PRACTICE QUESTIONS WITH ANSWERS
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,An adolescent male client is admitted to the hospital. Invite him to participate in the evening group activity.
Based on Erikson's
theory of psychosocial development, which nursing
intervention best
assists this adolescent's adjustment to his hospital stay?
Which individual may legally sign an informed consent? A 16-year-old mother for her newborn.
The nurse working on a psychiatric unit is concerned refused to take an oral psychiatric medication is administered the
about providing
same medication as an IM injection.
ethical and legally defensible care for clients on the unit.
Which occurrence
is an indication that a client's civil rights are being
violated?
Which statement by the mother of a toddler girl indicates "Her throat closed up so bad she couldn't breathe the last time she
to the nurse that
got this shot."
scheduled vaccine should not be administered?
Thirty-six hours after delivery, the nurse assesses a client's Palpate the bladder for distention.
fundus just
above the umbilicus and displaced to the right of the
midline. What actions
should the nurse take first?
10. A hospitalized 81-year-old female client has numerous Check on the client at designated time intervals and let the client
complaints and uses
know when the nurse will return.
her call button often to summon staff to help her with
activities that she is
capable of performing for herself. Which plan might be
most beneficial in
dealing with this client?
11. When giving a cooling bath to reduce the fever of a 3- Pour tepid water over the child's back and chest.
year-old child, which
action should the nurse include?
The nurse determines that a client has a potential (high Direct nursing actions toward reducing risk factors.
risk) problem. What
is important for the nurse to do when planning care?
, The nurse notes that the influenza immunization rates are Designated clinics conveniently located in target neighborhoods.
much lower for
certain demographic groups than for others. Which
intervention is likely to
be most useful in increasing the rates of immunization in
these lower
immunization groups?
The first time a male client stands at the bedside Return the client to bed and assess the lower extremities.
following a total hip
replacement, he reports severe pain in his left calf. What
intervention
should the nurse take first?
A client is receiving an IV of 5% dextrose in Lactated "Only a very small amount of the calories you need are provided by
Ringer's solution at a
your IV."
rate of 100 ml/hour. The client tells the nurse, "I don't
need to eat because
I'm getting all the nutrition I need through this IV needle."
What initial
response would be best for the nurse to provide this
client?
The nurse documents that a male client with paranoid "The nurse at night is trying to poison me with pills."
schizophrenia is
delusional. Which statement by the client confirms this
assessment?
A male client returns to the acute care unit following Encourage the client to perform foot exercises regularly while his
surgery with
mobility is limited.
sequential compression devices in place. The nurse
observes that the client
dorsiflexes his feet frequently. What action should the
nurse implement?