QUESTIONS WITH CORRECT ANSWERS
100% VERIFIED GUARANTEED PASS
ALREADY GRADED A+
"A nurse in an acute mental health facility is caring for an
adolescent who is exhibiting
destructive behavior. Which of the following actions should the
nurse take after applying
physical restraints to the client?
a. Monitor the client's range of motion every 60 min.
b. Plan to remove the restraints as soon as the clients is calm
c. Offer the clients nutritious snack every 4 hr.
d. Ensure that the procedure has signed a prescription for
restrain within 48 hr. - CORRECT ANSWER=> b. Plan to remove the restraints as soon as the clients is
calm"
"A nurse in a mental health facility receives a change of shift
report on 4 clients. Which of the
following clients should the nurse plan to assess first?
1. A client placed in restraints for aggressive behavior
2. A new limited client presents history of 4.5kg weight loss in
the past two
months
3. Client is receiving a PRN dose of haloperidol two hours ago
for increased
anxiety
4. Client will receive his first ECT treatment today - CORRECT ANSWER=> 1. A client placed in restraints
for aggressive behavior"
"A nurse on a mental health unit is caring for a client who is
in restraints. Which of the
following actions should the nurse take?
-Check the client's status every hour.
-Document the client's behavior leading to the initiation of
restraints.
-Obtain written consent by the client for the placement of the
restraints.
-Release the client's restraints every 4 hr. - CORRECT ANSWER=> Check the client's status every hour."
Page | 1
,"A nurse is caring of a client who is confused and is trying to
pull out their IV catheter. After
attempting other measures to prevent the client from self-harm,
the nurse places wrist
restraints on the client. Which of the following actions should
the nurse take?
a. Remove the restraints from the client's wrists every 2 hr.
b. Fasten the restrains ties to the bed's side rail
c. Contact the provide within 48 hr. to obtain a prescription for
the restrain
d. Check that one finger will fit between the client's wrist and
the restraints - CORRECT ANSWER=> a. Remove the restraints from the client's wrists every 2 hr."
"The nurse delegates a task to an AP and the AP refuses to
complete the assigned
task. Which of the following actions should the nurse take? - CORRECT ANSWER=> Report the AP to
the risk manager"
"A nurse is preparing to delegate client care to an assistive
personnel AP. Which of the
following information should the nurse verify prior to
delegation?
a. The AP's years of experience
b. The client's length of facility stay
c. The client's age
d. The AP's job description - CORRECT ANSWER=> d. The AP's job description"
"A nurse in a long-term care facility is delegating care for a
group of clients for the
upcoming shift which of the following tasks the nurse delegate
to assistive personnel
(select all that apply) - CORRECT ANSWER=> -Measure vital signs for a client who requires contact
precaution,
-record urine output for a client who has a super pubic catheter, trees for
a client who is receiving radiation therapy to radiology"
"A nurse on a hospice unit is caring for a client who has
cancer and is in the active phase
of dying. Which of the following findings requires intervention
by the nurse?
a. Benzodiazepines are administered every 4hr
b. Supplemental oxygen in use
c. A family member remains at the client's bedside 24 hr. each
Page | 2
,day
d. An assistive personnel is encouraging intake of oral fluids - CORRECT ANSWER=> a. Benzodiazepines
are administered every 4hr"
"A nurse is caring for a client who is in stage kidney disease
the client has decided to
stop dialysis treatment which of the following actions should the
nurse take? - CORRECT ANSWER=> Support the client's decision and stop the treatment"
"A nurse is administering pancreatic enzymes to a child who
has cystic fibrosis. Which
of the following outcomes should the nurse expect as a
therapeutic effect of the treatment?
- Reduced fat in the stools
- Improved respiratory function
- Decreased sodium excretion
- Improved absorption of vitamins B and C - CORRECT ANSWER=> - Reduced fat in the stools"
"a nurse is assisting with care of a client who is receiving
chemotherapy and radiation for
advances breast cancer. The client states "I am thinking about
stopping the treatment. Which of
the following responses should the nurse make?
a. Tell me more about what are you thinking
b. I would feel the same way if I were you
c. You'll be cancer free after you complete your treatments
d. Why do you think that would be a good choice - CORRECT ANSWER=> a. Tell me more about what
are you thinking"
"A nurse determines that clients who receive zolpidem
postoperatively have an increased
fall rate compared to other postoperative clients. Which of the
following members of the
health care team should the nurse report these findings?
-The risk manager
-The pharmacist
-The case manager
-The surgeon - CORRECT ANSWER=> The risk manager"
"A nurse is caring for a client who has rheumatoid arthritis
and is having difficulty with
ADLs, such as cooking and eating. The nurse should ensure that
the client has a referral to
which of the following members of the interprofessional team?
Page | 3
, -Dentist
-Nutritionist
-Occupational therapist
-Alternative care provider - CORRECT ANSWER=> -Occupational therapist"
"A nurse is participating in an interprofessional client care
conference for a client who has
experienced a stroke. The nurse should identify that which of the
following client care issues
requires reporting to the interprofessional team?
a. The client requires reinforcement of teaching about the
purpose of his medication
b. The client is unable to grasp eating utensils
c. The client request to perform ADL's later in the day
d. The client tells the nurse he prefers a snack before bedtime - CORRECT ANSWER=> b. The client is
unable to grasp eating utensils"
"A nurse is contributing to the plan of care for a client who
has bipolar disorder and is
experiencing acute mania. Which of the following interventions
should the nurse include
in the
plan of care?
- Allow the client to establish his own schedule.
- Encourage the client to participate in group activities.
- Provide the client with high calorie finger foods.
- Check the client's vital signs every 4 hr. - CORRECT ANSWER=> - Provide the client with high calorie
finger foods."
".A nurse is caring for a client who has bipolar disorder and is
experiencing acute mania.
Which of the ff. actions should the nurse take? - CORRECT ANSWER=> Provide step-by-step
instructions for performing ADLs."
"A nurse is participating in an interprofessional care
conference for a client who has
alcohol use disorder. The nurse should collaborate with the
dietitian to Promote which of
the following dietary changes?
-Reduce daily intake of calories.
-Increases daily intake of thiamin- rich food.
-Eat three meals each day.
-limit foods that contain tyramine. - CORRECT ANSWER=> -Increases daily intake of thiamin- rich food."
Page | 4