r br
1PROCTOREDEXAM TESTBANK /ACTUAL LATEST
b
r b
r br br br
br UPDATE EXAM WITH 500+QUESTIONSANDCORRECT br br br b
r b
r b
r
DETAILEDANSWERS WITH RATIONALES b
r b
r br br br
A nurse is admitting a client who has pulmonary tuberculosis which of the following transmission based
br br br br br br br br br br br br br br br
precautions should the nurse initiate
br br br br br
{{Correct Ans- Airborne br br
A nurse in a mental health facility is preparing an educational program for a group of staff nurses about
br br br br br br br br br br br br br br br br br br
the proper use of restraints which of the following information should the nurse plan to include
br br br br br br br br br br br br br br br br
{{Correct Ans- An adult client may be in mechanical restraint for up to four hours
br br br br br br br br br br br br br br
A nurse is teaching sleep hygiene to a client who has insomnia which of the following statements should the
br br br br br br br br br br br br br br br br br br
nurse make
br br
{{Correct Ans- Exercise in the morning after araising
br br br br br br br
A nurse is preparing to leave the room of a client who is on isolation precautions which of the following
br br br br br br br br br br br br br br br br br br br
actions should the nurse take when removing a tight surgical Mask
br br br br br br br br br br br
{{Correct Ans- Remove the mask by securely holding the ties and moving it away from the face
br br br br br br br br br br br br br br br br
A nurse is caring for an adolescent client who is in critical condition following a motor vehicle crash in
br br br br br br br br br br br br br br br br br br
which he was a passenger. the clients parent Shouts at the Nurse asking why her son is dying instead of
br br br br br br br br br br br br br br br br br br br br
the driver which of the following actions should the nurse take to provide emotional support to the
br br br br br br br br br br br br br br br br br
parent
br
{{Correct Ans- Inform the parent that anger is a natural response when dealing with loss
br br br br br br br br br br br br br br
A community health nurse is planning prevention strategies for hypertension among members of our
br br br br br br br br br br br br br
community the nurse should identify that which of the following ethnic groups in the community is at
br br br br br br br br br br br br br br br br br
great risk for developing hypertension
br br br br br
{{Correct Ans- African Americans br br br
A community health nurse is planning interventions to promote healthy people 2020 initiatives in the
br br br br br br br br br br br br br br
community which of the following actions should the nurse plan to take first
br br br br br br br br br br br br br
{{Correct Ans- Determine the level of health equity among groups in the community
br br br br br br br br br br br br
A nurse is reviewing a clients new prescriptions that were just documented in the clients medical record
br br br br br br br br br br br br br br br br
by the provider which of the following abbreviation should the nurse clarify with the provider
br br br br br br br br br br br br br br br
,{{Correct Ans- Enoxaparin 40 mg sq qd br br br br br br
A nurse is talking with a client who has major depressive disorder the client states nobody cares if I'm
br br br br br br br br br br br br br br br br br br
around or not which of the following responses should the nurse night
br br br br br br br br br br br br
{{Correct Ans- It sounds as though you're feeling hopeless
br br br br br br br br
A nurse is preparing to administer a unit of packed red blood cells to a client in adherence with the joint
br br br br br br br br br br br br br br br br br br br br
commission national patient safety goals regarding blood administration which of the following actions
br br br br br br br br br br br br br
should the nurse plan to take
br br br br br br
{{Correct Ans- Verify the client and blood component using a two person process
br br br br br br br br br br br br
The nurse on a medical surgical unit is caring for a group of clients which of the following clients should
br br br br br br br br br br br br br br br br br br br
the nurse monitor for the development of reflex urinary incontinence
br br br br br br br br br br
{{Correct Ans- A client who has a T 12 spinal cord injury
br br br br br br br br br br br
A nurse is documenting and assessment in a clients electronica health record when an assistive personnel
br br br br br br br br br br br br br br br
asked to enter the morning blood glucose by the client which of the following actions should the nurse
br br br br br br br br br br br br br br br br br br
take
br
