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Question 1 of 5

A client is admitted with a possible bowel obstruction. Which question during the nursing history is least helpful in obtaining information regarding this diagnosis?

Correct Answer: C

Rationale: Diet history is less directly related to diagnosing a bowel obstruction compared to pain, vomiting characteristics, or abdominal distension, which are hallmark symptoms.

Question 2 of 5

The client has an order for FeSO4 liquid. Which method of administration would be best?

Correct Answer: C

Rationale: Administering FeSO4 with orange juice enhances iron absorption due to its vitamin C content.

Question 3 of 5

A client has surgery scheduled in 2 weeks. He decides to donate his own blood ahead of time to be stored and used in case he needs a blood transfusion during his surgery. This type of blood donation is referred to as

Correct Answer: C

Rationale: Autologous donation involves donating one’s own blood for personal use during surgery, reducing transfusion risks.

Question 4 of 5

A client with suspected renal disease is to undergo a renal biopsy. The nurse plans to include which statement in the teaching session?

Correct Answer: B

Rationale: Renal biopsies may cause discomfort during needle insertion, and informing the client prepares them for the procedure.

Question 5 of 5

Which of the following tasks are appropriate for the nurse to delegate to unlicensed assistive personnel? Select all that apply.

Correct Answer: B,C,E

Rationale: Unlicensed assistive personnel can perform routine tasks like checking routine vital signs (
B), measuring urinary output (
C), and assisting with ambulation (E). Checking vital signs in an acutely ill client (
A) and monitoring a transfusion (
D) require a nurse's assessment skills.

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