A nurse working in an acute care facility’s emergency department should recognize which of the following client reports as being most suspicious of a terrorist attack? 1. Four deaths resulting from a privately owned airplane crashing into a four-story building 2. Numerous reports of respiratory distress among older adults who attended an outdoor musical event […]
The client being prepared for a procedure asks to be allowed to wear a religious medal. The client states, “I have worn this medal and have not removed it since I was a teenager.” What action should the nurse take? 1. Tell the client that the medal must be removed, as it is policy to […]
The nurse is assessing the client with an IV line. The nurse notes that the IV insertion site is red, edematous, and painful. The nurse’s first action should be to: 1. Immediately discontinue the IV line and remove the cannula 2. Put cool compresses on the IV site to decrease the edema 3. Notify the […]
Which of the following statements shows the best attempt by a nurse to overcome personal bias-es? 1. “So how does that make you feel?” 2. “Most people really like Dr. Jones.” 3. “I know how that must frighten you.” 4. “How much did the medication help your pain?” ANSWER ANS: 1 People often assume […]
A client diagnosed with tuberculosis is being admitted to a care area. Which nursing action prevents the transmission of the disease? 1. Have the client wear a mask when coming from admission. 2. Stock the supply cart at the beginning of each shift. 3. Wash the hands only after leaving the room. 4. Wear a […]
Care plans created by nursing students usually differ from those that are completed by nurses working on client units. An aspect of the plan that is usually included in the student’s care plan but not in the client’s record is: 1. Client outcomes 2. Nursing diagnoses 3. Scientific rationales 4. Nursing interventions ANSWER ANS: […]
The nurse recognizes that the most likely reason a runner who has injured his ankle during a race is not aware of it until after he crosses the finish line is that: 1. The emotional exhilaration of running the race masked the pain of the injury 2. His endorphin levels were high as a result […]
Which of the following statements, made by a nurse regarding the means by which older adults usually express and manage grief, reflects a need for further instruction and clarification? 1. “The greater the loss the greater the sense of grief.” 2. “Managing depression will help the grieving adult cope.” 3. “Having lived a long, happy […]
A prostate biopsy is an acceptable procedure to be performed as an ambulatory surgery on an otherwise healthy adult male because the American Society of Anesthesiologists (ASA) consid-ers that a: 1. Physical status class 1 2. Physical status class 2 3. Physical status class 4 4. Physical status class 5 ANSWER ANS: 1 ASA […]
A client has a wound that is going to heal through secondary intention. When instructing the client about this wound, the nurse would include which statements? 1. Minimal tissue loss. 2. Closure of the wound will occur within 5 days. 3. Healing time will be longer. 4. Potential for scarring is greater. 5. Susceptibility to […]
