The most appropriate method to use to assess a carotid artery for the presence of a bruit is to: 1. Palpate each artery lightly; first the right side and then the left 2. Have the client turn the head towards the side being auscultated 3. Place the bell of the stethoscope over the artery near […]
Date: September 17th, 2020
A client who is re-learning to walk asks the nurse, “to come with me today to physical therapy.” The nurse realizes that the client is most likely expressing: 1. A need for emotional support 2. A need for familiar companionship 3. An appreciation of the nurse’s caring 4. An interest in validating her progress […]
Date: September 17th, 2020
The nurse has just completed an admission interview with a new client. Which response by the nurse is an example of a remark used during the closing phase of the interview? 1. “I’m going to set up your physical assessment now. Do you have any questions?” 2. “Tell me more about how you feel.” 3. […]
Date: September 17th, 2020
The nurse is assessing an older client. What effects of aging should the nurse keep in mind during this assessment? 1. Decreased cough reflex 2. Stiffening of blood vessels 3. Alteration in protein synthesis 4. Dry mucous membranes 5. Increased risk of aspiration ANSWER Correct Answer: 1, 4, 5 Rationale 1: The cough reflex […]
Date: September 17th, 2020
A nurse educator is explaining primary health care (PHC) and the extension of its boundaries beyond traditional health care services. Issues related to PHC include which of the following? 1. Distribution and participation 2. Environment, agriculture, and housing 3. Consumerism and governmental subsidies 4. Low life expectancies and high mortality rates among children ANSWER […]
Date: September 17th, 2020
A client tells the nurse that she does not want to get into the tub for a morning bath. The client has not been bathed for several days. What should the nurse do? 1. Assign UAP the task of giving the client a bath. 2. Skip the client’s bath and document “refused” in the medical […]
Date: September 17th, 2020
Which of the following lifestyle choices poses the greatest risk for chronic illness to the young adult? 1. Alcohol and tobacco use 2. Ignoring seat belt and helmet laws 3. Unprotected sex with multiple partners 4. Poor nutrition and a lack of structured exercise ANSWER ANS: 1 Lifestyle choices of young adults (e.g., use […]
Date: September 17th, 2020
A nurse is caring for an immobile client with a large pressure ulcer on her left ankle. Which of the following statements by the nurse best reflects critical thinking regarding client care? 1. “I’m sure that friction and pressure have caused this problem.” 2. “Please be sure that her ankles are well padded when you […]
Date: September 17th, 2020
Which of the following symptomatology is reflective of a lower urinary tract infection? (Select all that apply.) 1. Chills and fever 2. Nausea and vomiting 3. Frequency or urgency 4. Cloudy or blood-tinged urine 5. Pelvic tenderness or flank pain 6. Burning or pain when voiding ANSWER ANS: 1, 2, 3, 4, 6 Clients […]
Date: September 17th, 2020
The nurse recognizes that a client’s hearing deficits impact the development of the nurse-client relationship. Which of the following has the greatest impact on minimizing this obstacle? 1. Speaking slowly, clearly, and in a normal tone 2. Using various forms of nonverbal communication 3. Relying heavily on touch to convey caring and interest 4. Involving […]
Date: September 17th, 2020
