Quiz Solutions

The nurse has assessed a client’s blood pressure (BP) using the left t

The nurse has assessed a client’s blood pressure (BP) using the left thigh because of bilateral up-per arm casts. The client’s precasting left arm BP was 108/70 mm Hg. The nurse expects the pre-sent BP reading to be: 1. 10-40 mm Hg higher systolic pressure than before the casting 2. 5-10 mm Hg higher reading […]

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Date: September 20th, 2020

The advanced practice nurse refers the client to physical therapy for

The advanced practice nurse refers the client to physical therapy for further rehabilitation. This is an example of which of the ANA standards of practice? 1. Assessment 2. Diagnosis 3. Planning 4. Implementation   ANSWER Correct Answer: 4 Rationale: Standard 5: Implementation includes prescriptive authority and treatment, which would include a referral for further treatment […]

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Date: September 20th, 2020

A client has been receiving a new medication to address specific sympt

A client has been receiving a new medication to address specific symptoms. The nurse will perform a physical examination to determine 1. the progress of the client’s health problem. 2. the physiological impact of the prescribed medication. 3. baseline data. 4. data to support nursing diagnoses. 5. areas for health promotion.   ANSWER Correct Answer: […]

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Date: September 20th, 2020

The nurse is working with a client with a moderate hearing impairment.

The nurse is working with a client with a moderate hearing impairment. To promote communica-tion with this client, the nurse should: 1. Use a louder tone of voice than normal 2. Use visual aids such as the hands and eyes when speaking 3. Approach a client quietly from behind before speaking 4. Select a public […]

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Date: September 20th, 2020

Mentally reviewing the steps of a complicated nursing procedure before

Mentally reviewing the steps of a complicated nursing procedure before entering the client’s room is an example of: 1. Nonverbal communication 2. Interpersonal communication 3. Intrapersonal communication 4. Transpersonal communication   ANSWER ANS: 2 A type of intrapersonal communication, self-instructions, provides a mental rehearsal for difficult tasks or situations so individuals are able to deal […]

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Date: September 20th, 2020

Which of the following nursing actions is most likely a result of the

Which of the following nursing actions is most likely a result of the nurse’s clinical experience? 1. Placing an immobile client on a turning schedule 2. Always assessing a client’s IV site before hanging a new bag of fluid 3. Requesting that the nursing assistant have vital signs recorded by 0815 4. Administering a pain […]

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Date: September 20th, 2020

The shift report states that a client has “crackles in both lungs.” Wh

The shift report states that a client has “crackles in both lungs.” Which statement by the nurse preparing to assess the client best reflects a thorough understanding of the recorded assessment finding? 1. “I wonder if they are fine, medium or coarse.” 2. “I’ll listen again and reassess after I ask him to cough.” 3. […]

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Date: September 20th, 2020

Which of the following behaviors shows the greatest risk to an older a

Which of the following behaviors shows the greatest risk to an older adult as they attempt to minimize the effects of the aging process? 1. Increased cosmetic use 2. Refusing to share their actual ages 3. Spending less time with age-related peers 4. Refusing assistance with certain activities   ANSWER ANS: 4 Some older adults […]

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Date: September 20th, 2020