A 10-year-old child is brought to the school nurse with a black
eye, after being involved in an altercation with another child.
What statement by the child would be of greatest concern to the
nurse? Correct Answers "It is my fault my parents are getting a
divorce."
A client arrives in the ambulatory care unit to have a procedure
performed and informs the nurse, "I have pain." Which is the
priority action by the nurse? Correct Answers Ask the client to
rate their pain using a numeric scale.
A client asked the nurse why so many wrinkles have developed
on the clients face. Which response by the nurse is the best?
Correct Answers Wrinkles are a result of a loss of elasticity.
A client has developed a large pressure wound on the right
trochanter. How can the nurse best ensure this client's nutritional
needs are met to assist with healing? Correct Answers Increase
daily protein requirements
A client is having a
surgical procedure. What intervention provided by the nurse can
help the client feel safe and aid in postoperative recovery?
Correct Answers Expalin the procedure before surgery
A client is to be transferred from the acute care facility to a
rehabilitation facility after suffering a stroke. The nurse is
gathering papers to send to the accepting facility but is unsure
what to send.
, What is the best action by the nurse? Correct Answers Consult
the charge nurse
A client with diabetes asks the nurse, "If I can't do heavy
exercise, what's the point in exercising?" What response by the
nurse can encourage the client to perform moderate exercise?
Select all that apply. Correct Answers It will reduce stress.
It will provide relaxation.
It will enhance energy levels.
A client with hemiplegia is being taught how to dress more
easily and independently. How would the nurse demonstrate this
skill to the client? Correct Answers Place clothing on the
affected arm or leg first.
A couple with young children
asks the nurse about the factors
that contribute to a strong
family unit. What information
should the nurse provide to the
parents? Correct Answers Both parents need to be involved in
childrearing
activities.
A daughter caring for an aging parent in her home needs respite
care from the responsibility of caring for a frail adult.
Which would be the care setting of choice for this family?
Correct Answers Senior center
A family member caring for a client at home informs the nurse
that caring for the client is exhausting because the client is