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 client 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 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?