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What are the six competencies from Quality and Safety Education for Nurses (QSEN) that are expected of new nursing graduates?
- A. Patient-centered care
- B. Teamwork and collaboration
- C. Evidence-based practice
- D. Quality improvement
Correct Answer: B
Rationale: QSEN competencies include patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics.
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You are preparing to discharge a client whose calcium level was low but is now just slightly within the normal range (9-10.5 mg/dL). Which statement by the client indicates the need for additional teaching?
- A. “I will call my doctor if I experience muscle twitching or seizures.”
- B. “I will make sure to take my vitamin D with my calcium each day.”
- C. “I will take my calcium pill every morning before breakfast.”
- D. “I will avoid dairy products,broccoli and spinach when I eat.”
Correct Answer: C
Rationale: The correct answer is C. Taking calcium supplements on an empty stomach can reduce their absorption. Calcium pills should be taken with food for optimal absorption. Options A, B, and D demonstrate good understanding of calcium management. Option A shows awareness of symptoms of hypocalcemia, B indicates proper supplementation, and D reflects knowledge of foods high in calcium that can interfere with supplement absorption.
What should a nurse include in the teaching plan for clients who have a potential for hypovolemia?
- A. Avoid alcohol and caffeine
- B. Increase intake of dried peas and beans
- C. Increase intake of milk and dairy products
- D. Avoid table salt or food containing sodium
Correct Answer: A
Rationale: Alcohol and caffeine are diuretics, increasing fluid loss and worsening hypovolemi Avoiding them helps maintain fluid balance.
What should be included in Mr. Ross’s plan of care during radiation therapy if he complains of weakness and lethargy?
- A. Encouraging him to rest more than usual
- B. Monitoring his intake and output
- C. Helping him to accept his condition
- D. Checking his blood pressure daily
Correct Answer: A
Rationale: Rest conserves energy and aids recovery during radiation therapy.
What is the first sign that the condition of a dying client is worsening?
- A. Pulmonary function impairment
- B. Peripheral circulation changes
- C. Central nervous system alterations
- D. Failing cardiac function
Correct Answer: C
Rationale: Central nervous system changes, such as confusion or lethargy, often indicate declining health in terminal stages.
A client is vomiting. Which of the following actions should the nurse take first?
- A. Provide the client with an emesis basin
- B. Notify housekeeping
- C. Prevent the client from aspirating
- D. Administer an antiemetic to the client
Correct Answer: C
Rationale: The correct action for the nurse to take first is to prevent the client from aspirating. Aspiration is a serious risk when a client is vomiting as it can lead to respiratory complications. The nurse should position the client on their side to prevent aspiration of vomitus into the airway. This immediate action takes priority over providing an emesis basin, notifying housekeeping, or administering an antiemetic, which do not address the urgent need to prevent aspiration.