The client complains of difficulty breathing. Which assessment findings should the nurse associate with that complaint? 1. Use of accessory muscles 2. Increased respiratory depth 3. Increased respiratory rate 4. Decreased respiratory depth 5. Decreased respiratory rate ANSWER Correct Answer: 1, 2, 3, 4 Rationale 1: Use of accessory muscles often is an assessment […]
Which of the following statements best expresses the primary goal of nursing practice? 1. To identify client needs in order to facilitate improved health and wellness 2. To tend to the physical and psychosocial needs of both the client and his family 3. To provide effective, research-based nursing care specifically tailored to each cli-ent’s needs […]
The nurse is working in a postoperative care unit in an ambulatory surgery center. Of the follow-ing clients that have come to have surgery, the client at the greatest risk during surgery is a: 1. 78-year-old taking an analgesic agent 2. 43-year-old taking an antihypertensive agent 3. 27-year-old taking an anticoagulant agent 4. 10-year-old taking […]
A client is getting ready to go home from an intermediate care facility following surgery and a lengthy recovery period. Which item will the home health nurse focus on in order to determine effectiveness of the discharge teaching plan? 1. Activity restrictions 2. Follow-up appointment dates 3. Return demonstration of dressing change 4. Signs of […]
The nurse is questioning a newly admitted client regarding his dietary history. Which of the following questions asked by the nurse is most likely to secure additional pertinent information regarding the client’s statement, “I think I’m allergic to peanuts”? 1. “What happens when you eat peanuts?” 2. “What makes you think you are allergic to […]
The client is to receive a medication via the buccal route. The nurse plans to implement which of the following actions? 1. Place the medication inside the cheek. 2. Crush the medication before administration. 3. Offer the client a glass of orange juice after administration. 4. Use sterile technique to administer the medication. ANSWER […]
The goal of the orientation phase of a nursing interview is to: (select all that apply) 1. Initiate the nurse-client relationship 2. Begin identifying the client’s needs 3. Earn the trust and confidence of the client 4. Assume the decision role for the client 5. Welcome the client to the nursing unit 6. Gather the […]
The nurse has delegated the task of bathing a semicomatose client to ancillary personnel. The nurse suggests that the personnel multitask while completing the bath. Which of the following would be the most appropriate intervention for the ancillary personnel to accomplish while bathing this particular client? 1. Oral hygiene care 2. Moisturizing hands and feet […]
During an assessment, the nurse notes that a client’s stool is black. Which medication should the nurse consider as causing this client’s change in stool color? 1. Iron 2. Aspirin 3. Antacids 4. Antibiotics 5. Pepto-Bismol ANSWER Correct Answer: 1, 2, 5 Rationale 1: Iron salts lead to black stool because of the oxidation […]
A sample of orthopedic clients varies greatly in their requests for postsurgical analgesics. Which type of nursing research would best examine a prospective group of clients in determining what factors affect their alterations in comfort? 1. Historical research 2. Evaluation research 3. Correlational research 4. Experimental research ANSWER ANS: 3 Correlational research explores the […]
