Questions and Answers
1.The RN uses the min-mental state examination when assessing a client
for admission to an assisted living facility. Which finding is the RN
assessing when requesting the client to count by 7s?
Answer Attention to details
2.The RN palpates a weak pedal pulse in the client's right foot. Which ass.
find- ings should the RN document that are consistent with diminished
peripheral circulation?
Answer Diminished hair on legs
Skin cool to touch
3.Which action should the RN implement to complete an ass. for a client
while using an interpreter?
Answer Maintain eye contact with the client while listening to the
translation
4.A client with progressive hearing loss appears distressed when the RN
asks open-ended questions about the client's health history. Which forms
of communication should the RN use?
Answer Face the client so the client can see the RN's mouth
Check if the client's hearing aides are working
1/
12
, properly Reduce environmental noise surrounding
the client
5.A RN is performing a mini-mental state examination for a client who is
being admitted to an assisted living community. Which communication
techniques should the RN implement to decrease anxiety in the client?
Answer Use simple sen- tences during the examination
Reduce environmental detractors during the
examination Ask questions one at a time to
decrease confusion
6.A Muslim male client refuses to let the female RN listen to his breath
sounds during the examination. How should the RN respond?
Answer Request a male nurse or HCP to perform the exam
7.A client who uses ipratropium reports having nausea, blurred vision,
headaches, and insomnia after using the inhaler. Which action should the
RN implement first?
Answer Withhold medication and report symptoms and vital signs to HCP
8.While reviewing the client's EMR, the RN assesses a client who is at risk
for a possible interaction with OTC decongestant. Which client health
history should the RN report to the HCP concerning the OTC medication?
Answer Closed angle glaucoma
Chronic hypertension
2/
12