1. A nurse in a long term care facility notices a client who has alzheimers disease standing at the exit
doors at the end of the hallway. The clients
... [Show More] appears to be anxious and agitated. Which of the following
actions should the nurse take?
Escort the client to a quiet area on the nursing unit
2. A nurse is assisting with the plan of care for a client who has a continent urinary division. Which of the
following interventions should the nurse plan to implement to facilitate urinary elimination?
Use intermittent urinary catheterization for a client at regular intervals
3. A nurse is assisting with a educational program about car restraint safety for a group of parents. Which
of the following statements by a parent indicates an understanding of the instructions?
My 12 year old child should place the shoulder lap belt low across his hips
4. A nurse isreinforcing teaching aboutstrategies to promote eating with a client who has COPD. Which
of the following instructions should the nurse include in the teaching?
Drink high protein and high calorie nutritional supplements
5. A nurse is supervising an assistive personnel who is preparing to remove her personal protective
equipment after providing direct care to a client who requires airborne and contact precautions. The
nurse should recognize that the AP understands the procedure when she removes which of the following
PPE first?
Gloves
6. A nurse is caring for a client who is crying and states that his provider informed him that he has a
tumor and will need a biopsy. Which of the following responses should the nurse make?
What have you done in the past to help yourself get through stressful situations before?
7. A nurse is inspecting the skin of a newborn. Which of the following findings should the nurse report to
the provider
Generalized petechiae
8. A nurse is contributing to a teaching plan for a group of male adolescents about the adverse effects of
anabolic steroid use. Which of the following manifestations should the nurse include
Reduced height potential
9. A nurse is reinforcing teaching with an older adult client who has a severe leftsided heart failure.
Which of the following statements should the nurse make
Rest 15 minutes between activities
10. A nurse in a long term care facility is documenting the care of an older client. Which of the followi [Show Less]