While performing a physical examination on a newborn, which assessment should be reported to the physician? A. Head circumference of 40 cm. B. Chest circumference of 32 cm. C. Acrocyanosis and edema of the scalp. D. Heart rate of 160 and respirations of 40. Correct Answer: A.… Read More »
For which time period would the nurse notify the health care provider that the client had no bowel sounds? A. 2 minutes B. 3 minutes C. 4 minutes D. 5 minutes Correct Answer: D. 5 minutes To completely determine that bowel sounds are absent, the nurse must… Read More »
A client has been undergoing radiotherapy for the treatment of mandibular cancer. After a few sessions, the client is diagnosed with Tumor Lysis Syndrome (TLS). Which of the following findings correlates with TLS? A. Phosphorus level of 6 mg/dL. B. Phosphorus level of 3 mg/dL. C. Phosphorus level of 4 mg/dL. … Read More »
A document that lists the medical treatment a person chooses to refuse if unable to make decisions is the: A. Durable power of attorney B. Informed consent C. Living will D. Advance directives Correct Answer: D. Advance directives An advance directive is a legal document that explains… Read More »
Before administering the evening dose of a prescribed medication, the nurse on the evening shift finds an unlabeled, filled syringe in the patient’s medication drawer. What should the nurse in charge do? A. Discard the syringe to avoid a medication error. B. Obtain a label for the syringe from the pharmacy. C.… Read More »
What is the most basic reason that self-knowledge is important for nurses? Because it helps the nurse to: A. Identify personal biases that may affect his thinking and actions. B. Identify the most effective interventions for a patient. C. Communicate more efficiently with colleagues, patients, and families. D. Learn and remember… Read More »
A nurse is caring for a debilitated female patient with nocturia. Which nursing intervention is the priority when planning to meet this patient’s needs? A. Encouraging the use of bladder training exercises. B. Providing assistance with toileting every four hours. C. Positioning a bedside commode near the bed. D. Teaching the… Read More »
A natural body defense that plays an active role in preventing infection is: A. Yawning B. Body hair C. Hiccupping D. Rapid eye movements Correct Answer: B. Body hair Hair on or within body areas, such as the nose, traps and holds particles that contain microorganisms. One… Read More »
Which action by the mother of a preschooler would indicate a disturbed family interaction? A. Tells her child that if he does not sit down and shut up she will leave him there. B. Explains that the injection will burn like a bee sting. C. Tells her child that the injection can… Read More »
Evaluating the apical pulse is the most reliable noninvasive way to assess cardiac function. Which is the best area for auscultating the apical pulse? A. Aortic arch B. Pulmonic area C. Tricuspid area D. Mitral area Correct Answer: D. Mitral area The mitral area (also known as the left… Read More »