QUESTIONS AND ANSWERS
Abynursebyisbyteachingbyabyclientbyandbyhisbyfamilybyhowbytobycarebyforbythebyclient'sbytracheo
stomybyatbyhome.byWhichbyofbythebyfollowingbyinstructionsbyisbyappropriatebyforbythebyclientb
yandbyfamily?
1.byRemovebythebyouterbycannulabycautiouslybyforbyroutinebycleaning.
2.byUsebytracheostomybycoversbywhenbyoutdoors.
3.byUsebysterilebytechniquebywhenbyperformingbytracheostomybycarebyatbyhome.
4.byCleansebyirritatedbyskinbywithbyfull-strengthbyhydrogenbyperoxide.by-byanswer--
2.byUsebytracheostomybycoversbywhenbyoutdoors.
Abynursebyisbygivingbyanbyend-of-
shiftbyreportbyaboutbyabyclientbyadmittedbyearlierbythatbydaybywithbypneumonia.byWhichbyofbyt
hebyfollowingbypiecesbyofbyinformationbyisbymostbyessentialbytobyprovide?
1.byAdmittingbydiagnosis
2.byDiagnosticbytestbyresults
3.byBodybytemperature
4.byBreathbysoundsby-byanswer--4.byBreathbysounds
**ABCs**
Abynursebyisbycheckingbybloodbypressuresbyatbyabycommunitybyhealthbyscreening.byWhichby
ofbythebyfollowingbyclientsbyisbyatbyhighbyriskbyforbyprimarybyhypertension?
1.byAbyclientbywhobyisbypregnant
2.byAbyclientbywhobyhasbyanbyelevatedbyLDL
3.byAbyclientbywhobytakesbyoralbycontraceptives
4.byAbyclientbywhobyhasbykidneybydiseaseby-byanswer--
2.byAbyclientbywhobyhasbyanbyelevatedbyLDL
Abynursebyisbyplanningbycarebyforbyabyclientbywhobyhasbyhadbyabystrokebyresultingbyinbyaphasi
abyandbydysphagia.byWhichbyofbythebyfollowingbytasksbyshouldbythebynursebyassignbytobyanby
AP?by(Selectbyallbythatbyapply.)
-byAssistbythebyclientbywithbyabypartialbybedbybath.
-
byMeasurebythebyclient'sbyBPbyafterbythebynursebyadministersbyanbyantihypertensivebymedic
ation.
-byTestbythebyclient'sbyswallowingbyabilitybybybyprovidingbythickenedbyliquids.
-byUsebyabycommunicationbyboardbytobyaskbywhatbythebyclientbywantsbyforbylunch.
-byIrrigatebythebyclient'sbyindwellingbyurinarybycatheter.by-byanswer---
byAssistbythebyclientbywithbyabypartialbybedbybath.
,-
byMeasurebythebyclient'sbyBPbyafterbythebynursebyadministersbyanbyantihypertensivebymedic
ation.
-byUsebyabycommunicationbyboardbytobyaskbywhatbythebyclientbywantsbyforbylunch.
Abynursebyisbycaringbyforbyabyclientbywhobyisbycombativebyinbythebyemergencybydepartment.b
yThebyproviderbyordersbywristbyrestraintsbyafterbythebyclientbyattemptsbytobyassaultbythebyad
mittingbynurse.byWhichbyofbythebyfollowingbyactionsbyisbyappropriatebyforbythebynursebytobyta
ke?
1.byTiebyrestraintsbytobythebylowerbyedgebyofbythebysidebyrail.
2.byRemovebyeachbyrestraintbyonebyatbyabytimebyeveryby2byhr.
3.byEnsureby3byfinger-widthsbyofbyspacebybetweenbythebyrestraintbyandbythebyclient'sbywrist.
4.byUsebyabysquarebyknotbytobysecurelybytiebythebyrestraintsbytobythebybed.by-byanswer--
2.byRemovebyeachbyrestraintbyonebyatbyabytimebyeveryby2byhr.
**TobyperformbyROMbyexercisesbyandbyneurovascularbychecks**
Abynursebyisbypreparingbytobyadministerbymorphineby4bymgbyIVbybolusbytobyabyclient.byAvaila
blebyisbymorphineby5mg/
mL.byWhichbyofbythebyfollowingbyisbyanbyappropriatebynursingbyintervention?
1.byReturnbythebyunusedbymedicationbytobythebyautomaticbydispensingbysystem.
2.byKeepbythebyremainingbymedicationbyatbythebyclient'sbybedsidebyforbylaterbyuse.
3.byHavebyabysecondbynursebywitnessbythebydisposalbyofbyremainingbymedication.
4.byLockbyremainingbymedicationbyinbysecurebycabinet.by-byanswer--
3.byHavebyabysecondbynursebywitnessbythebydisposalbyofbyremainingbymedication.
Abynursebyisbycaringbyforbyabyclientbywhobyasksbyaboutbythebypurposebyofbyadvancebydirectiv
es.byWhichbyofbythebyfollowingbyisbyanbyappropriatebyresponsebybybythebynurse?
