A nurse arranges for a interpreter to facilitate c

Question 1 of 5

A nurse arranges for a interpreter to facilitate communication between the health care team and a non-English speaking client. To promote therapeutic communication, the appropriate action for the nurse to remember when working with an interpreter is to

A. promote verbal and nonverbal communication with both the client and the interpreter B. speak only a few sentences at a time and then pause for a few moments C. plan that the encounter will take more time than if the client spoke English D. ask the client to speak slowly and to look at the person spoken to

Correct Answer: C

Rationale: Planning that the encounter will take more time promotes therapeutic communication with an interpreter. It allows accurate translation, per cultural competence standards. Verbal/nonverbal , pausing , and speaking slowly help but time is key. C ensures clarity.

Question 2 of 5

The nurse is performing a physical assessment on a client who just had an endotracheal tube (ET) inserted. Which finding would call for immediate action by the nurse?

A. Breath sounds can be heard bilaterally B. Mist is visible in the face C. Pulse is visible in the face D. Client is unable to speak

Correct Answer: D

Rationale: Client unable to speak is expected with an ET tube and doesn't require immediate action; however, if misinterpreted, bilateral breath sounds missing would. The question likely intends a critical finding assume typo. A (if absent) would prompt action, per airway standards, but as written, D is normal.

Question 3 of 5

The nurse is to administer a new medication to a client. Which of these actions best demonstrate awareness of safe, proficient nursing practice?

A. Verify the order for the medication. Prior to giving the medication the nurse should say, 'Please state your name.' B. Upon entering the room the nurse should ask: 'What is your name? What allergies do you have?' and then check the client's name band and allergy band. C. As the room is entered say 'What is your name?' then check the client's name band. D. Verify the client's allergies on the admission sheet and order. Verify the client's name on the nameplate outside the room then as the nurse enters the room ask the client 'What is your first, middle and last name?'

Correct Answer: B

Rationale: Asking name and allergies then checking bands best demonstrates safe practice. It confirms identity and allergies at the bedside, per medication safety standards. A lacks allergy check, C misses allergies, D is overly complex. B ensures accuracy.

Question 4 of 5

A client arrives in the emergency department after a radiologic accident at a local factory. The first action of the nurse would be to

A. begin decontamination procedures for the client B. ensure physiologic stability of the client C. wrap the client in blankets to minimize staff contamination D. double bag the client's contaminated clothing

Correct Answer: B

Rationale: ABCs (airway, breathing, circulation) take priority to stabilize the client before decontamination.

Question 5 of 5

When caring for a client with urinary incontinence, which content should be reinforced by the nurse?

A. hold the urine to increase bladder capacity B. avoid eating foods high in sodium C. restrict fluid to prevent elimination accidents D. avoid taking antihistamines

Correct Answer: D

Rationale: Antihistamines can worsen incontinence by reducing bladder tone; other options are incorrect or harmful.

A nurse arranges for a interpreter to facilitate communication between the health care team and a non-English speaking client. To promote therapeutic communication, the appropriate action for the nurse to remember when working with an interpreter is to

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