Questions And Answers
/.respite care allows the primary caregiver time away from day-to-day care
responsibilities - Answer-✅a nurse is planning to discharge a client who has
quadriplegia to his home. the nurse suggests that the family might need respite care
services. when a family member asks how respite care can help, which response
should the nurse provide?
/.a client who requires placement in an assisted living facility
a pt who requests to secure an emergency notification system in the home
a pt who requests to get school assignments while hospitalized on a pediatric unit -
Answer-✅a nurse is caring for a group of pts. which of the following clients should the
nurse refer to a social worker?
/.low self-esteem
family history of addiction
personality disorders - Answer-✅a charge nurse is preparing an educational session
about addictive disorders for nursing staff. which of the following should the nurse
include as an etiological factor of addictive disorder?
/.seek assistance from a facility-approved interpreter - Answer-✅a nurse is reinforcing
teaching about self-care with a pt who has pelvic inflammatory disease. the pt does not
speak English, what action by the nurse is appropriate
/.choose the highest level of protection equipment available - Answer-✅a nurse is
among the first responders to a mass-causality incident and does not know what type of
personal protective equipment (PPE) is needed. which of the following actions should
the nurse take?
/.i have not received any of my medications today - Answer-✅a nurse is supervising a
LPN who is providing care to a pt who is postoperative. which of the following
statements by the pt requires the nurse to follow up with the PN?
/.airway obstruction - Answer-✅a nurse in the emergency department is caring for a pt
who has extensive partial and full-thickness burns of the head, neck , chest. while
planning the pts care, the nurse should identify which of the following risks as the
priority for assessment and intervention
/.smallpox
anthrax
, botulism - Answer-✅a nurse is planning a staff education session regarding biological
weapons of mass destruction. what should he plan to include in the session
/.quietly tell the APs that this is not appropriate - Answer-✅a nurse overhears 2 APs
from the med surg unit discussing a hospitalized pt while in the cafeteria, what action
should be taken
/.the pt should provide permission to share the records with you - Answer-✅a nurse is
caring for a pt whose family member requests to view the pt's medical record. what
response should the nurse make
/.check on the pt hourly
instruct the pt to use the call light
apply an ambulation alarm to the pt's leg - Answer-✅a nurse is caring for an OA pt who
is disoriented and has a history of falls, what actions should the nurse take
/.give positive feedback directly to the AP - Answer-✅a charge nurse is working with an
AP who provides excellent care to pts and is an effective team member. what action
shoudl the nurse take first to recognize the APs contributions to pt care
/.encourage short periods of ambulation - Answer-✅a nurse is planning care for a pt
who has hepatitis B, what interventions should the nurse include in the plan
/.reinforcing teaching to a pt to begin taking enoxaparin at home following a hip
arthroplasty - Answer-✅a nurse is planning care for 4 clients and is assigning tasks to a
LPN, and an AP, what should be assigned to the LPN
/.a pt asking about his PCA pump that contains morphine - Answer-✅a nurse is
assigned a group of pts at the start of the shift. what client should the nurse care for first
/.remove the pt from the room
activate the fire alarm
close the door
extinguish the fire - Answer-✅a nurse in a long-term care facility enters the day room
and finds the window curtains on fire, what is the order of emergency actions
/.check the pt's vital signs - Answer-✅a nurse is caring for four pts, after administering
morning meds, she realizes that the nifedipine prescribed for one pt was inadvertently
administered to another pt, what actions should the nurse take first
/.obtain vital signs - Answer-✅an AP reports to the nurse that a pt who is 3 days
postoperative following an abdominal hysterectomy has a dressing that is saturated with
blood, what tasks should the nurse delegate to the AP?