The nurse notes that a client has ataxi

Plantar flexion

Romberg

Achilles reflex

Patellar reflex

Answer and Explanation

The Correct Answer is B

Choice A reason: Plantar flexion is not a test that the nurse uses to gain more information about this client's gait because it is a movement of the foot that points the toes downward, not a measure of balance or coordination.

Choice B reason: Romberg is a test that the nurse uses to gain more information about this client's gait because it is a measure of balance and proprioception, which are often impaired in ataxiA. The test involves asking the client to stand with their feet together and arms at their sides, first with their eyes open and then with their eyes closed, while observing for swaying or fallinG.

Choice C reason: Achilles reflex is not a test that the nurse uses to gain more information about this client's gait because it is a measure of the reflex response of the calf muscle when the Achilles tendon is tapped, not a measure of balance or coordination.

Choice D reason: Patellar reflex is not a test that the nurse uses to gain more information about this client's gait because it is a measure of the reflex response of the quadriceps muscle when the patellar tendon is tapped, not a measure of balance or coordination.

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Correct Answer is C

Explanation

Choice A reason: Mitigation is not the level of the National Response Framework that involves educating the residents about evacuation routes and emergency shelters because it is the level that focuses on reducing or eliminating risks and vulnerabilities before a disaster occurs, such as building levees or dams, enforcing zoning codes, or implementing insurance policies.

Choice B reason: Security is not the level of the National Response Framework that involves educating the residents about evacuation routes and emergency shelters because it is not a level of the framework, but rather a cross-cutting function that supports all levels by ensuring the protection of people, property, and information from threats or hazards.

Choice C reason: Preparedness is the level of the National Response Framework that involves educating the residents about evacuation routes and emergency shelters because it is the level that focuses on enhancing the readiness and capabilities of individuals, organizations, and communities to respond to and recover from a disaster, such as developing plans, conducting trainings, or providing education.

Choice D reason: Response phase is not the level of the National Response Framework that involves educating the residents about evacuation routes and emergency shelters because it is the level that focuses on delivering immediate assistance and resources to save lives, protect property, and meet basic needs during and after a disaster, such as activating emergency operations centers, deploying teams, or providing shelter.

A. The AP's ability to complete the task without assistance B. The AP's ability to prioritize C. The AP's rapport with clients D. The AP has the knowledge and skill to perform the task

Correct Answer is D

Explanation

Choice A reason: The AP's ability to complete the task without assistance is not one of the five rights of delegation. The nurse should always supervise and evaluate the AP's performance of delegated tasks.

Choice B reason: The AP's ability to prioritize is not one of the five rights of delegation. The nurse should provide clear and specific instructions and expectations for the delegated tasks.

Choice C reason: The AP's rapport with clients is not one of the five rights of delegation. The nurse should consider the client's preferences, needs, and condition when delegating tasks.

Choice D reason: The AP has the knowledge and skill to perform the task is one of the five rights of delegation. The nurse should delegate tasks that are within the AP's scope of practice, training, and competencE.

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The nurse notes that a client has ataxi

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse has identified a community at risk for floodinG. The nurse understands that educating the residents about evacuation routes and emergency shelters is an example of what level of the National Response Framework?

Correct Answer is C

Explanation

A nurse is delegating tasks to assistive personnel. Which of the following should the nurse consider when using one of the five rights of delegation?

Correct Answer is D

Explanation

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