The community health nurse working with teenage mothers and their children and recognizes that these clients have increased vulnerability and should be assessed for: 1. Distance separation from their nuclear families 2. Increased levels of poverty 3. Raising children without the support of family 4. The normal difficulties of adolescence ANSWER Correct Answer: 4 […]
The legal basis for a nurse to provide emergency treatment without consent to a client incapable of informed consent is: 1. Such care is clearly a nursing responsibility 2. To fail to provide such care is nursing negligence 3. It is presumed that the client would want the emergency treatment 4. Health care providers have […]
Which of the following research topics best lends itself to the experimental research process method? 1. The effects of therapeutic touch on a geriatric client diagnosed with Alzheimer’s disease 2. Prioritizing three nursing diagnoses for a newly admitted client with diabetes mellitus 3. Employing humor as an intervention with clients who are recovering from ortho-pedic […]
Which of the following statements made by a nurse shows the most appropriate understanding of “skin hunger”? 1. “For skin to be healthy, it must be fed.” 2. “Being touched is as important as being fed.” 3. “Touch provides emotional comfort to a client.” 4. “Skin requires adequate nutrients and hydration.” ANSWER ANS: 1 […]
The nurse is teaching a client with heart failure about diagnostic tests. Which test should the nurse emphasize in this teaching? 1. BNP 2. CBC 3. LDH 4. PKU ANSWER Correct Answer: 1 Rationale 1: The specific blood test to detect and guide treatment for heart failure is the BNP test. B-type natriuretic peptide […]
The nurse begins to auscultate the client’s lungs. While listening, the nurse notices fresh bloody drainage oozing from the abdominal dressing. The nurse stops auscultating and applies direct pressure to the wound site. This is an example of: 1. Performing a nursing assessment 2. Reorganizing the nursing diagnoses 3. Implementing nursing interventions 4. Critically analyzing […]
Which of the following clients has an identified factor that is affecting the client’s energy re-quirements? (Select all that apply.) 1. A 27-year-old diagnosed anorexic client 2. A 21-year-old college football quarterback 3. A 73-year-old recovering from hip surgery 4. A 39-year-old who is currently menstruating 5. A 4-year-old with a temperature of 102.2° F […]
The nurse has documented that the client has orthostatic hypotension. Which assessment finding would support this assessment? 1. Decrease in blood pressure when moving from supine to standing 2. Decrease in heart rate when moving from supine to sitting 3. Pale color in the legs when lying in bed 4. Complaints of dizziness when first […]
A client experiencing hard, dry feces is scheduled for an enema. The nurse recognizes that what type of solution would be best for the client? 1. Hypertonic 2. Hypotonic 3. Soapsuds 4. Oil retention 5. Isotonic ANSWER Correct Answer: 2, 5 Rationale 1: Hypertonic enema solutions draw water into the colon. Rationale 2: Hypotonic […]
Discussing the client’s follow-up dietary needs immediately after the surgery when the client is experiencing discomfort is an error in: 1. Pacing 2. Intonation 3. Timing and relevance 4. Denotative meaning ANSWER ANS: 3 Discussing follow-up dietary needs immediately after surgery when the client is experiencing discomfort is an error in timing and relevance. […]
