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ATI &NCLEX REVIEW TEST 1 WITH
CORRECT ANSWERS
A ||nurse ||is ||discussing ||restorative ||health ||care ||with ||a ||newly ||licensed ||nurse. ||Which ||of ||the || following ||examples ||should ||the ||nurse ||include ||in ||the ||teaching? ||(Select ||all ||that ||apply)
- ||Home ||Health ||Care ||
- ||Rehabilitation ||Facilities ||
- ||Diagnostic ||Centers
- ||Skilled ||Nursing ||Facilities ||
- ||Oncology ||Centers ||- ||verified ||answersHome ||Health ||Care || Rehabilitation ||Facilities Skilled ||Nursing ||Facilities || These ||promote ||self-care ||and ||restorative ||health. A ||nurse ||is ||discussing ||the ||purpose ||of ||regulatory ||agencies ||during ||a ||staff ||meeting. ||Which ||of ||the || following ||tasks ||should ||the ||nurse ||identify ||as ||the ||responsibility ||of ||state ||licensing ||boards? A. ||Monitoring ||Evidence ||based ||practice ||for ||clients ||who ||have ||specific ||diagnosis || B. ||Ensuring ||that ||health ||care ||providers ||comply ||with ||regulations || C. ||Setting ||quality ||standards ||for ||accreditation ||of ||health ||care ||facilities || D. ||Determining ||if ||medications ||are ||safe ||for ||administration ||to ||clients ||- ||verified ||answersB. || Ensuring ||that ||Health ||care ||providers ||comply ||with ||regulations. || The ||nurse ||should ||identify ||that ||state ||licensing ||boards ||are ||responsible ||for ||ensuring ||that ||health || care ||providers ||and ||agencies ||comply ||with ||state ||regulations. A ||nurse ||is ||explaining ||the ||various ||levels ||of ||health ||care ||services ||to ||a ||group ||of ||newly ||licensed || nurses. ||Which ||of ||the ||following ||examples ||of ||care ||or ||care ||settings ||should ||the ||nurse ||classify ||as || tertiary? ||(Select ||all ||that ||apply)
- ||Intensive ||Care ||Unit ||
- ||Oncology ||Treatment ||Centers ||
- ||Burn ||Center ||
- ||Cardiac ||Rehabilitation
- ||Home ||Health ||Care ||- ||verified ||answersIntensive ||Care ||unit Oncology ||treatment ||Centers Burn ||Center || Tertiary ||Care ||involves ||the ||provision ||of ||specialized ||and ||highly ||technical ||care. A ||nurse ||is ||caring ||for ||a ||group ||of ||clients ||on ||a ||medical-surgical ||unit. ||For ||which ||of ||the ||following ||client ||care ||needs ||should ||the ||nurse ||initiate ||a ||referral ||for ||a ||social ||worker? ||(Select ||all ||that || apply) ||
- ||A ||client ||who ||is ||terminal ||cancer ||request ||hospice ||care ||in ||her ||home
- ||A ||client ||ask ||about ||community ||resources ||available ||for ||older ||adults ||
- ||A ||client ||who ||states ||that ||she ||wants ||her ||child ||baptized ||before ||surgery ||
- ||A ||client ||request ||an ||electric ||wheelchair ||for ||use ||after ||discharge ||
- ||A ||client ||states ||that ||he ||does ||not ||want ||to ||use ||a ||nebulizer ||- ||verified ||answersA ||client ||who ||has ||terminal ||cancer ||and ||request ||hospice ||care ||in ||her ||home || A ||client ||who ||ask ||about ||community ||resources ||available ||for ||older ||adults A ||client ||who ||request ||an ||electric ||wheelchair ||for ||use ||after ||discharge A ||nurse ||is ||acquainting ||a ||group of ||newly ||licensed ||nurses ||with ||the roles ||of ||the ||various ||members ||of ||the health ||care ||team ||they ||will ||encounter on ||a ||medical-surgical ||unit. ||When she ||gives ||examples ||of ||the ||types of ||tasks ||certified ||nursing ||assistants (CNAs) ||may ||perform, ||which ||of ||the following ||client ||activities ||should
