When discussing sexually transmitted diseases (STDs) with a group of college students, the nurse identifies which of the following as the more common signs and symptoms? (Select all that ap-ply.) 1. Fever 2. Joint pain 3. Genital rash 4. Anal discharge 5. Genital lesions 6. Painful urination ANSWER ANS: 1, 4, 5, 6 Common […]
A client presents with a pressure ulcer that the nurse is documenting in the medical record. The nurse notes necrotic tissue on the pressure ulcer, which indicates that: 1. The pressure ulcer is automatically a stage IV 2. The pressure ulcer cannot be staged 3. The client has been abused 4. The pressure ulcer is […]
The client is experiencing a sinus dysrhythmia with a pulse rate of 82 beats per minute. Upon en-tering the room, the nurse expects to find the client: 1. Extremely fatigued 2. Complaining of chest pain 3. Experiencing a “fluttering” sensation in the chest 4. Having no clinical signs based on the assessment ANSWER ANS: […]
A nurse is working in the operating room with a client just prior to the procedure. While setting up for the procedure, the nurse notices that the client has become unresponsive and respirations have become shallow. What type of assessment would be necessary in this situation? 1. Initial assessment 2. Problem-focused assessment 3. Emergency assessment […]
The daughter of an 88-year-old female client tells the nurse that her mother has recently quit go-ing on walks in the neighborhood because of pain in her legs. Which of the following is the best response from the nurse? 1. “I would like to speak with your mother to get more information.” 2. “Older people […]
A client who has been prescribed a narcotic for chronic back pain is demonstrating signs of withdrawal. The nurse identifies these symptoms as being 1. physical dependence. 2. psychological dependence. 3. plateau. 4. drug allergy. ANSWER Correct Answer: 1 Rationale 1: Physiological dependence is due to biochemical changes in body tissues, especially the nervous […]
Upon assessing a pressure ulcer, the nurse notes the presence of red, yellow, and black tissue. Using the RYB color code, which wound care should the nurse plan? 1. Red 2. Yellow 3. Black 4. A combination of all three ANSWER Correct Answer: 3 Rationale: When using the RYB color code to guide wound […]
A nurse is consulting with a homeless family who has a 12-year-old disabled child. The nurse suggests which of the following services to best assist with the child’s health care needs? 1. Medicare 2. Medicaid 3. Long-term care insurance 4. An extended care faculty ANSWER ANS: 2 Medicaid is a federally funded, state-operated program […]
A nurse colleague learns that a grandchild’s day-care center is planning a class on sexuality for 3- and 4-year-olds. Discussion of this plan should include what concept? 1. At this age, education regarding sexuality should come from parents. 2. Children are sexual beings from before birth. 3. Understanding the body and sexuality are a part […]
Changes in recent population demographics that have impacted the delivery of nursing care in-clude the following: (Select all that apply.) 1. Increased birth rates 2. Increased life expectancy 3. Decreasing rural population 4. Expanding urban settlement 5. Advances in medical modalities 6. Availability of free public education ANSWER ANS: 2, 3, 4 Demographic changes […]
