10/19/23,M1:27MP FundamentalsMCMSMMidtermMTermsMinMthisM
M set
FundamentalsMCMSMMidtermMTermsMinMthisMsetM(200)
AM nurseM isM assessingM theM heartM soundsM ofM aM clientM whoM hasM developedM chestM pain
M thatM becomesMworseMwithMinspiration.
TheM nurseM auscultatesMaM high-
MpitchedM scratchingM soundM duringMbothM systoleMandM diastoleM withMthe
diaphragmMofMtheMstethoscopeMpositionedMatMtheMlefMsternalMbor
der.MWhichM ofM theM followingM heartM soundsM shouldM theM nurseM do
cument?
A. AudibleM Click
B. Murmur
C. ThirdM heartM sound
D. PericardialM frictionM rub
AMnurseMisMobtainingMtheMbloodMpressureMinMaMclient'sMlowerM
extremity.MWhichMofMtheMfollowingMactionMshouldMtheMnurseMtake
?
A. AuscultateMforMtheMbloodMpresureMatMtheMdorsalisMpedisMartery.
B. MeasureMtheM bloodM pressureM withM theM clientM sittingMonM theM sideM ofMtheM bed.
C. PlaceMtheMcufM 7.6cmM (3in)MaboveM theM poplitealM artery.
D)M placeM theM bladderM ofM theM cufM overM theM posteriorM aspectM ofM theM thigh
AMchargeMnurseMisMteachingMadultMcardiopulmonaryMresusciationM(CPR)MtoMaMgroup
MofMnewlyMlicensedMnurses.MWhichMofMtheMfollowingMactionsMshouldMtheMchargeMn
urseMteachMasMtheMfirstMresponseMinMCPR?
A. CallMforMassisstance
B. BeginM ChestM compressions
C. ConfirmM unresponsiveness.
D. GiveM rescueM breaths.
C) ConfirmM unresponsiveness
AMnurseMisMcaringMforMaMclientMwhoMrequiresMaMchestMx-
ray.M PriorMtoMtheMclientMbeingMtransportedMforMtheMprocedure,MwhichMofMtheMfollowingM
actionsMshouldMtheMnurseMtakeMfirst?
A. ExplainMtheM x-rayMprocedureMtoMtheMclient.
B. HelpM theM clientM intoMaM wheelchairM beforeM theM transporterM arrives.
C. AskM ifM theM clientM hasM anyMquestions.
D) IdentifyM theM clientM usingM toM identifiers
AMnurseMisMcaringMforMaMchildMwhoMisMpostoperativeMfollowingMaMto
nsillectomy.MWhichMofMtheMfollowingMactionsMshouldMtheMnurseMtake?
A. EncourageM theM childM toM coughM frequentlyM toM clearM congestionM fromM anesthesia.
B. PlaceMaMheatingM padMatMtheMchild'sM neckMforMcomfort.
C. AdministerM analgesicsM toM theM childM onM aM routineM scheduleM throughoutM theM dayM andM night.
D. ProvideMtheMchildM withMiceMcreamMwhenMoralMintakeMisMinitiated.
about:blank 1/35
,10/19/23,M1:27MP FundamentalsMCMSMMidtermMTermsMinMthisM
M set
AMnurseM isMprovidingM teachingMtoM aMclientM whoMhasM heartMfailureM aboutMhowM toMr
educeM hisM dailyMintakeMofMsodium.
WhichMofM theM followingMfactorsM isM theMmostM importantM inM determiningM theMclient'sM ab
ilityM toMlearnMnewMdietaryMhabits?
A. TheMinvolvementM ofM theM clientM inM planningM theM change.
B. TheM emphasisM theM providerM placesM onM theM dietaryM changes.
C. TheM learningM theoryM theM nurseM usesM toM teachM theM dietaryM changes.
D. TheMextentMofM theM dietaryM changesMplannedM forMtheM client.
AMchargeMnurseMisM observingMaMnewlyM licensedM nurseMperformMtracheostomyM careM
forMaMclient.MWhichMofMtheMfollowingMactionsMbyMtheMnewlyMlicensedMnurseMrequires
Mintervention?
A. ObtainingMhydrogenMperoxideMforMtheMtrachesotomyMcare.
B. ObtaingingMcottonMballsM forMtheM tracheostomyMcare.
C. ObtainingMsterileM glovesMforM theM tracheostomyM care.
D. ObtainingMaMsterileMbrushMforMtheM tracheostomyMcare.
AMnurseMisM preparingM toMperformMmouthMcareM forManMunrespons
iveMclient.MWhichMofMtheMfollowingMactionsMshouldMtheMnurseMplanM
toMtake?
