When discussing the prevention of fire-related injuries and deaths, the nurse should place the greatest emphasis on the: 1. Prevention role smoke detectors play 2. Dangers of careless smoking habits 3. Supervision of children around open flames 4. Importance of readily accessible fire extinguishers ANSWER ANS: 2 The leading cause of fire-related death is […]
The nurse is discussing the correct technique for taking a blood pressure with clients and their caregivers. Which of the following nursing statements would appropriately identify the most likely causes for experiencing difficulty actually hearing the blood pressure? (Select all that apply.) 1. “The cuff cannot be too small or too big.” 2. “Don’t release […]
From an assessment, the nurse learns that the client is having difficulty sleeping because of pain in the hips and knees due to arthritis. The client is weak and fatigued. Which diagnoses would be applicable to the client at this time? 1. Anxiety 2. Hopelessness 3. Ineffective Health Maintenance 4. Insomnia 5. Impaired Physical Mobility […]
The most effective way in the acute care environment to determine the client’s identity before administering medications is to: 1. Ask the client’s name 2. Check the name on the chart 3. Ask the other caregivers 4. Check the client’s name band ANSWER ANS: 4 To identify a client correctly, the nurse checks the […]
A nurse on the unit notices that a co-worker exhibits a pattern of behavior suggestive of drug abuse. The nurse should: 1. Report the situation to the unit charge nurse. 2. Send an anonymous letter to the director of nursing. 3. Let other co-workers know about the situation. 4. Report the situation, then let management […]
A client is scheduled for a bronchoscopy. What should the nurse instruct the client about this procedure? 1. Tissue samples may be taken for biopsy. 2. Eating will not be permitted for 12 hours. 3. A local anesthetic is sprayed on the throat. 4. Bed rest for 8 hours is necessary after the test. 5. […]
Which of the following young adults is at greatest risk for experiencing death or injury? 1. An 18-year-old with a father who is an alcoholic 2. A 30-year-old who is a professional rodeo rider 3. A 20-year-old living in an urban housing project 4. A 26-year-old riding a motorcycle across the country ANSWER ANS: […]
Nursing students who help to set up an immunization clinic are initiating which level of prevention, according to Neuman’s model? 1. Educational 2. Primary 3. Secondary 4. Tertiary ANSWER Correct Answer: 2 Rationale 1: Educational is not one of Neuman’s levels of prevention. Rationale 2: Primary prevention focuses on protecting the normal line of […]
A client is scheduled for cardiac surgery. The nurse is conducting a sexual history and is told that he is nervous about resuming sexual activities. The nurse uses therapeutic communication with the client when responding: 1. “You can have sexual intercourse after your surgery, but there are serious risks.” 2. “Your partner will be nervous […]
The nurse is documenting the insertion of a retention catheter for a client. What should be included in this documentation? 1. Catheter size 2. Location of the drainage bag 3. Amount of urine that drained after insertion 4. Name of the physician who prescribed the insertion of the catheter 5. Client tolerance of the procedure […]
