The primary purpose for the nurse to understand human growth and development is to be best able to: 1. Identify deviations from normal 2. Select effective nursing interventions 3. Be sensitive to age-appropriate needs 4. Enhance nurse-client communication ANSWER ANS: 1 Understanding normal growth and development helps nurses predict, prevent, and detect any deviations […]
A client has had Braden scores of 18 and 19 and Norton scores of 15 and 17 over the last 2 months. What does the nurse determine as the significance of the trending of these scores? 1. Trending can only be accurate if the same scale is used. 2. There is a definite trend of […]
A nurse enters the room of a critically ill child and has a sense that “something” isn’t right. After performing an initial physical assessment and finding that the child is stable, the nurse continues to perform a check of all the lines and equipment in the room and finds that the last IV solution hung […]
A client is concerned that she and her husband, now that they have a baby in the house, will be unable to maintain a healthy sexual relationship. To assist these clients, it would be most helpful for the nurse to know: 1. If they share parenting beliefs 2. How long they have been married 3. […]
The nurse is reviewing the agents available to disinfect the hands after providing client care. Which agents should the nurse consider using? 1. Triclosan 2. Chlorine (bleach) 3. Isopropyl alcohol 4. Hydrogen peroxide 5. Chlorhexidine gluconate ANSWER Correct Answer: 1, 3, 5 Rationale 1: Triclosan is an agent that can be used on the […]
A client is admitted for a CAT scan (diagnostic test) of the cranium. As the nurse explains this diagnostic test, the client moves away from the nurse. This is an example of what influencing factor in communication? 1. Gender 2. Environment 3. Space and territoriality 4. Sociocultural background ANSWER ANS: 3 Territoriality is the […]
A nurse has defined the current research problem. What is the next step in the process? 1. Formulate a hypothesis 2. Define variables 3. Review the literature 4. Select a design ANSWER Correct Answer: 3 Rationale: Before progressing with the research design, the researcher determines what is known and not known about the problem. […]
A client reports pain in his left ankle since “twisting it” yesterday. Which of the following as-sessment findings best supports the client’s claims of ankle pain? 1. The client grimaces when walking to the examination room. 2. The client’s left ankle is swollen with noted bruising. 3. The client reports a pain rating of 7 […]
A nurse is caring for a client who has chronic renal failure. The nurse states, “We will do every-thing possible to return you to the optimum level of self-care possible.” In coordinating an approach to best meet the needs of this client, the nurse is fulfilling the role of: 1. Manager 2. Educator 3. Counselor […]
The most common characteristics shared by individuals most likely to contract a sexually trans-mitted disease (STD) are that they: (Select all that apply.) 1. Use illegal drugs 2. Possess poor reading skills 3. Are economically deprived 4. Have multiple sexual partners 5. Have ineffective immune systems 6. Frequently engage in unprotected sex ANSWER ANS: […]
