In order to therapeutically counsel clients regarding issues related to sexuality, a nurse should have knowledge on which of the following topics? (Select all that apply.) 1. Abortion 2. Birth control 3. Sexual techniques 4. Sexual orientation 5. Sexual development 6. Sexually transmitted diseases (STD) ANSWER ANS: 1, 2, 4, 5, 6 Nurses help […]
To minimize the risk for injury to the oral mucosa, a client ordered a buccally administered med-ication is instructed to: 1. Alternate cheeks with each subsequent dose 2. Swallow the medication with a full glass of liquid 3. Chew the medication thoroughly before swallowing 4. Avoid allowing the medication to dissolve on the tongue […]
The first rule of safety when managing client transfers is: 1. Flex your knees and plant your feet far apart 2. Keep your back aligned with your neck, pelvis, and feet 3. Use lift teams or mechanical lifts when the transfer requires it 4. Always use the large muscles of the arms and legs, not […]
An adolescent child, who is having behavioral problems has had added responsibilities put upon her because the father has just loss his job and is experiencing periods of depression and the mother has a chronic debilitating illness. The nurse is involved in crisis intervention and intervenes to specifically focus the family on their feelings by: […]
A nurse has delegated to a nurse’s aide to obtain vital signs for a newly admitted client. The aide reports the following: temperature = 99.3(F), respirations = 26, pulse = 98 bpm, and blood pressure = 200/146. To validate the data, the best action by the nurse is: 1. Retake the vital signs. 2. Call […]
Which of the following factors has the greatest impact on health care available to non-Hispanic white minority groups in the United Sates? 1. Significant language barriers 2. Inappropriately high poverty rates 3. Genetically based disease processes 4. Mistrust of Western medical practices ANSWER ANS: 2 Racial and ethnic minorities are more likely than non-Hispanic […]
The nurse is performing a musculoskeletal assessment on a client admitted with a possible stroke. When testing for muscle grip strength, the nurse should ask the client to perform which action? 1. Grasp the nurse’s index and middle fingers while the nurse tries to pull the fingers out. 2. Hold an arm up and resist […]
A client who was a victim of a house fire is coughing. The nurse realizes that the purpose of the cough is to 1. improve oxygenation. 2. remove irritants from the nasal passages. 3. remove irritants from the trachea or bronchi. 4. close the glottis. ANSWER Correct Answer: 3 Rationale 1: Coughing does not […]
The nurse recognizes that a client experiencing anxiety related to a traumatic injury and the re-sulting pain is likely to experience the fight or flight response, which would cause which of the following assessment findings? (Select all that apply.) 1. Rectal temperature of 102.2° F 2. Pulse Ox of 97% on room air 3. Respirations […]
The student nurse is examining the dispersion of data in a research study. Measurements would include which of the following? 1. Mean, median, and mode 2. Range, variance, and standard deviation 3. Mean, range, and standard deviation 4. Measures of central tendency ANSWER Correct Answer: 2 Rationale: Measures of variability indicate the degree of […]
