A client is unconscious and in respiratory distress after being in a motor vehicle crash. Which should the nurse realize as being a factor that caused a change in this client’s respiratory rate? 1. Exercise 2. Increased intracranial pressure 3. Increased environmental temperature 4. Stress ANSWER Correct Answer: 2 Rationale 1: Exercise increases respiration […]
Which of the following best reflects the philosophy of critical thinking as taught by a nurse edu-cator to a nursing student? 1. “Think about several interventions that you could use with this client.” 2. “Don’t draw subjective inferences about your client—be more objective.” 3. “Please think harder—there is a single solution for which I am […]
A client is experiencing pain after spraining an ankle. The nurse realizes that the client is most likely experiencing which type of pain? 1. Mild pain 2. Severe pain 3. Somatic pain 4. Visceral pain ANSWER Correct Answer: 3 Rationale 1: Mild is not a type of pain. Rationale 2: Severe is not a […]
A client is currently taking Lasix and digoxin. As a result of the medication regimen, the nurse is alert to the presence of: 1. Cardiac dysrhythmias 2. Severe diarrhea 3. Hyperactive reflexes 4. Peripheral cyanosis ANSWER ANS: 1 Lasix is a non–potassium-sparing diuretic. Without a potassium supplement the client may be-come hypokalemic. Hypokalemia increases […]
In preparing to review different theories, the nurse reviews basic information to assist in under-standing the material. Theories are defined as: 1. Mental formulations of objects or events 2. Aspects of reality that can be consciously sensed 3. Statements that describe concepts or connect concepts 4. Concepts or propositions that project a systematic view of […]
The nurse assists the client in a health promotion activity that also reduces the cost of health care delivery when: 1. Administering medication 2. Treating a diabetic foot ulcer 3. Obtaining an operative consent 4. Discussing exercise and nutrition ANSWER ANS: 4 The nurse may educate the client in such areas as exercise, nutrition, […]
When reaching over the side rails to take a client’s blood pressure, he draws back. To promote effective communication, the nurse should first: 1. Tell the client that the blood pressure can be taken at a later time 2. Rotate the nurses who are assigned to take the client’s blood pressure 3. Continue to perform […]
The client has a hearing aid with an earpiece that is connected by a cord to a receiver that the client keeps in a shirt pocket. The nurse would document this as which type of hearing aid? 1. Body hearing aid 2. In-the-canal aid 3. Completely-in-the-canal aid 4. Eyeglasses aid ANSWER Correct Answer: 1 […]
The nurse is discussing discharge instructions with a client who was recently diagnosed with type 1 diabetes mellitus and is now taking insulin. The nurse recognizes this as an example of: 1. Nonverbal communication 2. Interpersonal communication 3. Intrapersonal communication 4. Transpersonal communication ANSWER ANS: 2 Interpersonal communication is one-to-one interaction between the nurse […]
The nurse has completed an assessment on an adult male client and finds that he is having diffi-culty having an erection and has less interest in sex. The nurse notes that the client has recently started taking an antihypertensive medication. A nursing diagnosis of sexual dysfunction related to side effects of antihypertensive is identified by […]
