RN comprehensive online practice
2019/2022a
A nurse is planning care for a client who is receiving heparin to treat a deep-vein
thrombosis of the
... [Show More] left lower leg. Which interventions should the nurse include in the
plan of care?
maintain the client on bed rest
restrict the client to 1 L of fluid per day
place cool compresses on the edematous area
elevate the affected leg - Answer- elevate the affected leg
the nurse should elevate the client's affected extremity to reduce edema and
decrease the risk of chronic venous insufficiency
A nurse is teaching a group of guardians about child safety measures. Which of the
following statements by a guardian indicates an understanding of the teaching?
I will make sure my 4 year old child wears a helmet when using a skateboard
I should have my child avoid sun exposure between 10 am and 2 pm
I can give my 2 year old child a whole hotdog on a bun
When my infant is in the carrier, I will place it on a raised, flat surface whenever
possible - Answer- I should have my child avoid sun exposure between 10 am and 2
pm
To prevent sunburns, guardians should apply sunscreen, dress their child in
protective clothing, and avoid sun exposure between 1000 and 1400
A home health nurse is providing teaching about infection prevention to a client who
has cancer and receiving chemotherapy. Which of the following statements by the
client indicates an understanding of the teaching?
I will leave my drinking water out of my refrigerator for at least 1 hour so it will be
room temperature
I will clean my toothbrush in my dishwasher once each month
I will take my temperature once each week and let my doctor know if it is high
I will walk short distances throughout the day - Answer- I will walk for short distances
throughout the day
The client should ambulate for short distances as tolerated throughout the day. This
will help reduce pulmonary stasis and prevent the development of respiratory
infections
A nurse is providing dietary teaching to the parents of a 6-month old infant. Which of
the following instructions should the nurse include?
Provide the infant with 1 cup of cereal
Give the infant 240 mL (8 oz) of juice per day
Introduce new foods one at a time over 5 to 7 days
Give whole milk first, then small amounts of solid food - Answer- Introduce new
foods one at a time over 5 to 7 days
The parents should introduce new foods one at a time over 5 to 7 days to identify
potential food allergies
A charge nurse is planning care for a client who has mechanical restraints in place.
Which of the following interventions should the nurse include in the plan?
Remove the client's restraints while sleeping
Document the client's status every 60 min
Check for a new prescription every 6 hours
Provide a staff member to stay with the client continuously - Answer- Provide a staff
member to stay with the client continuously
A staff member must remain continuously with a client who is in restraints or view the
client via audiovisual equipment if necessary due to the risk of injury
A community health nurse is assisting with the development of a disaster
management plan. The nurse should include which of the following nursing
responsibilities in the disaster response stage of the plan?
Performing a rapid needs assessment
Organizing an immunization campaign
Identifying the specific roles of disaster workers
Conducting home visits to identify health hazards - Answer- Performing a rapid
needs assessment
Disaster management includes prevention, preparedness, response, and recovery
stages. The nurse should perform a rapid needs assessment during the response
phase of the disaster cycle. A rapid needs assessment allows the nurse to identify
the severity of the incident, the health needs of the community, and the priority
actions needed during the response stage
A nurse manager is assisting with the orientation of a newly licensed nurse. Which of
the following actions by the nurse requires the nurse manager to intervene?
Informs the provider about a client's suicide plan
Notifies the health department of a client's diagnosis of chlamydia
Reports suspected child maltreatment to social services
Tells the hospital chaplain a client's diagnosis - Answer- Tells the hospital chaplain a
client's diagnosis
Discussing a client's diagnosis with the hospital chaplain is a breach of client
confidentiality and a violation of HIPPA...... [Show Less]