Which of the following statements best reflects a nurse’s understanding of the proper critical thinking process regarding the need for personal malpractice insurance? 1. “The state’s Good Samaritan laws protect me outside of the hospital.” 2. “I work in a very low risk area of nursing, so I don’t really have a need.” 3. “The […]
The nurse recognizes that the family of a deceased Buddhist client will: 1. Bury before sundown 2. Decline viewing the body 3. Not move the body until it is cold 4. Select cremation rather than burial ANSWER ANS: 3 Some Buddhists may refuse to move the dead body after death because of their belief […]
An older client has just relocated from home to an assisted living facility. The nurse is concerned because the client has been withdrawn and is crying periodically throughout the day. What type of loss is this client demonstrating? 1. External objects 2. Familiar environment 3. Loved ones 4. Psychological ANSWER Correct Answer: 2 Rationale […]
Urinary elimination may be altered with different pathophysiological conditions. For the client with diabetes mellitus, the nurse anticipates that an initial urinary sign or symptom will be: 1. Urgency 2. Dysuria 3. Hematuria 4. Polyuria ANSWER ANS: 4 An initial urinary symptom of diabetes mellitus is polyuria. Urgency is not a symptom of diabetes […]
Which of the following client behaviors best reflects Neuman Systems Model of tertiary preven-tion? The client who: 1. Swims daily to strengthen muscles weakened as a result of hip surgery 2. Follows a low-fat diet in order to bring her high-density lipids to under 200 mg/dL 3. Walks 1 mile daily to keep her blood […]
The nurse is preparing to instruct a client on nonpharmacologic interventions that target the body for pain control. What should the nurse include in these instructions? 1. Massage 2. Acupressure 3. Self-hypnosis 4. Exercise 5. Nutritional supplements ANSWER Correct Answer: 1, 2, 4, 5 Rationale 1: Massage is a nonpharmacologic intervention that targets the […]
When caring for several acutely ill clients, the nurse exhibits professional autonomy when: 1. Delivering medications and prescribed treatments in a timely manner 2. Prioritizing client according to client needs 3. Communicating with peers when help is needed 4. Informing the supervisor about high acuity level and staff-to-client ratio ANSWER Correct Answer: 2 Rationale: […]
On the fourth postoperative day, the client has a sudden coughing episode and tells the nurse that “something popped” in the abdominal incision. Upon inspection, the nurse finds that evisceration has occurred. What nursing action should be taken 1. Notify the client’s surgeon. 2. Cover the area with a large saline-soaked dressing. 3. Position the […]
A client has been taking medication for back pain for several months, and has seen several different health care providers in efforts to receive pain medication. The nurse is concerned that the client is exhibiting 1. tolerance. 2. addiction. 3. physical dependence. 4. pseudoaddiction. ANSWER Correct Answer: 2 Rationale 1: Tolerance is a state […]
The nurse has assigned nursing assistive personnel to obtain the temperatures on the unit’s clients. Which of the following statements made by the assistive personnel shows the greatest need for additional instruction regarding appropriate temperature monitoring orally? 1. “Are all the clients cooperative enough to take the temperatures orally?” 2. “Do you want me to […]