{{Correct Ans- Request that AP to use another computer to enter the data
br br br br br br br br br br br br
A nurse is preparing to administer acetaminophen 120 mg PO to a toddler Available is acetaminophen
br br br br br br br br br br br br br br br
drops 80 mg/0.8 ML. How many ML Should the nurse administer? Round to nearest tenth
br br br br br br br br br br br br br br br
{{Correct Ans- 1.2ml br br
A nurse is preparing to administer 0.9% sodium chloride 1000 ML over eight hours IV to a client the
br br br br br br br br br br br br br br br br br br
nurse should say the infusion infusion pump to deliver how many ML per hour round the answer to the
br br br br br br br br br br br br br br br br br br br
nearest whole number
br br br
{{Correct Ans- 125ml/hr br br
A nurse is providing teaching about nutrition management to the parent of an 18 month old toddler who
br br br br br br br br br br br br br br br br br
has phenylketonuria which of the following foods should the nurse recommend
br br br br br br br br br br br
{{Correct Ans- Baked potato br br br
A nurse is preparing to extinguish a small fire in a clients room which of the following actions should the
br br br br br br br br br br br br br br br br br br br
nurse take when using a fire extinguisher
br br br br br br br
{{Correct Ans- Slide the pin on top of the fire extinguisher to allow for use to extinguish the fire
br br br br br br br br br br br br br br br br br br
A nurse is planning meals for a client who practices Judaism and reports that she strictly adhere's to
br br br br br br br br br br br br br br br br br
Orthodox dietary laws the nurse should recognize that which of the following dietary practices applies to
br br br br br br br br br br br br br br br br
the clients beliefs
br br br
{{Correct Ans- The client is permitted to eat fish That have scales
br br br br br br br br br br br
,A nurse is caring for a client who has CDF infection and is incontinent of stool following long-term
br br br br br br br br br br br br br br br br br
antibiotic therapy. Which of the following actions should the nurse take?
br br br br br br br br br br br
{{Correct Ans- Wear a gown when providing care for the client
br br br br br br br br br br
A nurse is planning the menu for a client who practices seventh day Adventism which of the following
br br br br br br br br br br br br br br br br br
food selections should the nurse make
br br br br br br
{{Correct Ans- Scrambled eggs br br br
A nurse in a long-term facility discovers a small fire in a clients trashcan after moving the client to safety
br br br br br br br br br br br br br br br br br br br
which of the following actions should the nurse take next
br br br br br br br br br br
{{Correct Ans- Pull the alarm to notify emergency services
br br br br br br br br
A community health nurse is developing brochure about the use of smokeless tobacco which of the following
br br br br br br br br br br br br br br br br
information should the nurse plan to include
br br br br br br br
{{Correct Ans- Smokeless tobacco provide a higher dose of nicotine than cigarettes
br br br br br br br br br br br
A nurse is preparing to administer three medications to a client who has an NG tube a levothyroxine
br br br br br br br br br br br br br br br br br
tablet and ibuprofen gel cap and a delayed release omeprazole capsule which of the following actions
br br br br br br br br br br br br br br br br
should the nurse take
br br br br
{{Correct Ans- Chrush the levo thyroxine tablet into a powder and dissolve it in 30 ML's of of warm sterile
br br br br br br br br br br br br br br br br br br br
water
br
A nurse is caring for a child who has contact dermatitis due to poison ivy the parent asked the nurse how
br br br br br br br br br br br br br br br br br br br br
to prevent further reactions which of the following responses should the nurse make
br br br br br br br br br br br br br
{{Correct Ans- Wash your child's exposed clothing with hot water and detergent
br br br br br br br br br br br
A nurse is planning care for a client who has an indwelling urinary catheter which of the following
br br br br br br br br br br br br br br br br br
interventions should the nurse include in the plan to prevent the development of a catheter associated
br br br br br br br br br br br br br br br br
urinary tract infection
br br br
{{Correct Ans- Secure the catheter tubing to the clients leg
br br br br br br br br br
A nurse in a long-term care facility is admitting a new client following a brief stay in acute care in
br br br br br br br br br br br br br br br br br br br
adherence with the joint commission national patient safety goals regarding medication administration
