Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse working in a rehabilitation unit is administering medications to two clients who have the same name. Which of the following identifiers should the nurse use to verify the identities of each client?
A. The room numbers of the clients
B. The diagnoses of the clients
C. The names of the clients' nearest relatives
D. The telephone numbers of the clients
The telephone numbers of the clients are unique identifiers that can be used to verify their identities before administering medications. The room numbers, diagnoses, and names of relatives are not reliable identifiers because they can change or be shared by other clients.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Comprehensive Predictor 2023 Proctored Exam. Take the full exam now
Full Explanation
The correct answer is D. The telephone numbers of the clients are unique identifiers that can be used to verify their identities before administering medications. The room numbers, diagnoses, and names of relatives are not reliable identifiers because they can change or be shared by other clients.
Similar Questions
A nurse is reinforcing teaching to a newly licensed nurse about bowel sounds. Which of the following characteristics should the nurse use to describe hyperactive bowel sounds?
A. Can be a result of a paralytic ileus
B. Indicates decreased motility
C. Sounds are soft and at a rate of 1/min
D. Sounds are high-pitched
Hyperactive bowel sounds are high-pitched and occur at a rate of more than 30/min. They indicate increased motility and can be a result of diarrhea, inflammation, infection, or bleeding.
Full Explanation
The correct answer is D. Hyperactive bowel sounds are high-pitched and occur at a rate of more than 30/min. They indicate increased motility and can be a result of diarrhea, inflammation, infection, or bleeding.
A nurse is caring for a client who has depressive disorder. The client states, "Everyone would be better off if I were not around." Which of the following responses should the nurse make?
A. "When you get better you will not feel this way."
B. "Are you thinking of hurting yourself?"
The nurse should assess the client's risk for suicide by asking directly about suicidal thoughts or plans. This is a priority intervention that can help prevent harm to the client and provide appropriate referrals for further evaluation and treatment.
C. "What would your family do without you?"
D. "Why would you think a thing like that?"
Full Explanation
The correct answer is B. The nurse should assess the client's risk for suicide by asking directly about suicidal thoughts or plans. This is a priority intervention that can help prevent harm to the client and provide appropriate referrals for further evaluation and treatment.
A nurse is reinforcing discharge teaching with the family of an older adult client about safety precautions when administering a hypotonic enema to the client. Which of the following instructions should the nurse include in the teaching?
A. Instruct the client to exhale while inserting the rectal tube.
The nurse should instruct the client to exhale while inserting the rectal tube to relax the anal sphincter and facilitate insertion. The other options are incorrect because they can cause injury or discomfort to the client.
B. Insert the tip of the rectal tube 15 cm (6 in).
C. Administer the enema using cool tap water.
D. Administer a second enema if the first has poor results.
Full Explanation
The correct answer is A. The nurse should instruct the client to exhale while inserting the rectal tube to relax the anal sphincter and facilitate insertion. The other options are
incorrect because they can cause injury or discomfort to the client.
