A nurse is assisting with the plan of care for Assist a client to get out of bed after breathing treatment.
four clients . Which of the following tasks
should the nurse assign to an assistive
personnel (AP)?
A nurse is reinforcing teaching with a client The client advance the unaffected legs first while climbing stairs
about the use of crutches. Which of the
following actions by the client indicates an
understanding of the teaching?
A nurse is preparing to remove a client's Clamp the infusion tubing.
peripheral IV catheter. After performing hand
hygiene and applying clean gloves, which of
the following actions should the nurse take
first?
A nurse is reinforcing teaching with a client The living will direct my medical care when I am unable to make
about living wills, Which of the following clients decision".
statements indicates an understanding of the
teaching?
A nurse is contributing to the plan of care for a Ensure that the client wears a surgical mask during transportation
client who has a positive throat culture for throughout the facility.
streptococci. Which of the following
interventions should the nurse recommend to
be included in the plane of care?
A nurse is caring for a client who has an Drain urine from the tubing before ambulation.
indwelling urinary catheter. Which of the
following actions should the nurse take to
prevent urinary tract infection.
A nurse at a long term care facility is caring for Speak with the clients about their condition after visitors have left.
a client who is alert. Which of the following
actions should the nurse take to protect the
clients privacy?
,A nurse is reinforcing preoperative teaching Provide handouts written in the client's primary language.
with a client who speaks a different language
than the nurse. Which of the following in
actions should the nurse take?
A nurse is taking notes of clients' information Shred the paper in a secure container.
on a piece of paper while receiving a report.
Which of the following actions should the
nurse take to dispose of the paper?
A nurse is reinforcing teaching with a client Precontemplation
about smoking cessation. Which of the
following should the nurse identify as the first
stage of health behavior change?
A nurse is collecting data from a client who Positive Chvostek's sign
has an NG tube set to low intermittent suction.
Which of the following findings indicates
hypomagnesemia?
A charge nurse is reinforcing teaching with an Remove polish from the client's fingernail before applying the
assistive personnel (AP) about performing oximetry probe
pulse oximetry. Which of the following
information should the nurse include in the
teaching?
A nurse is collecting data on four clients. Urine output of 200 mL over 8 hr
Which of the following findings should the
nurse report to the provider?
A nurse is assisting with the care of a recently - Clean soiled areas of the body
deceased client. Which of the following actions
should the nurse complete prior to the family
viewing the body?
, A nurse is explaining ethics and values to a Autonomy
newly licensed nurse. The nurse should
explain that allowing a client to make a
decision about a treatment is an example of
which of the following ethical principles?
A nurse is planning to perform wound irrigation Administer an analgesic 30 min before starting the procedure.
for a client who has a large abdominal wound.
Which of the following actions should the
nurse plan to take?
A nurse is assisting with the admission of a Assign the client to a negative- pressure airflow room
client who has active tuberculosis. Which of
the following actions should the nurse plan to
take?
A nurse is reinforcing teaching with a client When lifting a heavy object, keep it close to your body."
about the prevention of stress injuries. Which
of the following instructions should the nurse
include?
A nurse is assisting with a presentation to a Circulation become less efficient with age
group of older adults at a community center
about hypothermia and hyperthermia. Which
of the following information should the nurse
include about age-related change?
A nurse is caring for a client who has COPD. Breath sounds, blood pressure, oxygen saturation
Which three findings that require follow-up?
A nurse is reinforcing teaching about health Young adults should receive a dental assessment every 6 months
promotion with a group of young adult clients.
Which of the following information should the
nurse include?
four clients . Which of the following tasks
should the nurse assign to an assistive
personnel (AP)?
A nurse is reinforcing teaching with a client The client advance the unaffected legs first while climbing stairs
about the use of crutches. Which of the
following actions by the client indicates an
understanding of the teaching?
A nurse is preparing to remove a client's Clamp the infusion tubing.
peripheral IV catheter. After performing hand
hygiene and applying clean gloves, which of
the following actions should the nurse take
first?
A nurse is reinforcing teaching with a client The living will direct my medical care when I am unable to make
about living wills, Which of the following clients decision".
statements indicates an understanding of the
teaching?
A nurse is contributing to the plan of care for a Ensure that the client wears a surgical mask during transportation
client who has a positive throat culture for throughout the facility.
streptococci. Which of the following
interventions should the nurse recommend to
be included in the plane of care?
A nurse is caring for a client who has an Drain urine from the tubing before ambulation.
indwelling urinary catheter. Which of the
following actions should the nurse take to
prevent urinary tract infection.
A nurse at a long term care facility is caring for Speak with the clients about their condition after visitors have left.
a client who is alert. Which of the following
actions should the nurse take to protect the
clients privacy?
,A nurse is reinforcing preoperative teaching Provide handouts written in the client's primary language.
with a client who speaks a different language
than the nurse. Which of the following in
actions should the nurse take?
A nurse is taking notes of clients' information Shred the paper in a secure container.
on a piece of paper while receiving a report.
Which of the following actions should the
nurse take to dispose of the paper?
A nurse is reinforcing teaching with a client Precontemplation
about smoking cessation. Which of the
following should the nurse identify as the first
stage of health behavior change?
A nurse is collecting data from a client who Positive Chvostek's sign
has an NG tube set to low intermittent suction.
Which of the following findings indicates
hypomagnesemia?
A charge nurse is reinforcing teaching with an Remove polish from the client's fingernail before applying the
assistive personnel (AP) about performing oximetry probe
pulse oximetry. Which of the following
information should the nurse include in the
teaching?
A nurse is collecting data on four clients. Urine output of 200 mL over 8 hr
Which of the following findings should the
nurse report to the provider?
A nurse is assisting with the care of a recently - Clean soiled areas of the body
deceased client. Which of the following actions
should the nurse complete prior to the family
viewing the body?
, A nurse is explaining ethics and values to a Autonomy
newly licensed nurse. The nurse should
explain that allowing a client to make a
decision about a treatment is an example of
which of the following ethical principles?
A nurse is planning to perform wound irrigation Administer an analgesic 30 min before starting the procedure.
for a client who has a large abdominal wound.
Which of the following actions should the
nurse plan to take?
A nurse is assisting with the admission of a Assign the client to a negative- pressure airflow room
client who has active tuberculosis. Which of
the following actions should the nurse plan to
take?
A nurse is reinforcing teaching with a client When lifting a heavy object, keep it close to your body."
about the prevention of stress injuries. Which
of the following instructions should the nurse
include?
A nurse is assisting with a presentation to a Circulation become less efficient with age
group of older adults at a community center
about hypothermia and hyperthermia. Which
of the following information should the nurse
include about age-related change?
A nurse is caring for a client who has COPD. Breath sounds, blood pressure, oxygen saturation
Which three findings that require follow-up?
A nurse is reinforcing teaching about health Young adults should receive a dental assessment every 6 months
promotion with a group of young adult clients.
Which of the following information should the
nurse include?
