In evaluating an infant’s physical status and growth, the nurse expects to find: 1. Birth weight triples by 6 months 2. Anterior fontanel closes 4 to 8 weeks after birth 3. Chest circumference is larger than head circumference at 12 months 4. Birth height increases 1 inch each month for the first 6 months […]
Date: September 20th, 2020
A student is attending a school with a high first-time pass rate on the NCLEX®. A belief that the nursing student has about faculty in the program could be expressed as which of the following? Faculty: 1. Expect high academic standards from their students. 2. Are concerned with job placement of their graduates. 3. Are […]
Date: September 20th, 2020
The nurse needs to apply personal protective equipment before entering a client’s room. In which order should the nurse perform the following actions? 1. Apply gloves. 2. Apply eyewear. 3. Apply the gown. 4. Apply the face mask. 5. Perform hand hygiene. ANSWER Correct Answer: 5, 3, 4, 2, 1 Rationale 1: Gloves are […]
Date: September 20th, 2020
The client’s lab studies reveal a normal serum albumin with a prealbumin of 10. How should the nurse interpret the significance of these readings? 1. The client has had recent protein malnutrition. 2. The client is now relatively well nourished with malnutrition 6 to 8 months ago. 3. The client is at risk for development […]
Date: September 20th, 2020
The client appears to be breathing faster than before. The nurse should: 1. Ask the client if he has felt stressful 2. Have the client lay down on the bed 3. Count the client’s rate of respirations 4. Palpate the client’s own radial pulse ANSWER ANS: 3 The first action the nurse should take […]
Date: September 20th, 2020
The nurse is conducting an admissions history interview with a client who has a history of gas-troesophageal reflux disease (GERD). Which of the following questions shows the best example of relevant questioning by the nurse? 1. “How long have you been dealing with GERD?” 2. “Are you currently taking any medications for your GERD?” 3. […]
Date: September 20th, 2020
Of the following options, which is the greatest barrier to providing quality health care to the old-er-adult client? 1. Poor client compliance resulting from generalized diminished capacity 2. Inadequate health insurance coverage for the group as a whole 3. Insufficient research to provide a basis for effective geriatric health care 4. Preconceived assumptions regarding the […]
Date: September 20th, 2020
A client with active tuberculosis is admitted to the medical center. The nurse recognizes that ad-mission of this client to the unit will require the implementation by the staff of: 1. Airborne precautions 2. Droplet precautions 3. Contact precautions 4. Reverse isolation ANSWER ANS: 1 A client with active tuberculosis requires airborne precautions. A […]
Date: September 20th, 2020
Which of the following clinical assessment findings is most likely seen in a client experiencing hyperkalemia as a result of adrenal insufficiency? 1. Dry, sticky tongue 2. Increased anxiety 3. Nausea and vomiting 4. Decreased bowel sounds ANSWER ANS: 2 Physical examination of a hyperkalemic client may reveal anxiety, dysrhythmias, paresthesia, weakness, abdominal cramps, […]
Date: September 20th, 2020
Before administering a medication to a client, the nurse checks the client’s pulse, blood pressure, and laboratory values. The nurse is performing which “right” of medication administration? 1. Medication 2. Assessment 3. Route 4. Dose ANSWER Correct Answer: 2 Rationale 1: The nurse would not need to assess blood pressure, pulse, or laboratory values […]
Date: September 20th, 2020
