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1. A nurse discovers a small paper fire in a trash can in a client's bathroom. The
client has been taken to safety and the alarm has been activated. Which of the
following actions should the nurse take?
A. Open the windows in the client's room to allow smoke to escape
B. Obtain a class C fire extinguisher to extinguish the fire.
C. Remove all electrical equipment from the client's room
D. Place wet towels along the base of the door to the client's room. -
ANSWER D. place wet towels along the base of the door to the
clients room.
2. E. Assisting a client to make a decision about his care based on the nurse's
recommendations - ANSWER A, C, D
3. A nurse manager is providing information to the nurses on the unit about
ensuring client rights. Which of the following regulations outlines the rights of
individuals in health care settings?
A. American Nurses Association Code of Ethics
B. HIPPA
C. Patient Self-Determination Act
D. Patient care Partnership. - ANSWER D
4. A nurse is reviewing a client's health care record and discovers that the client's
DNR prescription has expired. The client's condition is not stable. Which of the
following actions should the nurse take?
A. Assume that the client does not want to be resuscitated and take
no action if they experience cardiac arrest.
B. Write a note on the front of the provider prescription sheet asking
that the DNR be prescribed
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, C. Anticipate that CPR will be instituted if the client goes into
cardiopulmonary arrest.
D. Call the provider to determine whether the prescription should be
immediately reinstated. - ANSWER D
5. A nurse is caring for a child who is being treated in the Emergency department
following a head contusion from a fall. History reveals the child lives at home
with one parent. The provider's discharge instructions include waking the child
every hour to assess for indications of a possible head injury. In which of the
following situations should the nurse intervene and attempt to prevent
discharge?
A. The parent states they do not have insurance or money for a
follow-up visit.
B. The child states, "my head hurts and I want to go home."
C. The nurse smells alcohol on the parent's breath
D. The parent verbalizes fear about taking the child home and
requests they be kept overnight. - ANSWER C.
6. Safety - ANSWER A safe environment is one in which each facility follows
specific safety processes and procedures derived from national and state
directives, Joint Commission guidelines, and best industry practices.
7. Where is safety in relation to Maslow - ANSWER It is the second most
important need above physiological needs.
8. Food-Borne Pathogens - ANSWER Caused by •Improper food storage,
handling/preparation
9. •Consumption of raw foods that are commonly associated with illness
10.•Chemicals in the environment affecting the food
11.Vector-born pathogens - ANSWER Any disease given from an insect/animal.
Includes things like rabies, zika virus, malaria.
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,12.A nurse is providing discharge instructions to a client who has a prescription for
oxygen use at home. Which of the following information should the nurse
include? (select all that apply)
A. Family members who smoke must be at least 10 ft from the client
when oxygen is in use
B. Nail polish should not be used near a client who is receiving
oxygen.
C. A "No Smoking" sign should be placed on the front door.
D. Cotton bedding and clothing should be replaced with items made
from wool.
E. A fire extinguisher should be readily available in the home. -
ANSWER B, C, E
13.A nurse educator is presenting a module on basic first aid for newly licensed
home health nurses. The nurse educator evaluates the teaching as effective
when the newly licensed nurse states the client who has heat stroke will have
which of the following?
A. Hypotension
B. Bradycardia
C. Clammy skin
D. Bradypnea - ANSWER A
14.A nurse educator is conducting a parenting class for new guardians of infants.
Which of the following statements made by a participant indicates
understanding?
15.A I will set my water heater at 130 F
16.B. Once my baby can sit up they should be safe in the bathtub
17.C. I will place my baby on their stomach to sleep.
18.D. Once my infant starts to push up, I will remove the mobile from over the crib
- ANSWER D.
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, 19.A home health nurse is discussing the dangers of carbon monoxide poisoning
with a client. Which of the following information should the nurse include
A. Carbon monoxide has a distinct odor
B. Water heaters should be inspected every 5 years
C. the lungs are damaged from carbon monoxide inhalation
D. Carbon monoxide binds with hemoglobin in the body -
ANSWER D.
20.A home health nurse is discussing the dangers of food poisoning with a client.
Which of the following information should the nurse include? (Select all that
apply)
A. Most food poisoning is caused by a virus
B. Immunocompromised individuals are at increased risk for
complications from food poisoning
C. Clients who are at high risk should eat or drink only pasteurized
dairy products
D. Healthy individuals usually recover from the illness in a few
weeks.
E. Handling raw and fresh food separately can prevent food
poisoning - ANSWER B, C, E
21.A nurse is caring for multiple clients during a mass casualty event. Which of the
following clients is the nurse's priority?
A. A client who received crush injuries to the chest and abdomen
and is expected to die
B. A client who has a 4 inch laceration to the head
C. A client who has partial-thickness and full-thickness burns to his
face, neck and chest
D. A client who has a fractured fibula and tibia - ANSWER C
22.A nurse eduator is teaching staff members about facility protocol in the event of
a tornado. Which of the following should the nurse include? (select all that
apply)
A. Open doors to client rooms
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