The nurse is preparing to apply a bandage to a client using the spiral reverse turn. For which body parts should the nurse use this technique when bandaging? 1. Finger 2. Forearm 3. Upper leg 4. Lower leg 5. Upper arm ANSWER Correct Answer: 2, 4 Rationale 1: Recurrent turns are used to cover […]
Date: September 25th, 2020
A 3-year-old child is visiting the pediatric clinic. The nurse suspects that the child has a urinary tract infection. An appropriate method for the nurse to implement in order to obtain a urine specimen from the child is to: 1. Use an indwelling catheter 2. Offer fluids 30 minutes in advance 3. Apply pressure over […]
Date: September 25th, 2020
When implementing a quicker way to set up and initiate an IV while still following safe practice, a nurse is practicing which of the attitudes of critical thinking? 1. Independence 2. Intellectual courage to challenge the status quo or rituals 3. Integrity 4. Confidence ANSWER Correct Answer: 1 Rationale 1: Nurses who can think […]
Date: September 25th, 2020
The position that maximizes the nurse’s ability to assess the client’s body for symmetry is: 1. Sitting 2. Supine 3. Prone 4. Dorsal recumbent ANSWER ANS: 1 Sitting upright provides full expansion of the lungs and provides better visualization of symmetry of upper body parts. The supine position maximizes the nurse’s ability to assess […]
Date: September 25th, 2020
On beginning the administration of 500 mg of aztreonam IV to a client with a urinary tract infec-tion, the client complains of difficulty breathing. The nurse quickly identifies this as a symptom of a(n): 1. Therapeutic effect 2. Anaphylactic reaction 3. Idiosyncratic reaction 4. Medication interaction ANSWER ANS: 2 Anaphylactic reactions are characterized by […]
Date: September 25th, 2020
Pressure ulcers form primarily as a result of: 1. Nitrogen buildup in the underlying tissues 2. Prolonged illness or disease 3. Tissue ischemia 4. Poor nutrition ANSWER ANS: 3 Pressure is the major cause of pressure ulcer formation. Prolonged, intense pressure affects cellu-lar metabolism by decreasing or obliterating blood flow, resulting in tissue ischemia […]
Date: September 25th, 2020
A client has severe anemia and will be receiving blood transfusions. The nurse prepares and be-gins the infusion. Ten minutes after the infusion has begun, the client develops tachycardia, chills, and low back pain. After stopping the transfusion, the nurse should: 1. Administer an antipyretic 2. Begin an infusion of epinephrine 3. Run normal saline […]
Date: September 25th, 2020
Which of the following actions best reflects accountability for the client’s care outcomes? 1. Reassessing a client’s BP when the reported value is higher than usual 2. Assisting a team member in providing a client with a complete bed bath 3. Reevaluating a client’s pain 30 minutes after administering pain medication 4. Asking a client’s […]
Date: September 25th, 2020
Which of the following statements made by the nurse shows the greatest insight into the possible causes of a hearing-impaired client’s irritability? 1. “I know he doesn’t hear well, but I wonder if his increased lack of patience today has to do with being in pain.” 2. “Not being able to hear us properly appears […]
Date: September 25th, 2020
The nurse can best discuss the impact of a known risk factor on a client’s health by stating: 1. “It doesn’t mean you’ll get the disease just that the odds are greater for you.” 2. “Now you know that the possibility is there, you can take steps to prevent it.” 3. “The risk factor can […]
Date: September 24th, 2020
