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 an 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 is reinforcing teaching about strategies 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 left sided 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 following information should the nurse include in the weekly nursing care summary
Hydration status
11. A nurse is caring for a client who has a head injury. Using the Glasgow coma scale collection data, the nurse should obtain which of the following information
Motor response
12. A home health nurse is reinforcing teaching with a client about the use of elastic stockings to decrease peripheral edema. Which of the following instructions should the nurse include?
Apply stockings in the morning
13. A nurse in a providers office is obtaining a health history from a client who is scheduled to undergo a cardiac catheterization in 2 days. Which of the following questions is the nurse likely to ask?
Do you know if your allergic to iodine?
14. A nurse is planning to administer nystatin oral suspension to a client who has oral candiasis. Which of the following instructions should the nurse give to the client?
Hold the medication in your mouth for several minutes prior to swallowing
15. A nurse is preparing to care for the assigned clients on her upcoming shift. Which of the following time management strategies should the nurse plan to use?
Prepare a priority list of client needs for the shift
16. A nurse is preparing to witness a client who is scheduled for surgery sign an informed consent. Which of the following actions should the nurse take?
Ask the client if he understands the procedure
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