1. A nurse is caring for a client who was admitted to a long term care facility for
rehab after a hip replacement. At which of the following times should
... [Show More] a nurse
begin discharge planning?
A. One week prior to discharge
B. Upon the client's admission to the care facility
C. Once the discharge date is identified
D. When the client addresses the topic with the nurse - B. Upon the client's
admission to the care facility
2. A nurse is caring for a client who is receiving mechanical ventilation via a
tracheotomy tube and has a gastrostomy tube for enteral feedings. Which pieces
of information are critical to communicate to the next nurse who will be caring for
this client?
A. Room temp.
B. New prescriptions
C. Number of visitors
D. ABG results
E. Tracheal secretion characteristics - B. New prescriptions
D. ABG results
E. Tracheal secretion characteristics
3. A client who reports SOB requests the nurse's help in changing positions. After
repositioning the client, which of the following actions should the nurse take
next?
A. Encourage the client to take deep breaths
B. Observe the rate, depth, and character of the client's respirations
C. Prepare to administer oxygen
D. Give the client a back rub to promote relaxation - B. Observe the rate,
depth, and character of the client's respirations
4. A nurse is reviewing measures to prevent back injuries with UAP. Which of the
following instructions should the nurse include?
A. Stand 3 ft from the client when assisting with lifting
B. Lock your knees when standing for long periods
C. Lift up to 22.6 kg (50 lbs) without the use of assistive devices
D. When lifting an object, spread your feet apart top provide a wide base of
support - D. When lifting an object, spread your feet apart top provide a
wide base of support
5. A nurse is inserting an IV catheter for a client that results in a blood spill on her
gloved hand. The client has no documented bloodstream infection. Which of the
following actions should the nurse take?
A. Wash the gloved hands and then throw away gloves
B. Prepare an incident report to document the eventC. Carefully remove the gloves and proceed with hand hygiene
D. Ask the provider to order a blood culture to determine the risk of infection -
C. Carefully remove the gloves and proceed with hand hygiene
6. A community health nurse is conducting a class about body mechanics for
county office workers. Which of the following instructions should the nurse
include?
A. Sit with your back supported
B. Keep your knees at hip level
C. Use an ergonomically designed computer keyboard
D. Keep your elbows away from your body
E. Adjust the monitor screen so that you have to tilt your head slightly to look
at it - A. Sit with your back supported
B. Keep your knees at hip level
C. Use an ergonomically designed computer keyboard
7. A nurse is conducting an admission interview with a client. Which of the following
pieces of assessment info should the nurse collect during the introductory phase
of the interview?
A. Client's level of comfort and ability to participate in the interview
B. Previous illnesses and surgeries
C. Events surrounds the client's recent illness
D. Sociocultural history - A. Client's level of comfort and ability to participate
in the interview
8. A nurse is assessing a client who is undergoing a physical exam. Following the
inspection, which of the following techniques should the nurse use when
assessing the client's abdomen?
A. Auscultation
B. Light Palpation
C. Percussion
D. Deep palpation - A. Auscultation
9. A nurse is employing a thorough, systematic method while obtaining objective
data about a client. Through which of the following methods should the nurse
collect this info?
A. Health History
B. Physical Exam
C. Review of Systems
D. Interview - B. Physical Exam
10.A nurse is teaching a client about lifestyle changes to manage a chronic illness.
Which of the following strategies should the nurse use to first help the client
make a commitment to these lifestyle changes?
A. Identify the risks of nonadherenceB. Schedule learning sessions to demonstrate the psychomotor skills the
client will need
C. Provide clearly written and easy-to-understand materials
D. Help the client identify ways that these changes will result in positive
personal outcomes - D. Help the client identify ways that these changes
will result in positive personal outcomes [Show Less]