2026 Update) Health Assessment |
Questions with Verified Answers| Grade A|
100% Correct -Fortis.
Question:
A nurse is caring for a female client before surgery. The client states that
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she is glad that she will not be going through menopause as a result of
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her surgery and is only having her uterus removed. The nurse reviews the
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consent form and notes that the surgery is for a total abdominal
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hysterectomy with a salpingo-oophorectomy. What should the nurse do in
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this situation?
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A. No action is needed because the client is likely correct and knows what
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the surgery entails.
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B. Inform the client that menopause may occur from the removal of the
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uterus.
C. Contact the surgeon to explain that the client needs further clarification
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regarding surgery. i,-
D. Place a note on the front of the chart telling the surgeon to speak with
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the client before surgery.?
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Answer:
C. Contact the surgeon to explain that the client needs further clarification
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regarding surgery. i,-
,Question:
A home care nurse is caring for a paralyzed client who needs regular
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position changes and back massages. A person identifying themself as a
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family friend inquires if they can be of any help to the family. What should
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be the nurse's response be?
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A. The nurse should ask the person to talk to the family directly.
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B. The nurse should invite the person to learn the caring techniques.
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C. The nurse should state that the family does not need any help.
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D. The nurse should refer the person to the local social worker.?
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Answer:
A. The nurse should ask the person to talk to the family directly.
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Question:
A newly hired graduate nurse asks her preceptor, "What is a common goal
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of discharge planning in all care settings?" How does the preceptor
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correctly respond? i,-
A. "It is prolonging hospitalization until the client can function
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independently."
B. "The goal is teaching the client how to perform self-care activities."
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C. "It is providing the financial resources needed to ensure proper care."
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D. "The goal is preventing the need for medical follow-up care."?
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Answer:
B. "The goal is teaching the client how to perform self-care activities."
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,Question:
What should the nurse keep in mind when handling used bed linens??
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Answer:
Linens may be soiled with body fluids. To prevent the spread of
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microorganisms, never shake linens or put them on the floor. Soiled linens i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
from the bed or floor can contaminate the uniform, which may come in
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contact with other clients. i,- i,- i,-
Question:
Is the following statement true or false? It is always safer to have side rails
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up.?
Answer:
False
In some cases, having the side rails up can be more dangerous than
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having them down. For example, an elderly client may continually try to
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crawl out of bed. In this case, he or she might crawl over the side rails,
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making a potential fall worse than if it were just from the lower level of
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the bed.i,-
Question:
, If a client complains of a headache and fever, but she has not recorded
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the temperature. Is this objective or subjective data??
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Answer:
subjective
This data is subjective because it is based on the client's feelings. If the
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temperature is measured by a thermometer then, that data would be
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objective.
Question:
A 15-year-old client who is experiencing lower abdominal cramps admits
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that she has had an abortion in the recent past, of which her family has
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no knowledge. Is the nurse required to inform her parents as she is under
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age??
Answer:
The nurse must protect the confidentiality of the client, never revealing
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any information previously unknown to the family without the client's
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permission.
Question:
Is the following statement true or false? The nursing process highlights
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the differences in roles between licensed personnel and nonlicensed
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personnel.?
Answer:
True