Green Light LATEST EXAM |ALL QUESTIONS AND CORRECT VERIFIED AN
SWERS|100% GUARANTEED TO PASS!|ALREADY GRADED A+/BRAND NE
VERSION
Study online at https://quizlet.com/_h4uotl
1. a nurse in the recovery room is assessing a client who b) the tubing may be
has a new chest tube. The nurse finds that the water kinked
seal is no longer tidaling. The nurse should identify the
finding as resulting from whcih of the following?
a) an air leak noted at the insertion site
b) the tubing may be kinked
c) water needs to be added to the suction-control
chamber
d) the section is set too low
2. A nurse in a residential mental health facility is plan- b) Gradually decrease the
ning care for a new client who has obsessive compul- time allowed for ritualistic
sive disorder (OCD). Which of the following is appropri- behavior
ate for the nurse to include in the plan of care?
a) Work with the client to create a flexible daily sched-
ule.
b) Gradually decrease the time allowed for ritualistic
behavior
c) Offer solutions to assist in problem solving
d) Teach the client to meditate about obsessive
thoughts.
3. A nurse is assessing a client 1 week after a successful c) Graft-versus-host dis-
bone marrow transplant. The client reports peeling of ease
skin on her hands and feet. The nurse should recog-
nize this desquamation as an indication of which of the
following complications? a) Failure to engraft
b) Veno-occlusive disease
c) Graft-versus-host disease
d) Pancytopenia
1/9
, Green Light LATEST EXAM |ALL QUESTIONS AND CORRECT VERIFIED AN
SWERS|100% GUARANTEED TO PASS!|ALREADY GRADED A+/BRAND NE
VERSION
Study online at https://quizlet.com/_h4uotl
4. A home health nurse is assessing a client who reports a) Take the client outdoors.
a headache and appears confused and drowsy. The
client has a kerosene space heater in use. Which of the
following actions should the nurse take first?
a) Take the client outdoors.
b) Wrap blankets around the client.
c) Loosen the client's clothing.
d) Open the client's windows.
5. A nurse on a labor and delivery unit is assessing four d) A client who is at
newly admitted clients. Which of the following clients 36 weeks of gestation
should the nurse see first? and reports decreased fe-
a) A client who is at 38 weeks of gestation and reports tal movement for 2 days
irregular uterine contractions
b) A client who is at 39 weeks of gestation and is sched-
uled for a weekly nonstress test (NST)
c) A client who is at 40 weeks of gestation and is sched-
uled for an induction of labor
d) A client who is at 36 weeks of gestation and reports
decreased fetal movement for 2 days
6. A nurse is caring for a group of clients. Which of the fol- b) Measuring I&O for a
lowing tasks should the nurse delegate to an assistive client who is receiving par-
personnel? (Select all that apply.) enteral nutrition
a) Changing a dressing for a client who has a stage 3 c) Transferring a client
pressure injury from a bed to a chair with
b) Measuring I&O for a client who is receiving par- a mechanical lift
enteral nutrition d) Providing postmortem
c) Transferring a client from a bed to a chair with a
2/9
SWERS|100% GUARANTEED TO PASS!|ALREADY GRADED A+/BRAND NE
VERSION
Study online at https://quizlet.com/_h4uotl
1. a nurse in the recovery room is assessing a client who b) the tubing may be
has a new chest tube. The nurse finds that the water kinked
seal is no longer tidaling. The nurse should identify the
finding as resulting from whcih of the following?
a) an air leak noted at the insertion site
b) the tubing may be kinked
c) water needs to be added to the suction-control
chamber
d) the section is set too low
2. A nurse in a residential mental health facility is plan- b) Gradually decrease the
ning care for a new client who has obsessive compul- time allowed for ritualistic
sive disorder (OCD). Which of the following is appropri- behavior
ate for the nurse to include in the plan of care?
a) Work with the client to create a flexible daily sched-
ule.
b) Gradually decrease the time allowed for ritualistic
behavior
c) Offer solutions to assist in problem solving
d) Teach the client to meditate about obsessive
thoughts.
3. A nurse is assessing a client 1 week after a successful c) Graft-versus-host dis-
bone marrow transplant. The client reports peeling of ease
skin on her hands and feet. The nurse should recog-
nize this desquamation as an indication of which of the
following complications? a) Failure to engraft
b) Veno-occlusive disease
c) Graft-versus-host disease
d) Pancytopenia
1/9
, Green Light LATEST EXAM |ALL QUESTIONS AND CORRECT VERIFIED AN
SWERS|100% GUARANTEED TO PASS!|ALREADY GRADED A+/BRAND NE
VERSION
Study online at https://quizlet.com/_h4uotl
4. A home health nurse is assessing a client who reports a) Take the client outdoors.
a headache and appears confused and drowsy. The
client has a kerosene space heater in use. Which of the
following actions should the nurse take first?
a) Take the client outdoors.
b) Wrap blankets around the client.
c) Loosen the client's clothing.
d) Open the client's windows.
5. A nurse on a labor and delivery unit is assessing four d) A client who is at
newly admitted clients. Which of the following clients 36 weeks of gestation
should the nurse see first? and reports decreased fe-
a) A client who is at 38 weeks of gestation and reports tal movement for 2 days
irregular uterine contractions
b) A client who is at 39 weeks of gestation and is sched-
uled for a weekly nonstress test (NST)
c) A client who is at 40 weeks of gestation and is sched-
uled for an induction of labor
d) A client who is at 36 weeks of gestation and reports
decreased fetal movement for 2 days
6. A nurse is caring for a group of clients. Which of the fol- b) Measuring I&O for a
lowing tasks should the nurse delegate to an assistive client who is receiving par-
personnel? (Select all that apply.) enteral nutrition
a) Changing a dressing for a client who has a stage 3 c) Transferring a client
pressure injury from a bed to a chair with
b) Measuring I&O for a client who is receiving par- a mechanical lift
enteral nutrition d) Providing postmortem
c) Transferring a client from a bed to a chair with a
2/9