1.by"Itbyallowsbythebycourtbytobyoverrulebyanbyadultbyclient'sbyrefusalbyofbymedicalbytreatment.
"
2.by"Itbypermitsbyabyclientbytobywithholdbymedicalbyinformationbyfrombyhealthbycarebypersonn
el."
3.by"Itbyindicatesbythebyformbyofbytreatmentbyabyclientbyisbywillingbytobyacceptbyinbythebyeventby
ofbyabyseriousbyillness."
4.by"Itbyallowsbyhealthbycarebypersonnelbyinbythebyemergencybydepartmentbytobystabilizebyab
yclient'sbycondition."by-byanswer--
3.by"Itbyindicatesbythebyformbyofbytreatmentbyabyclientbyisbywillingbytobyacceptbyinbythebyeventby
ofbyabyseriousbyillness."
Abynursebyfindsbyabyclientbyonbythebyfloorbyuponbyenteringbythebyclient'sbyroom.byThebyroom
matebyreportsbythatbythebyclientbywasbytryingbytobygetbyoutbyofbybedbyandbyfellbyoverbythebybed
railbyontobythebyfloor.byWhichbyofbythebyfollowingbyisbycorrectbydocumentationbyofbythisbyincid
ent?
1.byIncidentbyreportbycompleted.
2.byClientbyclimbedbyoverbythebybedrails.
3.byClientbyfoundbylyingbyonbyfloor.
, 4.byClientbywasbytryingbytobygetbyoutbyofbybed.by-byanswer--3.byClientbyfoundbylyingbyonbyfloor.
**remember,bybebyObjectivebyinbydocumentation**
Abyclientbywhobyisbypostoperativebyisbyverbalizingbypainbyasbyaby2byonbyabypainbyscalebyofby0by
toby10.byThebynursebyunderstandsbythatbythebypreoperativebyteachingbyregardingbypainbyco
ntrolbyhasbybeenbyeffectivebywhenbythebyclientbystatesbywhichbyofbythebyfollowing?
1.by"IbythinkbyIbyshouldbytakebymybypainbymedicationbymorebyoften,bysincebyitbyisbynotbycontrol
lingbymybypain."
2.by"Breathingbyfasterbywillbyhelpbymebykeepbymybymindbyoffbyofbythebypain."
3.by"ItbymaybyhelpbymebytobylistenbytobymusicbywhilebyI'mbylyingbyinbybed."
4.by"Ibydon'tbywantbytobywalkbytoday,bybecausebyI'mbyexperiencingbysomebypain."by-
byanswer--3.by"ItbymaybyhelpbymebytobylistenbytobymusicbywhilebyI'mbylyingbyinbybed."
**nonpharmacologicalbyinterventionbytobypain**
Abyclientbydemonstratesbyangerbywhenbythebynursebydoesbynotbyrespondbywithinby5byminbyof
byringingbyforbythebynurse.byWhichbyofbythebyfollowingbyisbyanbyappropriate byresponsebybybyth
ebynurse?
1.by"I'mbysorry,bybutbyanotherbyclientbyneededbymybyattention."
2.by"IbyarrivedbyasbysoonbyasbyIbycould.byWhatbycanbyIbydobyforbyyou?"
3.by"Itbymustbybebyfrustrating.byIbyhavebyabyfewbyminutesbynow."
4.by"Webyhadbyanbyemergencybyonbythebyunit,bybutbynowbyI'mbyhere."by-byanswer--
3.by"Itbymustbybebyfrustrating.byIbyhavebyabyfewbyminutesbynow."
**therapeuticbybybyacknowledgingbyclient'sbyfeelings**
Abynursebyisbyadmittingbyabyclientbywhobyisbyhavingbyanbyexacerbationbyofbyheartbyfailure.byIn
byplanningbythisbyclient'sbycare,bywhenbyshouldbythebynursebyinitiatebydischargebyplanning?
1.byDuringbythebyadmissionbyprocess
2.byAsbysoonbyasbythebyclient'sbyconditionbyisbystable
3.byDuringbythebyinitialbyteambyconference
4.byAfterbyconsultingbywithbythebyclient'sbyfamilyby-byanswer--
1.byDuringbythebyadmissionbyprocess
**dischargebyplanningbystartsbyatbyadmissionby(patientbyneedsbyforbyduringbyandbyafterbyho
spital)**
Abynursebymanagerbyisbyoverseeingbythebycarebyofbyabyunit.byWhichbyofbythebyfollowingbysho
uldbythebynursebymanagerbyidentifybyasbyabyviolationbyofbyHIPPAbyguidelines?
1.byThebyassignedbynursebyreviewsbythebymedicalbychartbywithbyabynursingbystudent.
2.byAbynursingbystudentbydiscussesbyabyclient'sbystatusbywithbythebyassignedbynursebyatbythe
bybedside.
3.byThebyassignedbynursebyreturnsbyabycallbytobyabyclient'sbyPowerbyofbyAttorneybytobydiscus
sbythebyclient'sbycare.