1) When a client calls a nurse who has established a private nonprofit home care agency in the community, the nurse should explain that nurses at the agency:-

Rationale: Private nonprofit agencies are governed by a board of directors and often receive funding from voluntary agencies
2) A nurse working in a hospital based home care agency is presenting the annual report to the hospital board. The nurse states“In order for the hospital to operate this home care agency“?

Rationale: Most institutional based agencies are operated and funded by hospitals and are governed by the hospital`s board of directors
3) A public health nurse and a home health care nurse are meeting to discuss their roles in the community. The home health care nurse states that the nurses role in home health care focuses on,

Rationale: Home health care focuses on illness care in the home and post hospital follow-up
4) The nurse should prepare to administer which of the following drugs to hospice client experiencing mild pain?

Rationale: Codeine is the drug commonly given to ease mild discomfort of a hospice client
5) The nurse in the emergency room is evaluating a head laceration on an 8yr old Asian American client. Prior to the physical assessment, the nurse should,

Rationale: In the Asian American culture, the head is considered seared. Touching the head is seen as disrespectful.
6) A 6yr old is diagnosed with Legg calve perthes disease of the right femur. An important part of the child care includes instructing the parents?

Rationale: The child with Legg Calve Perthes disease should be prevented from bearing weight on the affected extremity until revascularization has occurred.
7) The medical record of a client with epilepsy indicates two previous episodes of status epileptics. Before discharge, the nurse instructs the client who will take phenytoin sodium (Dilation) at home to perform which hygiene measure?

Rationale: Dilation causes gingival hyperplasia. Through oral hygiene, gum massage, daily flossing and regular dental care are essential.
8) The client complaints of having acute pain in the incisional area. Based on the client complaints the nurse would expect the pain to have which possible effect on the vital signs?

Rationale: A client in acute pain is most likely to have a rapid pulse rate, rapid respiratory rate and rising blood pressure.
9) The nurse is providing dietary teaching regarding low sodium diet for a client with hypertension. Which food should be avoided by the client on a low sodium diet?

Rationale: The client should avoid eating American and processed chesses such as Colby and cheddar because they are high in sodium.
10) A newborn male has been diagnosed with hypospadiasis with chordee. The nurse understands that the infant will have altered patterns of urination because:-

Rationale: The infant with hypospadiasis has altered pattern of urinary elimination caused by the location of the urinary meatus on the underside of penis
11) A nursing team develops a care plan for a client who has been diagnosed with CA larynx. The client is scheduled for a total laryngectomy. After surgery the client is taken to the recovery room until stabilized. Because of this client`s impaired speech, which nursing action facilitates optimum communication?

Rationale: Until the laryngectomy client learns esophageal speech or the use of a mechanical vibrator, providing paper and pencil or a magic slate is the best alternate for communication
12) The nurse provides instructions about the proper administration of oral medications in liquid form to the parents of an infant. The nurse assumes the parents understand the medication instructions when they make which statement?

Rationale: Infant is to position upright and slowly administer the medication with rubber tipped medicine dropper
13) The client with bilateral cataract is scheduled to have a cataract removed from the right eye. Pre-operative orders include the following:-
Scrub face for 10minutes on the morning of surgery, withhold anticoagulant therapy, and instill dilating drops every 15 minutes for 1hour before surgery, the nurse instills eye drops as per the physicians orders. The nurse should instill the eye drops into which part of the client’s eye?