In order to obtain the most information, which of the following is the most appropriate question asked of a 14-year-old female who is visiting the county health center for “birth control help?” 1. “Have you told your parents that you are sexually active?” 2. “Are any of your friends participating in sexual behaviors?” 3. “What […]
After the data have been analyzed, the nurse realizes that the probability has a value of less than .05. This means that the findings are which of the following? 1. Statistically significant 2. Statistically insignificant 3. Chance occurrences 4. Generalized ANSWER Correct Answer: 1 Rationale 1: If findings in a research study are statistically […]
The nurse is caring for a critically ill child. While the nurse is preparing to administer a treatment to the child, the child’s mother becomes distraught and begins to cry loudly while stroking the child’s face. What is the nurse’s best response to this occurrence? 1. Tell the mother that she needs to control herself […]
A nursing student has just received an evaluation that indicates difficulties with time management and prioritization in the care of clients. How should the student react to this input? 1. Take the feedback seriously and use it to guide personal growth. 2. Blame the student–faculty relationship as the basis of the evaluation. 3. Dismiss the […]
A client has been admitted to the emergency department with an aspirin overdose. The nurse anticipates that the client will be experiencing respiratory complications because the nurse knows that aspirin (salicylate) poisoning causes excessive stimulation of the respiratory system as the body attempts to compensate for: 1. Decreased hemoglobin 2. Excess carbon monoxide 3. Decreased […]
The client who is unconscious is developing foot drop. What nursing action is indicated? 1. Place high-topped shoes on the client while in bed. 2. Keep the linens on the end of the bed turned back to expose the feet. 3. Use only the prone and Sims positions for client positioning. 4. Use a device […]
The nurse is caring for a terminal ill client in the final stages of the death process when the cli-ent’s daughter asks, “Why are you putting drops in dad’s eyes?” The nurse responds more accu-rately by telling the daughter that: 1. “His blinking reflex is gone and these drops lubricate his corneas.” 2. “The drops […]
The client is admitted to the medical center with a diagnosis of right-sided heart failure. In as-sessment of this client, the nurse expects to find: 1. Dyspnea 2. Confusion 3. Dizziness 4. Peripheral edema ANSWER ANS: 4 Peripheral edema is an expected assessment finding in the client diagnosed with right-sided heart failure. Dyspnea is […]
Which of the following statements best defines quality improvement (performance improve-ment)? 1. The assessment of the delivery system responsible for the implementation of cli-ent-oriented interventions 2. Integration of evidence-based practice research into the delivery process used to implement client-oriented interventions 3. High-priority evaluation process directed towards differentiating between good and poor intervention delivery by providers […]
The nurse is using Bowlby’s phases of mourning as a framework for assessing the client’s re-sponse to the traumatic loss of her leg. During the “yearning and searching” phase, the nurse an-ticipates that the client may respond by: 1. Crying intermittently 2. Becoming angry at the nurse 3. Acting stunned by the eventual loss 4. […]
