The nurse wants to assess a client during the morning bath. What will the nurse be able to assess during this time? 1. Skin status 2. Financial status 3. Psychosocial needs 4. Learning needs 5. Physical conditions ANSWER Correct Answer: 1, 3, 4, 5 Rationale 1: Assessment of the skin can be done during […]
Date: September 22nd, 2020
A client who is Chinese American has just died on the unit. The nurse is prepared to provide af-ter-death care to the client and anticipates the probable preferences of a family from this cultural background will include: 1. Pastoral care 2. Preparation for organ donation 3. Time for the family to bathe the client 4. […]
Date: September 22nd, 2020
There are many factors are assessed before teaching the client to learn insulin injection sites, but the most important factor for the nurse to assess first is the: 1. Previous knowledge level of the client 2. Willingness of the client to want to learn the injection sites 3. Financial resources available to the client for […]
Date: September 22nd, 2020
In 1893 Lillian Wald and Mary Brewster made significant contributions to the nursing profession through their work involving the: 1. Henry Street Settlement in New York 2. First training school in Toronto, Canada 3. Training school at Johns Hopkins in Baltimore 4. Development of the American Journal of Nursing ANSWER ANS: 1 In 1893 […]
Date: September 22nd, 2020
The nurse delegates morning care to a new certified nursing assistant. Which of the following actions by the assistant would be evaluated as appropriate? 1. Placing dentures in a tissue while not worn 2. Cutting the client’s nails with scissors 3. Using soap to cleanse the eye orbits 4. Washing the client’s legs with long […]
Date: September 22nd, 2020
The nurse is preparing to conduct a mental status assessment. What should the nurse include in this assessment? 1. Cognitive and affective functions 2. Cognitive and effective functions 3. Affective and memory functions 4. Affective and knowledge functions ANSWER Correct Answer: 1 Rationale 1: Cognitive (intellectual) and affective (emotional) functions are assessed. Rationale 2: […]
Date: September 22nd, 2020
The nurse is preparing to insert a nasogastric tube into a client. In what order will the nurse conduct the following steps? 1. Ask the client to tilt the head forward. 2. Insert the tube with its natural curve toward the client. 3. Ask the client to hyperextend the neck. 4. Have the client swallow […]
Date: September 22nd, 2020
When explaining the difference between community and population, the nurse educator uses which of the following as an example for population? 1. Commuters on the subway 2. A grade school class 3. Graduating nursing students 4. A group of employees at a local plant ANSWER Correct Answer: 1 Rationale: A population is composed of […]
Date: September 22nd, 2020
It appears to the nurse the client is experiencing a crisis. The nurse plans to: 1. Allow the client to work through independent problem-solving 2. Complete an in-depth evaluation of stressors and responses 3. Focus on immediate stress reduction 4. Recommend ongoing therapy ANSWER ANS: 3 The nurse’s focus for a client experiencing a […]
Date: September 22nd, 2020
The nurse notes that the 43-year-old male client has an abrasion on his upper right thigh that he received 2 days ago when he was involved in a bicycle accident. The abrasion is red, swollen, warm, and throbbing. The nurse knows that the wound shows signs of being: 1. Infected 2. In the inflammatory phase […]
Date: September 22nd, 2020