A. PlaceM theM clientM supine.
B. KeepM bothM sideM railsM up.
C. RaiseMtheMlevelMofMtheMbed.
D. InspectM theM client'sM mouthM usingM aM fingerM sweep.
AMnurseMisMwitnessingMaMclientMsignManMinformedMconsentMformMforM
surgery.MWhichM ofM theM followingM describesM whatM theM nurseM isM affirm
ingM byM thisM action?
A. TheM clientM fullyM understandsM theM provider'sM explannationM ofM theM procedure.
B. TheM clientM hasM beenM informedM aboutM theM risksM andMbenefitsM ofM theM procedure.
C. TheM nurseMwitnessedMtheM provider'sMexplanantionMofM theMpr
ocedure.MD.MTheMsignatureMonM theM preoperativeMconsentMform
MisMtheMclient's.
AMnurseMisM preparingMtoMprovideMtracheostomyMcareMforMaMclient.M WhichMofM theMfoll
owingMactionsMshouldMtheMnurseMtakeMfirst?
A. OpenM allM sterileM suppliesM andM solutions.
B. StabilizeM theM tracheostomyM tube.
C. DonMsterileMgloves
D. PerformM handM hygiene
AMnurseMisMcaringMforManMolderMadultMclientMwhoMbecomesMagitatedMwhenMtheMnurseM
requestsMthatMtheMclient'sMdenturesMbeMremovedMpriorMtoMsurgery.MWhichMofMtheMfollow
ingMresponsesMshouldMtheMnurseM.make?
A. It'sMforMyourMsafety.MDenturesMcanMslipMandMblockMyourMairwayMduringMsurgery.
B. YouMwouldn'tMwantMyourMteethMtoMbeMlostMorMbrokenMduringMsurgery,MwouldMyou?
C. TheManesthesiologistMrequiresMeveryoneMtoMremoveMtheir
Mdentures.MD.MWhatMworriesMyouMaboutMbeingMwithoutMyo
urMteeth?
about:blank 2/35
,10/19/23,M1:27MP FundamentalsMCMSMMidtermMTermsMinMthisM
M set
AMnurseMinM anMoncologyMclinicM isMassessingM aMclientMwhoM isMundergoingM treatmen
tM forMovarianMcancer.MWhichMofMtheMfollowingMstatementsMbyMtheMclientMindicatesMshe
MisMexperiencingMpsychologicalMdistress?
A. MyMparentsMareMretired,MandMtheyM haveMcomeMtoMhelpMoutMwithMourMchildren.
B. IM amM goingM toM askM myM husbandM toM goM toM counselin
gM withMme.MC.MIMkeepMhavingMnightmaresMaboutMmyMu
pcomingMsurgery.
D.MMyMgirlfriendsM boughtMmeM aMniceM wig.
AMnurseM onMaM medical-
surgicalMunitM isMcaringM forMaM client.MWhichM ofM theMfollowingM actionsMshouldMtheMnurseMt
akeMfirstMwhenMusingMtheMnursingMprocess?
A. IdentifyMgoalsMforMclientMcare.
B. ObtainM clientM information.
C. DocumentM nursingM careM needs.
D. EvaluateMtheMefectivenessMofMnurseMcare.
AMnurseMisMcaringMforManMolderMadultMclientMwhoMisMviolentMandMattemptingMtoMdisc
onnectMherMIVMlines.MTheMproviderM prescribesMsofM wristMrestraints.MWhichM ofMtheM f
ollowingM actionsMshouldMtheMnurseMtakeMwhileMtheMclientMisMinMrestraints?
A. TieMtheMrestraintsMtoMtheMsideMrails.
B. PerformMrange-of-
motionMexercisesMtoM theM wristsMeveryM 3Mhrs.MC.MRem
oveMtheMrestraintsMoneMatMaMtime.
D.MObtainMaMPRNMprescriptionMforMtheMrestraints.
AMnurseMisM planningMcareMforMaMclientMwhoMreportsM abdominalMpain.
AnMassessmentMbyMtheMnurseM revealsMtheMclientM hasMaMtemperatureMofM3ffi.2M(102.6MF),
MheartM rateMofM105fimin,MaMsofMnontenderMabdomen,MandMmensesMoverdueMbyM2Mdays.M
WhichMofMtheMfollowingMfindingsMshouldMbeMtheMnurse'sMpriority.
