The nursing professional code of ethics is best defined as: 1. The criteria for judging nursing professionalism 2. A benchmark for professional nursing deeds and actions 3. The nursing profession’s expectations of its members’ behavior 4. A document that holds nurses responsible for professional behavior ANSWER ANS: 3 It is a collective statement about […]
While doing a nutritional assessment of a low-income family, the community health nurse deter-mines the family’s diet is inadequate in protein content. The nurse suggests which of the following foods to increase protein content with little increase in the food budget? 1. Oranges and potatoes 2. Potatoes and rice 3. Rice and macaroni 4. Peas […]
Part of the neurological exam is evaluating the response of the cranial nerves. To test cranial nerve VIII, the nurse should: 1. Ask the client to read printed material 2. Assess the directions of gaze 3. Assess the client’s ability to hear the spoken word 4. Ask the client to say “ah” ANSWER ANS: […]
Standard classification of terms used in health care, particularly nursing data, along with definitions would greatly benefit computer-based patient records. Which of the following are among those systems used in the United States? ______ HIPAA ______ NIC ______ NANDA ______ The Omaha system ______ HHCC ______ NOC ______ ANA ______ ICN ANSWER Correct Answer: […]
An Arab woman arrives in the emergency department reporting vaginal bleeding. It is determined that the client is 5 months pregnant with her second child and has had no prenatal care. The nurse realizes that the most likely reason for this lack of health care is that the client: 1. Cannot afford to seek health […]
What would a nurse expect to find in an assessment of a healthy family? 1. Change is viewed as detrimental to the family. 2. There is a passive response to most stressors. 3. The structure is flexible enough to adapt to crises. 4. Minimum influence is being exerted on the environment. ANSWER ANS: 3 […]
The nurse is reviewing the results of the client’s diagnostic testing for pulmonary function. Of the following results, the finding that falls within expected or normal limits is: 1. SpO2 88% 2. pH 7.52 3. PaCO2 55 mm Hg 4. Decreased peak expiratory flow rate (PEFR) from prior assessment ANSWER ANS: 3 The normal […]
A nurse administers pain medication for a client complaining of pain. The nurse first assesses vital signs and finds them to be as follows: blood pressure, 134/92 mm Hg; pulse, 90 beats per minute; respirations, 26 breaths per minute. The nurse’s most appropriate action is to: 1. Give the medication 2. Ask if the client […]
The nurse is taking care of a client who states that he ignores the urge to defecate when he is at work. Which response should the nurse make to explain why this practice should be changed? 1. “If you continue to ignore the urge to defecate, the urge is ultimately lost.” 2. “It is best […]
A client experiences a loss of intracellular fluid. The nurse anticipates that the intravenous (IV) therapy that will be used to replace this type of loss is: 1. 0.45% normal saline (NS) 2. 10% dextrose 3. 5% dextrose in lactated Ringer’s 4. Dextrose 5% in NS ANSWER ANS: 1 The client will need a […]