A nurse is preparing to apply personal protective equipment before caring for a client who requires isolation precautions. Identify the sequence in which the nurse should perform the following steps. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) (ORDERED RESPONSE)

Put on a gown.

Don a mask.

Put on goggles.

Don gloves.

Answer and Explanation

Correct Answer : A,B,C,D

A. Put on a gown: The gown is applied first to prevent contamination of the nurse’s clothing and skin. It acts as the foundational barrier and should be secured at the neck and waist to ensure full coverage before other PPE is donned.

B. Don a mask: The mask is put on second to protect the respiratory tract from airborne or droplet contaminants. Proper placement over the nose and mouth is essential before entering the client’s room to reduce inhalation of infectious particles.

C. Put on goggles: Goggles or a face shield are worn next to shield the eyes from splashes or sprays of infectious material. Since the eyes are a mucous membrane, they must be protected after covering the mouth and nose.

D. Don gloves: Gloves are put on last and should cover the cuffs of the gown to ensure a complete barrier. This final step helps prevent the transmission of pathogens via the hands when interacting with the client or the environment.

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Correct Answer is C

Explanation

A. "Why do you think they're not eating?”: This question may come across as confrontational or accusatory, which can make the child feel defensive. It does not foster open communication or help the nurse gather specific, objective information.

B. "They may need a feeding tube.": Introducing a feeding tube early in the discussion can cause unnecessary alarm. It is a significant intervention that should only be considered after a thorough assessment and evaluation by the provider.

C. "Tell me more about what happens at mealtime.": This open-ended, nonjudgmental question encourages the child to provide detailed information about the client's eating habits, environment, and possible stressors, helping the nurse assess the situation more effectively.

D. "I'm sure it's nothing serious and their appetite will return soon.": This response is dismissive and minimizes the child’s concern. It may hinder further communication and delay identifying potential underlying issues with the client's nutrition.

A. Room number B. Photo identification C. Diagnosis D. Facility-assigned identification number E. Date of birth

Correct Answer is ["B","D","E"]

Explanation

A. Room number: Room number is not a reliable client identifier because clients can be moved or rooms reassigned, which increases the risk of medication errors or misidentification.

B. Photo identification: Using photo identification is a reliable way to confirm the client’s identity, ensuring that medications are given to the correct person by visually matching the client’s face.

C. Diagnosis: Diagnosis alone is not a unique identifier since multiple clients can share the same diagnosis, and it does not confirm identity for medication administration purposes.

D. Facility-assigned identification number: This number is a unique identifier assigned to each client and is commonly used in healthcare settings to verify identity accurately before medication administration.

E. Date of birth: Date of birth is a reliable identifier to cross-check client identity, especially when used with other identifiers, reducing the risk of errors during medication administration.

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Naxlex Comprehensive Predictor Exams

A home health nurse is reinforcing teaching about dietary needs with the child of a client. They state, "I don't know what to do because they're not eating." Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse in a long-term care facility is preparing to administer medications to a group of clients. Which of the following are acceptable client identifiers for the nurse to use? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

A nurse is caring for a client who is scheduled for a surgical procedure. Which of the following statements by the client indicates an understanding of the informed consent process?

A nurse is caring for a client who has chronic constipation. Which of the following actions should the nurse recommend to the client?

A nurse is collecting data about a client's gastrointestinal system. While auscultating the abdomen, the nurse notes loud growling sounds. When documenting these findings, the nurse should use which of the following terms?

A nurse is reinforcing teaching with a group of adult clients about health promotion and maintenance. The nurse should remind the clients that which of the following screenings should be performed beginning at age 50?

A nurse is collecting data from a client who reports feeling short of breath and notes that the client's SaO2 level is 88% while on room air. Which of the following actions should the nurse take first?

A nurse in a provider's office receives a telephone call from a client's sibling requesting current information about the client's condition. Which of the following actions should the nurse take?