A nurse displays characteristics of a critical thinker: 1. When listening with empathy to a client who recently has been diagnosed. 2. When waiting for the medical team to determine the focus of the client’s supportive care. 3. When questioning a medication order that does not appear to meet the client’s needs for pain management. […]
The client has a history of postural hypotension. Which activities should the nurse advise this client as likely to cause postural hypotension? 1. Hot baths 2. Heavy meals 3. Use of a rocking chair 4. Moving in bed 5. Bending down to the floor ANSWER Correct Answer: 1, 2, 5 Rationale 1: Hot baths […]
The nurse manager has developed a staff protocol for peer evaluation. The nurses on her surgical unit are nervous about using her instrument. If the nurse manager continues to implement the new strategy, which of the following critical thinking attitudes is she portraying? 1. Humility 2. Risk-taking 3. Accountability 4. Independent thinking ANSWER ANS: […]
The nurse is caring for a newly admitted client who is scheduled for diagnostic testing in the morning. Which of the following client needs should take priority? 1. Inventory of clothes and other personal belongings 2. Orientation to the nursing unit and individual room 3. Interview regarding medications currently being taken 4. Assessment of body […]
The nurse tests the function of the client’s cranial nerves during the neurological component of the physical examination. In testing cranial nerve III, the nurse verifies the client’s ability to: 1. Smile and frown 2. Read printed material 3. Identify sweet and sour tastes 4. React to light with changes in pupil size ANSWER […]
Wanting to know more about the client’s pain experience, the nurse continues to explore different questioning techniques. Which of the following is the best example of an open-ended question for this situation? 1. “Is your pain worse at night?” 2. “What brought you to the clinic?” 3. “How has the pain impacted your life?” 4. […]
The nurse is shampooing a client’s hair. Which assessment finding should the nurse consider as expected? 1. Dry, dark, thin 2. Smooth, taut, shiny 3. Smooth texture and not oily or dry 4. Tender, warm scalp ANSWER Correct Answer: 3 Rationale 1: The hair should not be dry or thin. This could be a […]
Which of the following statements made by a nurse regarding spiritual support provided displays an inappropriate intervention or attitude? 1. “I offer to pray with my clients as I prepare them for transport to surgery.” 2. “I always try to tell my Catholic clients when Mass is being held in the chapel.” 3. “When caring […]
Which of the following statements by the nurse reflects a need for immediate follow-up regard-ing the physical effects of chronic pain on body function? 1. “His pulse and blood pressure are within his normal baseline limits, so I’m sure the pain medication is working.” 2. “Please take his pulse and blood pressure, and let me […]
A prostitute with HIV and severe complications is being cared for on a medical unit. The nurse is seeking to develop a therapeutic relationship with the client. Which of the following statements best reflects the nurse’s attempt to support the client’s self-exploration? 1. “What type of support do you feel you need?” 2. “Don’t be […]
