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ASSESSMENT LEVEL 1
PROCTORED ACTUAL EXAM
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TEST BANK REVIEW
QUESTIONS WITH CORRECT
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ANSWERS ALL VERIFIED BY
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AN EXPERT A+ GRADED
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(LATEST UPDATE)
,A nurse is caring for a client who is 2 days postoperative following an above-the-knee
amputation. The client states he is experiencing a dull, burning pain in the leg that was
amputated. Which of the following actions should the nurse take to treat the client's
neuropathic pain? - ANS Administer a beta-blocking medication to the client.
(The nurse should administer a beta-blocking medication to the client. This classification
of medication has been shown to relieve the phantom limb pain manifestations of
constant dull and burning type pain.)
A newly licensed nurse asks a charge nurse where to find information about scope of
practice for registered nurses. Which of the following responses should the charge
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nurse make? - ANS "The state board of nursing can provide this information"
(each state develops a nurse practice act, which defines scope of practice for nurses in
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that state. This practice act is available on the board of nursing website for each state.)
A nurse is planning care to prevent a catheter-related bloodstream infection for a client
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who is receiving IV fluid therapy. Which of the following interventions should the nurse
include in the plan? - ANS Perform hand hygiene before touching the IV tubing.
(The nurse should perform thorough hand hygiene before touching any part of the
infusion system or the client to reduce the risk of catheter-related blood stream
infections.)
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A nurse is creating a plan of care for a client who is non-ambulatory and has bladder
and bowel incontinence. Which of the following interventions should the nurse include to
prevent skin breakdown? - ANS Offer the client a glass of water every two hour when
repositioning.
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(The nurse should offer the client a glass of water every two hours on the clients
repositioning schedule. This helps prevent dehydration, which increases the risk of skin
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breakdown.)
A nurse is teaching a young adult female client about health screening for breast
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cancer. Which of the following statements by the client indicates an understanding of
breast self-examination (BSE)? - ANS "I should expect to feel a firm ridge along the
bottom curve of each breast."
(The nurse should instruct the client at a firm ridge is expected along the bottom curve
of each breast. The client should be able to feel this area during the BSE. Performing a
BSE promotes breast self awareness so that the client knows how her breast normally
feel. The awareness increases the clients ability to identify changes that require further
evaluation.)
, A nurse is caring for an adolescent who is in critical condition following a motor vehicle
crash which he was the passenger. The clients parent shout at the nurse, asking why
her son is dying instead of the driver. Which of the following actions should the nurse
take to provide emotional support to the parent? - ANS Inform the parent that anger is
a natural response when dealing with loss.
(The nurse should identify that the parent is in the anger stage of grief. The nurse
should assist the parent to understand that anger is a natural response to loss and
encourage her to talk about her feelings.)
A nurse is teaching an older adult client about accessing electronic resources for
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healthcare information on the internet. Which of the following statements should the
nurse include in the teaching? - ANS "Websites ending in '.gov' are reliable sites for
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obtaining health information from government agencies."
(The nurse should teach the client how to select reliable internet websites when
researching health care information. The nurse should identify that websites ending in
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'.gov' and '.edu' are considered reliable and credible sources for health information.
Websites ending in '.com' should not be used for researching credible healthcare
information.)
A nurse enters a clients room and finds the client lying on the floor. The client states that
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on the way to the bathroom her "knee locked," causing her to fall. Which of the following
actions should the nurse take first? - ANS Check the client for injuries.
(The first action the nurse should take when using the nursing process is to assess the
client. The nurse should first check the client for injuries and measure vital signs to help
determine physiologic stability. The nurse should also inform the provider of the clients
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fall and of the assessment findings.)
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A nurse is teaching a client who has rheumatoid arthritis about chronic pain
management. Which of the following statements by the client indicates an
understanding of the teaching? - ANS "I should use a warm paraffin dip for my hands
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and feet."
(The nurse should instruct the client to dip her hands and feet in warm paraffin to
alleviate pain and stiffness. The client can more easily perform hand and finger
exercises following the treatment.)
A community health nurse is planning prevention strategies for hypertension among
members of her community. The nurse should identify that which of the following ethnic
groups in the community is at greatest risk of developing hypertension? - ANS African
American
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