Which action represents the appropriate nursing management of a client wearing a condom catheter?         A. Ensure that the tip of the penis fits snugly against the end of the condom.      B. Check the penis for adequate circulation 30 min after applying.      C. Change the condom every 8 hours.      D. Tape the… Read More »

The nurse’s most important legal responsibility after a patient’s death in a hospital is:         A. Obtaining a consent of an autopsy.      B. Notifying the coroner or medical examiner.      C. Labeling the corpse appropriately.      D. Ensuring that the attending physician issues the death certification.           Correct Answer: C. Labeling the corpse… Read More »

The nurse is reviewing the critical paths of the clients on the nursing unit. In performing a variance analysis, which of the following would indicate the need for further action and analysis?         A. A client’s family attending a diabetic teaching session.      B. Canceling physical therapy sessions on the weekend.      C. Normal VS… Read More »

Nurse Patrick is acquiring information from a client in the emergency department. Which is an example of biographic information that may be obtained during a health history?         A. The chief complaint      B. Past health status      C. History immunizations      D. Location of an advance directive           Correct Answer: D.… Read More »

An adult male client has a hemoglobin count of 12.5 g/dL. Based on the result, the client is most likely having this due to which of the following notes in the client’s record?         A. Emphysema.      B. Client living at a high altitude.      C. Dehydration.      D. History of an enlarged spleen.        … Read More »

What are the stages of dying according to Elizabeth Kubler-Ross?         A. Numbing; yearning and searching; disorganization and despair; and reorganization.      B. Accepting the reality of loss, working through the pain of grief, adjusting to the environment without the deceased, and emotionally relocating the deceased and moving on with life.      C. Anticipatory grief,… Read More »

A patient is catheterized with a #16 indwelling urinary (Foley) catheter to determine if:         A. Trauma has occurred.      B. His 24-hour output is adequate.      C. He has a urinary tract infection.      D. Residual urine remains in the bladder after voiding.           Correct Answer: B. His 24-hour output is… Read More »

A male client is admitted to the hospital with blunt chest trauma after a motor vehicle accident. The first nursing priority for this client would be to:         A. Assess the client’s airway.      B. Provide pain relief.      C. Encourage deep breathing and coughing.      D. Splint the chest wall with a pillow.        … Read More »

The catheter slips into the vagina during a straight catheterization of a female client. The nurse does which action?         A. Leaves the catheter in place and gets a new sterile catheter.      B. Leaves the catheter in place and asks another nurse to attempt the procedure.      C. Removes the catheter and redirects it… Read More »

Before rigor mortis occurs, the nurse is responsible for:         A. Providing a complete bath and dressing change.      B. Placing one pillow under the body’s head and shoulders.      C. Removing the body’s clothing and wrapping the body in a shroud.      D. Allowing the body to relax normally.           Correct… Read More »