WITH VERRIFIED ANSWERS 2025
100% PASS A+ GRADED
An unconscious client is brought to the emergency department. Which assessment
should be implemented first?
,a. the client's airway should be assessed
b. the nurse should determine the reason for admission
c. the nurse should review the client's medication
d. the client's past medical history should be assessed - answ✔️✔️-A
A diabetes nurse educator is teaching a client newly diagnosed with diabetes, about his
disease process, diet, exercise, and medications. What is the goal of this education?
a. To implement ordered teaching and counseling
b. To facilitate complete recovery from the disease
c. To ensure the client will return for follow-up care
d. To help with client develop self-care abilities - answ✔️✔️-D
When caring for a client, the nurse gives day-to-day examples to explain certain points
of the health education. The nurse also notes the client's concentration level and
educates when the client is active. Which category does the client fall into?
a. Learning needs
b. Motivation
c. Attention & concentration
d. Learning readiness - answ✔️✔️-C
Which of the following tasks could the nurse safely delegate to unlicensed assistive
personnel?
a. An initial assessment of a client
b. Documentation of client's I+O on a flow sheet
c. Evaluation of client progress
d. Determination of a nursing diagnosis - answ✔️✔️-B
,What technique should the nurse use to implement infection control in the home?
a. Wear gloves at all times when in the home or traveling in the car
b. Avoid touching any object in the home, including door knobs
c. Practice hand hygiene when beginning and ending the home visit
d. Take prescribed antibiotics on a regular basis on working days - answ✔️✔️-C
The nurse is caring for a client with a diagnosis of end-stage-renal disease. The client
has expressed the desire to be "kept comfortable" and to not continue further treatment.
The daughter arrives from out of town and is demanding to have further testing done to
determine the best treatment option for the client. What is the best action for the nurse
to take at this time?
a. Persuade the client to agree to the daughter's request
b. Contact the imaging center to schedule the testing
c. Arrange a meeting between the physician and daughter
d. Explain to the daughter the wishes of the client - answ✔️✔️-D
When documenting subjective data, the nurse should:
a. Validate the information with the client's family prior to documentation
b. Use the client's own words placed in quotation marks
c. Record the information using nonspecific words
d. Paraphrase the information stated by the client - answ✔️✔️-B
A male client age 42 years recovering from a MI is having difficulty following the care
plan to stop smoking and exercise. What is the nurse's best response to this client?
a. Tell him that he will have another MI and it will be his own fault.
b. Tell him that his cigarettes will be taken away if he smokes again
c. Ignore the behavior and recommend a behavior modification program.
, d. Tell him that he is not trying hard enough. - answ✔️✔️-C
While bathing the client, the nurse observes the client grimacing. The nurse asks if the
client is experiencing pain. The client nods yes and refuses to continue the bath. The
nurse removes the wash basin, makes the client comfortable, and documents the event
in the client's chart. Which action clearly demonstrates assessing?
a. The nurse documenting the incident
b. The nurse removing the wash basin
c. The nurse bathing the client
d. The nurse asking if the client is having pain - answ✔️✔️-D
Which guidelines is a correct one to follow when composing a nursing diagnosis
statement?
a. Place defining characteristics after the etiology and link them by the phrase "as
evidenced by"
b. Place the etiology prior to the client problem and linked by the phrase "related to"
c. Phrase the nursing diagnosis as a client need
d. Incorporate subjective and judgmental terminology - answ✔️✔️-A
Which client care concern is clearly a nursing responsibility?
a. Ordering diagnostic examinations
b. Performing surgical procedures
c. Prescribing medications
d. Monitoring health status changes - answ✔️✔️-D
The nurse has been working with a client for several days during the client's recovery
from a femoral head fracture. How should a nurse best evaluate whether client
education regarding the prevention of falls in the home has been effective?