Solutions
________ decrease awareness for need to void
A) diuretics
B) sedatives
C) laxatives
D) stool softeners Correct Answers B) sedatives
_________ is a condition where the person is constantly in fear
of becoming ill
A) malingering
B) Somatization
C) pain disorder
D) hypochondriasis Correct Answers D) hypochondriasis
____________ increase urine production
A) diuretics
B) sedatives
C) laxatives
D) stool softeners Correct Answers a) diuretics
3 days after abdominal surgery, the nurse notes a 2cm area of
erythema & swelling at the proximal end of the incision. The
area is tender & warm to the touch. Staples are in tact along the
incision, no obvious drainage. Temp 100.8 F. The nurse
suspects:
,a) infection at the incisional site
b) dehiscence of the wound
c) hematoma under the skin
d) formation of granulation tissue Correct Answers a)
infection at the incisional site
A 20 y/o female who lives with her parents recently had a baby
& started college. Around the same time, her parents began
fostering a 3 y/o. The pt is overwhelmed & has difficulty
balancing her role as a mother & as a sister. What kind of role
performance stressor is she experiencing?
a) role strain
b) role conflict
c) interrole conflict
d) role overload Correct Answers c) interrole conflict
A 4 year old patient resists going to sleep. To assist this pt, the
best action to take would be:
a) adding a daytime nap
b) allowing the child to sleep longer in the morning
c) maintaining the child's home sleep routine
d) offering the child a bedtime snack Correct Answers c)
maintaining the child's home sleep routine
A client centered goal is a specific and
measurable behavior or response that reflects a
client's:
A. Desire for specific health care interventions
,B. Highest possible level of wellness and
independence in function.
C. Physician's goal for the specific client.
D. Response when compared to another client with
a like problem. Correct Answers B. Highest possible level of
wellness and
independence in function.
A nurse is teaching her client how to obtain a sputum specimen.
In order to provide safe and effective care, the nurse instructs the
pt that the following action will facilitate obtaining the
specimen?
A) limiting fluid intake
B) having the pt take deep breaths
C) asking the pt to spit into a collection container
D) suggesting to the pt that the specimen be obtained after
eating Correct Answers B) having the pt take deep breaths
to obtain a sputum specimen, the pt should rinse the mouth to
reduce contamination, breathe deeply, & then cough into a
sputum specimen container
A patient who has a serious, life-limiting chronic illness
wants to continue to engage in self-care and live as
normally as possible. Which nursing responses reflect a
helpful understanding of patient self-care at the end of life?
A. "Learning to accept that you can't perform some activities
anymore will bring you more acceptance and peace."
B. "Which activities are most important to you, and how can you
, continue to do them?"
C. "People in your life want to help you with things; allow them
to
do what they want for you."
D. "Spending more of your time resting or reading will conserve
your energy." Correct Answers B. "Which activities are most
important to you, and how can you
continue to do them?"
A priority nursing intervention for a pt with multiple facial
injuries is:
a) ask leading questions to encourage the pt to talk
b) using communication skills to clarify pt & family
expectations
c) assess neurological status
d) apply direct pressure to facial injuries Correct Answers b)
using communcation skills to clarify family & pt expectations
A pt needs instruction on how to use a walker. Which domain is
required for demonstrating this skill?
a) cognitive
b) psychological
c) physiological
d) psychomotor domain Correct Answers d) psychomotor
domain
A pt that has urinary incontinence is susceptible to what type of
skin issue?