Which of the following nursing questions is best directed towards the assessment of a normal finding regarding physiological changes in an older-adult client? 1. “Any difficulty driving at night?” 2. “Are you experiencing any loss of libido?” 3. “Do you see yourself as becoming forgetful” 4. “Have you had your cholesterol tested lately?” ANSWER […]
The nurse seeing a client stop breathing realizes that there is how much time before the onset of permanent damage? 1. 3 minutes 2. 2 minutes 3. 4 to 6 minutes 4. 20 to 40 minutes ANSWER Correct Answer: 3 Rationale 1: Extensive damage occurs after 4 to 6 minutes. Rationale 2: Extensive damage […]
There are cultural context of health and illness differences in comparing Western versus non-Western cultures. The nurse is aware that in Western culture the overall treatment is: 1. Herbal 2. Holistic 3. Naturalistic 4. Specialty-specific ANSWER ANS: 4 The overall treatment in Western culture is specialty-specific. The treatment in some non-Western cultures is herbal. […]
The nurse is preparing to start an IV in the hand of a client who has very small veins. Which actions would be useful in dilating the veins? 1. Position the hand at heart level. 2. Stroke the vein. 3. Have the client clench and unclench the fist. 4. Slap the back of the client’s […]
A client has been having pain without any clear pathology for cause. The most appropriately written nursing diagnosis for this client would be which of the following? 1. Pain due to unknown factors 2. Pain related to unknown etiology 3. Pain caused by psychosomatic condition 4. Pain manifested by client’s report ANSWER Correct Answer: […]
A nurse who is working with clients who have DNR (do not resuscitate) orders knows that these orders: 1. Are legally required for terminally ill clients 2. May be written by the physician without client consent if resuscitation is futile 3. Are maintained throughout the client’s stay in either an acute care or a long-term […]
A client comes to the emergency department following an injury. The nurse implements ap-propriate first aid for the client when: 1. Removing any penetrating objects 2. Elevating an affected part that is bleeding 3. Vigorously cleaning areas of abrasion or laceration 4. Keeping any puncture wounds from bleeding ANSWER ANS: 2 If a client […]
Which of the following foods will have the greatest impact on the water balance of the person consuming it? 1. A pickle 2. A banana 3. A milkshake 4. A spinach salad ANSWER ANS: 1 Sodium ions are the major contributors to maintaining water balance through their effect on se-rum osmolality, nerve impulse transmission, […]
There are issues concerning death and dying may influence nursing practice which the nurse rec-ognizes. Concerning the legalities of death and dying issues, which of the following is true? 1. Passive euthanasia is illegal in all states. 2. Assisted suicide is a constitutional right. 3. Organ donation must be attempted if it will save the […]
After dealing with a variety of physical stressors, a client is entering the stage of exhaustion. The nurse should recognize that the end of this stage will depend upon which factors? 1. Release of hormones 2. Severity of the stressor 3. Reversal of body changes 4. External resources provided 5. Energy resources of the client […]
