What would the nurse expect to see while assessing the growth of children during their school-age years? A. Decreasing amounts of body fat and muscle mass B. Little change in body appearance from year to year C. Progressive height increase of 4 inches each year D. Yearly weight gain of about… Read More »
The nurse is evaluating the client who was admitted 8 hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse? A. Instruct the client to push B. Perform a vaginal exam C. Turn off the Pitocin infusion D. Place the… Read More »
The client with enuresis is being taught regarding bladder retraining. The nurse should advise the client to refrain from drinking after: A. 1900 B. 1200 C. 1000 D. 0700 Correct Answer: A. 1900 Clients who are being retrained for bladder control should be taught to withhold fluids… Read More »
At a community health fair, the blood pressure of a 62-year-old client is 160/96 mmHg. The client states “My blood pressure is usually much lower.” The nurse should tell the client to: A. Go get a blood pressure check within the next 15 minutes B. Check blood pressure again in two (2) months… Read More »
Which of the following diet instructions should be given to the client with recurring urinary tract infections? A. Increase intake of meats. B. Avoid citrus fruits. C. Perform peri care with hydrogen peroxide. D. Drink a glass of cranberry juice every day. Correct Answer: D. Drink a… Read More »
Which action(s) should you delegate to the experienced nursing assistant when caring for a patient with a thrombotic stroke with residual left-sided weakness? Select all that apply. A. Assist the patient to reposition every 2 hours. B. Reapply pneumatic compression boots. C. Remind the patient to perform active ROM. D. Check extremities… Read More »
A patient with Parkinson’s disease has a nursing diagnosis of Impaired Physical Mobility related to neuromuscular impairment. You observe a nursing assistant performing all of these actions. For which action must you intervene? A. The NA assists the patient to ambulate to the bathroom and back to bed. B. The NA reminds the… Read More »
The nurse should visit which of the following clients first? A. The client with diabetes with a blood glucose of 95mg/dL B. The client with hypertension being maintained on Lisinopril C. The client with chest pain and a history of angina D. The client with Raynaud’s disease Correct… Read More »
Which patient should be assigned to the traveling nurse, new to neurologic nursing care, who has been in the neurologic unit for 1 week? A. A 34-year-old patient newly diagnosed with multiple sclerosis (MS). B. A 68-year-old patient with chronic amyotrophic lateral sclerosis (ALS). C. A 56-year-old patient with Guillain-Barre syndrome (GBS)… Read More »
As the manager in a long-term-care (LTC) facility, you are in charge of developing a standard plan of care for residents with Alzheimer’s disease. Which of these nursing tasks is best to delegate to the LPN team leaders working in the facility? A. Check for improvement in resident memory after medication therapy is initiated. B.… Read More »