentdata and performing the
review od systems, which of the following actions is a priority for the
nurse?
a. Orient the client to their room.
b. Conduct a client care conference.
c. Review medical prescriptions.
d. Develop a plan of care.
2. A nurse is admitting a client who has acute cholecystitis to a
medical-surgical unit. Which of thefollowing actions are
essential steps of the admission procedure? (Select all that
apply.)
a. Explain the roles of other care delivery staff.
b. Begin discharge planning.
c. Inform the client that advance directives are required for hospital
admission.
d. Document the client‟s wishes about organ donation.
e. Introduce the client to their roommate.
3. A nurse is caring for a client who had a stroke and is scheduled for
transfer to a rehabilitation center.Which of the following tasks are
the responsibility of the nurse at the transferring facility? (Select
all that apply.)
a. Ensure that the client has possession of their valuables.
b. Confirm that the rehabilitation center has a room available at
, the time of transfer.
c. Assess how the client tolerates the transfer.
d. Give a verbal transfer report via telephone.
e. Complete a transfer form for the receiving facility.
4. A nurse is preparing the discharge summary for a client who has
had knee arthroplasty and is going home. Which of the following
information about the client should the nurse include in the
discharge summary? (Select all that apply.)
a. Advance directive status.
b. Follow-up care.
, c. Instructions for diet and medications.
d. Most recent vital sign data.
e. Contact information for the home health care agency.
5. As part of the admission process, a nurse at a long-term care facility
is gathering a nutrition history for a client who has dementia. Which
of the following components of the nutrition evaluation is the
priorityfor the nurse to determine from the client‟s family?
a. Body mass index
b. Usual times for meals and snacks
c. Favorite foods
d. Any difficulty swallowing
Chapter 10
1. When entering a client‟s room to change a surgical dressing, a
nurse notes that the client is coughingand sneezing. Which of the
following actions should the nurse take when preparing the sterile
field?
a. Keep the sterile field at least 6 ft away from the client‟s bedside.
b. Instruct the client to refrain from coughing and sneezing during the
dressing change.
c. Place a mask on the client to limit the spread of microorganisms
into the surgical wound.
d. Keep a box of facial tissue for the client to use during the dressing
change.
2. A nurse as removed a sterile pack from its outside cover and
, placed it on a clean work surface in preparation for an invasive
procedure. Which of the following flaps should the nurse unfold
first?
a. The flap closest to the body
b. The right side flap
c. The left side flap
d. The flap farthest from the body
3. A nurse is wearing sterile gloves in preparation for performing
a sterile procedure. Which of thefollowing objects can the nurse
touch without breaching sterile technique? (Select all that apply.)
a. A bottle containing a sterile solution
b. The edge of the sterile drape at the base of the field
c. The inner wrapping of an item on the sterile field
d. An irrigation syringe on the sterile field
e. One gloved hand with the other gloved hand