The client has been admitted with complaints of shortness of breath of 2 weeks duration and has received the nursing diagnosis Impaired Gas Exchange. Which admission laboratory result would support the choice of this diagnosis? 1. Increased hematocrit 2. Decreased BUN 3. Increased blood sugar 4. Increased sedimentation rate ANSWER Correct Answer: 1 Rationale […]
The client who has been experiencing slight anxiety is now communicating in a manner that makes it difficult for the nurse to understand the client’s needs. The nurse suspects the client has progressed to which anxiety level? 1. Mild 2. Moderate 3. Severe 4. Panic ANSWER Correct Answer: 3 Rationale 1: Mild anxiety causes […]
The ANA (American Nurses Association) and the CNA (Canadian Nurses Association) have each adopted a code of ethics. Which of the following describes characteristics of a code of ethics? 1. Formal statement. 2. Same standards as legal standards. 3. Shared by group members. 4. Reflects legal judgments. 5. Serves as a standard for professional actions. […]
Which of the following clients would most benefit from the case manager model of nursing care? 1. A client diagnosed with end-stage renal failure 2. A client who has a chronic wound on the left foot 3. A client newly diagnosed with type 2 diabetes mellitus 4. A postoperative client who had a cholecystectomy (gallbladder […]
The health care provider is writing medication orders for a client recovering from spinal fusion surgery. When the client reports pain as a 9 on a scale from 0 to 10, which medications should the nurse consider providing to the client? 1. Oxymorphone (Opana) 2. Hydrocodone (Vicodin) 3. Oxycodone (OxyContin) 4. Morphine sulfate (morphine) 5. […]
The client has an order for 30 units of U-500 insulin. The nurse is using a U-100 syringe and will draw up and administer: 1. 5 units 2. 6 units 3. 10 units 4. 30 units ANSWER ANS: 2 U-500 insulin is 5 times as strong as U-100 insulin. Therefore the amount of U-500 […]
A 38-year-old client presents to the pain clinic with complaints of phantom pain. The client was involved in a farming accident 3 years previously that resulted in a below-the-elbow amputation of his right arm. The nurse knows that phantom pain is categorized as: 1. Painful polyneuropathy 2. Somatic pain 3. Sympathetically maintained pain 4. Deafferentation […]
A client asks the nurse, “I was told that my heart is beating in normal sinus rhythm (NSR). What does that mean?” The nurse replies most therapeutically when responding with which of the fol-lowing? 1. “Are you worried about how your heart is working?” 2. “It means your heart is working just the way it […]
When discussing the orgasmic phase of the sexual response cycle, what should the nurse include as physiological changes that affect both sexes? 1. The respiratory rate can increase up to 40 breaths per minute. 2. Involuntary muscle spasms occur throughout the body. 3. The heart rate decreases to 20 beats below normal. 4. Systolic blood […]
The nurse could best auscultate the point of maximum impulse (PMI) in an 8-year-old child at the: 1. Fourth intercostal space, left of the midclavicular line 2. Fifth intercostal space, left of the midclavicular line 3. Second intercostal space, right of the midclavicular line 4. Third intercostal space, right of the midclavicular line ANSWER […]
