A nurse is caring for a client who has recently immigrated from China and does not speak English. Which action by the nurse demonstrates cultural competence?

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Question 1 of 5

A nurse is caring for a client who has recently immigrated from China and does not speak English. Which action by the nurse demonstrates cultural competence?

Correct Answer: A

Rationale: The nurse demonstrates cultural competence by using an interpreter to communicate with the client and family, ensuring that the information is conveyed accurately and respectfully, and that the client's preferences and needs are understood.

Question 2 of 5

An RN team leader has one LPN and one medical assistant assigned to the unit. Which patient would be most appropriate to assign to the LPN?

Correct Answer: D

Rationale: LPNs can manage stable patients with routine care (D), like monitoring a stroke patient on continuous feedings, within their scope. A, B, and C require RN-level assessment and intervention due to instability (fever, chest pain, low Hgb/Hct), making D the most appropriate assignment.

Question 3 of 5

Which of the following would be an expected outcome for a patient who is 12 hours status post hip replacement?

Correct Answer: A

Rationale: 12 hours post-hip replacement, increased mobility and decreased pain (A) is realistic. B assumes a catheter (unlikely), C and D (walking, bathing) are premature, making A the expected outcome.

Question 4 of 5

The nurse is attempting to take the history of a newly admitted 92-year-old patient but is unable to obtain the information because of the patient's cognitive status. The nurse should

Correct Answer: B

Rationale: Contacting family (B) provides history when cognitive impairment prevents patient input, ensuring a complete assessment. A is unprofessional, C is unlikely to yield data, and D repeats a failed approach, making B the best action.

Question 5 of 5

A nurse is assisting with the care of a client who has a chest tube. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Taping the connections on the client's chest tube prevents accidental disconnection, which could compromise the seal and lead to complications such as a pneumothorax. Looping the tubing (A) can obstruct drainage, stripping the tube (B) can damage lung tissue due to increased negative pressure, and placing the drainage system above the heart (D) prevents gravity drainage and risks fluid backflow into the pleural cavity.

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