The nurse recognizes that self-concept develops throughout an individual’s lifetime. Which de-velopmental task associated with self-concept is expected in an assessment of an individual from the 12- to 20-year-old age-group? 1. Identifying with a gender 2. Exploring goals for the future 3. Distinguishing oneself from the environment 4. Feeling positive about one’s life achievements […]
The nurse working on the pulmonary unit is asked to obtain an acid-fast bacillus (AFB) sputum specimen from a client. The nurse knows that this test is used to screen for: 1. Cancer 2. Tuberculosis (TB) 3. Cystic fibrosis 4. Histoplasmosis ANSWER ANS: 2 The test is used to screen for the presence of […]
The nurse is caring for a 19-year-old male client with a fractured left femur whose leg was pinned 36 hours ago and is now in traction. Which of the following stressors is mostly likely the cause of this client’s difficulty related to constipation? 1. Pain related to the fracture and its repair 2. Anxiety regarding […]
The nurse is caring for a client in the recovery area. In which position should the nurse place the unconscious client during the immediate postanesthesia phase? 1. Supine 2. Prone 3. Side-lying 4. Supine with a pillow under the head ANSWER Correct Answer: 3 Rationale 1: In the supine position, the client could occlude […]
A terminal ill client’s pain is being managed with opioid analgesics. When he reports experiencing constipation, the nurse’s most therapeutic response is: 1. “It’s a side effect of the pain medication you are taking.” 2. “I’ll discuss adding some additional bulk to your diet with your wife.” 3. “Try drinking more liquids while you are […]
The nurse recognizes that changes in demographics have an influence on health care delivery. One of the expectations in the United States by the year 2020 is: 1. Growth of the European-American population 2. Increases in the Hispanic and Latino populations 3. Reduction of the African-American population by 50% 4. Equal growth in the Hispanic-, […]
The nurse is preparing to administer a subcutaneous injection to a client. When selecting the needle, the nurse should choose one with a 1. small gauge number. 2. long shaft. 3. long bevel. 4. short bevel. ANSWER Correct Answer: 3 Rationale 1: Needles with small gauge numbers are used for viscous medications. For subcutaneous […]
A client is discussing his recent restlessness and increased irritability. Which of the following as-sessment questions is likely to be most helping in determining the cause of these complaints? 1. “When did you start noticing these changes?” 2. “Has anything caused you to change your usual routine lately?” 3. “Do you have any idea what […]
Which of the following statements made by a 75-year-old client shows the best understanding of how the aging process affects the musculoskeletal system? 1. “I drink milk and eat cheese to get my calcium.” 2. “I walk 1 mile everyday to strengthen my bones.” 3. “I wear sensible shoes so I won’t sprain an ankle.” […]
A 70-year-old client is reporting to the nurse a concern over “taking longer to fall asleep and waking up three to four times during the night.” The most therapeutic nursing response to the client’s concern is: 1. “I think you need to mention your concerns to your health care provider.” 2. “Older adults seem to […]
