The nurse is assessing a newly admitted client for the presence of impaired peripheral
arterial circulation. Which finding would be significant to this condition?
1. Ruddy skin color over legs
2. Bounding pedal pulses
3. Hot spots on the feet and legs
4. Decreased hair on the legs
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4. Decreased hair on the legs
A client is prescribed seizure precautions. What can the nurse safely delegate to UAP
to complete when implementing the precautions?
,1. Placing a tongue blade at the head of the bed
2. Padding the clients bed
3. Installing oxygen
4. Checking the oral suction apparatus
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2. Padding the clients bed
A client has been admitted for acute dehydration, secondary to nausea and diarrhea.
When is the best time for the nurse to conduct this clients interview?
1. As soon as the client gets to the floor
2. After the client has settled in and been oriented to the room
3. When the family is available to help
4. After the client has been medicated
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2. After the client has settled in and been oriented to the room
An older male client comes to the clinic and states to the nurse that he hasnt been
interested in sexual intercourse lately. He states: I guess this is part of getting old, too.
What should the nurse explain about decreased sexual interest in older clients?
1. It does decrease and gradually disappears.
,2. It should not be taken as seriously as it would be if the client were a younger
person.
3. It is caused by decreased hormone activity and there is little that can be done
about it.
4. It decreases but does not disappear.
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4. It decreases but does not disappear.
The nurse assigns unlicensed assistive personnel to measure vital signs for several
clients. The task is completed and documented correctly; however, one of the clients
had a blood pressure reading of 180/110. The nurse learns this information at the end
of the shift. Which responsibility of delegation did the nurse fail to carry out?
1. Delegating to the appropriate staff
2. Delegating the appropriate task
3. Selecting the appropriate client
4. Appropriately supervising care
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4. Appropriately supervising care
The nurse is reviewing interventions written for a clients plan of care. Which
intervention should the nurse recognize as being dependent?
, 1. Repositioning the client every 2 hours
2. Assisting the client with transfers to the bathroom
3. Providing ongoing physical assessment, especially of the incisional sites
4. Administering medications for pain
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4. Administering medications for pain
When making an assessment of the clients learning needs, the nurse will focus on
which elements?
Standard Text: Select all that apply.
1. Nurses own knowledge
2. Clients age
3. Clients understanding of health problem
4. Sensory acuity
5. Learning style
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2. Clients age
3. Clients understanding of health problem
4. Sensory acuity
5. Learning style
arterial circulation. Which finding would be significant to this condition?
1. Ruddy skin color over legs
2. Bounding pedal pulses
3. Hot spots on the feet and legs
4. Decreased hair on the legs
Give this one a try later!
4. Decreased hair on the legs
A client is prescribed seizure precautions. What can the nurse safely delegate to UAP
to complete when implementing the precautions?
,1. Placing a tongue blade at the head of the bed
2. Padding the clients bed
3. Installing oxygen
4. Checking the oral suction apparatus
Give this one a try later!
2. Padding the clients bed
A client has been admitted for acute dehydration, secondary to nausea and diarrhea.
When is the best time for the nurse to conduct this clients interview?
1. As soon as the client gets to the floor
2. After the client has settled in and been oriented to the room
3. When the family is available to help
4. After the client has been medicated
Give this one a try later!
2. After the client has settled in and been oriented to the room
An older male client comes to the clinic and states to the nurse that he hasnt been
interested in sexual intercourse lately. He states: I guess this is part of getting old, too.
What should the nurse explain about decreased sexual interest in older clients?
1. It does decrease and gradually disappears.
,2. It should not be taken as seriously as it would be if the client were a younger
person.
3. It is caused by decreased hormone activity and there is little that can be done
about it.
4. It decreases but does not disappear.
Give this one a try later!
4. It decreases but does not disappear.
The nurse assigns unlicensed assistive personnel to measure vital signs for several
clients. The task is completed and documented correctly; however, one of the clients
had a blood pressure reading of 180/110. The nurse learns this information at the end
of the shift. Which responsibility of delegation did the nurse fail to carry out?
1. Delegating to the appropriate staff
2. Delegating the appropriate task
3. Selecting the appropriate client
4. Appropriately supervising care
Give this one a try later!
4. Appropriately supervising care
The nurse is reviewing interventions written for a clients plan of care. Which
intervention should the nurse recognize as being dependent?
, 1. Repositioning the client every 2 hours
2. Assisting the client with transfers to the bathroom
3. Providing ongoing physical assessment, especially of the incisional sites
4. Administering medications for pain
Give this one a try later!
4. Administering medications for pain
When making an assessment of the clients learning needs, the nurse will focus on
which elements?
Standard Text: Select all that apply.
1. Nurses own knowledge
2. Clients age
3. Clients understanding of health problem
4. Sensory acuity
5. Learning style
Give this one a try later!
2. Clients age
3. Clients understanding of health problem
4. Sensory acuity
5. Learning style
