PN Fundamentals Online Practice A. 100% verified. Rated A. 2022/2023
A nurse is caring for a client who is receiving continuous NG tube feedings. The nurse listens to the client's bowel sounds. Which of the followin
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PN Fundamentals Online Practice A. 100% verified. Rated A. 2022/2023
A nurse is caring for a client who is receiving continuous NG tube feedings. The nurse listens to the client's bowel sounds. Which of the following actions should the nurse take? (Click on the audio button to listen to the clip.) - ✔✔Decrease the rate of the feeding
A nurse is preparing to administer oxygen to a client who has heart failure and is having severe difficulty breathing. Which of the following oxygen delivery equipment should the nurse select to provide the highest concentration of oxygen to the client? - ✔✔Nonrebreather mask
A charge nurse smells smoke, enters the visitor restroom, and sees flames in the trash can. What is the sequence of actions that the nurse should take? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) - ✔✔Evacuate clients from the area is the first step.
Pull the lever on the fire alarm box is the second step.
Close the fire doors on the unit is the third step.
Use a fire extinguisher to put out the fire is the fourth step.
A nurse is caring for a client who has metastatic cancer and practices Catholicism. The client asks the nurse to discuss the afterlife with them. Which of the following statements by the nurse assists in meeting the client's spiritual needs? - ✔✔"Tell me what the afterlife means to you."
A nurse is reinforcing teaching with a client about the prevention of stress injuries. Which of the following instructions should the nurse include? - ✔✔"When lifting a heavy object, keep it close to your body."
A nurse is reinforcing teaching with a client about the use of crutches. Which of the following actions by the client indicates an understanding of the teaching? - ✔✔The client advances the unaffected leg first while climbing stairs.
A client who has advanced cancer tells the nurse that they have a difficult time talking to anyone about the illness. Which of the following actions should the nurse take to encourage therapeutic communication? - ✔✔Let the client know that, as their nurse, they are available and willing to listen.
A nurse is preparing to remove a client's peripheral IV catheter. After performing hand hygiene and applying clean gloves, which of the following actions should the nurse take first? - ✔✔Clamp the infusion tubing.
A nurse is contributing to the plan of care for a client who has a positive throat culture for streptococci. Which of the following interventions should the nurse recommend to be included in the plan of care? - ✔✔Ensure that the client wears a surgical mask during transportation throughout the facility.
A nurse is caring for a client who has just died and practiced the Islamic faith. Which of the following cultural practices should the nurse expect? - ✔✔The client's face should be turned toward Mecca.
A nurse is preparing to transfer a client from an acute care facility to a long-term care facility. Which of the following information should the nurse plan to include in the transfer report? - ✔✔Resolved health conditions
A nurse is contributing to the plan of care for a client who has a prescription for elastic bandages to the lower extremities. Which of the following actions should the nurse recommend for the plan of care? - ✔✔Compare the client's pedal pulses bilaterally every 4 hr.
A nurse is taking notes of client information on a piece of paper while receiving report. Which of the following actions should the nurse take to dispose of the paper? - ✔✔Shred the paper in a secure container.
A nurse is assisting with the care of a recently deceased client. Which of the following actions should the nurse complete prior to the family viewing the body? - ✔✔Clean soiled areas of the body.
A nurse is preparing to administer an enteral feeding to a client who has an NG tube in place. Which of the following methods should the nurse use to verify correct placement of the NG tube? - ✔✔Check the pH of the gastric aspirate
A nurse is caring for a client who has a terminal illness and a family member asks why the client's mouth is continually open. Which of the following responses should the nurse make? - ✔✔"The reduced muscle tone has relaxed the jaw muscles."
A nurse is caring for a postoperative client who is at risk for thrombus formation. Which of the following interventions should the nurse delegate to an assistive personnel (AP)? - ✔✔Apply thromboembolic stockings.
A nurse is preparing to collect data from a client for a health assessment. Which of the following actions should the nurse take? - ✔✔Provide privacy for the client.
A nurse is planning care for a client who is disoriented and at risk for falls. Which of the following interventions should the nurse include? (Select all that apply.) - ✔✔Ensure that the client is wearing nonskid slippers.
Place the client in a room near the nurses' station.
Reinforce teaching about how to use the call bell.
A nurse is providing wound care for a group of clients. Which of the following wounds should the nurse identify as healing by secondary intention? - ✔✔A stage 3 pressure injury on the coccyx
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent urinary tract infections? - ✔✔Drain urine from the tubing before ambulation
A nurse is using Maslow's hierarchy of needs in assisting with discharge planning for a client. Which of the following activities should the nurse recommend as the priority for this client? - ✔✔Attend an exercise program
A nurse is caring for four clients who are required to provide informed consent for treatment. The nurse should identify that which of the following clients is able to provide informed consent? - ✔✔An 18-year-old client who has acute appendicitis
A nurse is assisting with the plan of care for a client who has a bacterial infection and a persistent oral temperature of 38.9° C (102° F). Which of the following interventions should the nurse include in the plan of care to treat the fever? - ✔✔Administer acetaminophen
A nurse is caring for a client who is postoperative and is experiencing nausea and vomiting. The nurse should identify which of the following findings as indications that the client has fluid volume deficit? (Select all that apply.) - ✔✔Cool extremities
Orthostatic hypotension
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