RN concept-based assessment level 1 Latest Update 2023-2024 Questions and Verified Correct Answers
- yr old toddler who is post op. which scale to assess pain - Correct Answer: FLACC
scale. 2 months to 7 years
16 yo mother and maternal grandfather. which action should the nurse take when
assisting with informed consent - Correct Answer: witness consent obtained from
infant's mother
a charge nurse is teaching a group of newly licensed nurses how to prevent errors during admin of blood transfusions. which should include? - Correct Answer: use a new blood admin tubing set for each blood bag infused
a hospice nurse. hindu religion, which supports beliefs - Correct Answer: allow time for a family member to perform a ritual bath after client dies
a nurse at a provider's office is counseling a client who reports insomnia. which of the following statements should the nurse include in sleeping plan - Correct Answer: sleep in the location of your home where you feel you best rest
a nurse is admin. ophthalmic solution to a client who has bacterial conjunctivitis. which
action - Correct Answer: supine
a nurse is admitting a client who has pulmonary tb. which transmission - Correct
Answer: airborne
a nurse is assessing a preschooler for a UTI. which of the following should the nurse
expect - Correct Answer: abdominal pain
a nurse is assessing the spiritual and development of a preschooler. why is it wrong to kick your baby sister. which response should the nurse expect - Correct Answer: it's wrong because my dad said I can't kick her
a nurse is beginning nutrition counseling with a client who has BMI of 34.2. why question - Correct Answer: Are you ready to make a lifelong commitment to a healthier lifestyle
a nurse is caring for a child who has celiac disease. which of the following items should the nurse REMOVE from the child's meal tray - Correct Answer: oatmeal with raisins
a nurse is caring for a client who is morbidly obese and is 3 days post op after bariatric surgery. which of the following dits - Correct Answer: eat foods that are high in protein
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a nurse is caring for a pt. with violent activity who is placed in seclusion. which action -
Correct Answer: document the client's status every 15 min
a nurse is caring for an older adult who has osteoarthritis and plans to go to an assisted living facility due to decreased mobility. which action should nurse say as an advocate - Correct Answer: research facilities for the client that best meet her specific needs
a nurse is developing a plan of care for a client who has urinary incontinence - Correct
Answer: apply a moisture barrier
a nurse is planning community health program for substance use. which guidelines -
Correct Answer: a healthy woman of any age should consume no more than seven
drinks in a week.
a nurse is preparing a client for an elective vaginal hysterectomy when the client states "my doctor said there are more conservative ways..." which response - Correct Answer: you have the right to refuse this procedure even after you sign
a nurse is preparing to administer a unit of packed RBCs to a client. in adherence with the joint commission national patient safety goals regarding blood admin, which of the following plan - Correct Answer: verify the client and blood component using a two person process
a nurse is preparing to administer an immunization via IM injection in deltoid. which
action - Correct Answer: select a 1 inch needle for the injection
a nurse is preparing to administer three medications to a client who has an NG tube: a levothyroxine tablet, an ibuprofen gel cap, and a delayed release omeprazole capsule.which actions - Correct Answer: crush the levo tablet into a powder and dissolve in 30 mL of warm water
a nurse is preparing to admit a client in the hospital. which of the following actions should the nurse take first - Correct Answer: determine the need for an interpreter
a nurse is prepping morphine 5 mg IM from 10 mg/mL to help. which action - Correct
Answer: have a second nurse witness and initial the disposal of the remaining
medication
a nurse is providing a change of shift report about a group of clients. which statement -
Correct Answer: the client has been very tearful since finding out about DM
a nurse is providing discharge teaching about nutrition manage who has COPD. Which instruction - Correct Answer: have a high calorie protein drink after meals b/c anorexia is a manifestation of COPD
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