Which of the following data is the most important for the nurse to assess when caring for a woman in her second trimester of pregnancy? 1. Detection of fetal movement 2. Observation that the uterus is below the pubis 3. Confirmation of the desire to breast- or bottle-feed 4. Determination of the presence of morning […]
As the nasogastric tube is passed into the oropharynx, the client begins to gag and cough. What is the correct nursing action? 1. Remove the tube and attempt reinsertion. 2. Give the client a few sips of water. 3. Use firm pressure to pass the tube through the glottis. 4. Have the client tilt the […]
A client, while receiving therapies for lung cancer, has been hospitalized for an extended period of time. She has become very depressed, refuses visitors, and does not participate in personal grooming. In order for the nurse to assist in achieving resolution of the client’s problem, he should have the client: 1. Get washed and dressed […]
The nurse writes the following goal for a client who is hypertensive: “Client will maintain a blood pressure within acceptable limits.” Which of the following would be the most appropriate out-come criterion? 1. “Client will request pain medication as needed.” 2. “Client will experience no headache or dizziness.” 3. “Client will identify at least two […]
The nurse is teaching a class for new parents about self-esteem development in infants. What information should be included? 1. If the baby awakens at night, let him cry for a few minutes before responding. 2. Keep the baby on a 3-hour feeding schedule, even if it means awakening him. 3. Respond to the baby’s […]
Research has shown that the primary reason nurses make medication errors is related to: 1. The complexity of making accurate drug calculations 2. Events that distract the nurse during the administration process 3. The presence of multiple drugs with similar generic and trade names 4. Heavy client assignments that require massive medication administrations ANSWER […]
The nurse recognizes that client goals or outcomes should be documented according to specific criterion in order that they are clear and easily understood by other members of the health care team. Of the following, the outcome statement that best meets the established criteria is the following: 1. “Vital signs will return to within normal […]
The client is being seen for the first time by the home health nurse. The nurse determines that the client will need speech therapy, physical therapy, and custodial care several times a week. When can the client’s care begin? 1. As soon as the nurse completes the initial assessment 2. As soon as the client […]
Communication involves both active listening and body language working together. The nurse actively listens to the client and: 1. Sits facing the client 2. Keeps the arms and legs crossed 3. Leans back in the chair away from the client 4. Avoids eye contact as much as is physically possible ANSWER ANS: 1 Active […]
While eating in a restaurant, a nurse notices that a customer at the next table begins to clutch his throat while eating a steak. What should the nurse do first? 1. Ask the customer if he is choking. 2. Attempt to give five back blows. 3. Perform the Heimlich maneuver. 4. Start chest compressions. […]
