Palpating the midclavicular line is the correct technique for assessing: A. Baseline vital signs B. Systolic blood pressure C. Respiratory rate D. Apical pulse Correct Answer: D. Apical pulse The apical pulse (the pulse at the apex of the heart) is located on the midclavicular line at… Read More »
Planning is a category of nursing behaviors in which: A. The nurse determines the health care needed for the client. B. The physician determines the plan of care for the client. C. Client-centered goals and expected outcomes are established. D. The client determines the care needed. Correct… Read More »
Which of the following is the most important nursing order in a client with major head trauma who is about to receive bolus enteral feeding? A. Measure intake and output B. Check albumin level C. Monitor glucose levels D. Increase enteral feeding Correct Answer: A. Measure intake and output… Read More »
A new RN nurse is about to insert a nasogastric tube into a client with Guillain-Barre Syndrome. To determine the accurate measurement of the length of the tube to be inserted, the nurse should: A. Place the tube at the tip of the nose, and measure by extending the tube to the earlobe and… Read More »
Which statement would best explain the role of the nurse when planning care for a culturally diverse population? The nurse will plan care to: A. Include care that is culturally congruent with the staff from predetermined criteria. B. Focus only on the needs of the client, ignoring the nurse’s beliefs and practices. C. Blend… Read More »
Which of the following is/are an example(s) of theoretical knowledge? Select all that apply. A. Antibiotics are ineffective in treating viral infections. B. When you take a patient’s blood pressure, the patient’s arm should be at heart level. C. In Maslow’s framework, physical needs are most basic. D. When drawing medication out… Read More »
The physician’s order reads “Administer 1 g cefazolin sodium (Ancef) in 150 ml of normal saline solution in 60 minutes.” What is the flow rate if the drop factor is 10 gtt = 1 ml? A. 25 gtt/minute B. 37 gtt/minute C. 50 gtt/minute D. 60 gtt/minute … Read More »
The nurse inspects a client’s back and notices small hemorrhagic spots. The nurse documents that the client has: A. Extravasation B. Osteomalacia C. Petechiae D. Uremia Correct Answer: C. Petechiae Petechiae are small hemorrhagic spots. Petechiae are tiny purple, red, or brown spots on the skin. They… Read More »
The most common psychogenic disorder among elderly person is: A. Depression B. Sleep disturbances (such as bizarre dreams) C. Inability to concentrate D. Decreased appetite Correct Answer: A. Depression Depression typically begins before the onset of old age and usually is caused by psychosocial, genetic, or biochemical factors. Depression… Read More »
When calling the nurse consultant about a difficult client-centered problem, the primary nurse is sure to report the following: A. Length of time the current treatment has been in place. B. The spouse’s reaction to the client’s dressing change. C. Client’s concern about the current treatment. D. Physician’s reluctance to change… Read More »