ANSWERS – LATEST 2022!
A nurse is admitting a client who has pulmonary tuberculosis. Which of the following
transmission-based precautions should the nurse initiate
ANS
-Airborne
A nurse in a mental health facility is preparing an education program for a group of staff
nurses about the proper use of restraints. Which of the following information should the nurse
plan to include
ANS
-An adult client may be in a mechanical restraint for up to 4 hrs
A nurse is teaching sleep hygiene to a client who has insomnia. Which of the following
statements should the nurse make.
ANS
-Exercise in the morning after arising
A nurse is preparing to leave the room of a client who is on isolation precautions. Which of
the following actions should the nurse take when removing a tied surgical masks.
ANS
-Remove the mask by securely holding the ties and moving it away from the face.
A nurse is caring for an adolescent client who is in critical condition following a motor
vehicle crash in which he was the passenger. The client's parents shouts at the nurse, asking
why her son is dying instead of the driver. Which of the following actions should the nurse
take to provide emotional support to the parents.
ANS
-Inform the parent that anger is a natural response when dealing with loss
A community health nurse is planning prevention strategies for hypertension among members
of her community. The nurse should identify which of the following ethnic groups in the
community is at greatest risk of developing hypertension
ANS
-African Americans
A community health nurse is planning interventions to promote Health People 2020
initiatives in the community. Which of the following actions should the nurse plan to take
first.
ANS
-Determine the level of health equity among groups in the community
A nurse is reviewing a client's new prescriptions that were just documented in the client's
medical record by the provider
ANS
-Enoxaparin 40 mg SQ QD
, A nurse is talking with a client who has major depressive disorder. The client states, "Nobody
cares if I'm around or not." Which of the following responses should the nurse make.
ANS
-It sounds as though you're feeling hopeless
A nurse is preparing to administer a unit of packed RBCs to a client. In adherence with the
Joint Commission National Patient Safety Goals regarding blood administration, which of the
following actions should the nurse plan to take
ANS
-Verify the client and blood component using a two-person process
A nurse on a medical-surgical unit is caring for a group of clients. Which of the following
clients should the nurse monitor for the development of relax urinary incontinence
ANS
-A client who has a T12 spinal cord injury
A nurse is documenting an assessment in a client's electronic health record when an assistive
personnel (AP) asks to enter the morning blood glucose for the client. Which of the following
actions should the nurse take
ANS
-Request that the AP use another computer to enter the data
A nurse is preparing to administer acetaminophen 120 mg PO to a toddler. Available is
acetaminophen drops 80mg/0.8 mL. How many mL should the nurse administer
ANS
-1.2 mL
A nurse is preparing to administer 0.9% sodium chloride 1000 mL over 8 hr IV to a client.
The nurse should set the infusion pump to deliver how many mL/hr
ANS
-125
A nurse is providing teaching about nutrition management to the parent of an 18-month-old
toddler who has phenylketonuria. Which of the following foods should the nurse recommend
ANS
-Baked potato
A nurse is preparing to extinguish a small fire in a client's room. Which of the following
action should the nurse take when using the fire extinguisher
ANS
-Slide the pin on top of the fire extinguisher straight out
A nurse is planning meals for a client who practices Judaism and reports that she strictly
adheres to orthodox dietary laws. The nurse should recognize that which of the following
dietary practice applies to the client's beliefs
ANS
-The client is permitted to eat fish that have scales