A client who has an indwelling catheter reports the need to urinate. Which of the following interventions should the nurse perform? A. Check to see whether the catheter is patent. B. Reassure the client that it is not possible for her to urinate. C. Re-catheterize the bladder with a larger gauge catheter.… Read More »
Which of the following nursing interventions is considered the most effective form for universal precautions? A. Cap all used needles before removing them from their syringes. B. Discard all used uncapped needles and syringes in an impenetrable protective container. C. Wear gloves when administering IM injections. D. Follow enteric precautions. … Read More »
When observing 4-year-old children playing in the hospital playroom, what activity would the nurse expect to see the children participating in? A. Competitive board games with older children. B. Playing with their own toys alongside other children. C. Playing alone with handheld computer games. D. Playing cooperatively with other preschoolers. … Read More »
Christine Ann is about to take her NCLEX examination next week and is currently reviewing the concept of pain. Which scientific rationale would indicate that she understands the topic? A. Pain is an objective sign of a more serious problem. B. Pain sensation is affected by a client’s anticipation of pain. C.… Read More »
A nurse is monitoring the status of a client’s fat emulsion (lipid) infusion and notes that the infusion is 2 hours delay. The nurse should do which of the following actions? A. Adjust the infusion rate to catch up over the next hour. B. Make sure the infusion rate is infusing at the… Read More »
The scope of nursing practice is legally defined by: A. State nurses practice acts B. Professional nursing organizations C. Hospital policy and procedure manuals D. Physicians in the employing institutions Correct Answer: A. State nurses practice acts Every state and territory in the US sets laws to… Read More »
A scrub nurse in the operating room has which responsibility? A. Positioning the patient B. Assisting with gowning and gloving C. Handling surgical instruments to the surgeon D. Applying surgical drapes Correct Answer: C. Handling surgical instruments to the surgeon The scrub nurse assists the surgeon by… Read More »
Which organization’s standards require that all patients be assessed specifically for pain? A. American Nurses Association (ANA) B. State nurse practice acts C. National Council of State Boards of Nursing (NCSBN) D. The Joint Commission Correct Answer: D. The Joint Commission The Joint Commission has developed assessment… Read More »
A provider prescribes a 24-hour urine collection for a client. Which of the following actions should the nurse take? A. Discard the first voiding. B. Keep all voidings in a container at room temperature. C. Ask the client to urinate and pour the urine into a specimen container. D. Ask the… Read More »
All of the following measures are recommended to prevent pressure ulcers except: A. Massaging the reddened area with lotion. B. Using a water or air mattress. C. Adhering to a schedule for positioning and turning. D. Providing meticulous skin care. Correct Answer: A. Massaging the reddened area with… Read More »