A. HeartMrateM 105fimin
B. sof,M nontenderM abdomen
C. temperature
D. overdueM menses
AMnurseMisMinsertingManMIVMcatheterMforM aMclientMthatMresultsMinMaMbloodMspillMonM
herM glovedMhand.MTheMclientMhasMnoMdocumentedMbloodstreamMinfection.
WhichM ofM theM followingM actionsM shouldM theM nurseM take?
A. WashMtheMglovedMhandsMandMthenMthrowMtheMglovesMaway.
B. PrepareManM incidentM reportM toM documentM theMevent.
C. CarefullyMremoveM theM glovesMandM followM withM handM hygiene.
D. AskMtheM providerMtoMorderMaM bloodM cultureMtoM determineM theMriskM ofM infection.
about:blank 3/35
, 10/19/23,M1:27MP FundamentalsMCMSMMidtermMTermsMinMthisM
M set
AMnurseMisMcaringMforMaMclientMwhoMisMpostoperativeMandMhasMparal
yticMileus.MWhichM ofM theM followingM abdominalM assessmentsM shouldM t
heM nurseM expect?
A. FrequentM bowelM soundsM withM flatus.
B. AbsentM bowelM soundsM withM distention
C. HyperactiveM bowelM soundsM withM diarrhea.
D. NormalM bowelM soundsM withM increasedM peristalsis.
AMnurseMisMcaringMforMaMclientMwhoMhasMtypeM 1MdiabetesM mellitusMandMisMresistantMt
oMlearningMself-
MinjectionMofMinsulin.MWhichMofMtheMfollowingMstatementsMshouldMtheMnurseMmake?
A. "TellMmeMwhatMIMcanMdoMtoMhelpMyouMovercomeMyourMfearMofMgivingMyourselfMinjections."
B. "IMamMsureMyourM providerMwillM notM beMpleasedM thatMyouMrefuseM toM
giveM yourselfMinsulinMinjections."
C. "It'sMokay.MIMamMsureMyourM partnerM willMbeMableMtoMlearnMhowMtoMgiveMyouMtheMinsulinMinjec
tions."
D. "YouMwon'tMbeMableMtoM
goMhomeMunlessMyouMlearn
MtoMgive
AMnurseMisMrecievingMaMclientMfromMtheMPACUMwhoMisMpostoperativeMfollowingMabdomi
nalMsurgery.MWhichMofMtheMfollowingMactionsMshouldMtheMnurseMmakeMtoMtransferMtheM
clientMfromMtheMstretcherMtoMtheMbed?
A. LockMtheMwheelsMonMtheMbedMandMstretcher.
B. InstructMtheMclientM toMraiseMhisM armsM aboveMhisM head.
C. ElevateMtheMstretcherM2.5cmM (1in)MaboveMtheM heightM ofMtheM bed.
D. LogMrollMtheMclient.
AMnurseMisMcaringMforMaMclientMwhoMisMinMtheMterminalMstageMofMcancer.
WhichMofMtheMfollowingMactionsMshouldMtheMnurseMtakeMwhenMsheMobservesMtheMclientMcrying
?
A. ContactM theMfamilyMandMaskMthemMtoM stayMwithMtheMclient.
B. OferMtoMcallMclient'sMminister.
C. SitMandM holdM theM client'sM hand.
D. LeaveMtheMroomMandMallowMtheMclientMtoMcryMprivately.
AM nurseM inM anM emergencyM departmentM isM assessingM aM clientMwhoM reportsM d
iarrheaM andMdecreasedMurinationMforM4Mdays.
WhichMofMtheM followingMactionsM shouldMtheM nurseMtakeM toMassessM theMclient'sM skinMturgor?
A. PushMonM aM fingernailM bedM untilM itM blanches,MreleaseM it,M andMobserveM howM longMit
MtakesM theMskinMtoMbecomeMpink.
B. GraspMaM skinfoldM onM chestM underMclavicle,M release,M andM noteM whetherM isMspringsM back.
C. PressMtheMskinM inMaboveMtheMankleM forM5Mseconds,MreleaseMit,MandM note
M theMdepthMofMtheMimpression.
