NURSING CARE SCENARIOS ACTUAL EXAM , 162 QUESTIONS

NURSING CARE SCENARIOS ACTUAL EXAM , 162 QUESTIONS

WITH ACCURATE SOLUTIONS

1.If a newly licensed nurse demonstrates improper technique during a straight catheterization, what should the nurse manager's immediate response be to ensure client safety?Ignore the mistake to avoid embarrassment Correct the technique immediately and provide feedback Document the error and report it later Allow the nurse to continue without intervention 2.Why is it important for a nurse to check for gastric residual volume before administering enteral feedings?To ensure the tube is patent To assess the client's ability to swallow To prevent aspiration and ensure proper digestion To determine the correct formula to use 3.A nurse is caring for a client who has been diagnosed with end-stage liver cancer.Which of the following client responses is an indication the client is in the denial phase of the grief process?"The doctor has been so good to me. I know he has tried everything he can. It is just my time." "I can't believe that doctor graduated from medical school; he doesn't know a thing about treating cancer." "The doctor says I only have a few months to live, but I know he is exaggerating to get me to take my medication." "I can't believe this is happening. Even though I am not hurting right now, I don't feel like I have the energy to get out of bed." 4.A nurse is caring for a client who is postoperative following a right-sided mastectomy and has a drain connected to a portable drainage evacuator. Which of the following actions should the nurse? 1 / 4

Dangle the operative limb for 5 min every hour. Place the head of the client's bed at a 15° angle.Keep the wound drain evacuator fully expanded at all times.Take blood pressures on the client's non-affected arm.

5.A client is admitted with pneumonia and has a recent history of MRSA. The client is placed in isolation. While caring for the client, which item should the nurse place in a designated biohazard bag before it is removed from the room?The nurse's stethoscope.Paper mask and gown.Bed linens.A sputum culture.

6.Explain the significance of placing the tuning fork on the top of the client's head during Weber's test. What does this action help to determine?It helps to assess the client's overall hearing ability It allows for comparison of sound perception between both ears It measures the duration of sound perception It evaluates the client's response to auditory stimuli 7.Explain why a coude catheter is preferred over a straight catheter for certain patients during intermittent catheterization.Because it is easier to insert and requires less training Because its curved tip allows for easier navigation around obstructions Because it is less likely to cause discomfort during insertion Because it can be used for longer periods without complications 8.A nurse is admitting a client who states he takes ginkgo blob everyday to improve his memory. The nurse should identify a potential interaction with which of the following meds the client is taking?Ranitidine 2 / 4

Levothyroxine Warfarin Loratadine 9.A nurse is conducting Weber's test on a client who reports hearing loss in the right ear. After placing the tuning fork on the top of the client's head, the nurse notes that the sound lateralizes to the right ear. What does this finding indicate about the client's hearing condition?The client has normal hearing in both ears The client likely has sensorineural hearing loss in the right ear The client likely has conduction deafness in the right ear The client has a blockage in the left ear 10.The nurse is caring for a patient diagnosed with stage I colon cancer. When assessing the need for psychological support, which question by the nurse will provide the most information?"How long ago were you diagnosed with this cancer?" "Do you have any concerns about body image changes?" "Can you tell me what has been helpful to you in the past when coping with stressful events?" "Are you familiar with the stages of emotional adjustment to a diagnosis like cancer of the colon?" 11.If a nurse needs to administer diphenhydramine to another child weighing 30 kg, and the prescribed dosage is 1 mg/kg, how many mL of the 12.5 mg/5 ml syrup should the nurse prepare for administration?

• ml
• ml

10 ml 12 ml 3 / 4

12.Why is applying a bath blanket between the client and a cooling blanket considered the best practice for managing a high fever?A It prevents the client from feeling cold and uncomfortable.B It allows for gradual cooling without causing shivering.C It helps to increase the client's body temperature.D It promotes excessive sweating to reduce fever.

13.The abbreviation BRP means:

bathroom privileges.blood pressure.bowel movement.

14.Which of the following symptoms would most likely suggest that an NG tube has been improperly placed in a client?The client is experiencing a sore throat The client is having difficulty swallowing The client is coughing The client is feeling nauseous 15.A nurse is caring for a patient with a potassium level of 1.8. What immediate nursing intervention should the nurse implement while waiting for the provider's orders?A.Administer oral potassium supplements.B.Monitor the patient's cardiac rhythm continuously.C.Encourage the patient to increase dietary potassium.D.Schedule a follow-up lab test for potassium levels.

16.A patient on warfarin therapy expresses interest in taking ginkgo biloba for memory enhancement. As a nurse, what steps should you take to ensure patient safety regarding this supplement?Advise the patient to stop taking warfarin before starting ginkgo biloba.

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