During a musculoskeletal assessment of a 20-month-old toddler, the nurse expects to observe: 1. A swayback and outwardly turned feet 2. A spine that is flexed and lacking anteroposterior curves 3. Widened hips and fat deposits on the thighs and buttocks 4. A stance with moderately spaced foot placement and a slightly rounded abdomen […]
A significant research study was conducted on surgical clients in Pennsylvania hospitals. Findings concluded that: 1. Years of nursing experience increased client survival. 2. Hospital size did not affect client survival. 3. Nurses with BSN or higher degrees were associated with lower mortality. 4. Nurse-to-client ratios did not have a bearing on significant reduction in […]
The client scheduled to undergo minor surgery states, “The physician will not give me pain medication after surgery because my surgery is only minor.” What is the best response by the nurse? 1. “You can experience pain after minor surgery, so you can have pain medication.” 2. “You are correct. The physician will not order […]
A client recovering from acute illness has just received a tub bath. When documenting the bath, what should the nurse include? 1. Client’s ability to maintain a conversation during the procedure 2. Client’s tolerance of the procedure 3. Condition and integrity of the skin 4. Client strength 5. Percentage of bath done without assistance […]
A client requires urinary catheterization but has difficulty keeping her legs in the usual position needed for this procedure. The nurse has worked for many years and adapts the procedure to al-low the client to lie on her side. This action is based on the critical thinking element of: 1. Curiosity 2. Experience 3. Perseverance […]
Which of the following preoperative assessment findings would most likely delay a planned pro-cedure requiring general anesthetic? 1. A cough and low-grade fever 2. The pulse oximetry reading of 97% on room air 3. A blood pressure that is 10 systolic points higher than baseline 4. The client’s report of “being so nervous about this […]
A client recently fractured his spinal cord at the C3 level and is at great risk for developing pneumonia primarily because the: 1. Resulting paralysis immobilizes him, and secretions will increase in his lungs 2. Innervation to the phrenic nerve is absent, preventing chest expansion 3. Resulting abnormal chest shape disallows efficient ventilatory movement 4. […]
The RN is admitting a client to the medical unit for a urinary disorder. Which physical assessment techniques should the nurse use in assessing this client’s urinary system? 1. Auscultation and inspection 2. Inspection and percussion 3. Observation and auscultation 4. Palpation and observation ANSWER Correct Answer: 4 Rationale 1: The nurse will not […]
Public health and health promotion roles for nurses are components of nursing envisioned by which of the following nurse leaders? 1. Clara Barton 2. Lillian Wald 3. Mary Brewster 4. Florence Nightingale ANSWER Correct Answer: 4 Rationale: Florence Nightingale’s vision of nursing included public health and health promotion roles for nurses, but it was […]
A nurse is performing an initial assessment on a new admission. Which of the following is part of the database? 1. Reports from physical therapy the client received as an outpatient. 2. Documentation of the nurse’s physical assessment. 3. Physician’s orders. 4. A list of current medications. 5. Information about the client’s cultural preferences. 6. […]
