The nurse is evaluating the client for conduction deafness in the right ear. In using Weber’s test, the nurse appropriately places the tuning fork and confirms this type of deafness when: 1. Sound is not heard in either ear 2. Sound is heard best by the client in the left ear 3. Sound is heard […]
Date: September 23rd, 2020
A client tells the nurse that his illness is a result of his failure to “live a good life.” The nurse rec-ognizes this statement as an example of the client’s: 1. Risk factor 2. Health belief 3. Illness behavior 4. Negative health behavior ANSWER ANS: 2 Health beliefs are a person’s ideas, convictions, and […]
Date: September 23rd, 2020
An unconscious client with a head injury needs surgery to live. His wife only speaks French, and the health care providers are having a difficult time explaining his condition. Which of the following is the most correct answer regarding this situation? 1. An institutional review board needs to be contacted to give their emergency ad-vice […]
Date: September 23rd, 2020
On entering the client’s room, the nurse sees a fire burning in the trash can next to the bed. The nurse removes the client and calls in the fire. The next action of the nurse is to: 1. Extinguish the fire 2. Remove all of the other clients from the unit 3. Close all the […]
Date: September 23rd, 2020
Which of the following is an appropriate etiology for a nursing diagnosis? 1. Incisional pain 2. Poor hygienic practices 3. Need to offer bedpan frequently 4. Inadequate prescription of medication ANSWER ANS: 1 Incisional pain is an appropriate etiology for a nursing diagnosis. It is a condition that identifies the cause of a client’s […]
Date: September 23rd, 2020
Before administering the prescribed medication propranolol (Inderal) to a client, the nurse contacts the health care provider to question the order. What health problems did the client have that caused the nurse to question the medication order? 1. COPD 2. Asthma 3. Arthritis 4. Gastritis 5. Heart failure ANSWER Correct Answer: 1, 2 Rationale: […]
Date: September 23rd, 2020
The nurse is assisting the client to dangle on the bedside. After raising the head of the bed, in which position should the nurse face? 1. Toward the nearest corner of the head of the bed 2. Toward the side of the bed 3. Toward the far corner of the foot of the bed 4. […]
Date: September 23rd, 2020
A 72-year-old client is in a long-term care facility after having had a cerebrovascular accident. The client is noncommunicative, enteral feedings are not being absorbed, and respirations are be-coming labored. Which of the stages of the GAS is the client experiencing? 1. Alarm reaction 2. Resistance stage 3. Exhaustion stage 4. Reflex pain response […]
Date: September 23rd, 2020
The nurse is discussing child care strategies with a mother of a newborn. The mother asks the nurse, “What causes sudden infant death syndrome (SIDS)?” Which of the following responses is most likely to answer the mother’s question therapeutically? 1. “SIDS is a common fear for new mothers. The best advice is to put your […]
Date: September 23rd, 2020
The nurse is assisting a visually impaired client with ambulation. How should the nurse proceed with this intervention? 1. Walk slightly behind the client. 2. Walk 1 foot in front of the client. 3. Walk on the right side of the client. 4. Walk on the left side of the client. ANSWER Correct Answer: […]
Date: September 23rd, 2020
