A female patient with a terminal illness is in denial. Indicators of denial include: A. Shock dismay B. Numbness C. Stoicism D. Preparatory grief Correct Answer: A. Shock dismay Shock and dismay are early signs of denial-the first stage of grief. Denial is a common defense mechanism… Read More »
Critical thinking and the nursing process have which of the following in common? Both: A. Are important to use in nursing practice. B. Use an ordered series of steps. C. Are patient-specific processes. D. Were developed specifically for nursing. Correct Answer: A. Are important to use in… Read More »
A nurse has identified that the patient has overflow incontinence. What is a major factor that contributes to this clinical manifestation? A. Coughing B. Mobility deficits C. Prostate enlargement D. Urinary tract infection Correct Answer: C. Prostate enlargement An enlarged prostate compresses the urethra and interferes with… Read More »
Which of the following procedures always requires surgical asepsis? A. Vaginal instillation of conjugated estrogen B. Urinary catheterization C. Nasogastric tube insertion D. Colostomy irrigation Correct Answer: B. Urinary catheterization The urinary system is normally free of microorganisms except at the urinary meatus. Any procedure that involves… Read More »
Which nursing approach would be most appropriate to use while administering an oral medication to a 4-month-old? A. Place medication in 45cc of formula. B. Place medication in an empty nipple. C. Place medication in a full bottle of formula. D. Place in supine position. Administer medication using a plastic syringe. … Read More »
Which assessment data should the nurse include when obtaining a review of body systems? A. Brief statement about what brought the client to the health care provider. B. Client complaints of chest pain, dyspnea, or abdominal pain. C. Information about the client’s sexual performance and preference. D. The client’s name, address,… Read More »
The nurse caring for a client with a serum calcium of 6.8 mg/dL. What would the nurse expect the change on the electrocardiogram (ECG)? A. None. This is a normal calcium level. B. Prolonged QT interval. C. Shortened ST segment. D. Widened T wave. Correct Answer: B.… Read More »
The most important factor in providing nursing care to clients in a specific ethnic group is: A. Communication B. Time orientation C. Biological variation D. Environmental control Correct Answer: A. Communication The ability to communicate effectively with patients and families is paramount for good patient care. This practice point… Read More »
The nurse in charge is transferring a patient from the bed to a chair. Which action does the nurse take during this patient transfer? A. Position the head of the bed flat. B. Helps the patient dangle the legs. C. Stands behind the patient. D. Place the chair facing away from… Read More »
In which step of the nursing process does the nurse analyze data and identify client problems? A. Assessment B. Diagnosis C. Planning outcomes D. Evaluation Correct Answer: B. Diagnosis In the diagnosis phase, the nurse identifies the client’s health status. The North American Nursing Diagnosis Association (NANDA)… Read More »