Which nutritional assessment data should the nurse collect to best reflect total muscle
mass in an adolescent?
A. Height in inches or centimeters.
B. Weight in kilograms or pounds.
C. Triceps skin fold thickness.
D. Upper arm circumference.
Give this one a try later!
Upper arm circumference (D) is an indirect measure of muscle mass. (A and
B) do not distinguish between fat (adipose) and muscularity. (C) is a
measure of body fat.
Correct Answer: D
When preparing a client for a blood transfusion, the nurse should consider for which
of the following? (Select all that apply)
,a. Blood typing and cross-matching must be completed prior to a blood transfusion
b. Clients with type A should only receive Type A blood but may receive type O in an
emergency
c. clients with type B blood should only receive type B blood, but may receive type A
in an emergency
d. Clients with type AB blood are "universal recipients" and should only receive type
AB blood but may, in an emergency receive all four types of blood
Give this one a try later!
A, B, D
An IV infusion terbutaline sulfate 5 mg in 500 ml of D5W, is infusing at a rate of 30
mcg/min prescribed for a client in premature labor. How many ml/hr should the nurse
set the infusion pump?
A. 30
B. 60
C. 120
D. 180
Give this one a try later!
(D) is correct calculation: 180 ml/hr = 500 ml/5 mg × 1mg/1000 mcg × 30
mcg/min × 60 min/hr.
Correct Answer: D
The nurse is caring for a woman who had a CVA and has right-sided hemiplegia.
Which action is least appropriate?
a. Performing ROM exercise when bathing her
b. Changing her position every two hours
c. Suctioning the client supine and pulling the bed sheets tightly across her feet
d. Placing her in the prone position for one hour three times a day
,Give this one a try later!
C
The sheets should not be drawn tightly across the feet as this may cause
foot drop
A young mother of three children complains of increased anxiety during her annual
physical exam. What information should the nurse obtain first?
A. Sexual activity patterns.
B. Nutritional history.
C. Leisure activities.
D. Financial stressors.
Give this one a try later!
Caffeine, sugars, and alcohol can lead to increased levels of anxiety, so a
nutritional history (C) should be obtained first so that health teaching can
be initiated if indicated. (A and C) can be used for stress management.
Though (D) can be a source of anxiety, a nutritional history should be
obtained first.
Correct Answer: B
After completing an assessment and determining that a client has a problem, which
action should the nurse perform next?
A. Determine the etiology of the problem.
B. Prioritize nursing care interventions.
C. Plan appropriate interventions.
D. Collaborate with the client to set goals.
Give this one a try later!
Before planning care, the nurse should determine the etiology, or cause, of
the problem (A), because this will help determine (B, C, and D).
, Correct Answer: A
49. A post-op client has concerns with using his bedpan. He is prescribed activity
from bed to chair at least 3 times a day.
Give this one a try later!
Ans: Encourage client to use bedside commode
When conducting an admission assessment, the nurse should ask the client about the
use of complimentary healing practices. Which statement is accurate regarding the
use of these practices?
A. Complimentary healing practices interfere with the efficacy of the medical model
of treatment.
B. Conventional medications are likely to interact with folk remedies and cause
adverse effects.
C. Many complimentary healing practices can be used in conjunction with
conventional practices.
D. Conventional medical practices will ultimately replace the use of complimentary
healing practices.
Give this one a try later!
Conventional approaches to health care can be depersonalizing and often
fail to take into consideration all aspects of an individual, including body,
mind, and spirit. Often complimentary healing practices can be used in
conjunction with conventional medical practices (C), rather than interfering
(A) with conventional practices, causing adverse effects (B), or replacing
conventional medical care (D).
Correct Answer: C
mass in an adolescent?
A. Height in inches or centimeters.
B. Weight in kilograms or pounds.
C. Triceps skin fold thickness.
D. Upper arm circumference.
Give this one a try later!
Upper arm circumference (D) is an indirect measure of muscle mass. (A and
B) do not distinguish between fat (adipose) and muscularity. (C) is a
measure of body fat.
Correct Answer: D
When preparing a client for a blood transfusion, the nurse should consider for which
of the following? (Select all that apply)
,a. Blood typing and cross-matching must be completed prior to a blood transfusion
b. Clients with type A should only receive Type A blood but may receive type O in an
emergency
c. clients with type B blood should only receive type B blood, but may receive type A
in an emergency
d. Clients with type AB blood are "universal recipients" and should only receive type
AB blood but may, in an emergency receive all four types of blood
Give this one a try later!
A, B, D
An IV infusion terbutaline sulfate 5 mg in 500 ml of D5W, is infusing at a rate of 30
mcg/min prescribed for a client in premature labor. How many ml/hr should the nurse
set the infusion pump?
A. 30
B. 60
C. 120
D. 180
Give this one a try later!
(D) is correct calculation: 180 ml/hr = 500 ml/5 mg × 1mg/1000 mcg × 30
mcg/min × 60 min/hr.
Correct Answer: D
The nurse is caring for a woman who had a CVA and has right-sided hemiplegia.
Which action is least appropriate?
a. Performing ROM exercise when bathing her
b. Changing her position every two hours
c. Suctioning the client supine and pulling the bed sheets tightly across her feet
d. Placing her in the prone position for one hour three times a day
,Give this one a try later!
C
The sheets should not be drawn tightly across the feet as this may cause
foot drop
A young mother of three children complains of increased anxiety during her annual
physical exam. What information should the nurse obtain first?
A. Sexual activity patterns.
B. Nutritional history.
C. Leisure activities.
D. Financial stressors.
Give this one a try later!
Caffeine, sugars, and alcohol can lead to increased levels of anxiety, so a
nutritional history (C) should be obtained first so that health teaching can
be initiated if indicated. (A and C) can be used for stress management.
Though (D) can be a source of anxiety, a nutritional history should be
obtained first.
Correct Answer: B
After completing an assessment and determining that a client has a problem, which
action should the nurse perform next?
A. Determine the etiology of the problem.
B. Prioritize nursing care interventions.
C. Plan appropriate interventions.
D. Collaborate with the client to set goals.
Give this one a try later!
Before planning care, the nurse should determine the etiology, or cause, of
the problem (A), because this will help determine (B, C, and D).
, Correct Answer: A
49. A post-op client has concerns with using his bedpan. He is prescribed activity
from bed to chair at least 3 times a day.
Give this one a try later!
Ans: Encourage client to use bedside commode
When conducting an admission assessment, the nurse should ask the client about the
use of complimentary healing practices. Which statement is accurate regarding the
use of these practices?
A. Complimentary healing practices interfere with the efficacy of the medical model
of treatment.
B. Conventional medications are likely to interact with folk remedies and cause
adverse effects.
C. Many complimentary healing practices can be used in conjunction with
conventional practices.
D. Conventional medical practices will ultimately replace the use of complimentary
healing practices.
Give this one a try later!
Conventional approaches to health care can be depersonalizing and often
fail to take into consideration all aspects of an individual, including body,
mind, and spirit. Often complimentary healing practices can be used in
conjunction with conventional medical practices (C), rather than interfering
(A) with conventional practices, causing adverse effects (B), or replacing
conventional medical care (D).
Correct Answer: C
