The daughter of an older woman who became depressed following the death of her husband
asks, "My mother was always well adjusted un l my father died. Will she tend to be sick from
now on?"Which response is best for the nurse to provide? -correct answers "It's highly likely
that she will recover and return to her pre-illness state."
The home health, nurse visits and elderly, female client who had a stroke three months ago, and
is now able to ambulate with assistance of a quad cane. Which assessment finding has the
greatest implica ons for the clients care? -correct answers The nurse notes that there are
numerous sca er rugs throughout the house.
What interven on should the nurse include in the plan of care for the client who is being
treated with an Unna's paste boot for leg ulcers due to chronic venous insufficiency? -correct
answers Check, capillary refill of tools on lower extremity with Unna's paste boot
What client statement indicates to the nurse that the client requires assistance with bathing? -
correct answers "I don't understand why I'm so weak and red."
A middle-aged woman who enjoys being a teacher and mentor, feels that she should pass down
her legacy of knowledge and skills to the younger genera on. According to Erikson, she is
involved in what developmental stage? -correct answers Genera vity.
Which statement best describes, durable, power of a orney for healthcare? -correct answers
The client sign the document that designates another person to make legally binding healthcare
decisions if the client is unable to do so
, Which statement is an example of a correctly wri en nursing diagnosis statement? -correct
answers Ineffec ve coping related to response to posi ve biopsy test results
A client who has been on bed rest for several days now has a prescrip on to progress ac vity as
tolerated. When the nurse assist the client out of bed for the first me, the client becomes
dizzy. What ac on should the nurse implement? -correct answers Advise the client to sit on the
side of the bed for a few minutes before standing again
A client is admi ed with a stage four pressure ulcer that has a black, hardened surface with a
light pink warm bed with the malodorous green drainage. Which dressing is best for the nurse
to use first? -correct answers Wet to moist dressing
The charge nurse observes an unlicensed assis ve personnel (UAP), bending at the ways to live
a 20 pound box of medical supplies of the treatment room floor. What instruc on should the
charge nurse provide the UAP? -correct answers Bend at the knees when li ing heavy objects
A female client who has breast cancer with metastasis to the liver and spine is admi ed with
constant, severe pain despite around-the-clock use of oxycodone (Percodan) and amitriptyline
(Elavil) for pain control at home. During the admission assessment, which informa on is most
important for the nurse to obtain? -correct answers Sensory pa ern, area, intensity, and nature
of the pain.
A male client arrives at the outpa ent surgery center for a scheduled needle aspira on of the
knee. He tells the nurse that he has already given verbal consent for the procedure to the
healthcare provider. What ac on should the nurse implement? -correct answers Witness the
client's signature on the consent form.
A client is demonstra ng a posi ve Chvostek's sign. What ac on should the nurse take? -correct
answers Ask the client about numbness or ngling in the hands.
asks, "My mother was always well adjusted un l my father died. Will she tend to be sick from
now on?"Which response is best for the nurse to provide? -correct answers "It's highly likely
that she will recover and return to her pre-illness state."
The home health, nurse visits and elderly, female client who had a stroke three months ago, and
is now able to ambulate with assistance of a quad cane. Which assessment finding has the
greatest implica ons for the clients care? -correct answers The nurse notes that there are
numerous sca er rugs throughout the house.
What interven on should the nurse include in the plan of care for the client who is being
treated with an Unna's paste boot for leg ulcers due to chronic venous insufficiency? -correct
answers Check, capillary refill of tools on lower extremity with Unna's paste boot
What client statement indicates to the nurse that the client requires assistance with bathing? -
correct answers "I don't understand why I'm so weak and red."
A middle-aged woman who enjoys being a teacher and mentor, feels that she should pass down
her legacy of knowledge and skills to the younger genera on. According to Erikson, she is
involved in what developmental stage? -correct answers Genera vity.
Which statement best describes, durable, power of a orney for healthcare? -correct answers
The client sign the document that designates another person to make legally binding healthcare
decisions if the client is unable to do so
, Which statement is an example of a correctly wri en nursing diagnosis statement? -correct
answers Ineffec ve coping related to response to posi ve biopsy test results
A client who has been on bed rest for several days now has a prescrip on to progress ac vity as
tolerated. When the nurse assist the client out of bed for the first me, the client becomes
dizzy. What ac on should the nurse implement? -correct answers Advise the client to sit on the
side of the bed for a few minutes before standing again
A client is admi ed with a stage four pressure ulcer that has a black, hardened surface with a
light pink warm bed with the malodorous green drainage. Which dressing is best for the nurse
to use first? -correct answers Wet to moist dressing
The charge nurse observes an unlicensed assis ve personnel (UAP), bending at the ways to live
a 20 pound box of medical supplies of the treatment room floor. What instruc on should the
charge nurse provide the UAP? -correct answers Bend at the knees when li ing heavy objects
A female client who has breast cancer with metastasis to the liver and spine is admi ed with
constant, severe pain despite around-the-clock use of oxycodone (Percodan) and amitriptyline
(Elavil) for pain control at home. During the admission assessment, which informa on is most
important for the nurse to obtain? -correct answers Sensory pa ern, area, intensity, and nature
of the pain.
A male client arrives at the outpa ent surgery center for a scheduled needle aspira on of the
knee. He tells the nurse that he has already given verbal consent for the procedure to the
healthcare provider. What ac on should the nurse implement? -correct answers Witness the
client's signature on the consent form.
A client is demonstra ng a posi ve Chvostek's sign. What ac on should the nurse take? -correct
answers Ask the client about numbness or ngling in the hands.
