5 P's Correct Answers PAIN
PULSE (unaffected and non-affected)
PALLOR
PARESTHESIA (Sensation)
PARALYSIS
A 75-year-old woman has an intracapsular hip fracture. Which
of the following does the nurse expect to find on assessment?
Correct Answers Shortening of the affected leg.
A child is diagnosed with spastic cerebral palsy. The primary
care provider orders Botox injections. Which of the following is
a goal for the child receiving Botox injections? Correct
Answers Decreased spasticity
A client is crying and grimacing after surgery but denies pain
and refuses pain medication. The best action by the nurse is to:
Correct Answers Encourage client's expression of beliefs and
emotions about the use of pain medication
A client who is legally blind has been admitted to an acute care
unit at the hospital. Which action by the nurse would best
promote adjustment to the environment? Correct Answers
Explain unit noises and physical surroundings
A client with suspected Alzheimer's disease is undergoing
diagnostic workup. When the family asks the nurse the reasons
for the tests the nurse response that the diagnosis of Alzheimer's
, disease is usually based on which of the following? Correct
Answers Ruling out other causes for symptoms
A nurse is caring for a patient with dysphagia. Which
interventions help decrease the risk of aspiration? Correct
Answers Feed the patient slowly, allowing time to chew and
swallow.
A nurse is teaching a mother of an infant who has been
diagnosed with failure to thrive (FTT) about the treatment for
the condition. Which statement by the nurse is appropriate?
Correct Answers "A home care nurse will be visiting your home
to assess your child's feeding regimen and offer suggestions to
improve intake."
A nurse manager on a long-term care unit notices a male client
who is wearing fall risk stockings and a fall risk arm band
ambulating by himself. What should the nurse manager do first?
Correct Answers Walk the client back to his room
A nurse teaches an older adult client about misuse of
medications. Which subsequent behavior/s by the client
indicates the instruction was effective? Correct Answers
Taking medications on time and, if a dose is missed, taking the
next one on time.
A patient with a hip fracture has just had hip replacement
surgery. Which of the following should the nurse instruct the
patient to avoid: Correct Answers Crossing the legs while
sitting