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RATIONALES /2024-2025
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A nnurse nis nadmitting na nclient nwho nhas npulmonary ntuberculosis nwhich nof nthe nfollowing
ntransmission nbased nprecautions nshould nthe nnurse ninitiate
{{Correct nAns- nAirborne
A nnurse nin na nmental nhealth nfacility nis npreparing nan neducational nprogram nfor na ngroup nof
nstaff nnurses nabout nthe nproper nuse nof nrestraints nwhich nof nthe nfollowing ninformation
nshould nthe nnurse nplan nto ninclude
{{Correct nAns- nAn nadult nclient nmay nbe nin nmechanical nrestraint nfor nup nto nfour nhours
A nnurse nis nteaching nsleep nhygiene nto na nclient nwho nhas ninsomnia nwhich nof nthe nfollowing
nstatements nshould nthe nnurse nmake
{{Correct nAns- nExercise nin nthe nmorning nafter naraising
A nnurse nis npreparing nto nleave nthe nroom nof na nclient nwho nis non nisolation nprecautions nwhich
nof nthe nfollowing nactions nshould nthe nnurse ntake nwhen nremoving na ntight nsurgical nMask
{{Correct nAns- nRemove nthe nmask nby nsecurely nholding nthe nties nand nmoving nit naway nfrom nthe
nface
A nnurse nis ncaring nfor nan nadolescent nclient nwho nis nin ncritical ncondition nfollowing na nmotor
nvehicle ncrash nin nwhich nhe nwas na npassenger. nthe nclients nparent nShouts nat nthe nNurse
nasking nwhy nher nson nis ndying ninstead nof nthe ndriver nwhich nof nthe nfollowing nactions
nshould nthe nnurse ntake nto nprovide nemotional nsupport nto nthe nparent
{{Correct nAns- nInform nthe nparent nthat nanger nis na nnatural nresponse nwhen ndealing nwith nloss
A ncommunity nhealth nnurse nis nplanning nprevention nstrategies nfor nhypertension namong
nmembers nof nour ncommunity nthe nnurse nshould nidentify nthat nwhich nof nthe nfollowing
nethnic ngroups nin nthe ncommunity nis nat ngreat nrisk nfor ndeveloping nhypertension
{{Correct nAns- nAfrican nAmericans
A ncommunity nhealth nnurse nis nplanning ninterventions nto npromote nhealthy npeople n2020
ninitiatives nin nthe n community nwhich nof nthe nfollowing nactions nshould nthe nnurse nplan nto
ntake nfirst
{{Correct nAns- nDetermine nthe nlevel nof nhealth nequity namong ngroups nin nthe ncommunity
,A nnurse nis nreviewing na nclients nnew nprescriptions nthat nwere njust ndocumented nin nthe nclients
nmedical nrecord nby nthe nprovider nwhich nof nthe nfollowing nabbreviation nshould nthe nnurse
nclarify n with nthe nprovider
,{{Correct nAns- nEnoxaparin n40 nmg nsq nqd
A nnurse nis ntalking nwith na nclient nwho nhas nmajor ndepressive ndisorder nthe nclient nstates nnobody
ncares nif nI'm naround nor nnot nwhich nof nthe nfollowing nresponses nshould nthe nnurse nnight
{{Correct nAns- nIt nsounds nas nthough nyou're nfeeling nhopeless
A nnurse nis npreparing nto nadminister na nunit nof npacked nred nblood ncells nto na nclient nin
nadherence nwith nthe njoint ncommission nnational npatient nsafety ngoals nregarding nblood
nadministration nwhich nof nthe nfollowing nactions nshould nthe nnurse nplan nto ntake
{{Correct nAns- nVerify nthe nclient nand nblood ncomponent nusing na ntwo nperson nprocess
The nnurse non na nmedical nsurgical nunit nis ncaring nfor na ngroup nof nclients nwhich nof nthe
nfollowing nclients nshould nthe nnurse nmonitor nfor nthe ndevelopment nof nreflex nurinary
nincontinence
{{Correct nAns- nA nclient nwho nhas na nT n12 nspinal ncord ninjury
A nnurse nis ndocumenting nand nassessment nin na nclients nelectronica nhealth nrecord nwhen nan
nassistive npersonnel nasked nto nenter nthe nmorning nblood nglucose nby nthe nclient nwhich nof nthe
nfollowing nactions nshould nthe nnurse ntake
{{Correct nAns- nRequest nthat nAP nto nuse nanother ncomputer nto nenter nthe ndata
A nnurse nis npreparing nto nadminister nacetaminophen n120 nmg nPO nto na ntoddler nAvailable nis
nacetaminophen ndrops n80 nmg/0.8 nML. nHow nmany nML nShould nthe nnurse nadminister?