D. MeasureMtheM skinMfoldM thicknessMatM theMupperM armM usingM aMpairM ofMcalbratedM skinfoldMcalipe
rs.
about:blank 4/35
M set
FundamentalsMCMSMMidtermMTermsMinMthisMsetM(200)
AM nurseM isM assessingM theM heartM soundsM ofM aM clientM whoM hasM developedM chestM pain
M thatM becomesMworseMwithMinspiration.
TheM nurseM auscultatesMaM high-
MpitchedM scratchingM soundM duringMbothM systoleMandM diastoleM withMthe
diaphragmMofMtheMstethoscopeMpositionedMatMtheMlefMsternalMbor
der.MWhichM ofM theM followingM heartM soundsM shouldM theM nurseM do
cument?
A. AudibleM Click
B. Murmur
C. ThirdM heartM sound
D. PericardialM frictionM rub
AMnurseMisMobtainingMtheMbloodMpressureMinMaMclient'sMlowerM
extremity.MWhichMofMtheMfollowingMactionMshouldMtheMnurseMtake
?
A. AuscultateMforMtheMbloodMpresureMatMtheMdorsalisMpedisMartery.
B. MeasureMtheM bloodM pressureM withM theM clientM sittingMonM theM sideM ofMtheM bed.
C. PlaceMtheMcufM 7.6cmM (3in)MaboveM theM poplitealM artery.
D)M placeM theM bladderM ofM theM cufM overM theM posteriorM aspectM ofM theM thigh
AMchargeMnurseMisMteachingMadultMcardiopulmonaryMresusciationM(CPR)MtoMaMgroup
MofMnewlyMlicensedMnurses.MWhichMofMtheMfollowingMactionsMshouldMtheMchargeMn
urseMteachMasMtheMfirstMresponseMinMCPR?
A. CallMforMassisstance
B. BeginM ChestM compressions
C. ConfirmM unresponsiveness.
D. GiveM rescueM breaths.
C) ConfirmM unresponsiveness
AMnurseMisMcaringMforMaMclientMwhoMrequiresMaMchestMx-
ray.M PriorMtoMtheMclientMbeingMtransportedMforMtheMprocedure,MwhichMofMtheMfollowingM
actionsMshouldMtheMnurseMtakeMfirst?
A. ExplainMtheM x-rayMprocedureMtoMtheMclient.
B. HelpM theM clientM intoMaM wheelchairM beforeM theM transporterM arrives.
C. AskM ifM theM clientM hasM anyMquestions.
D) IdentifyM theM clientM usingM toM identifiers
AMnurseMisMcaringMforMaMchildMwhoMisMpostoperativeMfollowingMaMto
nsillectomy.MWhichMofMtheMfollowingMactionsMshouldMtheMnurseMtake?
A. EncourageM theM childM toM coughM frequentlyM toM clearM congestionM fromM anesthesia.
B. PlaceMaMheatingM padMatMtheMchild'sM neckMforMcomfort.
C. AdministerM analgesicsM toM theM childM onM aM routineM scheduleM throughoutM theM dayM andM night.
D. ProvideMtheMchildM withMiceMcreamMwhenMoralMintakeMisMinitiated.
about:blank 1/35
,10/19/23,M1:27MP FundamentalsMCMSMMidtermMTermsMinMthisM
M set
AMnurseM isMprovidingM teachingMtoM aMclientM whoMhasM heartMfailureM aboutMhowM toMr
educeM hisM dailyMintakeMofMsodium.
WhichMofM theM followingMfactorsM isM theMmostM importantM inM determiningM theMclient'sM ab
ilityM toMlearnMnewMdietaryMhabits?
A. TheMinvolvementM ofM theM clientM inM planningM theM change.
B. TheM emphasisM theM providerM placesM onM theM dietaryM changes.
C. TheM learningM theoryM theM nurseM usesM toM teachM theM dietaryM changes.
D. TheMextentMofM theM dietaryM changesMplannedM forMtheM client.
AMchargeMnurseMisM observingMaMnewlyM licensedM nurseMperformMtracheostomyM careM
forMaMclient.MWhichMofMtheMfollowingMactionsMbyMtheMnewlyMlicensedMnurseMrequires
Mintervention?
A. ObtainingMhydrogenMperoxideMforMtheMtrachesotomyMcare.
B. ObtaingingMcottonMballsM forMtheM tracheostomyMcare.
C. ObtainingMsterileM glovesMforM theM tracheostomyM care.
D. ObtainingMaMsterileMbrushMforMtheM tracheostomyMcare.
AMnurseMisM preparingM toMperformMmouthMcareM forManMunrespons
iveMclient.MWhichMofMtheMfollowingMactionsMshouldMtheMnurseMplanM
toMtake?
