The nurse recognizes that the greatest benefit of engaging the mother of two small children into a discussion about child-proofing her home is that: 1. The home will be safe for the immediate time being 2. If an accident occurs, it will likely be minor in nature 3. She is likely to monitor the house […]
The nurse is assessing an abdominal wound in the postoperative period. Which sign should indicate to the nurse that an infection is present? 1. Absence of bleeding 2. Edges warm to the touch 3. Edges well approximated 4. Sutures in place ANSWER Correct Answer: 2 Rationale 1: Absence of bleeding is an indication of […]
A nurse educator has asked the question, “Do students who form study groups fare better on the NCLEX® exam when compared to their peers who study independently?” An example of a dependent variable would be which of the following? 1. Number of students in a study group 2. NCLEX® scores of both groups 3. Students’ […]
One aspect of a culture is invisible, or less observable, to others. A nurse wanting to develop an awareness of the practices of different cultures within that community would have which of the following as an example of this component? 1. Wearing an amulet or charm 2. Using prayer beads or candles 3. Using cotton […]
An older client tells the nurse that showers are not taken because of a previous fall. What can the nurse do to support the client’s bathing needs? 1. Obtain a shower chair and assist the client in the shower. 2. Document that the client “refused” a morning bath in the medical record. 3. Tell the […]
A hospice nurse has been working closely with a client who, on several occasions, has asked about guidance and support in ending her life. The nurse, in making an ethical and moral decision, should recognize that: 1. Passive euthanasia is an easy decision to arrive at. 2. Legal issues are not the same as moral […]
A client has been admitted with incontinence. What should the nurse expect to assess in this client? 1. Client is wearing cotton undergarments. 2. Leakage of urine occurs when client laughs. 3. Leakage of urine occurs when talking with the client. 4. The skin of the client is clear without discoloration. ANSWER Correct Answer: […]
A nurse is preparing to perform an assessment on an older adult client newly admitted to a nurs-ing center. Which of the following statements made by the nurse best reflects the unique needs of this client regarding the assessment process? 1. “I will be back after you are settled in and we can devote enough […]
The nurse knows that which of the following clients is most at risk for a bone fracture: 1. 44-year-old female with rheumatoid arthritis 2. 64-year-old male with Cushing’s disease 3. 53-year-old female with chronic alterations in renal function 4. 60-year-old male with cirrhosis of the liver ANSWER ANS: 2 The kidneys affect calcium and […]
The nurse caring for a 73-year-old female client who has been hospitalized with a stroke instructs the client’s daughter to continue to do passive range-of-motion exercises with her mother on her affected side to prevent contractures. The nurse explains to the daughter that this is very important in an immobile older adult client because contractures […]