The school health nurse is identifying education programs for high school students
besides the dangers of unprotected sex or drug and alcohol abuse. Which class topic
should the nurse present to these students?
a. Warning signs of depression for peers to identify among their classmates
b. Injury prevention
c. Early signs of cancer and heart disease
d. Normal physiological changes of this age group
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a. Warning signs of depression for peers to identify among their classmates
The nurse is asked to explain why so much time is spent on the assessment,
diagnosing, and planning phases of the nursing process. Which response should the
nurse make?
a. "They eliminate the need to reassess the client."
b. "They make it easier to provide care to the client."
,c. "They help determine if the client has achieved outcomes."
d. "They provide the basis for the actions performed during the implementation
phase."
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d. "They provide the basis for the actions performed during the
implementation phase."
A client has had Alzheimer's dementia for a period of time and continues to live at
home with the spouse. What would be one of the gerontological nurse's
responsibilities?
1. Make sure the client is being prescribed appropriate medication.
2. Provide support for the spouse.
3. Assess the client early to ensure proper care.
4. Find a suitable long-term care facility for the client.
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2. Provide support for the spouse.
During an initial interview, the client says, "I don't understand why I have to have
surgery; I'm really not that sick or in pain right now." How should the nurse respond to
the client?
a. "It's OK to be worried. Surgery is a big step."
b. "What kind of questions do you have about your surgery?"
c. "I think these are things you should be asking your doctor."
d. "Have you had surgery before?"
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, b. "What kind of questions do you have about your surgery?"
The nurse wants to create an intervention to assist a client with ambulation. Which
statement is the most appropriate manner for the nurse to write this intervention?
a. Assist client with ambulation.
b. Ambulate with client, using a gait belt, twice daily for 15 minutes.
c. Make sure client understands the rationale for using the gait belt.
d. Client will ambulate in hallway twice daily.
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b. Ambulate with client, using a gait belt, twice daily for 15 minutes.
The nurse is going to assess the apical-radial pulse of a client with a cardiovascular
disorder. Which rationale did the nurse use to make this decision?
a. A forceful radial pulse is much too difficult to count correctly.
b. Both arteriole and venous sounds were heard simultaneously.
c. The pulse was bounding and easily obliterated.
d. The thrust of blood from the heart is too feeble for the wave to be felt at the
peripheral pulse site.
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d. The thrust of blood from the heart is too feeble for the wave to be felt at
the peripheral pulse site.
CHAPTER 17
The nurse explains the use, how it works, and the rationale for an incentive spirometer
that a client needs to use after surgery. When mastering the use of this device, the
, client will demonstrate learning in which of Bloom's domains?
1. Cognitive
2. Psychomotor
3. Affective
4. Imitation
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2. Psychomotor
The nurse is identifying outcome criteria for a client with a nursing diagnosis of
Disturbed Sensory Perception, Auditory. What would indicate that interventions to
address this diagnosis have been successful?
a. Client places hearing aid on bedside table when not in use.
b. Client does not respond appropriately to questions.
c. Client demonstrates use and care of hearing aid.
d.Client demonstrates difficulty with problem solving.
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c. Client demonstrates use and care of hearing aid.
The nurse has formulated the diagnosis of Activity intolerance, related to weakness
and debilitation, manifested by reports of fatigue after any physical activity. What is
the defining characteristic of this label?
a. Activity intolerance
b. Weakness and debilitation
c. Reports of fatigue
d.Physical activity
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besides the dangers of unprotected sex or drug and alcohol abuse. Which class topic
should the nurse present to these students?
a. Warning signs of depression for peers to identify among their classmates
b. Injury prevention
c. Early signs of cancer and heart disease
d. Normal physiological changes of this age group
Give this one a try later!
a. Warning signs of depression for peers to identify among their classmates
The nurse is asked to explain why so much time is spent on the assessment,
diagnosing, and planning phases of the nursing process. Which response should the
nurse make?
a. "They eliminate the need to reassess the client."
b. "They make it easier to provide care to the client."
,c. "They help determine if the client has achieved outcomes."
d. "They provide the basis for the actions performed during the implementation
phase."
Give this one a try later!
d. "They provide the basis for the actions performed during the
implementation phase."
A client has had Alzheimer's dementia for a period of time and continues to live at
home with the spouse. What would be one of the gerontological nurse's
responsibilities?
1. Make sure the client is being prescribed appropriate medication.
2. Provide support for the spouse.
3. Assess the client early to ensure proper care.
4. Find a suitable long-term care facility for the client.
Give this one a try later!
2. Provide support for the spouse.
During an initial interview, the client says, "I don't understand why I have to have
surgery; I'm really not that sick or in pain right now." How should the nurse respond to
the client?
a. "It's OK to be worried. Surgery is a big step."
b. "What kind of questions do you have about your surgery?"
c. "I think these are things you should be asking your doctor."
d. "Have you had surgery before?"
Give this one a try later!
, b. "What kind of questions do you have about your surgery?"
The nurse wants to create an intervention to assist a client with ambulation. Which
statement is the most appropriate manner for the nurse to write this intervention?
a. Assist client with ambulation.
b. Ambulate with client, using a gait belt, twice daily for 15 minutes.
c. Make sure client understands the rationale for using the gait belt.
d. Client will ambulate in hallway twice daily.
Give this one a try later!
b. Ambulate with client, using a gait belt, twice daily for 15 minutes.
The nurse is going to assess the apical-radial pulse of a client with a cardiovascular
disorder. Which rationale did the nurse use to make this decision?
a. A forceful radial pulse is much too difficult to count correctly.
b. Both arteriole and venous sounds were heard simultaneously.
c. The pulse was bounding and easily obliterated.
d. The thrust of blood from the heart is too feeble for the wave to be felt at the
peripheral pulse site.
Give this one a try later!
d. The thrust of blood from the heart is too feeble for the wave to be felt at
the peripheral pulse site.
CHAPTER 17
The nurse explains the use, how it works, and the rationale for an incentive spirometer
that a client needs to use after surgery. When mastering the use of this device, the
, client will demonstrate learning in which of Bloom's domains?
1. Cognitive
2. Psychomotor
3. Affective
4. Imitation
Give this one a try later!
2. Psychomotor
The nurse is identifying outcome criteria for a client with a nursing diagnosis of
Disturbed Sensory Perception, Auditory. What would indicate that interventions to
address this diagnosis have been successful?
a. Client places hearing aid on bedside table when not in use.
b. Client does not respond appropriately to questions.
c. Client demonstrates use and care of hearing aid.
d.Client demonstrates difficulty with problem solving.
Give this one a try later!
c. Client demonstrates use and care of hearing aid.
The nurse has formulated the diagnosis of Activity intolerance, related to weakness
and debilitation, manifested by reports of fatigue after any physical activity. What is
the defining characteristic of this label?
a. Activity intolerance
b. Weakness and debilitation
c. Reports of fatigue
d.Physical activity
Give this one a try later!