br br br br br br br br br br br br
which of the following actions should the nurse take
br br br br br br br br br
{{Correct Ans- Compare a list of the clients current medications with the ones he will take in long-term
br br br br br br br br br br br br br br br br br
care
br
A nurse is creating a plan of care for a client who is non-ambulatory and has bladder and bowel
br br br br br br br br br br br br br br br br br br
incontinence which of the following interventions should the nurse include to prevent skin breakdown
br br br br br br br br br br br br br br
{{Correct Ans- Offered the client a glass of water every two hours when repositioning
br br br br br br br br br br br br br
, A home health nurse is providing teaching to the parent of a child who is receiving chemotherapy and
br br br br br br br br br br br br br br br br br
experiencing nausea which of the following statements shit the nurse make
br br br br br br br br br br br
{{Correct Ans- Have your child rest with his head elevated after meals
br br br br br br br br br br br
A nurse is caring for a client who has cancer and is planning discharge to home with hospice care which of
br br br br br br br br br br br br br br br br br br br br
the following statements by the client indicates that he is experiencing spiritual distress
br br br br br br br br br br br br br
{{Correct Ans- I wish God had not allowed this cancer to invade my body
br br br br br br br br br br br br br
A nurse is beginning nutrition counseling with a client who has a BMI of 34.2 which of the following
br br br br br br br br br br br br br br br br br br
questions should the nurse asked first to address the clients excessive nutrition and obesity
br br br br br br br br br br br br br br
{{Correct Ans- Are you ready to make a lifelong commitment to a healthier lifestyle
br br br br br br br br br br br br br
A nurse is administering Enoxaparin subcutaneously to a client who is post operative and is at risk of
br br br br br br br br br br br br br br br br br
thromboembolic event which of the following actions should the nurse take
br br br br br br br br br br br
{{Correct Ans- Pull up a small amount of skin using the thumb and forefinger of the non-dominant hand
br br br br br br br br br br br br br br br br br
A nurse is searching electronic data bases for clinical research about behavioral indicators of pain in an
br br br br br br br br br br br br br br br br
infant which of the following online sources should the nurse late to research this infant care issue
br br br br br br br br br br br br br br br br br
{{Correct Ans- Cumulative index to nursing and allied health literature
br br br br br br br br br
A nurse is planning to use an interpreter to assist her when interviewing a client who does not speak the
br br br br br br br br br br br br br br br br br br br
same language as the nurse which of the following actions should the nurse plan to take
br br br br br br br br br br br br br br br br
{{Correct Ans- Ensure the client and the interpreter are compatible
br br br br br br br br br
A nurse is planning a community health program about substance use disorders which of the following
br br br br br br br br br br br br br br br
information should the nurse include when discussing the guidelines for safety limits of alcohol
br br br br br br br br br br br br br br
consumption
br
{{Correct Ans- A healthy woman of any age should consume no more than seven drinks in a week
br br br br br br br br br br br br br br br br br
A nurse is caring for a client who is two day's post operative following an above the knee amputation the
br br br br br br br br br br br br br br br br br br br
client states he is experiencing a dull burning pain in the leg that was amputated which of the following
br br br br br br br br br br br br br br br br br br br
actions should the nurse take to treat the clients neuropathic pain
br br br br br br br br br br br
{{Correct Ans- And minister of Beto blocking medication to the client
br br br br br br br br br br
A nurse is developing a plan of care for an older adult client who is experiencing functional incontinence
br br br br br br br br br br br br br br br br br
following hip arthroplasty which of the following intervention should the nurse include
br br br br br br br br br br br br
{{Correct Ans- Please grab bars by the toilet
br br br br br br br
Which of the following statements shows understanding of the breast self-exam
br br br br br br br br br br
{{Correct Ans- I should expect to feel a firm ridge along the bottom curve of each breast
br br br br br br br br br br br br br br br br