The unit manager is evaluating the care of a new nursing staff member. Which of the following is an appropriate technique for the nurse to implement in order to obtain a clean-voided urine specimen? 1. Apply sterile gloves for the procedure. 2. Restrict fluids before the specimen collection. 3. Place the specimen in a clean […]
Which of the following should the nurse consider first when assessing the cognitive ability of an older adult? 1. A life-long bachelor 2. Orphaned at age 12 3. History of a chronic disease process 4. Recent immigration to the United States ANSWER ANS: 4 Cognitive processes comprise changes in intelligence, ability to understand and […]
The nurse is completing the admission assessment on a client who has obstructive sleep apnea. Which findings should the nurse expect when assessing this client? 1. Reddened uvula 2. Large soft palate 3. Obesity 4. Short neck 5. Deviated septum ANSWER Correct Answer: 1, 2, 3 Rationale 1: Clients with obstructive sleep apnea are […]
The client asks the nurse the purpose of having medications (Demerol and Vistaril) given before surgery. The nurse should inform the client that these particular medications: 1. Reduce preoperative fear 2. Promote emptying of the stomach 3. Reduce body secretions 4. Ease the induction of the anesthesia ANSWER ANS: 4 Preoperative medications such as […]
A 12-year-old girl’s expressed goal to be “super thin” is a body image issue influenced primarily by: 1. Peer pressure 2. Societal values 3. Teenage role modeling 4. Normal developmental changes ANSWER ANS: 2 Cultural and societal attitudes and values influence body image. Culture and society dictate the accepted norms of body image and […]
A client experiencing pain after surgery says “Something must be wrong” because the pain is so severe. What is the best response for the nurse to make to the client? 1. “The amount of tissue disrupted from the surgery is not related to the degree of pain you feel.” 2. “That could be so.” 3. […]
The second component of critical thinking in the “critical thinking model” is: 1. Experience 2. Competencies 3. Specific knowledge 4. Diagnostic reasoning ANSWER ANS: 1 Experience is the second component of critical thinking in the “critical thinking model.” The third component of the “critical thinking model” is competencies. Specific knowledge base is the first […]
Which of the following nurse-family interactions is most reflective of caring for the family? 1. Offering to arrange for a sleep chair for the family’s use 2. Notifying the family that the client has returned from surgery 3. Telling the family when the client’s surgeon will be on the unit 4. Always being available to […]
The client has experienced a cerebral vascular accident (stroke) with resultant expressive aphasia. The nurse promotes communication with this client by: 1. Speaking very loudly and slowly 2. Speaking to the client on the unaffected side 3. Using a picture chart for the client’s responses 4. Using hand gestures to convey information to the client […]
The nurse is caring for a 56-year-old female client with renal failure who regularly undergoes per-itoneal dialysis. The nurse understands that this client is most at risk for: 1. Pulmonary embolism 2. Electrolyte imbalances 3. Polyuria 4. Urinary incontinence ANSWER ANS: 2 Peritoneal dialysis is an indirect method of cleansing the blood of waste […]
