Nace Foundations Of Nursing Proctored Exam

When using wrist restraints, which of these statements is correct?

A nurse is teaching a group of middle age adults about various types of hepatitis. What statement by one of the group members indicates correct understanding of the differences?

The nurse knows that documentation should record the interventions and the care given to the client. What is the rationale?

The nurse is preparing to perform a physical assessment. What are the four techniques used?

The nurse is caring for a client at risk for a respiratory infection. Which of the following natural respiratory defense mechanisms help defend against infection? (Select all that apply).

A nurse assessment of a client diagnosed with an acute loss of consciousness reveals a Glasgow Coma Scale (GCS) of 6. Which nursing diagnosis is the priority?

An 82-year-old client was admitted to the hospital on isolation precautions 3 days ago for C diff. The client begins to demonstrate irritability, confusion, and paranoia. Which of the following is the

Which finding in a client diagnosed with obstructive sleep apnea (OSA) would require a nurse to take immediate action?

A client has returned to the medical surgical unit with a Jackson-Pratt surgical drain. What safety measures should the nurse use to prevent client injury? (Select all that apply).

A nurse is caring for a hospitalized pre-operative client experiencing insomnia in the hospital at 3:00 am (0300). Which nursing intervention is the most appropriate for this client?

A client has not voided eight hours after surgery and says to the nurse, “I don’t think I can urinate.” What should be the first action for the nurse?

A nurse identifies that a medication is ordered for the client as twice the regular dosage. What action should the nurse take?

A client says to the nurse “I will not take the prescribed medication today.” What should be the initial action by the nurse?

A nurse is caring for a client who had an open cholecystectomy 24 hours ago. The client’s vital signs have been stable over the last 24 hours, with the most recent temperature 98.6° F(37° C),

The health care provider orders a trough level of an antibiotic administered every twenty four hours. When should the nurse plan for a trough level to be drawn?

What does the nurse know to be the goals of client teaching? (Select all that apply).

A night nurse is preparing a client for a liver biopsy the next morning at 8:00 AM. Which data is the most important for the nurse to report to the healthcare provider? The client:.

When a nurse respects the decision of a client who refuses a blood transfusion, which ethical principle is the nurse upholding?

A nurse receives report that a client has been pacing the hallway continuously for almost twenty-four hours and talking excessively. Which action is the priority?

A nurse receives report that a client has been pacing the hallway continuously for almost twenty-four hours and talking excessively. Which action is the priority?

Which client assessment should a nurse immediately report to the health care provider?

Which client assessment should a nurse immediately report to the health care provider?

Which action will prevent spreading organisms from one eye to the other when bathing a client?

A nurse inadvertently administers an incorrect medication to a client. Which action should the nurse take first?

A 75-year-old client has a baseline oral temperature of 96.8° F (36° C). Two hours later the client’s oral temperature is 100.8° F (38.2° C). Which action should a nurse take next?