The 46-year-old client in a women's health clinic tells the nurse "I wake up at night sweating." Which
statement is the nurse's best response?
a. "You might want to drink soy milk every day."
b. "Take calcium pills to prevent osteoporosis."
c. "Are you having trouble with vaginal dryness."
d. "It will help if you sleep under a fan at night." - Answers a
The administrative supervisor is staffing the hospital's medical surgical units during an ice storm and
has received many calls from staff members who are unable to get to the hospital. Which intervention
should the supervisor implement first?
a. inform the client nursing officer
b. notify the on-duty staff to stay
c. call staff members who live close to the facility
d. implement the emergency disaster protocol - Answers b
The charge nurse is making assignments on a surgical unit. Which client should be assigned to the
least experienced nurse?
a. the client who had a vaginal hysterectomy and still has an indwelling catheter
b. the client who has an open cholecystectomy and has gray drainage in the tube
c. the client who had a hip replacement and states something popped while walking
d. the client who had a Whipple procedure and reports being thirsty all the time - Answers a
The charge nurse of a post surgical unit observes a new graduate telling the elderly client's visitor not
to push the client's patient-controlled analgesia (PCA) pump button. Which action should the charge
nurse implement?
a. encourage the visitor to push the button for the client
b. ask the nurse to step into the hallway to discuss the situation
c. discuss the hospital protocol for the use of PCA pumps
d. continue to perform the charge nurse's other duties - Answers d
The home health nurse is caring for a client diagnosed with COPD. Which client problem is priority?
a. activity intolerance
b. altered coping
c. impaired gas exchange
d. self-care deficit - Answers c
The intensive care unit and the UAP are caring for a client who has had a coronary artery bypass graft
(CABG). Which nursing task should the nurse assign to the UAP?
a. monitor the client's arterial blood gases
b. re-infuse the client's blood using the cell saver
c. assist the client to take a sponge bath
d. change the client's saturated leg dressing - Answers c
The male home health nurse is planning his rounds for the day. Which client should dat nurse plan to
see first?
a. the 56-year-old client diagnosed with multiple sclerosis who is complaining of a cough
b. the 78-year-old client diagnosed with congestive heart failure who reports losing 3 pounds
c. the 42-year-old client diagnosed with an L-5 spinal cord injury who has developed a stage 4
pressure ulcer
d. the 80-year-old client diagnosed with a cerebrovascular accident (CVA) who has right-sided
paralysis - Answers a
The newborn nursery nurse has received report. Which client should the nurse assess first?