A. PlaceM theM clientM supine.
B. KeepM bothM sideM railsM up.
C. RaiseMtheMlevelMofMtheMbed.
D. InspectM theM client'sM mouthM usingM aM fingerM sweep.
AMnurseMisMwitnessingMaMclientMsignManMinformedMconsentMformMforM
surgery.MWhichM ofM theM followingM describesM whatM theM nurseM isM affirm
ingM byM thisM action?
A. TheM clientM fullyM understandsM theM provider'sM explannationM ofM theM procedure.
B. TheM clientM hasM beenM informedM aboutM theM risksM andMbenefitsM ofM theM procedure.
C. TheM nurseMwitnessedMtheM provider'sMexplanantionMofM theMpr
ocedure.MD.MTheMsignatureMonM theM preoperativeMconsentMform
MisMtheMclient's.
AMnurseMisM preparingMtoMprovideMtracheostomyMcareMforMaMclient.M WhichMofM theMfoll
owingMactionsMshouldMtheMnurseMtakeMfirst?
A. OpenM allM sterileM suppliesM andM solutions.
B. StabilizeM theM tracheostomyM tube.
C. DonMsterileMgloves
D. PerformM handM hygiene
AMnurseMisMcaringMforManMolderMadultMclientMwhoMbecomesMagitatedMwhenMtheMnurseM
requestsMthatMtheMclient'sMdenturesMbeMremovedMpriorMtoMsurgery.MWhichMofMtheMfollow
ingMresponsesMshouldMtheMnurseM.make?
A. It'sMforMyourMsafety.MDenturesMcanMslipMandMblockMyourMairwayMduringMsurgery.
B. YouMwouldn'tMwantMyourMteethMtoMbeMlostMorMbrokenMduringMsurgery,MwouldMyou?
C. TheManesthesiologistMrequiresMeveryoneMtoMremoveMtheir
Mdentures.MD.MWhatMworriesMyouMaboutMbeingMwithoutMyo
urMteeth?
about:blank 2/35
,10/19/23,M1:27MP FundamentalsMCMSMMidtermMTermsMinMthisM
M set
AMnurseMinM anMoncologyMclinicM isMassessingM aMclientMwhoM isMundergoingM treatmen
tM forMovarianMcancer.MWhichMofMtheMfollowingMstatementsMbyMtheMclientMindicatesMshe
MisMexperiencingMpsychologicalMdistress?
A. MyMparentsMareMretired,MandMtheyM haveMcomeMtoMhelpMoutMwithMourMchildren.
B. IM amM goingM toM askM myM husbandM toM goM toM counselin
gM withMme.MC.MIMkeepMhavingMnightmaresMaboutMmyMu
pcomingMsurgery.
D.MMyMgirlfriendsM boughtMmeM aMniceM wig.
AMnurseM onMaM medical-
surgicalMunitM isMcaringM forMaM client.MWhichM ofM theMfollowingM actionsMshouldMtheMnurseMt
akeMfirstMwhenMusingMtheMnursingMprocess?
A. IdentifyMgoalsMforMclientMcare.
B. ObtainM clientM information.
C. DocumentM nursingM careM needs.
D. EvaluateMtheMefectivenessMofMnurseMcare.
AMnurseMisMcaringMforManMolderMadultMclientMwhoMisMviolentMandMattemptingMtoMdisc
onnectMherMIVMlines.MTheMproviderM prescribesMsofM wristMrestraints.MWhichM ofMtheM f
ollowingM actionsMshouldMtheMnurseMtakeMwhileMtheMclientMisMinMrestraints?
A. TieMtheMrestraintsMtoMtheMsideMrails.
B. PerformMrange-of-
motionMexercisesMtoM theM wristsMeveryM 3Mhrs.MC.MRem
oveMtheMrestraintsMoneMatMaMtime.
D.MObtainMaMPRNMprescriptionMforMtheMrestraints.
AMnurseMisM planningMcareMforMaMclientMwhoMreportsM abdominalMpain.
AnMassessmentMbyMtheMnurseM revealsMtheMclientM hasMaMtemperatureMofM3ffi.2M(102.6MF),
MheartM rateMofM105fimin,MaMsofMnontenderMabdomen,MandMmensesMoverdueMbyM2Mdays.M
WhichMofMtheMfollowingMfindingsMshouldMbeMtheMnurse'sMpriority.
