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1. A nurse is performing a pre-admission assessment on a client and employs the use of
nonverbal and verbal communication which of the following actions demonstrates the use
of a nonverbal communication technique by the nurse
A. asking the client to clarify a statement
B. asking the client open-ended questions
C. maintain a fair distance between self and client
D. stating the name and providing credentials upon entering the client's room
Answer: maintain a fair distance between self and client
2. A nurse is preparing to irrigate a client's leg wound what PPE should the nurse wear?
surgical cap
gown goggles
gloves
N95 mask
Answer: Goggles, gown, gloves
,3. A nurse has performed pre-operative care on a client and is transferring the client to the
surgical holding area when the client states " I have changed my mind; Ido not want to
have this surgery" which of the following ethical principles is the client using?
A. Nonmaleficence
B. Autonomy
C. Justice
D. Fidelity
Answer: Autonomy
4. A nurse is preparing to perform a physical examination on a client. Which of the
following interventions should the nurse perform to ensure client pri- vacy?
A. Close the examination room door but do not pull the curtain in the exami- nation
room
B. Remain in the client's room while the client is getting undressed
C. Ask the client if they would like to empty their bladder or bowels before the physical
examination begins
D. Do not expose any more of the client's body than required at a time
Answer: Do not expose any more of the client's body than required at a time
,5. A nurse is assisting a client with ambulating around the nurses' station. which of the
following steps of the nursing process is the nurse performing?
A. Implementation
B. Evaluation
C. Analysis
D. Planning
Answer: Implementation
6. A nurse is performing an assessment on a client the client states "I have a dry cough
every morning when I wake up" which of the following is the type of date the nurse is
collecting?
A. Subjective
B. Social determinants of health
C. Objective
D. Olfactory
Answer: Objective
7. A nurse is caring for a client who is crying and appears upset after receiving news that
they will need to have a surgical procedure which of the following actions should the
, nurse take to display empathy towards the client?
A. Tell the client that everything will be fine
B. Change the subject while the client is discussing their feelings
C. Show interest in the client's feelings by acknowledging that they are upset
D. Tell the client that it is wrong to be crying over this situation
Answer: Show interest in the client's feelings by acknowledging that they are upset
8. A nurse is preparing to assess a newly admitted client which of the following pieces of
equipment does the nurse need to begin the inspection part of the physical examination?
Electrocardiogram monitor
Tongue Depressor Doppler
Penlight
Tape measure
Answer: Tongue depressor, penlight, tape measure
9. A nurse is performing auscultation during a client's physical assessment which of the
following tools should the nurse use for this part of the assess- ment?
A. Tongue Depressor
B. Penlight