VERIFIED ANSWERS (ALREADY GRADED A+)
A nurse is reviewing the medical record of a client prior to medication administration. Which of the
following actions should the nurse plan to take? Correct answer-Instruct the client to refrain from
taking St. John's wort
A nurse is preparing an in-service on different types of pain. Which of the following information
should the nurse plan to include as a characteristic of acute pain? Correct answer-It is part of the
body's attempt to protect itself
A nurse is documenting information in a clients medical record. Which of the following entries should
the nurse make? Correct answer-"Client reports no pain while ambulating in the hallway."
A charge nurse is providing an educational session to a group of newly licensed nurses about the
purpose of the national patient safety goals. Which of the following objectives should the nurse
include as a component of the national patient safety goals? Correct answer-Decrease errors
related to invasive procedures
A nurse is caring for a client who has a history of depressive disorder. The client states, "It feels
pointless to get up in the morning." Which of the following responses should the nurse make?
Correct answer-"It sounds as if life seems meaningless to you now."
A nurse is administering a liquid oral medication from a multi dose bottle to a client. The nurse
calculates that the dose to be administered is 4 mL. Which of the following actions should the nurse
take? Correct answer-Label the medication after measuring the dosage
A nurse is teaching a group of parents and guardians about identifying substance use disorder among
adolescents. Which of the following adolescent behaviors should the nurse include as a possible
indication fo substance use disorder? Correct answer-Wearing dark glasses indoors
A community health nurse is teaching a group of older adult clients at a senior center. Which of the
following factors should the nurse include as an age-related change that increases the risk for
constipation in older adult clients? Correct answer-Delayed gastric emptying
A nurse is discussing informed consent with a group of newly licensed nurses. Which of the following
actions is the responsibility of the nurse when obtaining informed consent? Correct answer-Verify
that the client voluntarily gave consent for the procedure
A nurse is providing handoff report on a client. Which of the following information should the nurse
include in the report? Correct answer-"The client is scheduled for a chest x-ray on the next shift."
A nurse is teaching a newly licensed nurse about the patient self-determination act (PSDA). Which of
the following actions should the nurse include as an example of PSDA compliance? Correct answer-
Informing clients they can decline any treatment the provider prescribes
A nurse is planning to teach a class about standard precautions and preventing puncture injuries.
Which of the following information should the nurse include in the plan? Correct answer-Recap
needles using the one-handed scoop method
, A nurse is assessing a client who has a rash on their hands and forearms after working in a garden.
The nurse should identify that which of the following findings indicates contact dermatitis? Correct
answer-Well-defined margins of the erhythematous area
A nurse is teaching a client who has chronic fatigue syndrome. Which of the following statements
should the nurse include? Correct answer-"Reduce stress by taking tai chi classes."
A nurse is caring for a client who has a recent diagnosis of iron deficiency. The client asks the nurse
for food suggestions to increase iron in their diet. Which of the following foods should the nurse
recommend? Correct answer-Raisins
A nurse is initiating droplet precautions for a newly admitted client. Which of the following actions
should the nurse take? (SATA) Correct answer-Place client in a private room
Ensure the client wears a face mask for transport to x-ray
A nurse is reviewing the advance directives of a client who is being sustained on life support. The
family disagrees regarding the continuation of life support measures. Which of the following
individuals should the nurse identify as having the legal ability to determine the clients course of
treatment? Correct answer-The clients younger child, who is the client's health care proxy.
A nurse is caring for a client who has a pressure ulcer and a prescription for a culture to evaluate the
effect of antibiotic therapy on wound healing. Which of the following actions should the nurse take
first when obtaining the culture? Correct answer-Remove dressings covering the wound
— according to evidence-based practice, the nurse should first remove dressings covering the wound
A nurse is assessing a 10-month old infant who has a UTI. Which of the following findings should the
nurse expect? Correct answer-Decreased appetite
A nurse is preparing to administer enoxaparin to a client via a subcutaneous injection. Which of the
following actions should the nurse take? Correct answer-Administer the medication in the clients
abdomen
A public health nurse is planning care to meet Healthy people 2020 objectives. Which of the
following interventions should the nurse include to promote clients' access to health care? Correct
answer-Set up workshops to help people who are uninsured sign up for health coverage
A nurse is teaching the parents of a 5 month old infant who is breastfed about introduction of
complementary foods. Which of the following statements should the nurse make? Correct
answer-"Give your baby iron-fortified infant rice cereals before starting other foods."
A nurse is providing teaching about mechanically altered, or level 2, diet to the caregiver of a client
who has dysphagia. Which of the following food selections should the nurse include? Correct
answer-Mashed bananas
A nurse is providing teaching to the parent of a school-age child who has juvenile idiopathic arthritis
about pain management. Which of the following statements should the nurse include? Correct
answer-Encourage the child to participate in physical play activities
A nurse is teaching a group of nurses about cultural competence related to clients who follow Islamic
dietary laws. Which of the following images of food should the nurse include in the teaching as