ANSWERS 100% CORRECT!!
,A nurse is collecting data about a client's respiratory system. Which of the following
breath sounds should the nurse expect to hear over the periphery of the major lung
fields? - ANSWER Vesicular (Vesicular sounds are soft and low-pitched)
A nurse employs a thorough, systematic method for obtaining OBJECTIVE data about a
client. Which of the following methods should the nurse us to collect this information? -
ANSWER Physical Examination (Physical findings are objective and the nurse should
collect this information in a systematic way.
A nurse is assisting a provider with performing thoracentesis to remove pleural fluid.
How should the nurse position the client? - ANSWER Leaning forward over a pillow
A nurse is preparing to insert an NG tube for a client who requires enteral feedings.
Which of the following instructions should the nurse give the client before beginning the
procedure? - ANSWER "Raise your index finger if you need to pause during the
insertion."
A nurse is performing a mental-status exam for a client who has manifestations of
dementia. Which of the following directions should the nurse give the client when
evaluating the client's ability to think abstractly? - ANSWER Discuss the meaning of a
common proverb. (Evaluates clients ability to think abstractly
A nurse is presenting an in-service session about nutrition. Which of the following
simple sugars should the nurse identify as the carb found in milk? - ANSWER Lactose
(Sugar found in milk)
A nurse is assisting with teaching a newly licensed nurse about pain management in
clients age of 65 and older. Which of the following pieces of information should the
nurse include? - ANSWER Clients who are 65 or older are reluctant to report pain.
(Might not want to bother or anger caregivers and might believe that pain is expected.)
A nurse in an oncology clinic is collecting data for a client who is undergoing treatment
for ovarian cancer. Which of the following statements by the client indicate she is
experiencing psychological distress? - ANSWER "I keep having nightmares about my
upcoming surgeries."
A nurse is assisting with the admission of a client to the medical unit and asks if he has
advance directives. The client states "I have a document with me that names someone
who can make health care decisions for me if i am not able." The nurse should identify
that the client is referring to which of the following documents? - ANSWER Durable
, Power of Attorney Document (names a surrogate who can make health decisions or the
client if the client is unable to do so)
A nurse is assisting a client who has dysphagia at mealtime. Which following actions
should the nurse take? - ANSWER Advise the client to tuck his chin downward
A nurse is collecting data from a client who is experiencing stress and anxiety regarding
a recent diagnosis. Which of the following findings should the nurse expect? - ANSWER
Increased blood pressure
A nurse is reinforcing teaching with a group of unit nurses about the experiences of
clients who are having surgery. Which phase of care begins with transferring the client
to the surgical suite table and ends with the transfer tp PACU? - ANSWER
Intraoperative
A nurse is examining a client's thyroid gland. Which of the following instructions should
the nurse give the client before inspecting and palpating this gland? - ANSWER "Turn
your head back and swallow."
A nurse is instructing an assistive personnel AP about proper hand hygiene. Which of
the following statements by the AP indicates an understanding of the teaching? -
ANSWER "Sometimes, i should use soap and water rather than an alcohol-based rub to
clean my hands."
A nurse is preparing to administer medication to a client who has gout. The nurse
discovers that an error was made during the previous shift in which the client received
atenolol instead of allopurinol. Which of the following interventions is the nurse's
priority? - ANSWER Measure the client's apical pulse
A nurse is collecting data about a client's peripheral pulses. Which of the following
descriptions should the nurse use to document the finding? - ANSWER Peripheral
pulses bilaterally symmetric, equal, and strong in all 4 extremities.
A nurse is reinforcing teaching with a client who has heart failure about reducing his
daily intake of sodium. Which of the following factors is the most important in
determining the client's ability to learn new dietary habits? - ANSWER The involvement
of the client in planning the change
A nurse is supervising a newly licensed nurse who is administering a controlled
substance. Which of the following actions by the newly licensed nurse indicates an