COMPLETE EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS)
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Terms in this set (100)
To evaluate a client's Correct Answer: Organs
reason for seeking care, The purpose of deep palpation, in which the nurse
the nurse performs deep indents the client's skin approximately 1-1/2", is to
palpation. The purpose of assess underlying organs and structures such as the
deep palpation is to kidneys and spleen. Skin turgor, hydration, and
assess which of the temperature can be assessed using light touch or light
following? palpation.
A client is brought to the The Correct answer is: assessment of vital signs Vital
emergency department sign assessment would be the priority nursing
and the physician intervention. This would provide an indication of the
determines he has amount of blood loss that has occurred and also
gastrointestinal (GI) provide a baseline by which to monitor the progress
bleeding. In planning for of treatment. The other answers (b, c, and d) are
his care, which of the important but not priority actions.
following would be first
priority?
,When providing Correct Answer: Discuss the importance of avoiding
instructions to the social events in order to stay out of trouble.
adolescent regarding Socialization is very important to teenagers and is a
physical development of normal part of their development. The other answers
her body, the RN should (b, c, and d) are all accurate instructions and
do all of the following discussions for the adolescent regarding
EXCEPT development.
The nurse is developing Correct answer: A referral. A referral is recommending
discharge plans for a 65- home care services or giving information to an home
year-old client. The care service regarding the client and the client's
discharge plans indicate needs. Typically the sources of referral to a home care
the client will be agency are family members, nurses, physicians, social
discharged home with workers, discharge planners or therapists.
home health nursing care.
The nurse provides the
home health agency with
details regarding the
needs of the patient. The
nurse made which of the
following to the home
health agency?
Which of the following is Correct answer: 1.6 to 2.4 mEq/L
the normal serum
electrolyte level for
magnesium?
, The school nurse is The Correct answer is: in the morning, when the child
approached by a mother awakens Visualization of pinworms by means of a tape
who explains that her test is necessary for the diagnosis. Transparent tape is
kindergarten child is lightly touched to the anus and then applied to a slide
constantly scratching the for microscopic examination. The best specimen is
perianal area and that the obtained as the child awakens, before toileting or
area is irritated. The RN bathing.
understands that she
should instruct the mother
to obtain a rectal
specimen by a tape test
and that the mother
should obtain the
specimen when?
A 20-year-old patient is Correct Answer: Suction the lungs
admitted to the hospital The first priority is to make sure the client's airways are
with respiratory failure. clear and that he can breathe. The other choices can
He's intubated, given be addressed after ensuring the client can breathe.
oxygen, and is coughing
with copious secretions in
his lungs. What should be
done first?
A high school student is Correct Answer: The student accepts a referral to a
referred to the school substance abuse counselor. All of the outcomes
nurse for suspected stated are desirable; however, the best outcome is
substance abuse. that the student would agree to seek the assistance of
Following the nurse's a professional substance abuse counselor.
assessment and
intervention, what would
be the MOST desirable
outcome?