The RN has received her client assignment for the day shift. After making the initial rounds and assessing the clients, which client would the RN need to develop a care plan first? A. A client who is ambulatory. B. A client, who has a fever, is diaphoretic and restless. C. A client scheduled… Read More »
John Joseph was scheduled for a physical assessment. When percussing the client’s chest, the nurse would expect to find which assessment data as a normal sign over his lungs? A. Dullness B. Resonance C. Hyperresonance D. Tympany Correct Answer: B. Resonance Normally, when percussing a client’s chest,… Read More »
A screen test for the detection of human immunodeficiency virus (HIV) reveals a positive ELISA exam. Which of the following tests will be used to confirm the diagnosis of HIV? A. Indirect immunofluorescence assay (IFA). B. CD4-to-CD8 ratio. C. Radioimmunoprecipitation assay (RIPA) test. D. p24 antigen assay. … Read More »
Bereavement may be defined as: A. The emotional response to loss. B. The outward, social expression of loss. C. Postponing the awareness of the reality of the loss. D. The inner feeling and outward reactions of the survivor. Correct Answer: D. The inner feeling and outward reactions… Read More »
A staff nurse who is promoted to assistant nurse manager may feel uncomfortable initially when supervising her former peers. She can best decrease this discomfort by: A. Writing down all assignments. B. Making changes after evaluating the situation and having discussions with the staff. C. Telling the staff nurses that she is making changes… Read More »
A newly hired charge nurse assesses the staff nurses as competent individually but ineffective and unproductive as a team. In addressing her concern, the charge nurse should understand that the usual reason for such a situation is: A. Unhappiness about the charge in leadership. B. Unexpected feelings and emotions among the staff. … Read More »
Which statement indicates a need for further teaching of a home care client with a long term indwelling catheter? A. “I will keep the collecting bag below the level of the bladder at all times.” B. “Intake of cranberry juice may help decrease the risk of infection.” C. “Soaking in a warm… Read More »
When a patient in the terminal stages of lung cancer begins to exhibit loss of consciousness, a major nursing priority is to: A. Protect the patient from injury. B. Insert an airway. C. Elevate the head of the bed. D. Withdraw all pain medications. Correct Answer: A.… Read More »
Which of the following statements about the nursing process is most accurate? A. The nursing process is a four-step procedure for identifying and resolving patient problems. B. Beginning in Florence Nightingale’s days, nursing students learned and practiced the nursing process. C. Use of the nursing process is optional for nurses since there are many… Read More »
Matteo is diagnosed with dehydration and underwent a series of tests. Which laboratory result would warrant immediate intervention by the nurse? A. Serum sodium level of 138 mEq/L B. Serum potassium level of 3.1 mEq/L C. Serum glucose level of 120 mg/dl D. Serum creatinine level of 0.6 mg/100 ml … Read More »