Which of the following nursing interventions shows the greatest degree of culturally competent nursing care for a Muslim female client? 1. Notifying the chaplain of the client’s religious preference 2. Notifying staff that the client’s bath will be done by her sister 3. Drawing the curtains around the client’s bed during prayer time 4. Facilitating […]
The nurse identifies the nursing diagnosis risk for injury for a client who is unable to verbally communicate effectively. The primary risk for injury occurs because the client: 1. Lacks the ability to tell the staff what he or she needs 2. Cannot notify the staff when he or she has fallen 3. Is not […]
The nurse is reviewing laboratory results for a client. Which diagnostic study determines how well blood glucose levels have been controlled in the client? 1. Blood chemistry 2. Capillary blood glucose 3. Hemoglobin A1c 4. Serum electrolytes ANSWER Correct Answer: 3 Rationale 1: A blood chemistry is a number of tests performed on blood […]
The nurse is preparing to assist with a sterile procedure in the surgical suite. An appropriate tech-nique that the nurse includes in the surgical scrub is to: 1. Keep the hands below the elbows throughout the scrub 2. Use a brush on the palms and dorsal surface of the hands 3. Maintain the scrub for […]
A nurse provides a brief but concise orientation to the use of the room’s telephone and television to a newly admitted older client experiencing abdominal pain. The client’s daughter later reports that her father attempted to call her but was never shown how to use the telephone. The most likely cause for the client’s apparent […]
A group that lobbies at the state and federal level for advancement of nursing’s role, economic interest, and health care is the: 1. State Board of Nursing 2. American Nurses Association 3. American Hospital Association 4. National Student Nurses Association ANSWER ANS: 2 The American Nurses Association (ANA) hires lobbyists at the state and […]
The client has supplemental oxygen in place and requires suctioning to remove excess secretions from the airway. To promote maximum oxygenation, an appropriate action by the nurse is to: 1. Suction continuously for 30-second intervals 2. Replace the oxygen and allow rest in between suctioning passes 3. Increase the amount of suction pressure to 200 […]
When working with a client with aphasia, the nurse may attempt to enhance communication by: 1. Using visual cues 2. Speaking loudly 3. Using open-ended questions 4. Communicating through a speech therapist ANSWER ANS: 1 The nurse may enhance communication for a client with aphasia by using visual cues (e.g., words, pictures, and objects) […]
Which of the following nursing interventions is the best example of the implementation step of the nursing process? 1. Determining that the client’s ankle edema is worse after he ambulates 2. Asking the client to rate his ankle pain after receiving oral pain medication 3. Arranging for the client to receive pain medication 30 minutes […]
It has been determined that all of the following clients are at risk for falling. Which one requires the nurse’s priority for ambulation? 1. A 16-year-old with a sprained ankle being discharged from the emergency de-partment 2. A 54-year-old who has taken the initial dose of an antihypertensive medication 3. A 45-year-old postoperative client up […]
