1. A nurse is planning care for a group of clients. Which of the following tasks
should the nurse delegate to an assistive personnel? - d. Providing
... [Show More] postmortem care
to a client
2. A nurse is conducting a health assessment for a client who takes herbal
supplements. Which of the following statements by the client indicates an
understanding of the use of the supplements? - C. I use ginger when I get car sick
3. A nurse is caring for a client who has influenza and isolation precautions in
place. Which of the following actions should the nurse take to prevent the spread
of infection? - A. Wear a mask when working within 3 feet of the client
4. A nurse obtains a prescription for wrist restraints for a client who is trying to
pull out his NG tube. Which of the following actions should the nurse take? - C.
Allow room for two fingers to fit between the clients skin and the restraints
5. A nurse is admitting a client who has tuberculosis. Which of the following types
of transmission precautions should the nurse plan to initiate? - A. Droplet
6. A nurse in a well-child clinic receives a telephone call from a parent who states
that their child accidentally swallowed paint thinner. The child is awake and alert.
Which of the following responses should the nurse make? - A. Have your child
drink one large glass of water.
7. A nurse is documenting a client's medical record. Which of the following entries
should the nurse record. - B. Administered pain medication
8. A nurse is providing oral care for a client who is unconscious. Which of the
following actions should the nurse take? - A. Place the client in a side-lying
position.
9. A nurse is collaborating with a risk management team about potential legal
issues involving client care. The nurse should identify which of the following
situations is an example of negligence? - C. A nurse begins a blood transfusion
without obtaining consent.10. A nurse is collecting a sputum specimen for culture from a client who has a
respiratory infection. Which of the following actions should the nurse take? - B.
Offer the client oral hygiene after the collection
11. A nurse is assessing an older client. Which of the following findings should the
nurse expect? - a. Decreased sense of balanced
12. A nurse is completing discharge teaching about ostomy care with a client who
has a new stoma. Which of the following instructions should the nurse include in
the teaching? (select all that apply) - a. "Cut the opening of the pouch 1⁄8 of an
inch larger than the stoma " YES
b. "Place a piece a gauze over the stoma while changing the pouch" YES
c. "Use povidone-iodine to clean around the stoma" YES
d. "Empty the ostomy pouch when it becomes one-third full of contents" YES
e. expect the stoma to turn a purple-blue color as its heals" NOPE
13. A nurse is preparing to obtain informed consent from a client who speaks a
different language than the nurse. Which of the following actions should the nurse
take? - c. "Offer written information in the client's language"
14. A nurse is teaching a client about home care equipment. Which of the
following information should the nurse include in the teaching? (select all that
apply)
d. "Keep the oxygen delivery system 0.6 m (2 feet) from any heat source" Nope
e. "Lay the oxygen tank flat when storing" Nope - a. "Avoid using wool blankets
when receiving oxygen"
b. check the O2 delivery rate at least once a day
c. align the middle of the ball in the flow meter with the line of the prescribed flow
rate
15. A nurse is planning care for a client who reports insomnia. Which of the
following actions should the nurse perform shortly before bedtime? - a. Provide a
late supper. [Show Less]