A ||nurse ||is ||instructing ||a ||group ||of ||nursing ||students ||about ||the ||responsibilities ||organ ||donation || and ||procurement ||involve. ||When ||the ||nurse ||explains ||that ||all ||clients ||waiting ||for ||a ||kidney || transplant ||have ||to ||meet ||the ||same ||qualifications, ||the ||students ||should ||understand ||that ||this || aspect ||of ||care ||delivery ||is ||an ||example ||of ||which ||of ||the ||following ||ethical ||principals? A. ||Fidelity || B. ||Autonomy C. ||Justice || D. ||Nonmaleficence ||- ||verified ||answersC. ||Justice || A ||fairness ||in ||care ||delivery ||and ||in ||use ||of ||resources. A ||nurse ||questions ||a ||medication ||prescription ||as ||too ||extreme ||in ||light ||of ||the ||client's ||advanced || age and ||unstable ||status. ||The ||nurse ||understands ||that ||this ||action ||is ||an ||example ||of ||which ||of ||the || following ethical ||principles? A. ||Fidelity B. ||Autonomy C. ||Justice D. ||Nonmaleficence ||- ||verified ||answersD. ||Nonmaleficence || A ||commitment ||to ||do ||no ||harm. ||The ||nurse ||is ||being ||ethical ||by ||not ||wanting ||to ||cause ||more ||pain ||to ||the ||patient. A ||nurse ||is ||instructing ||a ||group ||of ||nursing ||students ||about ||how ||to ||know ||and ||what ||to ||expect || when ||ethical ||dilemmas ||arise. ||Which ||of ||the ||following ||situations ||should ||the ||students ||identify ||as || an ||ethical ||dilemma? A. ||A ||nurse ||on ||a ||medical-surgical ||unit ||demonstrates ||signs ||of ||chemical ||impairment || B. ||A ||nurse ||overhears ||another ||nurse ||telling ||an ||older ||adult ||client ||that ||if ||he ||doesn't ||stay ||in || bed, ||she ||will ||have ||to ||apply ||restraints. || C. ||A ||family ||has ||conflicting ||feelings ||about ||the ||initiation ||of ||enteral ||tube ||feedings ||for ||their ||father ||who ||is ||terminally ||ill.
D. ||A ||client ||who ||is ||terminally ||ill ||hesitates ||to ||name ||her ||spouse ||on ||her ||durable ||power ||of || attorney ||form. ||- ||verified ||answersC. ||A ||family ||has ||conflicting ||feelings ||about ||the ||initiation ||of || enteral ||tube ||feedings ||for ||their ||father ||who ||is ||terminally ||ill. || There ||is ||not ||legal ||issue. ||It ||is ||an ||ethical ||dilemma ||because ||there ||is ||not ||easy ||way ||to ||resolve. || The ||decision ||will ||be ||very ||life ||changing ||to ||client ||condition. A ||nurse ||observes ||an ||assistive ||personal ||(AP) ||reprimanding ||a ||client ||for ||not ||using ||the ||urinal || properly. ||The ||AP ||tells ||him ||she ||will ||put ||a ||diaper ||on ||him ||if ||he ||does ||not ||use ||the ||urinal ||more || carefully ||next ||time. ||Which ||of ||the ||following ||torts ||is ||AP ||committing? A. ||Assault || B. ||Battery || C. ||False ||Imprisonment || D. ||Invasion ||of ||Privacy ||- ||verified ||answersA. ||Assault || Verbal ||Threatening ||is ||against ||the ||law. A ||nurse ||caring ||for ||a ||competent ||adult ||client ||who ||tells ||the ||nurse ||that ||the ||he ||is ||thinking ||about ||leaving ||the ||hospital ||against ||medical ||advice. ||The ||nurse ||believes ||that ||this ||is ||not ||in ||the ||client's || best ||interest, ||so ||she ||prepares ||to ||administer ||a ||PRN ||sedative ||medication ||that ||the ||client ||has ||not ||requested ||along ||with ||his ||usual ||medication. ||Which ||of ||the ||following ||types ||of ||tort ||is ||the ||nurse || about ||to ||commit? A. ||Assault || B. ||False ||Imprisonment || C. ||Negligence || D. ||Breech ||of ||confidentiality ||- ||verified ||answersB. ||False ||Imprisonment. || Medication ||was ||given ||with ||patients ||consent, ||it ||was ||used ||as ||a ||chemical ||restraint. A ||nurse ||in ||a ||surgeon's ||office ||is ||providing ||preoperative ||teaching ||for ||a ||client ||who ||is ||scheduled || for ||surgery ||the ||following ||week. ||The ||client ||tells ||the ||nurse ||that ||he ||will ||prepare ||his ||advance || directives ||before ||he ||goes ||to ||the ||hospital. ||Which ||of ||the ||following ||statements ||made ||by ||the || client ||should ||indicate ||to ||the ||nurse ||an ||understanding ||of ||advance ||directives? A. ||"I'd ||rather ||have ||my ||brother ||make ||decisions ||for ||me, ||but ||I ||know ||it ||has ||to ||be ||my ||wife."
