PRACTICE TEST A 2023 EXAM 2025
ORGANIZED QUESTIONS ,FULLY
SOLVED,STEP BY STEP EXPERT
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A simple face mask can be adjusted for short-term delivery of
low to medium oxygen concentration.
A nasal cannula provides a low oxygen concentration.
A charge nurse smells smoke, enters the visitor restroom, and
sees flames in the trash can. What is the sequence of actions
that the nurse should take? (Move the steps into the box on the
right, placing them in the selected order of performance. Use all
the steps.) - THE CORRECT ANSWER-Evacuate clients from the area is
the first step.
Rationality: The first action the nurse should take when using
the RACE protocol is to "rescue" or evacuate the clients from
the area to prevent harm.
Pull the lever on the fire alarm box is the second step.
,Rationality: For the next step, "alarm," the nurse should
activate the facility fire alarm and call to report the fire to the
facility emergency extension.
Close the fire doors on the unit is the third step.
Rationality: Close the fire doors on the unit is the third step.
For the third step, "confine," the nurse should close the unit fire
doors to prevent the fire from spreading.
Use a fire extinguisher to put out the fire is the fourth step.
Rationality: For the final step, "extinguish," the nurse should
use a fire extinguisher to put out the fire by aiming the nozzle at
the base of the fire and using a sweeping motion.
A nurse is caring for a client who has metastatic cancer and
practices Catholicism. The client asks the nurse to discuss the
afterlife with them. Which of the following statements by the
nurse assists in meeting the client's spiritual needs? - THE CORRECT
ANSWER-"Tell me what the afterlife means to you."
Rationale: This statement respects the client's spiritual needs
by using open-ended therapeutic communication to assist the
client to talk about their concerns.
A nurse is reinforcing teaching with a client about the
prevention of stress injuries. Which of the following
,instructions should the nurse include? - THE CORRECT ANSWER-
"When lifting a heavy object, keep it close to your body."
Rationality: The nurse should instruct the client to keep the
object as close to their body as possible to increase stability and
decrease back strain when lifting a heavy object.
A nurse is reinforcing teaching with a client about the use of
crutches. Which of the following actions by the client indicates
an understanding of the teaching? - THE CORRECT ANSWER-The
client advances the unaffected leg first while climbing stairs.
Rationality: When ascending stairs, the client should first
advance the unaffected leg.
The nurse should reinforce with the client that their axilla
should not bear any weight while in the tripod position because
this can cause pressure injury formation. The client should bear
their weight with their arms and hands.
A client who has advanced cancer tells the nurse that they have
a difficult time talking to anyone about the illness. Which of the
following actions should the nurse take to encourage
therapeutic communication? - THE CORRECT ANSWER-Let the client
know that, as their nurse, they are available and willing to
listen.
- Rationality: Active listening conveys the nurse's respect and
acceptance for the client's feelings and gives the client an
opportunity to express their thoughts and needs.
, A nurse is preparing to remove a client's peripheral IV catheter.
After performing hand hygiene and applying clean gloves,
which of the following actions should the nurse take first? - THE
CORRECT ANSWER-Clamp the infusion tubing.
Rationality: Evidence-based practice indicates that the nurse
should first clamp the infusion tubing after applying clean
gloves. This action stops the flow of the IV fluid and prevents it
from leaking out during the IV removal.
A nurse is contributing to the plan of care for a client who has a
positive throat culture for streptococci. Which of the following
interventions should the nurse recommend to be included in
the plan of care? - THE CORRECT ANSWER-Ensure that the client
wears a surgical mask during transportation throughout the
facility.
rationality:
Streptococcal pharyngitis requires droplet precautions. The
nurse should instruct the client to wear a surgical mask when
outside of the room to prevent the spread of infection. Staff
should make every attempt to limit the client's movement
outside of the room.
The nurse should provide a room with negative-pressure
airflow for clients who require airborne precautions.
A nurse is caring for a client who has just died and practiced the
Islamic faith. Which of the following cultural practices should