A patient is about to undergo bone marrow aspiration and biopsy and expresses fear and anxiety about the procedure. Which of the following is the most effective nursing response? A. Warn the patient to stay very still because the smallest movement will increase her pain. B. Encourage the family to stay in the room for… Read More »
The client is admitted following repair of a fractured tibia and cast application. Which nursing assessment should be reported to the doctor? A. Pain beneath the cast B. Warm toes B. Warm toes C. Pedal pulses weak and rapid D. Paresthesia of the toes Correct Answer: D. Paresthesia… Read More »
A child is admitted to the hospital with suspected rheumatic fever. Which of the following observations is not confirming the diagnosis? A. A reddened rash visible over the trunk and extremities. B. A history of sore throat that was self-limited in the past month. C. A negative antistreptolysin O titer. D.… Read More »
The mother of a 2-month-old infant brings the child to the clinic for a well-baby check. She is concerned because she feels only one testis in the scrotal sac. Which of the following statements about the undescended testis is the most accurate? A. Normally, the testes are descended by birth. B. The infant… Read More »
During a routine checkup, Nurse Marianne assesses a male client with acquired immunodeficiency syndrome (AIDS) for signs and symptoms of cancer. What is the most common AIDS-related cancer? A. Squamous cell carcinoma B. Multiple myeloma C. Leukemia D. Kaposi’s sarcoma Correct Answer: D. Kaposi’s sarcoma Kaposi’s sarcoma is the… Read More »
A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client? A. Side-lying with knees flexed B. Knee-chest C. High Fowler’s with knees flexed D. Semi-Fowler’s with legs extended on the bed Correct Answer: D. Semi-Fowler’s with… Read More »
During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position? A. Right breech presentation B. Right occiput anterior presentation C. Left sacral anterior presentation D. Left occiput transverse presentation Correct Answer: A.… Read More »
Which of the following groups of symptoms indicated a ruptured abdominal aneurysm? A. Lower back pain, increased BP, decreased RBC, increased WBC B. Severe lower back pain, decreased BP, decreased RBC, increased WBC C. Severe lower back pain, decreased BP, decreased RBC, decreased WBC D. Intermittent lower back pain, decreased BP,… Read More »
A 35-year-old client with vaginal cancer asks the nurse, “What is the usual treatment for this type of cancer?” Which treatment should the nurse name? A. Surgery B. Chemotherapy C. Radiation D. Immunotherapy Correct Answer: C. Radiation The usual treatment for vaginal cancer is external or intravaginal… Read More »
A male client had a nephrectomy 2 days ago and is now complaining of abdominal pressure and nausea. The first nursing action should be to: A. Auscultate bowel sounds. B. Palpate the abdomen. C. Change the client’s position. D. Insert a rectal tube. Correct Answer: A. Auscultate bowel sounds.… Read More »