1. A nurse isreaching a client and hisfamily how to care for the client’s tracheostomy at

home.Which of the following should the nurse include in the teaching?

a. Use tracheostomy coverswhen outdoors

2. A home health nurse is performing a follow-up visit for a client who has a gastrostomy tube

through which they receive intermittent feedings and medications. The client has recently

developed diarrhea. Which of the following findings should the nurse identify as a possible

causeof the diarrhea?

a. The client’s care giver washed out the feeding bag once every 24

hours with warmwater

3. A nurse is talking with an older adult client who is contemplating retirement. The client states,

“Ikeep thinking about how much I enjoy my job. I’m not sure I want to retire.” Which of the

following responses should the nurse make?

a. Let’stalk about howthe change in your hob statuswill affect you.

4. A nurse is assessing a client who reports increased pain following pt. Which of the

followingquestionsshould t15he nurse ask hen assessing the quality of the client’s pain?

a. Sharp & dull

5. A nurse is caring for a client who is expressing anger about his diagnosis of colorectal

cancer.Which of the following actions should the nurse take?

a. Reassure the client that thisis an expected response to grief.

6. A nurse on a medical-surgical unit is caring for a client who has a new prescription for

wristrestraints. Which of the following actions should the nurse take?

a. Pad the client’s wrist before applying the restraints

7. A nurse is performing a home safety assessment for a client who is receiving supplemental

oxygen. Which of the following observations should the nurse identify as proper safety

protocol?

a. The client uses no acetone nail polish remover.

8. Nurse caring for a client who has a respiratory infection. What technique should she use

whenpreforming nasotracheal suctioning?

a. Apply intermittentsuctionwhenwithdrawing the catheter.

9. Nurse is preparing for change ofshift. Which document or tools should the nurse use

tocommunicate?

a. SBAR

10. Nurse is planning care for a client who had a stroke. What should be assigned to the

assistivepersonal? (SATA)

a. -Assist the clientwith a partial bed bath.