exit exam Hayward questions with complete solutions
A charge nurse in a long-term care facility is developing a
performance improvement plan for an assistive personnel (AP).
Which of the following actions should the nurse take when
developing the plans? (Select all that apply) Correct Answer A,
Set a specific time frame for meeting performance goals b. Ask
the nurse supervisor to review the plan C, Include the
performance standard that the AP should meet
A charge nurse in a long-term care facility is reinforcing
teaching with a group of nurses about fall precautions. Which of
the following statements made by the nurse indicates an
understanding of the teaching? Correct Answer "I will instruct
the client to sit when putting on a pair of pants."
A charge nurse is discussing confidentiality requirements with a
newly licensed nurse when sharing a client's medical
information. Which of the following individuals should the
charge nurse identify as appropriate with whom to share client
information. Correct Answer A social worker who is assigned
to an involuntary committed school-age client
A charge nurse is observing a newly licensed nurse perform
suctioning for a client who has a tracheostomy. For which of the
following actions by the newly licensed nurse should the charge
nurse intervene? Correct Answer Suctions for 30 seconds
A charge nurse is reinforcing teaching with a newly licensed
nurse about floating to a different unit. Which of the following
statements by the newly licensed nurse indicates an
,understanding of the teaching? Correct Answer "I will
document in the medical record the support nurse who assists
with planning care for my clients."
A charge nurse is reinforcing teaching with a newly licensed
nurse about infection control measures. Which of the following
statements by the newly licensed nurse indicates an
understanding of the teaching? Correct Answer Soiled
dressings should be placed in a biohazard trash receptacle
A charge nurse on a mental health unit is supervising a newly
licensed nurse. For which of the following actions by the newly
licensed nurse should the supervising nurse intervene? Correct
Answer Tells a client he will lose his phone privileges if he
does not take his medication
A charge nurse working in a long-term care facility overhears
two AP's in the nurses stations discussing a client who was just
admitted. Which of the following actions should the charge
nurse take? Correct Answer Tell the APs to stop the
conversation
A community health nurse is assisting in the development of a
brochure about hypertension. Which of the following actions
should the nurse take? Correct Answer Explain medical
terminology using basic, one-syllable words
A community health nurse is assisting with the development of a
pamphlet regarding choking hazards for toddlers. Which of the
following foods should the nurse include Correct Answer
grapes
,A home health nurse is caring for an older adult client who has
rheumatoid arthritis. Which of the following findings should the
nurse identify as a safety risk? Correct Answer The client's
electrical wires are run under carpeting
A nurse begins to bath a newly admitted client who reports that
she has not had anything to eat that day. The nurse interrupts the
bath and obtains a healthy meal for the client. This action by the
nurse is an example of which of the following? Correct Answer
Countertransference or Boundary crossing (Unsure)
A nurse enters the room of a school-age child and finds him on
the floor experiencing a tonic-clonic seizure. Which of the
following actions should the nurse take? Correct Answer Place
a pillow under the child's head
A nurse in a clinic is caring for a client who is at 40 weeks of
gestation and experiences a sudden gush of vaginal fluids.
Which of the following findings is evidence of an obstetric
complication? Correct Answer Appears greenish-brown in
color
A nurse in a provider's office is caring for a group of clients who
have communicable diseases. Which of the following infections
should the nurse report to the state health department? Correct
Answer Neisseria gonorrhoeae
A nurse in a provider's office is collecting data from a client
who has a history of hypertension during his annual physical
examination. Which of the following findings should the nurse
, report to the provider immediately? Correct Answer Blurred
vision
A nurse in a provider's office is collecting data from a client
who has psoriasis. Which of the following statements made by
the client should she report to the provider? Correct Answer "I
try not to look at the scales on my body."
A nurse in a provider's office is reinforcing teaching about
cigarette smoking with a client. Which of the following adverse
effects should the nurse include in the teaching? Correct
Answer Somnolence
A nurse in an acute care setting is preparing to administer
medications to a client. Which of the following actions should
the nurse verify the client's identity? Correct Answer Verify the
client's identity using a photograph
A nurse in an acute mental health facility is caring for a newly
admitted client. Which of the following should occur during the
orientation phase of the nurse-client relationship Correct
Answer Defining responsibilities
A nurse in an assisted-living facility is reinforcing teaching with
staff members about preparing for an external chemical disaster.
Which of the following instructions should the nurse include?
Correct Answer "Move clients to a room above ground with
few windows.
A nurse in an inpatient psychiatric unit is caring for a client who
was raised in an Asian culture. Which of the following
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