When assessing the pallor of a client with dark skin, the nurse will specifically look at the: 1. Buccal mucosa of the mouth 2. Dorsal surface of the hands 3. Ear lobe 4. Sclera ANSWER ANS: 1 Pallor is more easily seen in the face, buccal mucosa of the mouth, conjunctiva, and nail beds. […]
Date: September 17th, 2020
The nurse is preparing to discontinue a client’s intravenous infusion. Which actions should the nurse take when removing the catheter from the vein? 1. Pull the catheter out in line with the vein 2. Apply pressure to the site while removing the catheter. 3. Pull the catheter out at an angle perpendicular to the vein. […]
Date: September 17th, 2020
Which of the following nursing assessment data best reflects the successful achievement of the dying client’s right to be pain free? 1. Introducing the client to effective alternative pain management techniques 2. Educating the client on the appropriate use of a patient-controlled analgesia de-vice 3. Pain rated as a 3 out of 10 after the […]
Date: September 17th, 2020
The client is ordered to have eye drops administered daily to both eyes. Eye drops should be in-stilled on the: 1. Cornea 2. Outer canthus 3. Lower conjunctival sac 4. Opening of the lacrimal duct ANSWER ANS: 3 Eye drops should be instilled into the lower conjunctival sac. The conjunctival sac normally holds 1 […]
Date: September 17th, 2020
The client reports difficulty sleeping. Which environmental intervention should the nurse recommend? 1. Play soft music throughout the night. 2. Keep a television on in the bedroom. 3. Provide white noise with a fan. 4. Play a talk radio station. ANSWER Correct Answer: 3 Rationale 1: Music can promote wakefulness. Rationale 2: Television can […]
Date: September 17th, 2020
Riemen’s study of nurses’ caring behaviors (1986) found which one of the following as a similar-ity between male and female clients’ perceptions of nursing caring behaviors? 1. Physical presence 2. Promotion of autonomy 3. Knowledge of injection technique 4. Speed in the completion of treatment ANSWER ANS: 1 According to Riemen, the nurse being […]
Date: September 17th, 2020
While hospitalized, a client was receiving 15 ml of an oral medication three times a day. When providing discharge instructions, the nurse should teach the client to take how much of this medication at home? 1. 2 teaspoons 2. 1 teaspoon 3. 2 tablespoons 4. 1 tablespoon ANSWER Correct Answer: 4 Rationale: In the […]
Date: September 17th, 2020
The client continues to ask questions about a surgical wound. The client states, “I think I would like help the first time I look at my wound.” This is an example of: 1. Adaptation 2. Perception 3. Organizing 4. Guided response ANSWER ANS: 4 A guided response is the performance of an act under […]
Date: September 17th, 2020
Which of the following statements made by a client experiencing chronic kidney dysfunction re-flects the best understanding of the most common physiological effect this disorder can have on the body? 1. “I’m tested regularly for anemia.” 2. “My diet is restricted because of this problem.” 3. “Diabetes runs in my family, so I get tested […]
Date: September 17th, 2020
Which surgical classification would be the most appropriate for a cardiac catheterization sched-uled on a 44-year-old male client who is in the hospital with chest pain? 1. Major 2. Minor 3. Ablative 4. Elective ANSWER ANS: 1 Major surgery involves extensive reconstruction or alteration in body parts and poses great risks to well-being. Minor […]
Date: September 17th, 2020
