The nurse is performing nasotracheal suctioning of a client. What should the nurse do when suctioning this client? 1. Apply suction for 5–10 seconds. 2. Plan to suction for 10 minutes. 3. Apply suction while inserting the catheter. 4. Apply suction for 20–30 seconds. ANSWER Correct Answer: 1 Rationale 1: When conducting nasotracheal suctioning, […]
A 23-year-old man who recently had a head injury from a motor vehicle accident (MVA) is in a state of unconsciousness. Which of the following physiological adaptations is primarily responsi-ble for his level of consciousness? 1. Pituitary gland 2. Medulla oblongata 3. Reticular formation 4. External stress response ANSWER ANS: 3 The reticular formation […]
The expected research role for the baccalaureate-prepared nurse is to: 1. Assume the role of a clinical expert 2. Acquire funding for research projects 3. Identify clinical nursing problems in practice 4. Develop methods of inquiry relevant to nursing ANSWER ANS: 3 Nurses with a baccalaureate degree are prepared to read research critically and […]
Nursing education programs in the United States may seek voluntary accreditation by the appro-priate accrediting commission council of the: 1. National League for Nursing 2. American Nurses Association 3. Congress for Nursing Practice 4. International Council of Nurses ANSWER ANS: 1 The National League for Nursing (NLN) is the professional nursing organization concerned with […]
Which of the following statements made by a nurse shows the greatest understanding of the personal nature of the pain experience? 1. “I have experienced pain before, and so I have great compassion for anyone deal-ing with pain.” 2. “People handle pain differently, but everyone in pain is only interested in having the pain stop.” […]
A terminally ill client is demonstrating gurgling respirations. The nurse realizes that this client is 1. improving. 2. experiencing pain. 3. trying to talk. 4. nearing death. ANSWER Correct Answer: 4 Rationale 1: The death rattle does not mean the client is improving. Rationale 2: The death rattle does not mean that the client […]
The nurse is having difficulty reading the prescribed dosage on a handwritten order for a pain medication. The most appropriate action to ensure the client’s safety and to minimize legal issues is for the nurse to: 1. Ask another RN to confirm the order 2. Request the pharmacist to interpret the order 3. Call the […]
The nurse is discussing vitamin supplements with a client who is an amateur body builder. Which of the following statements by the nurse shows the greatest understanding concerning the risk for hypervitaminosis? 1. “Vitamins are important to proper body building and repair, but be aware that you can overdose and harm yourself.” 2. “Fat-soluble vitamins […]
Which of the following is the most important factor in a nurse deciding whether or not to carry malpractice insurance? 1. The nurse’s knowledge level of Good Samaritan laws 2. The amount of malpractice insurance provided by the nurse’s employer 3. The time frames and individual liability of the employer’s malpractice coverage 4. The evaluation […]
The nurse and a 69-year-old client are discussing the client’s report of “Not hearing as well as I used to; I must be getting old.” Which of the following nursing responses is most therapeutic regarding the client’s assumption of the cause of the diminished hearing? 1. “What makes you think you don’t hear as well […]