Which of the following clients is most likely to experience difficulty returning to sleep? 1. A 60-year-old with benign hypertropic prostatic disease 2. A 15-year-old with type 1 diabetes 3. A 35-year-old diagnosed with hypothyroidism 4. A 55-year-old diagnosed with hypertension ANSWER ANS: 1 Nocturia, or urination during the night, disrupts sleep and the […]
The nurse is assessing a newly admitted client for the presence of impaired peripheral arterial circulation. Which finding would be significant to this condition? 1. Ruddy skin color over legs 2. Bounding pedal pulses 3. Hot spots on the feet and legs 4. Decreased hair on the legs ANSWER Correct Answer: 4 Rationale 1: […]
While going through the process of acculturation a client will be: 1. Identifying with 2 or more cultures 2. Adapting to and adopting a new culture 3. Showing favor to the dominant culture 4. Socializing within their primary cultural group ANSWER ANS: 2 Acculturation is the process of adapting to and adopting a new […]
The nurse is providing medications to a client. After identifying the client, the nurse should take which action? 1. Inform the client as to the intended action of the medication. 2. Administer the drug. 3. Document that the drug was provided. 4. Evaluate the effectiveness of the drug. ANSWER Correct Answer: 1 Rationale 1: […]
Nursing students are working with clients on a secured Alzheimer’s unit. Most of the clients are Stage II/III Alzheimer’s disease. Which of the following types of nursing systems, according to Orem’s theory, would be appropriate for this unit? 1. Supportive 2. Educative 3. Partly compensatory 4. Wholly compensatory ANSWER Correct Answer: 4 Rationale 1: […]
The nurse and a 62-year-old client are discussing the client’s sense of hearing. Which of the fol-lowing assessment questions is most likely to launch a conversation concerning the client’s ability to hear effectively? 1. “Do you think you have a hearing problem?” 2. “Do you hear as well as you did 5 years ago?” 3. […]
Which source of law best addresses a situation where nurse accidentally administers an incorrect dosage of morphine sulfate to the client? 1. Civil law 2. Criminal law 3. Common law 4. Administrative law ANSWER ANS: 1 Civil laws protect the rights of individual persons within our society and encourage fair and eq-uitable treatment among […]
Which of the following is a gerontological principle related to families? 1. Later-life families need not work on developmental tasks. 2. The caregivers are often not members of the client’s family. 3. Role reversal is usually expected and well accepted by the older client. 4. Support systems are likely to be different than those of […]
A client with transient atrial fibrillation has been taking 83 mg of aspirin daily for the past 3 years. When preparing the client for discharge from the hospital, the nurse discontinues his IV line. In order to prevent a hematoma, the nurse needs to hold pressure on the IV site for: 1. 1 to 2 […]
Which of the following statements made by a nurse related to the organization of client care re-quires follow-up by the mentor? 1. “I had my LPN bring the Foley catheterization supplies into the room so they’d be there when I got there.” 2. “I delegated all the stable vital signs to my nursing assistant and […]