nRound nto nnearest ntenth
{{Correct nAns- n1.2ml
A nnurse nis npreparing nto nadminister n0.9% nsodium nchloride n1000 nML nover neight nhours nIV
nto na nclient nthe nnurse nshould nsay nthe ninfusion ninfusion npump nto ndeliver nhow nmany nML
nper nhour nround nthe nanswer nto nthe nnearest nwhole nnumber
{{Correct nAns- n125ml/hr
A nnurse nis nproviding nteaching nabout nnutrition nmanagement nto nthe nparent nof nan n18 nmonth
nold ntoddler n who nhas nphenylketonuria nwhich nof nthe nfollowing nfoods nshould nthe nnurse
nrecommend
{{Correct nAns- nBaked npotato
A nnurse nis npreparing nto nextinguish na nsmall nfire nin na nclients nroom nwhich nof nthe nfollowing
nactions nshould nthe nnurse ntake nwhen nusing na nfire nextinguisher
{{Correct nAns- nSlide nthe npin non ntop nof nthe nfire nextinguisher nto nallow nfor nuse nto nextinguish
nthe nfire
A nnurse nis nplanning nmeals nfor na nclient nwho npractices nJudaism nand nreports nthat nshe
nstrictly nadhere's nto nOrthodox ndietary nlaws nthe nnurse nshould nrecognize nthat nwhich nof nthe
nfollowing ndietary npractices napplies nto nthe nclients nbeliefs
{{Correct nAns- nThe nclient nis npermitted nto neat nfish nThat nhave nscales
, A nnurse nis ncaring nfor na nclient nwho nhas nCDF ninfection nand nis nincontinent nof nstool
nfollowing nlong-term nantibiotic ntherapy. nWhich nof nthe nfollowing nactions nshould nthe nnurse
ntake?
{{Correct nAns- nWear na ngown nwhen nproviding ncare nfor nthe nclient
A nnurse nis nplanning nthe nmenu nfor na nclient nwho npractices nseventh nday nAdventism nwhich
nof nthe nfollowing nfood nselections nshould nthe nnurse nmake
{{Correct nAns- nScrambled neggs
A nnurse nin na nlong-term nfacility ndiscovers na nsmall nfire nin na nclients ntrashcan nafter nmoving nthe
nclient nto nsafety nwhich nof nthe nfollowing nactions nshould nthe nnurse ntake nnext
{{Correct nAns- nPull nthe nalarm nto nnotify nemergency nservices
A ncommunity nhealth nnurse nis ndeveloping nbrochure nabout nthe nuse nof nsmokeless ntobacco
nwhich nof nthe nfollowing ninformation nshould nthe nnurse nplan nto ninclude
{{Correct nAns- nSmokeless ntobacco nprovide na nhigher ndose nof nnicotine nthan ncigarettes
A nnurse nis npreparing nto nadminister nthree nmedications nto na nclient nwho nhas nan nNG ntube na
nlevothyroxine ntablet nand nibuprofen ngel ncap nand na ndelayed nrelease nomeprazole ncapsule
nwhich nof nthe nfollowing nactions nshould nthe nnurse ntake
{{Correct nAns- nChrush nthe nlevo nthyroxine ntablet ninto na npowder nand ndissolve nit nin n30 nML's
nof nof nwarm nsterile nwater
A nnurse nis ncaring nfor na nchild nwho nhas ncontact ndermatitis ndue nto npoison nivy nthe nparent
nasked nthe nnurse nhow nto nprevent nfurther nreactions nwhich nof nthe n following nresponses
nshould nthe nnurse nmake
{{Correct nAns- nWash nyour nchild's nexposed nclothing nwith nhot nwater nand ndetergent
A nnurse nis nplanning ncare nfor na nclient nwho nhas nan nindwelling nurinary ncatheter nwhich nof nthe
nfollowing ninterventions nshould nthe nnurse ninclude nin nthe nplan nto nprevent nthe ndevelopment
nof na ncatheter nassociated nurinary ntract ninfection
{{Correct nAns- nSecure nthe ncatheter ntubing nto nthe nclients nleg
A nnurse nin na nlong-term ncare nfacility nis nadmitting na nnew nclient nfollowing na nbrief nstay nin
nacute ncare n in nadherence nwith nthe njoint ncommission nnational npatient nsafety ngoals nregarding
nmedication nadministration nwhich nof nthe nfollowing nactions nshould nthe nnurse ntake
{{Correct nAns- nCompare na nlist nof nthe nclients ncurrent nmedications nwith nthe nones nhe nwill
ntake nin nlong-term ncare
A nnurse nis ncreating na nplan nof ncare nfor na nclient nwho nis nnon-ambulatory nand nhas nbladder
nand nbowel nincontinence nwhich nof nthe nfollowing ninterventions nshould nthe nnurse ninclude nto
nprevent nskin nbreakdown
{{Correct nAns- nOffered nthe nclient na nglass nof nwater nevery ntwo nhours nwhen nrepositioning