graded A+
A client was sexually assaulted when returning home from the store late one evening. The client
arrives, tearful, to the emergency department. What is the priority intervention for this client? -
correct answer ✔✔ Remaining with the client and assisting the client through the crisis
The parents of a 10-year-old child recently diagnosed with asthma ask if the child can continue
to play sports. Which response is most appropriate? - correct answer ✔✔ "Physical activity and
sports are encouraged as long as the asthma is under control."
A new graduate nurse asks the nurse mentor what is a good guideline to help nurses effectively
avoid liability. How does the nurse mentor appropriately respond? - correct answer ✔✔
"Practice within the scope of the Nurse Practice Act."
Which task can a licensed practical nurse (LPN) safely delegate to a nursing assistant? - correct
answer ✔✔ Turning a client every 2 hours
Parents of a 10-year-old obese client ask the nurse how to encourage good eating habits in their
child. Which response by the nurse is best? - correct answer ✔✔ "Encourage your child to
actively participate in meal planning and preparation."
The nurse is teaching child safety to the parents of a 6-month-old who's beginning to crawl.
Which point should the nurse include in her teaching? - correct answer ✔✔ Keeping furniture
with sharp corners out of the area where the infant crawls
A baby undergoes surgery to correct an esophageal atresia and tracheoesophageal fistula.
Which nursing diagnosis has the highest priority during the first 24 hours postoperatively? -
correct answer ✔✔ Ineffective airway clearance
, The nurse is changing a dressing and providing wound care. Which activity should she perform
first? - correct answer ✔✔ Wash her hands thoroughly.
The nurse is reinforcing education to parents of a child prescribed sulfamethoxazole-
trimethoprim for a urinary tract infection. What education should the nurse include? - correct
answer ✔✔ "Make sure your child takes the medication for 10 days even if his symptoms
improve in a few days."
The physician prescribes meperidine, 75 mg I.M. every 4 hours as needed, to control a client's
postoperative pain. The package insert reads: "Meperidine, 100 mg/ml." How many milliliters of
meperidine should the client receive? - correct answer ✔✔ 0.75
Before administering digoxin to a client, a nurse reviews information about the drug. She learns
that after digoxin is metabolized, the body eliminates remaining digoxin as unchanged drug by
way of the: - correct answer ✔✔ kidneys.
A client with Alzheimer's disease has a nursing diagnosis of Imbalanced nutrition: less than body
requirements related to forgetfulness. What nursing intervention should be included in the care
plan to encourage adequate nutritional intake for this client? - correct answer ✔✔ Stay with the
client and encourage him or her to eat.
A child, age 2, with a history of recurrent ear infections is brought to the clinic with a fever and
irritability. To elicit the most pertinent information about the child's ear problems, the nurse
should ask the parent: - correct answer ✔✔ "Does your child tug at either ear?"
The licensed practical nurse (LPN) prepares a client's regularly scheduled prescribed
medications. The client refuses to take them. Which action should the LPN take? - correct
answer ✔✔ Document in the client's medication administration record that the medications
were refused.