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 appearsto 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 atregularintervals
3. A nurse is assisting with a educational program about carrestraintsafety 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 aboutstrategiesto 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 nutritionalsupplements
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 understandsthe procedure when she removes which of the following
PPE first?
Gloves
6. A nurse is caring for a client who is crying and statesthat 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 stressfulsituations before?
7. A nurse isinspecting the skin of a newborn. Which of the following findingsshould the nurse report to
the provider
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 appearsto 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 atregularintervals
3. A nurse is assisting with a educational program about carrestraintsafety for a group of parents. Which
of the following statements by a parent indicates an understanding of the instructions?
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
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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
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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 gasgow coma scale collection data,the
nurse should obtain which of the following information
Motorresponse
12. A home health nurse isreinforcing teaching with a client aboutthe use of elastic stockings to
decrease peripheral edema. Which of the following instructions should the nurse include?
Apply stockingsin the morning
13. A nurse in a providers office is obtaining a health history from a client who isscheduled to undergo a
cardiac catheterization in 2 days. Which of the following questions is the
Do you know if your allergic to iodine
14. A nurse is planning to administer nystatin oralsuspension 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 forseveral 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 isscheduled forsurgery sign a informed consent. Which
of the following actions should the nurse take?
Ask the client if he understandsthe procedure
17. A nurse in an inpatient mental health clinic is caring for a newly admitted client who has alcohol use
disorder. During a therapy session, the client asks about alcoholics anonymous. Which of the following
responses should the nurse make?
Whatis your current understanding about the purpose of AA
18. A nurse is assisting with the care of a client who is 2 days postop following a total knee arthroplasty.
Which of the following tasks should the nurse assign to an assistive personnel?
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