an older female client who was recently widowed has become increasing confused
and disoriented. Her family tells the healthcare provider's office nurse that it is
imperative for their mother to be admitted to the hospital for medical evaluation. The
client is a member of a managed health plan. Which information is best for the nurse
to provide the family?
Give this one a try later!
The client is grieving normally in response to her husband's death and
hospitalizations is not necessary
35. A male client is admitted with difficulty breathing related to diagnoses of
metastatic lung cancer. He tells the nurse that he does not want to be "hooked up to
any machines." His vital signs are heart rate 120 beats/minute, blood pressure 98/50
mmHg, respiratory rate 30 breaths/minute, and oxygen saturation rate is 88%. Which
action should the nurse take?
,Give this one a try later!
o Give analgesic medications PRN.
An older male client who lives alone has a history of HF and is admitted to the
hospital after passing out while walking to the mailbox. The nurse notes multiple
bruises in various stages of healing. He is being treated with a cardiac glycoside,
diuretic, and restricted sodium diet. Which intervention is most important for the nurse
to include in the client's plan of care?
Give this one a try later!
Continuous EKG monitoring
A male client who recently learned that he has Huntington's disease tells the nurse
that he does not want his daughter to know about the disease because she may
someday want to have a child of her own. Which intervention should the nurse
implement?
A. Notify the health department of the client's condition.
B. Explain that his daughter has a right to know of potential health problems.
C. Advise the client to weigh all possible outcomes prior to the decision.
D. Suggest to the daughter the value of genetic screening.
Give this one a try later!
B. Explain that his daughter has a right to know of potential health
problems.
,36. An older adult woman with end stage heart disease is alert and oriented and
states that she does not want any heroic measures taken in the event she stops
breathing. The client's children tell the nurse that they accept their mother's wishes
and do not want to watch her suffer. Which action should the nurse take first?
Give this one a try later!
o Obtain a do not resuscitate prescription
51. An older adult woman with Cushing's syndrome is scheduled for cataract surgery in
the day surgery unit. Nursing assessment reveals a rounded face and pitting edema in
the lower extremities. Which intervention should the nurse implement?
Give this one a try later!
o Initiate intake and output measurement
The nurse is assigned to care for four clients. After receiving the change of shift
report, which client should the nurse assess first?
A. A client with diabetes and a history of coronary artery disease who is complaining
of increased SOB
B. A 10 year old with sickle cell disease who has a PCA pump and is complaining of
pain2-3/10
C. A 29 year old who has had CKD for the past year and had an AV fistula placed
yesterday
D. An older client with COPD who is experiencing SOB and who O2 sat is 88% on RA
Give this one a try later!
, A. A client with diabetes and a history of coronary artery disease who is
complaining of increased SOB
The charge nurse assigns an experienced PN to care for a client who needs a
complex dressing change. The female PN who seems anxious with difficult
assignments, tells the charge nurse that she does not feel competent to perform the
procedure. Which is the best way for the charge nurse to handle this situation?
Give this one a try later!
Tell the PN that assistance is available if needed but she will be responsible
for the patient's care
A client is admitted with exacerbation of COBD and reports that it is difficult to eat
due to SOB. WHich tasks should the nurse delegate to UAP? SATA
A. Assist the client with eating small, frequent high calorie meals
B. Offer high caloric foods such as milk and ice cream
C. Consult with registered dietician about recommended nutritional needs
D. Maintain a clean and pleasant environment during meals
E. Set up the food and drink containers within easy reach
Give this one a try later!
A, B, D, E
The nurse observes a PN placing a client on the right side with left leg bent in prep
for lumbar puncture. Which action should the RN take?
A. Demonstrate to the PN how to position the client more effectively for the
and disoriented. Her family tells the healthcare provider's office nurse that it is
imperative for their mother to be admitted to the hospital for medical evaluation. The
client is a member of a managed health plan. Which information is best for the nurse
to provide the family?
Give this one a try later!
The client is grieving normally in response to her husband's death and
hospitalizations is not necessary
35. A male client is admitted with difficulty breathing related to diagnoses of
metastatic lung cancer. He tells the nurse that he does not want to be "hooked up to
any machines." His vital signs are heart rate 120 beats/minute, blood pressure 98/50
mmHg, respiratory rate 30 breaths/minute, and oxygen saturation rate is 88%. Which
action should the nurse take?
,Give this one a try later!
o Give analgesic medications PRN.
An older male client who lives alone has a history of HF and is admitted to the
hospital after passing out while walking to the mailbox. The nurse notes multiple
bruises in various stages of healing. He is being treated with a cardiac glycoside,
diuretic, and restricted sodium diet. Which intervention is most important for the nurse
to include in the client's plan of care?
Give this one a try later!
Continuous EKG monitoring
A male client who recently learned that he has Huntington's disease tells the nurse
that he does not want his daughter to know about the disease because she may
someday want to have a child of her own. Which intervention should the nurse
implement?
A. Notify the health department of the client's condition.
B. Explain that his daughter has a right to know of potential health problems.
C. Advise the client to weigh all possible outcomes prior to the decision.
D. Suggest to the daughter the value of genetic screening.
Give this one a try later!
B. Explain that his daughter has a right to know of potential health
problems.
,36. An older adult woman with end stage heart disease is alert and oriented and
states that she does not want any heroic measures taken in the event she stops
breathing. The client's children tell the nurse that they accept their mother's wishes
and do not want to watch her suffer. Which action should the nurse take first?
Give this one a try later!
o Obtain a do not resuscitate prescription
51. An older adult woman with Cushing's syndrome is scheduled for cataract surgery in
the day surgery unit. Nursing assessment reveals a rounded face and pitting edema in
the lower extremities. Which intervention should the nurse implement?
Give this one a try later!
o Initiate intake and output measurement
The nurse is assigned to care for four clients. After receiving the change of shift
report, which client should the nurse assess first?
A. A client with diabetes and a history of coronary artery disease who is complaining
of increased SOB
B. A 10 year old with sickle cell disease who has a PCA pump and is complaining of
pain2-3/10
C. A 29 year old who has had CKD for the past year and had an AV fistula placed
yesterday
D. An older client with COPD who is experiencing SOB and who O2 sat is 88% on RA
Give this one a try later!
, A. A client with diabetes and a history of coronary artery disease who is
complaining of increased SOB
The charge nurse assigns an experienced PN to care for a client who needs a
complex dressing change. The female PN who seems anxious with difficult
assignments, tells the charge nurse that she does not feel competent to perform the
procedure. Which is the best way for the charge nurse to handle this situation?
Give this one a try later!
Tell the PN that assistance is available if needed but she will be responsible
for the patient's care
A client is admitted with exacerbation of COBD and reports that it is difficult to eat
due to SOB. WHich tasks should the nurse delegate to UAP? SATA
A. Assist the client with eating small, frequent high calorie meals
B. Offer high caloric foods such as milk and ice cream
C. Consult with registered dietician about recommended nutritional needs
D. Maintain a clean and pleasant environment during meals
E. Set up the food and drink containers within easy reach
Give this one a try later!
A, B, D, E
The nurse observes a PN placing a client on the right side with left leg bent in prep
for lumbar puncture. Which action should the RN take?
A. Demonstrate to the PN how to position the client more effectively for the