A. ||The ||flap ||closest ||to ||the ||body B. ||The ||right ||side ||flap C. ||The ||left ||side ||flap D. ||The ||flap ||farthest ||from ||the ||body ||- ||verified ||answersD. ||Flap ||farthest ||from ||the ||body. || Maintain ||sterility, ||and ||keep ||client ||safe ||from ||risk ||on ||infection. A ||nurse ||is ||wearing ||sterile ||gloves in ||preparation ||for ||performing ||a sterile ||procedure. ||Which ||of ||the following ||objects ||can ||the ||nurse touch ||without ||breaching ||sterile technique? ||(Select ||all ||that ||apply.) A. ||A ||bottle ||containing a ||sterile ||solution B. ||The ||edge ||of ||the ||sterile ||drape at ||the ||base ||of ||the ||field C. ||The ||inner ||wrapping ||of ||an item ||on ||the ||sterile ||field D. ||An ||irrigation ||syringe on ||the ||sterile ||field E. ||One ||gloved ||hand ||with the ||other ||gloved ||hand ||- ||verified ||answersThe ||inner ||wrapping ||of ||an ||item ||on ||the ||sterile ||field || An ||irrigation ||syringe ||on ||the ||sterile ||field || One ||gloved ||hand ||with ||the ||other ||gloved ||hand. A ||nurse ||is ||reviewing ||hand ||hygiene ||techniques ||with ||a ||group ||of ||assistive ||personnel ||AP. ||Which || of ||the ||following ||instructions ||should ||the ||nurse ||include ||when ||discussing ||handwashing? ||(Select ||all ||that ||apply.)
- ||Apply || 3 ||to || 5 ||mL ||of ||liquid ||soap ||to ||dry ||hands
- ||Wash ||the ||hands ||with ||soap ||and ||water ||for ||atleast || 15 ||seconds. ||
- ||Rinse ||the ||hands ||with ||hot ||water ||
- ||Use ||a ||clean ||paper ||towel ||to ||turn ||off ||faucets
- ||Allow ||the ||hands ||to ||air ||dry ||- ||verified ||answersApply || 3 ||to ||5mL ||of ||liquid ||soap ||to ||dry ||hands Wash ||hands ||with ||soap ||and ||water ||for ||at ||least || 15 ||seconds Use ||a ||clean ||paper ||towel ||to ||turn ||off ||faucets A ||nurse ||has ||prepared ||a ||sterile field ||for ||assisting ||a ||provider ||with ||a chest ||tube ||insertion. ||Which ||of ||the following ||events ||should ||the ||nurse recognize ||as ||contaminating ||the sterile ||field? ||(Select ||all ||that ||apply.) A. ||The ||provider ||drops ||a ||sterile instrument ||onto ||the ||near side ||of ||the ||sterile ||field. B. ||The ||nurse ||moistens ||a cotton ||ball ||with ||sterile normal ||saline ||and ||places it ||on ||the ||sterile ||field. C. ||The ||procedure ||is ||delayed 1 ||hr ||because ||the ||provider receives ||an ||emergency ||call. D. ||The ||nurse ||turns ||to ||speak ||to someone ||who ||enters ||through the ||door ||behind ||the ||nurse. E. ||The ||client's ||hand ||brushes against ||the ||outer ||edge
A ||charge ||nurse ||is ||assigning ||rooms ||for ||the ||clients ||to ||be ||admitted ||to ||the ||unit. ||To ||prevent ||falls, ||which ||of ||the ||following ||clients ||should ||the ||nurse ||assign ||to ||the ||room ||closet ||to ||the ||nurses' || station? A. ||A ||middle ||adult ||who ||is ||postoperative ||following ||laparoscopic ||cholecystectomy. B. ||A ||middle ||adult ||who ||requires ||telemetry ||for ||a ||possible ||myocardial ||infarction || C. ||A ||young ||adult ||who ||is ||postoperative ||following ||an ||open ||reduction ||internal ||fixation ||of ||the || ankle || D. ||An ||older ||adult ||who ||is ||postoperative ||following ||a ||below ||the ||knee ||amputation. ||- ||verified || answersD. ||An ||older ||adult ||who ||is ||postoperative ||following ||a ||below ||the ||knee ||amputation. A ||nurse ||caring ||for ||a || 20 ||year ||old ||client ||who ||is ||sexually ||active ||and ||has ||come ||to ||college ||health ||clinic ||for ||a ||first ||time ||check ||up. ||Which ||of ||the ||following ||interventions ||should ||the ||nurse || perform ||first ||to ||determine ||the ||clients ||need ||for ||health ||promotion ||and ||disease? A. ||Measure ||vital ||signs || B. ||Encourage ||HIV ||screening. C. ||Determine ||risk ||factors || D. ||Instruct ||client ||to ||use ||condom ||- ||verified ||answersC. ||Determine ||Risk ||Factors || The ||first ||action ||of ||the ||nurse ||is ||the ||assessment. ||Talk ||with ||the ||client ||to ||first ||to ||determine || what ||risk ||factors ||the ||client ||might ||have ||before ||initiating ||the ||appropriate ||health ||promotion ||and || disease ||prevention. A ||nurse ||in ||a ||clinic ||is ||planning ||health ||promotion ||and ||disease ||prevention ||strategies ||for ||a ||client || who ||has ||multiple ||risk ||factors ||for ||cardiovascular ||disease. ||Which ||of ||the ||following ||interventions || should ||the ||nurse ||include? ||(Select ||all ||that ||apply.) A. ||Help ||the ||client ||see ||the ||benefits ||of ||her ||actions. B. ||Identify ||the ||client's ||support ||systems. C. ||Suggest ||and ||recommend ||community ||sources. D. ||Devise ||and ||set ||goals ||for ||the ||client || E. ||Teach ||stress ||management ||strategies. ||- ||verified ||answersHelp ||the ||client ||see ||the ||benefits ||of || her ||actions Identify ||the ||client's ||support ||systems
Suggest ||and ||recommend ||community ||sources Teach ||stress ||management ||strategies A ||nurse ||is ||talking ||with ||a ||client ||who ||recently ||attended ||a ||cholesterol ||screening ||event ||and ||a || heart-healthy ||nutrition ||presentation ||at ||a ||neighborhood ||center. ||The ||client's ||total ||cholesterol ||was || 248 ||mg/dL. ||After ||seeing ||the ||provider, ||the ||client ||started ||taking ||medication ||to ||lower ||his || cholesterol ||level. ||The ||client ||was ||later ||hospitalized ||for ||severe ||chest ||pain, ||and ||subsequently || enrolled ||in ||a ||cardiac ||rehabilitation ||program. ||Which ||of ||the ||following ||activities ||for ||the ||client ||is || an ||example ||of ||primary ||prevention? A. ||Cholesterol ||Screening || B. ||Nutrition ||Presentation || C. ||Medication ||Therapy || D. ||Cardiac ||Rehabilitation ||- ||verified ||answersB. ||Nutrition ||Presentation || A ||key ||primary ||prevention ||strategy ||because ||it ||promotes ||health ||and ||wellness. A ||nurse ||in ||a ||providers ||office ||is ||talking ||about ||routine ||screenings ||with ||a || 45 ||year ||old ||female || client ||who ||has ||no ||specific ||family ||history ||of ||cancer ||or ||diabetes ||mellitus. ||Which ||of ||the ||following ||client ||statements ||indicates ||the ||client ||understands ||how ||to ||proceed? A. ||"So ||I ||don't ||need ||the ||colon ||cancer ||procedure ||for ||another || 2 ||to || 3 ||years." B. ||For ||now, ||I ||should ||continue ||to ||have ||a ||mammogram ||each ||year." C. ||"Because ||the ||doctor ||just ||did ||a ||pap ||smear, ||I'll ||come ||back ||next ||year ||for ||another ||one." D. ||"I ||had ||my ||blood ||glucose ||test ||last ||year, ||so ||I ||won't ||need ||it ||again ||till ||next ||year." ||- ||verified || answers"For ||now ||i ||should ||continue ||to ||have ||a ||mammogram ||each ||year." Female ||clients ||aged ||between || 40 ||and || 50 ||should ||have ||a ||mammogram ||annually. A ||nurse ||is ||observing ||a ||client ||drawing ||up ||and ||mixing ||insulin. ||Which ||of ||the ||following ||findings || should ||the ||nurse ||identify ||as ||an ||indication ||that ||psycho ||motor ||learning ||has ||taken ||place. || A. ||The ||client ||is ||able ||to ||discuss ||the ||appropriate ||technique. || B. ||The ||client ||is ||able ||to ||demonstrate ||the ||appropriate ||technique || C. ||The ||client ||states ||that ||he ||understands ||
D. ||Ask ||the ||client ||if ||she ||has ||resources ||for ||further ||instruction ||on ||this ||topic. ||- ||verified ||answersB. ||Ask ||the ||client ||to ||explain ||how ||to ||select ||and ||prepare ||meals. || Asking ||the ||client ||to ||explain ||in ||their ||own ||words ||& ||how ||she ||will ||implement ||the ||material ||is ||a || good ||way ||to ||evaluate ||what ||they ||have ||learned ||& ||if ||they ||fully ||understand ||it. A ||nurse ||is ||caring ||for ||a ||client ||who ||states. ||"I ||have ||to ||check ||with ||my ||wife ||and ||see ||if ||she || thinks ||i ||am ||ready ||to ||go ||home." ||The ||nurse ||replies, ||"How ||do ||you ||feel ||about ||going ||home || today." ||Which ||clarifying ||technique ||is ||the ||nurse ||using ||to ||enhance ||communication ||with ||the || client? A. ||Pacing || B. ||Reflecting C. ||Paraphrasing D. ||Restating. ||- ||verified ||answersD. ||Reflecting. Reflecting ||directs ||the ||focus ||of ||the ||conversation ||back ||to ||the ||client ||so ||he ||can ||further ||explore || his ||own ||feelings. Which ||of ||the ||following ||actions ||should ||the ||nurse ||take ||when ||using ||communication ||technique ||of ||active ||listening. ||(Select ||all ||that ||apply,) || A. ||Use ||an ||open ||posture || B. ||Write ||down ||what ||the ||client ||says ||to ||avoid ||forgetting ||details. || C. ||Establish ||and ||maintain ||eye ||contact D. ||Nod ||in ||agreement ||with ||the ||client ||throughout ||the ||conversation || E. ||Respond ||positively ||when ||giving ||feedback. ||- ||verified ||answersUse ||open ||posture Establish ||and ||maintain ||eye ||contact || Respond ||positively ||when ||giving ||feedback A ||nurse ||is ||caring ||for ||a ||client ||who ||is ||concerned ||about ||his ||impending ||discharge ||to ||home ||with || a ||new ||colostomy ||because ||he ||is ||an ||avid ||swimmer. ||Which ||of ||the ||following ||statements ||should || the ||nurse ||make? ||(Select ||all ||that ||apply.) ||
A. ||"You ||will ||do ||great! ||You ||just ||have ||to ||get ||used ||to ||it!" B. ||"Why ||are ||you ||worried ||about ||going ||home?" C. ||"Your ||daily ||routines ||will ||be ||different ||when ||you ||get ||home." D. ||"Tell ||me ||about ||your ||support ||system ||you'll ||have ||after ||you ||leave ||the ||hospital." E. ||"Let ||me ||tell ||you ||about ||a ||friend ||of ||mine ||with ||a ||colostomy ||who ||also ||enjoys ||swimming." ||- || verified ||answers"Your ||daily ||routines ||will ||be ||different ||when ||you ||get ||home." "Tell ||me ||about ||your ||support ||system ||you'll ||have ||after ||you ||leave ||the ||hospital." "Let ||me ||tell ||you ||about ||a ||friend ||of ||mine ||with ||a ||colostomy ||who ||also ||enjoys ||swimming." Which ||of ||the ||following ||strategies ||should ||a ||nurse ||use ||to ||establish ||a ||helping ||relationship ||with ||a ||client? A. ||Make ||sure ||the ||communication ||is ||equally ||reciprocal ||between ||the ||nurse ||and ||the ||client. || B. ||Encourage ||the ||client ||to ||communicate ||his ||thoughts ||and ||feelings. || C. ||Give ||the ||nurse-client ||communication ||no ||time ||time ||limits || D. ||Allow ||communication ||to ||occur ||spontaneously ||throughout ||the ||nurse-client ||relationship. ||- || verified ||answersB. ||Encourage ||the ||client ||to ||communicate ||his ||thoughts ||and ||feelings. A ||nurse ||is ||caring ||for ||a ||school-age ||child ||who ||it ||sitting ||in ||a ||chair. ||To ||facilitate ||effective || communication, ||which ||of ||the ||following ||actions ||should ||the ||nurse ||take? A. ||Touch ||the ||child's ||arm || B. ||Sit ||at ||eye ||level ||with ||the ||child. C. ||Stand ||facing ||the ||child || D. ||Stand ||with ||a ||relaxed ||posture. ||- ||verified ||answersB. ||Sit ||at ||eye ||level ||with ||the ||child. A ||nurse ||is ||using ||an ||interpreter ||to ||communicate ||with ||a ||client. ||Which ||of ||the ||following ||actions || should ||the ||nurse ||use ||when ||communicating ||with ||a ||client ||and ||his ||family? ||(Select ||all ||that ||apply.) || A. ||Talk ||to ||the ||interpreter ||about ||the ||family ||while ||the ||family ||is ||in ||the ||room. || B. ||Ask ||the ||family ||one ||question ||at ||a ||time. || C. ||Look ||at ||the ||interpreter ||with ||asking ||the ||family ||a ||question. || D. ||Use ||lay ||terms ||if ||possible ||
E. ||Greater ||life ||expectancy ||- ||verified ||answersHigher ||client ||acuity ||in ||hospital ||and ||long-term || settings. Shift ||to ||community-based ||care || Advanced ||Technology || Greater ||life ||expectancy A ||client ||has ||been ||involved ||in ||a ||motor ||vehicle ||crash ||and ||has ||multiple ||injuries. ||What ||guiding || principle ||of ||Florence ||Nightingale ||would ||assist ||this ||client's ||recuperation ||and ||health ||maintenance? ||Select ||all ||that ||apply. A. ||Clean ||air ||and ||water || B. ||Cleanliness || C. ||Blood ||administration || D. ||Light || E. ||Efficient ||drainage ||- ||verified ||answersClean ||air ||and ||water || Cleanliness || Light || Efficient ||Drainage The ||nurse ||caring ||for ||a ||client ||must ||be ||attentive ||to ||the ||client's ||emotions, ||lifestyle, ||physical || changes, ||spiritual ||needs, ||and ||individual ||challenges. ||When ||the ||nurse ||attends ||to ||these ||needs, || what ||type ||of ||care ||is ||the ||nurse ||providing? A. ||Behavioral ||Healthcare || B. ||Specialized ||Healthcare || C. ||Caring ||Healthcare || D. ||Holistic ||Healthcare ||- ||verified ||answersD. ||Holistic ||Healthcare. A ||high ||school ||student ||interested ||in ||becoming ||a ||nurse ||asks ||the ||nursing ||instructor ||what ||the || role ||of ||the ||LPN/LVN ||is. ||What ||is ||the ||BEST ||response ||by ||the ||instructor? A. ||The ||LPN/LVN ||provides ||bedside ||car. || B. ||The ||LPN/LVN ||develops ||the ||plan ||of ||care ||for ||clients. || C. ||The ||LPN/LVN ||performs ||wound ||care.
