An example of a culture where a male relative will regularly decline to observe the birth process is: 1. Pakistani 2. Hispanic 3. Korean 4. Japanese ANSWER ANS: 1 Religious beliefs may prohibit the presence of males, including husbands, in the delivery room. This may be observed among devout Muslims, Hindus, and Orthodox Jews. […]
The nurse has developed a strong rapport with a client whose medical care necessitates transfusion of multiple units of blood. The client has a religious objection to this treatment even though it is necessary to sustain life. What action should the nurse take? 1. Use the rapport established to influence the client to accept the […]
The nurse is preparing a 23-year-old female client for surgery. The nurse should anticipate which diagnostic test to be prescribed for this client? 1. Pregnancy test 2. EEG 3. EKG 4. Pulmonary function tests ANSWER Correct Answer: 1 Rationale 1: A pregnancy test is done on all female clients of childbearing age. Rationale 2: […]
The nurse is teaching a class of young adult men and women. What self-examination schedules should the nurse instruct these participants to follow? 1. Monthly breast self-exams for women 2. Yearly breast self-exams for men 3. Weekly testicular self-exams for men 4. Monthly breast self-exams for men 5. Yearly vulvar self-exams for women ANSWER […]
A nurse who just moved from an urban area to a sparsely populated rural area understands that certain customs and practices the nurse is familiar with may be quite foreign to the people in the new area. This nurse is practicing which of the attitudes of critical thinking? 1. Fair-mindedness 2. Insight into egocentricity 3. […]
The client developed a slight hematoma on his left forearm. The nurse labels the problem as an infiltrated intravenous (IV) line. The nurse elevates the forearm. The client states, “My arm feels better.” What is documented as the “R” in FOCUS charting? 1. “Infiltrated IV line” 2. “My arm feels better” 3. “Elevation of left […]
The admitting nurse explains the process of signing forms to allow for the client’s insurance company to be billed for services. If the insurance fails to pay for services, the client is responsible for payment. This is an example of which of the following? 1. Contract law 2. Tort law 3. Statutory law 4. Administrative […]
Which of the following nursing interventions is most specific for a client being monitored for possible urinary retention? 1. Measuring urine output with each urination 2. Monitoring the color and clarity of urine with each voiding 3. Collecting a urine sample for a culture and sensitivity test 4. Asking the cognizant client to report each […]
During the admission history, the client states that he has trouble breathing at night. In obtaining data for a problem-oriented database, the nurse should first question the client about: 1. The onset and duration of his present breathing problem 2. His personal smoking, alcohol use, and exercise practices 3. Any extended family members who have […]
While changing a client’s dressing, the nurse notes thick yellow-green drainage on the gauze. How should the nurse document this wound’s drainage? 1. Purulent 2. Serous 3. Sanguineous 4. Serosanguinous ANSWER Correct Answer: 1 Rationale 1: Purulent exudate is thick, and can vary in color, including green and yellow. Rationale 2: Serous drainage appears […]
