QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED
A+(COMPLETE EXAM)
A nurse in an emergency department is performing triage for multiple clients following a disaster in
the community. To which of the following types of injuries should the nurse assign the highest
priority?
Below-the knee amputation Fractured tibia
95% full-thickness body burn
10cm (4in) laceration to the forearm - ...ANSWER...Below- the knee amputation
a nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines
should the nurse include?
Remove the client's restraint every 4hr Document the client's condition
every 15 min Attach the restrain to the bed's side rails
,Request a PRN restrain prescription for clients who are aggressive - ...ANSWER...Document the client's
condition every 15 min
A nurse is teaching an in-service about nursing leadership. Which of the following information should
the nurse include about an effective leader?
Acts as an advocate for the nursing unit.
(Unable to read) for the unit
Priorities staff request over client needs. Provides routine client care and
documentation. -
...ANSWER...Acts as an advocate for the nursing unit.
A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and reports that she
has been following her (unable to read) care. The nurse should identify which of the following findings
indicates a need to revise the client's plan of care.
Serum sodium 144 mEq/ (Unable to read)
Hba1c10%
Random serum glucose 190 mg/dl. - ...ANSWER...Hba1c10%
A nurse in a provider's office is reviewing the laboratory results of a group of clients. The nurse should
identify that which of the following sexually transmitted infections is a nationally notifiable infectious
disease that should be reported to the state health department?
Chlamydia
Human papillomavirus Candidiasis
Herps simplex virus - ...ANSWER...Chlamydia
,A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leading a group
on a mental health unit. Which of the following group facilitation techniques should the nurse include
in the teaching?
a. Share personal opinions to help influence the group's values
b. Measure the accomplishments of the group against a previous group
c. Yield in situations of conflicts to maintain group harmony
d. Use modeling to help the clients improve their interpersonal skills - ...ANSWER...d. Use modeling to
help the clients improve their interpersonal skills
A nurse is planning for a client who practices Orthodox Judaism. The client tells the nurse that
(Unable to read) Passover holiday. Which of the following action should the nurse include in the plan of
care?
a. Provide chicken with cream sauce.
b. Avoid serving fish with fins and scales.
c. Provide unleavened bread.
d. Avoid serving foods containing lamb. - ...ANSWER...c. Provide unleavened bread.
A nurse is caring for a client who has a pulmonary embolism. The nurse should identify the
effectiveness of the treatment A chest x-ray reveals increased density in all fields.
The client reports feeling less anxious.
Diminished breath sounds are auscultated bilaterally
ABG results include Ph 7.48 PaO2 77 mm Hg and PaCO2 47 mm Hg. - ...ANSWER...The client reports
feeling less anxious.
A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam
tablets (Unable to read) a
, respiratory rate of 10/min. After securing the client's airway and initiating an IV, which of the following
actions should the nurse do next.
Monitor the client's IV site for thrombophlebitis. Administer flumazenil to the
client.
Evaluate the client for further suicidal behavior. Initiate seizure precautions for
the client. -
...ANSWER...Administer flumazenil to the client.
A nurse in an emergency department is caring for a client who reports cocaine use 1hr ago. Which of
the following findings should the nurse expect?
Hypotension
Memory loss Slurred speech
Elevated temperature - ...ANSWER...Elevated temperature
A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following
manifestations should the nurse expect?
A. Loose stools
B. Jitteriness
C. Hypertonia
D. Abdominal distention - ...ANSWER...B. Jitteriness
A nurse in a pediatric clinic is reviewing the laboratory test results of a school age child. Which of the
following findings should the nurse report to the provider?
Hgb 12.5 g/dl Platelets 250,000/mm3
Hct 40%
WBC 14,000/mm3 - ...ANSWER...WBC 14,000/mm3