A nurse researcher is using an instrument that provides similar results each time it’s implemented. This is an example of which of the following? 1. Validity 2. Reliability 3. Consistency 4. Variability ANSWER Correct Answer: 2 Rationale 1: Validity is the degree to which an instrument measures what it is supposed to measure. Rationale […]
A client experiencing acute congestive heart failure (CHF) is likely to present with which of the following clinical signs? (Select all that apply.) 1. Flat neck veins 2. Bilateral crackles 3. +2 ankle edema bilaterally 4. Urine output of 790 mL in 24 hours 5. History of a 5-pound weight gain in 3 days 6. […]
The nurse should instruct the client to do which of the following to promote good sleep hygiene at home? 1. Use the bedroom only for sleep or sexual activity. 2. Eat a large meal 1 to 2 hours before bedtime. 3. Exercise vigorously before bedtime. 4. Stay in bed if sleep does not come after […]
A client thinks that she might be pregnant. Which first trimester physiological changes would most likely indicate this? 1. Amenorrhea and nausea 2. Braxton Hicks contractions 3. Increased urinary frequency 4. Edematous ankles and dyspnea ANSWER ANS: 1 Amenorrhea and nausea are physiological changes that may indicate pregnancy in the first tri-mester. Braxton Hicks […]
A nurse is preparing an education program on safety for a young adult group. Based on the major cause of mortality and morbidity for this age-group, the nurse should focus on: 1. Birth control 2. Automobile safety 3. Occupational hazards 4. Prevention of heart disease ANSWER ANS: 2 Violence is the greatest cause of […]
The nurse can best detect that a client needs clarification of the information provided on a special diet by: 1. Asking the client frequently if they have any questions 2. Assessing the client’s nonverbal cues that suggest confusion 3. Providing the client with written supportive materials on the diet 4. Requesting that the client rephrase […]
The client has rheumatoid arthritis, is prone to skin breakdown, and is also somewhat immobile because of arthritic discomfort. Which of the following is the best intervention for the client’s skin integrity? 1. Having the client sit up in a chair for 4-hour intervals 2. Keeping the head of the bed in a high-Fowler’s position […]
The nurse has identified a nursing diagnosis of knowledge deficit regarding the need to monitor blood glucose levels daily. Which of the following statements best reflects the client’s under-standing of the need for therapy? 1. Client agrees to test blood glucose levels 4 times a day. 2. Client records blood glucose levels for a 3-week […]
The nurse has investigated safety hazards and recognizes that which one of the following state-ments is accurate regarding safety needs? 1. Bacterial contamination of foods is uncontrollable. 2. Fire is the greatest cause of unintentional death. 3. Carbon dioxide levels should be monitored in home settings. 4. Temperature extremes seldom affect the safety of clients […]
A client is diagnosed with congestive heart failure. The nurse should assess the client for which conditions that can alter this client’s respiratory function? 1. Conditions that affect the airway. 2. Conditions that affect transport. 3. Conditions that affect the movement of air. 4. Conditions that affect diffusion. ANSWER Correct Answer: 2 Rationale 1: […]