D. ||The ||LPN/LVN ||supervises ||registered ||nurses ||(RNs). || E. ||The ||LPN/LVN ||administration ||prescribed ||medications ||to ||clients. ||- ||verified ||answersA. ||The || LPN/LVN ||provides ||bedside ||care. The ||LPN/LVN ||is ||supervising ||a ||nursing ||assistant ||working ||in ||a ||long-term ||care ||facility. ||What ||task || may ||be ||assigned ||to ||the ||nursing ||assistant ||by ||the ||LPN/LVN? A. ||Administer ||prescribed ||medication ||to ||a ||client. || B. ||Change ||a ||sterile ||Dressing || C. ||Assist ||with ||feeding ||a ||client || D. ||Insert ||a ||nasogastric ||tube ||in ||a ||client ||- ||verified ||answersC. ||Assist ||with ||feeding ||a ||client A ||client ||no ||longer ||requires ||care ||in ||the ||coronary ||intensive ||care ||unit ||after ||coronary ||artery || bypass ||graft ||surgery. ||Where ||should ||the ||nure ||prepare ||to ||transfer ||the ||client? A. ||Sub-acute ||or ||Step-down ||unit || B. ||Skilled ||care ||unit || C. ||Medical ||Floor D. ||Long-Term ||care ||- ||verified ||answersA. ||Sub-acute ||or ||Step-down ||unit The ||nurse ||is ||caring ||for ||a ||terminally ||ill ||client ||that ||is ||to ||be ||discharged. ||What ||referral ||should || the ||nurse ||make ||with ||the ||client's ||family's ||approval? A. ||Extended ||Care || B. ||Telehealth || C. ||Respite ||Care || D. ||Hospice ||- ||verified ||answersD. ||Hospice A ||client ||that ||is ||home ||bound ||requires ||long-term ||intravenous ||antibiotic ||therapy. ||The ||insurance || company ||refuses ||to ||keep ||the ||client ||in ||the ||hospital ||during ||this ||treatment ||regimen. ||What || services ||would ||best ||meet ||the ||needs ||of ||the ||client? A. ||Hospice || B. ||Respite ||Care || C. ||Home ||healthcare ||
B. ||Place ||the ||client ||in ||soft ||wrist ||restraints ||so ||the ||client ||will ||not ||get ||out ||of ||the ||bed. || C. ||Inform ||the ||client ||not ||to ||get ||out ||of ||bed. || D. ||Don't ||leave ||the ||client ||alone ||and ||request ||that ||another ||nurse ||sit ||one-on-one ||with ||the ||client. ||- ||verified ||answersC. ||Do ||not ||leave ||the ||client ||alone ||and ||request ||that ||another ||nurse ||sit ||one-on- one ||with ||the ||client. A ||nurse ||discovers ||that ||a ||neighbor ||is ||a ||client ||on ||the ||unit ||in ||which ||the ||nurse ||works ||although || the ||nurse ||is ||not ||assigned ||to ||care ||for ||that ||client. ||The ||nurse ||accesses ||the ||electronic ||medical || record ||(EMR) ||to ||find ||out ||what ||the ||client's ||diagnosis ||is. ||What ||action ||may ||clients ||take ||if ||they || are ||aware ||of ||this ||type ||of ||incident? A. ||Report ||the ||incident ||as ||a ||HIPPA ||violation || B. ||Sue ||the ||nurse ||for ||libel C. ||Sue ||the ||nurse ||for ||negligence || D. ||Report ||the ||nurse ||for ||defamation. ||- ||verified ||answersA. ||Report ||the ||incident ||as ||a ||HIPPA || violation A ||staff ||nurse ||comes ||to ||work ||and ||accepts ||the ||assignment ||of ||clients. ||After ||a ||verbal ||altercation || with ||the ||nurse ||manager ||about ||the ||assignments, ||the ||nurse ||states, ||"I ||quit!" ||and ||leaves ||the || facility. ||What ||action ||may ||the ||nurse ||manager ||take? A. ||Call ||to ||ask ||the ||nurse ||to ||come ||back. || B. ||Report ||the ||for ||abandonment ||of ||care || C. ||Have ||the ||police ||arrest ||the ||nurse. || D. ||Let ||the ||nurse ||cool ||off ||and ||come ||back ||when ||ready. ||- ||verified ||answersB. ||Report ||the ||nurse || for ||abandonment ||of ||care. The ||nurse ||is ||caring ||for ||a ||client ||who ||is ||recovering ||from ||a ||recent ||stroke ||and ||is ||unable ||to || move ||the ||left ||side ||of ||the ||body. ||Based ||on ||Maslow's ||hierarchy ||of ||needs, ||what ||nursing ||action || will ||take ||priority ||in ||the ||care ||of ||this ||client? A.Ensuring ||the ||client ||is ||eating ||and ||drinking. || B. ||Instituting ||fall ||precautions || C. ||Assisting ||with ||education ||regarding ||sexual ||activity || D. ||Providing ||care ||with ||hygiene. ||- ||verified ||answersA. ||Ensuring ||the ||client ||is ||eating ||and ||drinking.
The ||nurse ||is ||observing ||a ||client ||to ||determine ||belonging ||needs. ||What ||questions ||will ||the ||nurse || ask? A. ||"What ||type ||of ||medications ||are ||you ||taking" B. ||"Are ||you ||having ||difficulty ||breathing?" C. ||"Do ||you ||have ||a ||history ||of ||falling?" D. ||"Are ||you ||feeling ||isolated ||or ||upset?" ||- ||verified ||answersD. ||"Are ||you ||feeling ||isolated ||or || upset?" The ||nurse ||is ||assisting ||a ||client ||who ||is ||recovering ||from ||a ||hip ||replacement ||in ||the ||home ||setting. || The ||nurse ||offers ||suggestions ||to ||safety ||adaptions. ||What ||suggestions ||by ||the ||nurse ||would ||be || most ||helpful ||in ||addressing ||the ||client's ||safety ||needs? ||Select ||all ||that ||apply. || A. ||Encourage ||ambulation ||and ||exercise || B. ||Adjust ||the ||temperature ||in ||the ||home ||for ||comfort C. ||Remove ||scatter ||rugs D. ||Use ||a ||night ||light || E. ||Have ||a ||shower ||chair ||when ||bathing. ||- ||verified ||answersEncourage ||ambulation ||and ||exercise || Remove ||scatter ||rugs || Use ||a ||night ||light || Have ||a ||shower ||chair ||when ||bathing A ||client ||is ||going ||to ||have ||a ||surgical ||procedure. ||What ||intervention ||provided ||by ||the ||nurse ||can || help ||the ||client ||feel ||safe ||and ||aid ||in ||postoperative ||recovery? A. ||Explain ||the ||procedure ||before ||surgery || B. ||Inform ||the ||client ||that ||they ||will ||be ||alright || C. ||Call ||a ||family ||member ||prior ||to ||the ||client ||entering ||the ||surgical ||suite || D. ||Make ||sure ||all ||insurance ||information ||has ||been ||obtained. ||- ||verified ||answersA. ||Explain ||the || procedure ||before ||surgery A ||client ||with ||diabetes ||asks ||the ||nurse, ||"If ||i ||can't ||do ||heavy ||exercise, ||what's ||the ||point ||in || exercising?" ||What ||response ||by ||the ||nurse ||can ||encourage ||the ||client ||to ||perform ||moderate || exercise? ||Select ||all ||that ||apply. ||
