QUESTIONS WITH VERIFIED
ANSWERS
a nurse is caring for a client who has restraints to each extremity. Which of the following
assessments should the nurse perform first? - ANSWERScomfort level
a charge nurse is monitoring the documentation of the medication by a Newley licensed
nurse. The charge nurse should intervene if the Newley licensed nurse uses which of
the following - ANSWERSSS for sliding scale or MS for magnesium sulfate
a nurse is caring for a client who has TB. Which of the following precautions should the
nurse plan to implement ? - ANSWERSAirborne (N95)
A nurse is reaching a client and his family how to care for the client's tracheostomy at
home. Which of the following should the nurse include in the teaching? - ANSWERSUse
tracheostomy covers when outdoors
A home health nurse is performing a follow-up visit for a client who has a gastrostomy
tube through which they receive intermittent feedings and medications. The client has
recently developed diarrhea. Which of the following findings should the nurse identify as
a possible
cause of the diarrhea? - ANSWERSThe client's care giver washed out the
feeding bag once every 24 hours with warm
water
A nurse is performing a home safety assessment for a client who is receiving
supplemental oxygen. Which of the following observations should the nurse identify as
proper safety protocol? - ANSWERSThe client uses no acetone nail polish remover.
Nurse caring for a client who has a respiratory infection. What technique should she use
when preforming nasotracheal suctioning? - ANSWERSApply intermittent suction when
withdrawing the
catheter.
The pt has a stage 2 pressure injury. what kind of dressing do you apply? -
ANSWERSHydrocolloid
Client has terminal illness and is at the end of life. Which one of the following
statements by the client's partner indicates effective coping?
A. I am not worried because I still have hope that he will be okay
, B. I am relying on support from our family during this time
C. We can plan our family reunion once he recovers and comes home
D. We don't see any reason to start discussing funeral arrangements right now -
ANSWERSI am relying on support from our family at this time
A nurse is assessing an older adult client for fall risk. Which of the following should the
nurse use to identify the clients safety needs - ANSWERSpupil clarity
visual fields
visual activity
correct use of cane - ANSWERSthe client holds the cane on the stronger side of her
body
A nurse is initiating a protective environment for a client who has had an allogeneic
stem cell transplant. Which of the following precautions should the nurse plan for this
client? - ANSWERSmake sure the client wears a mask outside of her room if there is
construction in the area
client uses a walker correct understanding - ANSWERSI will hire someone to trim the
tree that hangs over the steps
Enoxaparin - ANSWERSadminister at 45 degree angle
if it says subq then administer at a - ANSWERS90 or 45 degree angle that is the correct
answer
teaching documentation to new nurses - ANSWERSuse the entire name for magnesium
sulfate
advocacy ensures - ANSWERSclients health safety and rights
pt is seizing on the floor - ANSWERSfirst assess pts physical safety followed by the pts
positioning
med reconciliation - ANSWERScompare home meds to meds given here
give heparin in - ANSWERSabdomen
given blood transplant client has allergic reaction as evidenced by - ANSWERSitching
BUN levels - ANSWERS10-20
Creatanine - ANSWERS0.6-1.2
Sodium levels - ANSWERS135-145