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VERIFIED QUESTIONS AND ANSWERS l l l
1. A client who is nonambulatory notifies the nurse that his trash can is on fire. After the n
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urse confirms the presence of the fire, which of the followingactions should the nurse take
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l next?
a. Activate the emergency fire alarm l l l l
b. Extinguish the fire l l
c. Evacuate the client l l
d. Confine the fire l l
ANS c.Evacuate the client
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2. A charge nurse is observing a newly hired nurse prepare a sterile field for a dressing cha
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nge.Which of the following actions by the newly license nurserequiresintervention bythec
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hargenurse? l
ANS Thenewlylicensednurseplacesthecap of a bottle of sterile saline solution on the sterile field.
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,3. A community health nurse is checking BP for a group of clients at a com-
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l munity health screening.Which of the following clients is at an increased riskfor hypertens
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ion?
a. A client who is 52 years old
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b. A client who smokes one pack of cigarettes each day
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c. A client who walks for 30 mins a day
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d. A client who drinks one glass of wine 3x a week
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ANS b.A client who smokes onepack of cigarettes each day
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4. A home health nurse is completing an admission assessment of an olderadult client wh
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o has their caregiver present.Which of the following findingsshould the nurse identify as
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a potential indication of elder abuse?
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a. The caregiver is the client's financial power of attorney
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b. The client is in a wheelchair with the wheels locked
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c. The client reports receiving a full bath twice each week
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d. The caregiver insists on remaining in the room
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ANS d.The caregiver insists onremaining in the room.
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5. A middle adult client tells the nurse,"i feel so useless now that my childrendo not need me
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, anymore."Which of the following responses should the nursemake?
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ANS "People in middle adulthood often find satisfaction in nurturing and guidingyoung people."
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6. A nurse enters a client's room and finds her on the floor. The client's roommate reports t
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hat the client was trying to get out of bed and fell over theside rail onto the floor. Which of the
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l following statements should the nurse document about this incident?
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a. "Incident report completed" l l
b. "Client climbed over the side rails"
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c. "Client found lying on floor" l l l l
d. "Client was trying to get out of bed"
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ANS c."Client found lying on floor"
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