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A nurse is reviewing the medical records of S clients at a local clinic.
The charge nurse reviews the medical records for the 5 clients and notifies the provider of the laboratory reports. Which of the following clients who have communicable diseases should the nurse report as required by law?
Select the 3 clients that the nurse should report.

Client 2

Client 3

Client 5

Client 1

Client 4

Answer and Explanation

Correct Answer : A,B,D

Rationale:

Client 2 – Chlamydia trachomatis: Chlamydia is also a reportable STI for similar public health reasons. Reporting helps prevent ongoing transmission.
Client 3 – Syphilis (RPR positive): Syphilis is reportable by law, as early detection and treatment are crucial to prevent complications and transmission.
Client 5 – Genital herpes simplex virus (HSV-2): Genital herpes is not reportable in most jurisdictions, though clients are counseled on prevention and management.
Client 1 – Neisseria gonorrhoeae: Gonorrhea is a reportable sexually transmitted infection (STI). Public health authorities must be notified to allow for contact tracing and treatment of exposed individuals.
Client 4 – Human papillomavirus (HPV): HPV is not a reportable infection, even if there are visible lesions (condyloma acuminata). It is managed clinically, but public health reporting is not required.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Rationale:
A. A Yankauer suction device is essential for a client with dysphagia because these clients are at increased risk of choking or aspiration while eating or drinking. Having a suction device readily available allows the nurse to quickly remove secretions or vomitus from the airway to maintain patency and prevent respiratory compromise.

B. Large-handled utensils may be helpful for clients with limited hand dexterity or weakness, but they do not address the immediate safety risk associated with dysphagia, which is aspiration.

C. A bite block is typically used during dental procedures or to prevent clients from biting tubes or fingers, not for dysphagia management.

D. While oxygen may be needed for clients with respiratory compromise, it is not a primary precaution for dysphagia. The priority is ensuring the airway is protected and that suction is available in case of choking.

A. A client who is receiving IV chemotherapy and is ambulatory B. A client who is in Buck's traction for a left hip fracture C. A client who is 1 day postoperative following thoracic surgery and has a chest tube D. A client who is confused and restrained for safety

Correct Answer is D

Explanation

Rationale:
A. A client who is ambulatory and receiving IV chemotherapy can evacuate independently or with minimal assistance, so they are not the highest priority during an emergency.

B. A client in Buck’s traction requires assistance for safe movement, but they are generally stable and can be evacuated after higher-risk clients.

C. A client who is postoperative with a chest tube is at risk but is likely stable and can be evacuated with assistance. Evacuation should be careful to maintain tube function, but they are not the immediate priority.

D. A client who is confused and restrained is the highest priority for evacuation. They are at risk for injury, cannot follow instructions, and may struggle to move independently. During a fire or other emergency, protecting clients who cannot protect themselves comes first.

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Naxlex Comprehensive Predictor Exams

A charge nurse is assessing the room of a newly admitted client who has dysphagia. Which of the following pieces of equipment should the nurse ensure is available in the client's room?

Correct Answer is A

Explanation

A charge nurse is planning to evacuate clients on the unit because there is a fire on another floor. Which of the following clients should the nurse evacuate first?

Correct Answer is D

Explanation

A nurse is providing information to a client about advance directives. Which of the following items should the nurse explain that advance directives in s include?

A nurse is documenting and completing an incident report after a client falls out of bed. Which of the following actions should the nurse take when completing the documentation?

A nurse is assessing a client who has heart failure two months after the implementation of a quality improvement initiative to reduce the hospital readmission rate. Which of the following findings should the nurse identify as an indication the quality improvement initiative is successful?

A charge nurse is discussing incident reports with a newly licensed nurse. Which of the following situations should the nurse identify as requiring an incident report?

A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube. The nurse should assess the client's need for which of the following supplies to manage the tracheostomy at home? (Select all that apply.)

A nurse manager is attending a meeting about the cost of health care. Which of the following measures should the nurse implement to reduce the cost of treatment in the acute care setting?

A nurse in the emergency department is assessing a client who is unconscious following a motor-vehicle crash. The client requires immediate surgery. Which of the following actions should the nurse take?

A charge nurse is observing the staff on the unit. Which of the following situations should the charge nurse identify as a breach of confidentiality? (Select all that apply.)