The client smokes two packs of cigarettes per day. The nurse works with the client, and they agree that he will smoke one cigarette less each week until he is down to one pack per day. In 3 weeks, the client is smoking two and a half packs of cigarettes per day. This is an […]
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 […]
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 […]
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: […]
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 […]
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 […]
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 […]
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. […]
According to Benner’s, a nurse acting as a preceptor for nursing students in a clinical setting is showing nursing expertise belonging to: 1. Stage II 2. Stage III 3. Stage IV 4. Stage V ANSWER Correct Answer: 3 Rationale: Stage IV is a proficiency stage. The person has 3 to 5 years of experience […]
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 […]