Which of the following is an appropriate nursing intervention for a client with a nasogastric tube in place? 1. Tape the tube up and around the ear on the side of insertion. 2. Secure the tubing to the bed by the client’s head. 3. Mark the tube where it exits the nose. 4. Change the […]
A school nurse is responsible for teaching adolescents about sexually transmitted diseases (STDs). When discussing chlamydia, the nurse instructs the students that it is: 1. A viral infection that cannot be cured 2. Treated with a full course of antibiotics 3. Contracted via blood-borne exchange 4. Prevented with the use of spermicidals ANSWER ANS: […]
The general goal of exercise and activity for all clients is to: (Select all that apply.) 1. Encourage weight loss 2. Improve joint flexibility 3. Minimize social isolation 4. Improve motor function 5. Foster personal independence 6. Maintain the optimal level of function ANSWER ANS: 3, 5 The general goal related to exercise and […]
The nurse is preparing a presentation on standard precautions. Which statement should the nurse include in the presentation? 1. Cut the needle off a syringe after using it to give a client an injection. 2. Dispose of blood-contaminated materials in a biohazard container. 3. Gloves should not be worn for client care unless body fluids […]
The nurse carries out a medication order, incorrectly written by the physician and subsequently filled by the pharmacist. Who, in this situation, is legally liable for the action? 1. Physician 2. Pharmacist 3. Hospital 4. Nurse ANSWER Correct Answer: 4 Rationale 1: Even though the physician wrote the order incorrectly the primary responsibility in […]
The number of medically uninsured clients requiring nursing care has been impacted by: (Select all that apply.) 1. Rising unemployment rates 2. Decreasing rural population 3. Migration to the urban centers 4. Growth in mental illness diagnoses 5. Escalating cost of medical insurance 6. Increasing numbers in the homeless population ANSWER ANS: 1, 4, […]
Which of the following nursing statements is the best example of the communication tool of clar-ification? 1. “Please say that again.” 2. “I don’t think I understand.” 3. “What did you mean by that?” 4. “Can you give me an example?” ANSWER ANS: 4 To check whether understanding is accurate, ask the other person […]
After learning of a terminal illness and life expectancy, the client begins to hyperventilate and complains of being light-headed with the fingers, toes, and mouth tingling. What action should be taken by the nurse? 1. Prepare to resuscitate the client. 2. Have the client concentrate on slowing down respirations. 3. Place the client in Trendelenburg’s […]
To best prevent a systemic effect from a topically applied medication patch, the nurse must: 1. Alternate application sites regularly 2. Avoid applying the medication to broken skin 3. Monitor the client for signs of an irritating rash 4. Remove residual medication with mild soap and water ANSWER ANS: 2 Systemic effects often occur […]
The nurse has established an expected outcome that the client will demonstrate healing of a stage II pressure ulcer over the coccyx. Which finding, discovered by the nurse during evaluation, might be implicated in the failure to achieve this outcome? 1. The rubber doughnut pressure relief device was not delivered by central supply. 2. The […]