The nurse is assisting the client to eat. Which action by the nurse is the most
appropriate?
1. Sitting on the side of the bed while feeding the client
2. Telling the client to sit back and relax while the nurse does all the work
3. Asking what the client would like to eat or drink next
4. Feeding the client quickly to decrease the feeling of being a burden
The nurse is engaged in a relationship with a client. Which action should the nurse take
when in the continuation phase of this relationship?
1. Identify major problems
2. Anticipate issues once discharged
3. Teach how to self-administer insulin
4. Recognize barriers to communication
Two nurses are preparing to transfer a client from the stretcher to the bed. Which is a
safe and efficient action to complete this task?
1. The nurse pulling the client onto the bed enlarges the base of support by moving the
feet apart laterally.
2. The nurse pushing the object moves one foot forward.
3. The nurse pushing faces the head of the bed.
4. The nurse pulling faces the foot of the bed.
A client with terminal cancer is experiencing mild pain. What analgesic should the
nurse provide for this client?
1. NSAID
2. Codeine
3. Morphine
4. Hydrocodone
A client is prescribed intravenous fluids to treat dehydration. Which solution should the
nurse use to disinfect the skin prior to catheter placement for these fluids?
1. Betadine
2. Soap and water
3. Chlorhexidine gluconate
4. Alcohol-based hand sanitizer
In preparation to serve as a member of the Disaster Medical Assistance Team (DMAT)
the nurse is preparing a home emergency kit. What should the nurse include in this kit?
Select all that apply.
1. Hand-cranked radio
2. Computer battery charger
3. Bottled water to last 15 days
4. Gloves for work and protection
5. High protein and calorie snack foods
The nurse is preparing to take hemodynamic measurements on a client but notices the
sign “do not inflate” on the transducer. What should this information indicate to the
nurse? Select all that apply.
1. Blood returns from the balloon lumen
2. Catheter moved from original position
3. No resistance on the balloon when inflated
4. Syringe plunger failed to retract spontaneously
5. Stopcock on the transducer needs to be replaced
A male client asks if someone can help him shave. What should the nurse do first before
preparing to help this client?
1. Wash hands
2. Obtain a shaving kit
3. Apply a gown and gloves
4. Check prescribed medications
The nurse is implementing a client’s plan of care. Which action should the nurse
perform at this time?
1. Record relevant information
2. Motivate and maintain optimum wellness
3. Coordinate care and community resources
4. Anticipate needs of client and family based on priorities
The nurse is teaching the client how to walk with crutches. Which gait requires
considerable skill, strength, and coordination?
1. Three-point gait
2. Swing-to gait
3. Swing-through gait
4. Two-point alternate gait
Which action by the nurse is appropriate when testing for Homans’ sign?
1. Pointing the client’s toes down
2. Having the client point the toes up toward the calf
3. Flexing the client’s toes as wide apart as possible
4. Rotating the client’s foot
Which assistive devices would be appropriate for the nurse to use when assisting an
unconscious client from the bed to the stretcher?
Standard Text: Select all that apply.
1. Transfer belt
2. Transfer board
3. Hydraulic lift
4. Low-friction sheet
5. Egg crate mattress
Which behavior indicates that the nurse is practicing as a professional?
1> Documenting that a client needs pain medication
2> Visiting with family of a client on another part of the care area
3> Telling a client to ask the next nurse for help getting out of bed
4> Directing unlicensed assistive personnel (UAP) to measure urine output
The nurse is caring for a client who has a small pneumothorax and is capable of being
ambulatory. Which prescription should the nurse anticipate when caring for this client?
1. Chest tube placed in the upper chest on the side of the pneumothorax
2. Chest tube placed in the lower chest on the side of the pneumothorax
3. Heimlich chest drain valve in the upper chest on the side of the pneumothorax
4. Heimlich chest drain valve in the lower chest on the side of the pneumothorax
While applying a warm wet soak to the client’s left leg, the unlicensed assistive
personnel (UAP) notes a small burn on the inside of the calf. The UAP informs the RN.
Which response by the nurse is the most appropriate?
1. “Please notify the health care provider.”
2. “Describe the burn in detail, please.”
3. “I’ll go take a look at it.”
4. “Make sure you document it and complete an incident form.”
A client says that the environment of the health clinic is soothing and relaxing. Which
essential oil is the nursing staff most likely using in the diffuser in the waiting room?
1. Rose
2. Lavender
3. Peppermint
4. Lemon and thyme