The nurse is assessing the nose and sinuses of a client. Which findings should the nurse identify as being within normal limits? 1. Nose straight 2. Nares symmetrical 3. No tenderness over the bridge 4. Air movement restricted in one nare 5. Clear drainage from one nare ANSWER Correct Answer: 1, 2, 3 Rationale […]
Date: September 14th, 2020
A client is surprised to learn of the diagnosis of a heart attack when there was no chest pain experienced but only some left shoulder pain. The nurse should explain that the client experienced which type of pain? 1. Phantom pain 2. Referred pain 3. Visceral pain 4. Chronic pain ANSWER Correct Answer: 2 […]
Date: September 14th, 2020
As a community health nurse assisting the client and family with nutritional needs the nurse should first: 1. Identify for the client the best foods to buy 2. Purchase foods at the lowest cost for the client 3. Ask the client and family what they think they should eat 4. Provide information on stores with […]
Date: September 14th, 2020
The nurse is caring for a client who is experiencing severe pain and is insistent about “getting some relief quickly.” Which of the following prescriptions is most likely to produce the quickest pain relief? 1. Percodan orally 2. Lidocaine topically 3. Demerol intramuscularly 4. Morphine sulfate intravenously ANSWER ANS: 4 Each route of medication […]
Date: September 14th, 2020
A child’s understanding of the concept of ice becoming water, Piaget’s stage of cognitive de-velopment, is seen in: 1. Sensorimotor 2. Preoperational 3. Formal operations 4. Concrete operations ANSWER ANS: 4 During Piaget’s concrete operations stage of cognitive development, the child is able to under-stand that objects or quantities remain the same despite a […]
Date: September 14th, 2020
There is disagreement among the nursing unit staff regarding how much sexual history should be included in adult admission assessments. What standard is generally the most applicable? 1. A complete sexual history must be included in the admission history and physicals. 2. Sexual information should be pursued only if the client’s chief complaint indicates possible […]
Date: September 14th, 2020
The nurse is best demonstrating perseverance by: 1. Having a perfect attendance record 2. Completing a lengthy course on current chemotherapies 3. Repeatedly irrigating the nasogastric tube until it is patent 4. Sitting with a client until she is ready to discuss why she is crying ANSWER ANS: 4 Perseverance is a critical thinking […]
Date: September 14th, 2020
A client has been complaining of pain, even though the nurse has given the client the maximum amount of medication as ordered by the physician. Which of the following demonstrates the nurse’s respect for the client’s autonomy? 1. Telling the client that he will have to “tough it out” 2. Calling the physician for further […]
Date: September 14th, 2020
Which of the following statements best reflects the nurse’s correct understanding of the im-portance of selecting the optimum time for interviewing a client newly admitted to the unit? 1. “I’m going to do the client’s history before his family leaves so they can help with the admission history questions.” 2. “You are scheduled for some […]
Date: September 14th, 2020
The greatest risk for injury for a client who has fecal incontinence is: 1. Perineal and rectal skin breakdown 2. The contamination of existing wounds 3. Falls resulting from attempts to reach the bathroom 4. Cross-contamination into the upper gastrointestinal tract ANSWER ANS: 1 Fecal incontinence is a potentially dangerous condition in terms of […]
Date: September 14th, 2020
