Comprehensive practice B 2025
Questions and Answers
A nurse at a long-term care facility is caring for a client who requires oral
suctioning. Which of the following supplies should the nurse plan to use for this
task? - ....ANSWER ...-yankeurs catheter
Rationale:
A Yankauer catheter is a clean suction catheter used when performing oral and
oropharyngeal suctioning to remove secretions from the client's mouth to facilitate
breathing or obtain a sample for diagnostic evaluation.
A nurse is caring for a client following a bronchoscopy. Which of the following
actions should the nurse take first? - ....ANSWER ...-check for gag reflex
Rationale:
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,The greatest risk to this client is injury from aspiration. Therefore, the first action
the nurse should take is to check for a gag reflex.
A nurse is collecting data from a client who is in severe pain. Which of the
following questions should the nurse ask first? - ....ANSWER ...-where is
your pain located
A nurse is collecting data from a postpartum client who had a vaginal birth 2 days
ago. Which Of the following findings is the nurse's priority to report to the
provider? - ....ANSWER ...-client reports burning with urination.
Rationale:
When using the urgent vs. non-urgent approach to client care, the nurse should
determine that dysuria is a manifestation of a urinary tract infection. Therefore, the
nurse should identify this as the priority finding to report to the provider.
A nurse is reinforcing teaching about stress management techniques with a client
who has moderate anxiety disorder. Which of the following responses by the client
indicates an understanding of the teaching? - ....ANSWER ...-i will imagine
myself in a calm place when i cant concentrate
A charge nurse in a long-term care facility notices an assistive personnel's (AP)
repeated failure to provide oral care for clients. Which of the following actions
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, should the charge nurse take? - ....ANSWER ...-Discuss this behavior with
the AP while reinforcing expectations.
Rationale:
The charge nurse should discuss this behavior with the AP and reinforce
expectations moving forward. Evaluation of the AP's performance is a part of the
nurse's delegation process. Teaching and counseling the AP about behaviors and
expectations is an important component of leadership.
A nurse is reinforcing discharge instructions with the parent of an infant who has
rotavirus. Which of the following statements by the parent indicates an
understanding of the teaching? - ....ANSWER ...-i will apply diaper cream to
my baby skin during each diaper change
rationale: The nurse should reinforce to the parent that applying a skin barrier,
such as zinc oxide, during diaper changes will minimize skin irritation from
frequent stools.
A nurse is reinforcing teaching with a client regarding prescribed asthma
medications. The nurse should instruct the client to use which of the following
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
Questions and Answers
A nurse at a long-term care facility is caring for a client who requires oral
suctioning. Which of the following supplies should the nurse plan to use for this
task? - ....ANSWER ...-yankeurs catheter
Rationale:
A Yankauer catheter is a clean suction catheter used when performing oral and
oropharyngeal suctioning to remove secretions from the client's mouth to facilitate
breathing or obtain a sample for diagnostic evaluation.
A nurse is caring for a client following a bronchoscopy. Which of the following
actions should the nurse take first? - ....ANSWER ...-check for gag reflex
Rationale:
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,The greatest risk to this client is injury from aspiration. Therefore, the first action
the nurse should take is to check for a gag reflex.
A nurse is collecting data from a client who is in severe pain. Which of the
following questions should the nurse ask first? - ....ANSWER ...-where is
your pain located
A nurse is collecting data from a postpartum client who had a vaginal birth 2 days
ago. Which Of the following findings is the nurse's priority to report to the
provider? - ....ANSWER ...-client reports burning with urination.
Rationale:
When using the urgent vs. non-urgent approach to client care, the nurse should
determine that dysuria is a manifestation of a urinary tract infection. Therefore, the
nurse should identify this as the priority finding to report to the provider.
A nurse is reinforcing teaching about stress management techniques with a client
who has moderate anxiety disorder. Which of the following responses by the client
indicates an understanding of the teaching? - ....ANSWER ...-i will imagine
myself in a calm place when i cant concentrate
A charge nurse in a long-term care facility notices an assistive personnel's (AP)
repeated failure to provide oral care for clients. Which of the following actions
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, should the charge nurse take? - ....ANSWER ...-Discuss this behavior with
the AP while reinforcing expectations.
Rationale:
The charge nurse should discuss this behavior with the AP and reinforce
expectations moving forward. Evaluation of the AP's performance is a part of the
nurse's delegation process. Teaching and counseling the AP about behaviors and
expectations is an important component of leadership.
A nurse is reinforcing discharge instructions with the parent of an infant who has
rotavirus. Which of the following statements by the parent indicates an
understanding of the teaching? - ....ANSWER ...-i will apply diaper cream to
my baby skin during each diaper change
rationale: The nurse should reinforce to the parent that applying a skin barrier,
such as zinc oxide, during diaper changes will minimize skin irritation from
frequent stools.
A nurse is reinforcing teaching with a client regarding prescribed asthma
medications. The nurse should instruct the client to use which of the following
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