A. HeartMrateM 105fimin
B. sof,M nontenderM abdomen
C. temperature
D. overdueM menses
AMnurseMisMinsertingManMIVMcatheterMforM aMclientMthatMresultsMinMaMbloodMspillMonM
herM glovedMhand.MTheMclientMhasMnoMdocumentedMbloodstreamMinfection.
WhichM ofM theM followingM actionsM shouldM theM nurseM take?
A. WashMtheMglovedMhandsMandMthenMthrowMtheMglovesMaway.
B. PrepareManM incidentM reportM toM documentM theMevent.
C. CarefullyMremoveM theM glovesMandM followM withM handM hygiene.
D. AskMtheM providerMtoMorderMaM bloodM cultureMtoM determineM theMriskM ofM infection.
about:blank 3/35
, 10/19/23,M1:27MP FundamentalsMCMSMMidtermMTermsMinMthisM
M set
AMnurseMisMcaringMforMaMclientMwhoMisMpostoperativeMandMhasMparal
yticMileus.MWhichM ofM theM followingM abdominalM assessmentsM shouldM t
heM nurseM expect?
A. FrequentM bowelM soundsM withM flatus.
B. AbsentM bowelM soundsM withM distention
C. HyperactiveM bowelM soundsM withM diarrhea.
D. NormalM bowelM soundsM withM increasedM peristalsis.
AMnurseMisMcaringMforMaMclientMwhoMhasMtypeM 1MdiabetesM mellitusMandMisMresistantMt
oMlearningMself-
MinjectionMofMinsulin.MWhichMofMtheMfollowingMstatementsMshouldMtheMnurseMmake?
A. "TellMmeMwhatMIMcanMdoMtoMhelpMyouMovercomeMyourMfearMofMgivingMyourselfMinjections."
B. "IMamMsureMyourM providerMwillM notM beMpleasedM thatMyouMrefuseM toM
giveM yourselfMinsulinMinjections."
C. "It'sMokay.MIMamMsureMyourM partnerM willMbeMableMtoMlearnMhowMtoMgiveMyouMtheMinsulinMinjec
tions."
D. "YouMwon'tMbeMableMtoM
goMhomeMunlessMyouMlearn
MtoMgive
AMnurseMisMrecievingMaMclientMfromMtheMPACUMwhoMisMpostoperativeMfollowingMabdomi
nalMsurgery.MWhichMofMtheMfollowingMactionsMshouldMtheMnurseMmakeMtoMtransferMtheM
clientMfromMtheMstretcherMtoMtheMbed?
A. LockMtheMwheelsMonMtheMbedMandMstretcher.
B. InstructMtheMclientM toMraiseMhisM armsM aboveMhisM head.
C. ElevateMtheMstretcherM2.5cmM (1in)MaboveMtheM heightM ofMtheM bed.
D. LogMrollMtheMclient.
AMnurseMisMcaringMforMaMclientMwhoMisMinMtheMterminalMstageMofMcancer.
WhichMofMtheMfollowingMactionsMshouldMtheMnurseMtakeMwhenMsheMobservesMtheMclientMcrying
?
A. ContactM theMfamilyMandMaskMthemMtoM stayMwithMtheMclient.
B. OferMtoMcallMclient'sMminister.
C. SitMandM holdM theM client'sM hand.
D. LeaveMtheMroomMandMallowMtheMclientMtoMcryMprivately.
AM nurseM inM anM emergencyM departmentM isM assessingM aM clientMwhoM reportsM d
iarrheaM andMdecreasedMurinationMforM4Mdays.
WhichMofMtheM followingMactionsM shouldMtheM nurseMtakeM toMassessM theMclient'sM skinMturgor?
A. PushMonM aM fingernailM bedM untilM itM blanches,MreleaseM it,M andMobserveM howM longMit
MtakesM theMskinMtoMbecomeMpink.
B. GraspMaM skinfoldM onM chestM underMclavicle,M release,M andM noteM whetherM isMspringsM back.
C. PressMtheMskinM inMaboveMtheMankleM forM5Mseconds,MreleaseMit,MandM note
M theMdepthMofMtheMimpression.
D. MeasureMtheM skinMfoldM thicknessMatM theMupperM armM usingM aMpairM ofMcalbratedM skinfoldMcalipe
rs.
about:blank 4/35
