The phases of an interview include the following: (SELECT ALL THAT APPLY)
A. Orientation
B. Summary
C. Discussion
D. Introduction
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B. Summary
C. Discussion
, D. Introduction
The heart rate is commonly assessed indirectly by:
A. Palpation
B. Percussion
C. Auscultation
D. Inspection
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A. Palpation
A client in a cardiac rehabilitation program says to the nurse, "I have to eat a low-
sodium diet for the rest of my life, and I hate it!" Which is the most appropriate
response by the nurse?
A. I will get a dietary consultant to talk to you before next week
B. what do you think is so difficult about following a low-sodium diet?
C. at least you survived a heart attack and are able to return to work
D. you may not need to follow a low-sodium diet for as long as you think .
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B. what do you think is so difficult about following a low-sodium diet?
The nurse determines that a field remains sterile if which of the following conditions
exist?
,A. tips of wet forceps are help upward when help in ungloved hand
B. the field was set up 1 hour before the procedure
C. sterile items are 2 inches from the edge of the field
D. the nurse reaches over the field rather than around the edges.
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C. sterile items are 2 inches from the edge of the field
A client with diarrhea also has a primary care provider's order for a bulk laxative daily.
The nurse, not realizing that bulk laxatives can help solidify certain types of diarrhea
concludes, "The primary care provider does not know the client has diarrhea." This
statement is an example of?
A. fact
B. inference
C. judgement
D. opinion
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B. inference: nurse concluded something that is beyond the given
information.
When caring for a single client during one shift, it is appropriate for the nurse to reuse
only which of the following items?
A. goggles
B. gown
C. surgical mask
D. clean gloves
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, A. goggles
The nurse is obtaining a patient's blood pressure and suspects that the reading is a
false high reading. What leads the nurse to confirm this suspicion?
A. Using a cuff that is too narrow
B. Having the examiner's eyes looking down at the meniscus
C. Deflating the cuff too rapidly
D. Positioning patient's arm below the level of the heart
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A. Using a cuff that is too narrow
A patient complains of leg pain. Which question is pertinent to ask to gain additional
information?
A. what were you doing when the pain first occurred
B. how do you feel about having this pain
C. do you think the pain is caused by a cramp
D. has anyone in your family ever had similar pain
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B. how do you feel about having this pain
Which nursing intervention is the highest in priority for a client at risk for falls in a
hospital setting?
A. Orientation
B. Summary
C. Discussion
D. Introduction
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B. Summary
C. Discussion
, D. Introduction
The heart rate is commonly assessed indirectly by:
A. Palpation
B. Percussion
C. Auscultation
D. Inspection
Give this one a try later!
A. Palpation
A client in a cardiac rehabilitation program says to the nurse, "I have to eat a low-
sodium diet for the rest of my life, and I hate it!" Which is the most appropriate
response by the nurse?
A. I will get a dietary consultant to talk to you before next week
B. what do you think is so difficult about following a low-sodium diet?
C. at least you survived a heart attack and are able to return to work
D. you may not need to follow a low-sodium diet for as long as you think .
Give this one a try later!
B. what do you think is so difficult about following a low-sodium diet?
The nurse determines that a field remains sterile if which of the following conditions
exist?
,A. tips of wet forceps are help upward when help in ungloved hand
B. the field was set up 1 hour before the procedure
C. sterile items are 2 inches from the edge of the field
D. the nurse reaches over the field rather than around the edges.
Give this one a try later!
C. sterile items are 2 inches from the edge of the field
A client with diarrhea also has a primary care provider's order for a bulk laxative daily.
The nurse, not realizing that bulk laxatives can help solidify certain types of diarrhea
concludes, "The primary care provider does not know the client has diarrhea." This
statement is an example of?
A. fact
B. inference
C. judgement
D. opinion
Give this one a try later!
B. inference: nurse concluded something that is beyond the given
information.
When caring for a single client during one shift, it is appropriate for the nurse to reuse
only which of the following items?
A. goggles
B. gown
C. surgical mask
D. clean gloves
Give this one a try later!
, A. goggles
The nurse is obtaining a patient's blood pressure and suspects that the reading is a
false high reading. What leads the nurse to confirm this suspicion?
A. Using a cuff that is too narrow
B. Having the examiner's eyes looking down at the meniscus
C. Deflating the cuff too rapidly
D. Positioning patient's arm below the level of the heart
Give this one a try later!
A. Using a cuff that is too narrow
A patient complains of leg pain. Which question is pertinent to ask to gain additional
information?
A. what were you doing when the pain first occurred
B. how do you feel about having this pain
C. do you think the pain is caused by a cramp
D. has anyone in your family ever had similar pain
Give this one a try later!
B. how do you feel about having this pain
Which nursing intervention is the highest in priority for a client at risk for falls in a
hospital setting?
