A charge nurse is reviewing the documentation completed by a newly licensed nurse. Which of the following entries should the charge nurse recommend for revision?

The client demonstrated proper technique when drawing up 8 units of insulin.

The client stated ‘’I struggle to see those little lines on the syringe’’

The client FBS was 95 mg/dl

The client seems to be more comfortable performing self-administration of insulin.

Answer and Explanation

The Correct Answer is D

Choice D:

The client seems to be more comfortable performing self-administration of insulin: The use of the term “seems” introduces subjectivity, which weakens the clarity and objectivity of the documentation. It’s better to describe specific observations or objective findings. For instance, instead of using “seems,” the nurse could note how the client demonstrated confidence or performed the task with ease, providing concrete evidence of improvement.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A) "It sounds like you are exhausted":
This response demonstrates empathy, as the nurse is acknowledging the client's emotional state by reflecting back what the client might be feeling. The nurse recognizes the client's experience of being overwhelmed, using empathetic language to show understanding without judgment or offering solutions prematurely. The phrase "sounds like you are exhausted" is a way of mirroring the client's feelings and giving validation to their experience.

B) "You have so much to deal with. How can I be of help to you?":
While this response offers support and suggests the nurse is ready to help, it does not focus as much on empathy. It is more solution-focused, and while helpful, it doesn’t directly acknowledge or validate the emotional experience of the client as much as an empathetic response would. Empathy focuses on acknowledging the emotional state rather than jumping immediately to offering help.

C) "Tell me more about how you are feeling":
This is a good open-ended question that encourages the client to elaborate on their feelings, but it doesn’t directly reflect empathy. The question prompts the client to talk but does not explicitly acknowledge or validate their emotional experience, which is the primary goal of an empathetic response.

D) "It is impressive how you have managed to deal with this situation":
This response is more focused on offering praise, which, while positive, can come across as dismissive or minimizing of the client's distress. Instead of acknowledging the client's current feelings, it praises their past coping, which may not fully validate the emotional burden they are feeling at the moment. An empathetic response would focus on the client's current emotional state, not necessarily on past strength.

A. Holds their hands below than/bows while rinsing off soap B. Uses hot water to wash their hands C. Turns off the faucet with their hands D. Washes their hands for 10 seconds

Correct Answer is A

Explanation

A) Holds their hands below the elbows while rinsing off soap:
This is the correct practice when performing hand hygiene. To prevent contamination, hands should be kept below the elbows while rinsing to allow the water and soap to flow downward and away from the clean hands. This helps to avoid contaminating the hands with water running down the forearms.

B) Uses hot water to wash their hands:
The temperature of the water should be warm, not hot. Hot water can irritate the skin and cause dryness, which may lead to skin breaks, a potential route for pathogen entry. Therefore, warm water is recommended for hand hygiene, as it is effective and more comfortable for the skin.

C) Turns off the faucet with their hands:
The faucet should be turned off using a paper towel or another method that avoids re-contaminating the hands after washing. Using clean hands to turn off the faucet would defeat the purpose of hand hygiene, as the faucet handle is a common area for bacterial contamination.

D) Washes their hands for 10 seconds:
The proper duration for washing hands is at least 20 seconds, not 10. This ensures that enough time is taken to properly clean all surfaces of the hands, including the palms, backs of hands, between fingers, and under fingernails. Shortening this time can lead to inadequate cleansing, leaving pathogens on the hands.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A charge nurse is reviewing the documentation completed by a newly licensed nurse. Which of the following entries should the charge nurse recommend for revision?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is using the NURSE mnemonic when speaking with a client who is experiencing grief. The client reports that they are feeling overwhelmed. Which of the following responses by the nurse demonstrates the "E" in the NURSE mnemonic?

Correct Answer is A

Explanation

A nurse is observing a newly licensed nurse perform hand hygiene. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?

Correct Answer is A

Explanation

A nurse is teaching a client about the Rinne test. Which of the following client statements indicates an understanding of the teaching?

A nurse is reviewing a fall risk assessment for a client. Which of the following findings places the client at risk for a fall? Select all that apply,

A nurse is teaching a class about pharmacodynamics. The nurse should include that which of the following medication levels occurs when a medication is at the lowest serum concentration?

A nurse is caring for a client whose partner died 3 years ago and reports that they are still unable to accept the loss. The nurse should identify that the client has manifestations of which of the following types of grief?

The nurse is caring for client who has had partial removal the parathyroid gland. The client reports numbness and tingling of the hands and fingers. Which lab value would the nurse expect to see?

A nurse is working with a social worker and a physical therapist in preparing a discharge projection for client who is postoperative. Which of the following steps of the nursing process is the nurse engaging in?

A nurse is teaching a client how to use crutches. Which of the following interventions uses the psychomotor domain of learning?

A nurse is teaching a class about expected physiological changes in older adult clients. Which of the following changes should the nurse include?