As part of the examination, the nurse will be assessing the client’s balance. The test that should be administered is the: 1. Weber test 2. Allen test 3. Romberg test 4. Rinne test ANSWER ANS: 3 The Romberg test assesses the client’s balance. The Weber test assesses for unilateral deafness. The Allen test assesses […]
The victim of domestic abuse tells the nurse, “I know my spouse didn’t mean to hurt me. The situation just got out of hand.” The nurse recognizes that the client is exhibiting which defense mechanism? 1. Intellectualization 2. Introjection 3. Projection 4. Minimization ANSWER Correct Answer: 4 Rationale 1: Intellectualization is a defense mechanism […]
A 6-year-old boy has just eaten a grape popsicle and the nurse is ready to take vital signs. An ap-propriate action would be to: 1. Take the rectal temperature 2. Take the oral temperature as planned 3. Have the child rinse out the mouth with warm water 4. Wait 20 minutes before assessing the oral […]
Which of the following would the nurse expect to see offered on a full liquid diet? 1. Custard 2. Pureed meats 3. Soft fresh fruit 4. Canned soup ANSWER ANS: 1 Custard is included in a full liquid diet. Pureed meats are allowed in a pureed diet, not a full liq-uid diet. Soft fresh […]
The client is given an injection of an antibiotic. Shortly afterwards the client reports hives and itching. The nurse administers an antihistamine to counteract the effect of the antibiotic. The nurse is using which one of the following intervention methods? 1. Preventive measures 2. Assisting with ADLs 3. Preparing for special procedures 4. Compensation for […]
The nurse determines that interventions to prevent postoperative constipation have been effective in a client recovering from surgery. What did the nurse assess to make this clinical decision? 1. Abdominal distention present. 2. Gas pains present. 3. Client vomiting. 4. Bowel movement occurred 24 hours after resuming a normal diet. ANSWER Correct Answer: 4 […]
A client is having a lumbar puncture. In which position should the nurse place the client? 1. Lateral with head bent toward the chest and knees flexed onto the abdomen 2. Lying prone, with the knees drawn up toward the abdomen 3. Sitting bent over from the waist with legs extended 4. Supine with knees […]
In order to provide consultation, education, support as well managing the client’s chemotherapy regimen, the nurse must be a: 1. Nurse practitioner 2. Clinical nurse specialist 3. Nurse educator 4. Nurse entrepreneur ANSWER Correct Answer: 2 Rationale: A clinical nurse specialist has an advanced degree or expertise and is considered to be an expert […]
When teaching the parents of a toddler about safe finger foods, the nurse suggests trying which of the following? 1. Nuts 2. Popcorn 3. Cheerios 4. Hot dogs ANSWER ANS: 3 Cheerios are an appropriate finger food for a toddler or preschool child. Nuts, popcorn, and hot dogs have been implicated in choking deaths […]
Although the American Nurses Association’s (ANA’s) code of ethics is reviewed and revised regularly to reflect changes in nursing practice, the basic principles that remain constant are: (Se-lect all that apply) 1. Advocacy 2. Reliability 3. Responsibility 4. Accountability 5. Confidentiality 6. Professionalism ANSWER ANS: 1, 3, 4, 5 The American Nurses Association (ANA) […]
