2024/2025 | QUESTIONS WITH 100% VERIFIED
ANSWERS AND COMPREHENSIVE RATIONALES |
GRADED A+
At the time of the first dressing change, the client refuses to look at her
mastectomy incision. The nurse tells the client that the incision is healing well, but
the client refuses to talk about it. What would be an appropriate response to this
client's silence?
A. It is normal to feel angry and depressed, but the sooner you deal with this
surgery, the better you will feel.
B. Looking at your incision can be frightening, but facing this fear is a necessary
part of your recovery.
C. It is OK if you don't want to talk about your surgery. I will be available when you
are ready.
D. I will ask a woman who has had a mastectomy to come by and share her
experiences with you.
- answer-;
C. It is OK if you don't want to talk about your surgery. I will be available when
you are ready.
The nurse witnesses the signature of a client who has signed an informed
consent. Which statement best explains this nursing responsibility?
,A. The client voluntarily signed the form.
B. The client fully understands the procedure.
C. The client agrees with the procedure to be done.
D. The client authorizes continued treatment.
- answer-;
A. The client voluntarily signed the form.
The nurse assigns a UAP to obtain vital signs from a very anxious client. What
instructions should the nurse give the UAP?
A. Remain calm with the client and record abnormal results in the chart.
B. Notify the medication nurse immediately if the pulse or blood pressure is low.
C. Report the results of the vital signs to the nurse.
D. Reassure the client that the vital signs are normal.
- answer-;
C. Report the results of the vital signs to the nurse.
An adult male client with a history of hypertension tells the nurse that he is tired
of taking antihypertensive medications and is going to try spiritual meditation
instead. What should be the nurse's first response?
A. It is important that you continue your medication while learning to meditate.
B. Spiritual meditation requires a time commitment of 15 to 20 minutes daily.
C. Obtain your healthcare provider's permission before starting meditation.
D. Complementary therapy and western medicine can be effective for you.
- answer-;
A. It is important that you continue your medication while learning to meditate.
,Examination of a client complaining of itching on his right arm reveals a rash
made up of multiple flat areas of redness ranging from pinpoint to 0.5 cm in
diameter. How should the nurse record this finding?
A. Multiple vesicular areas surrounded by redness, ranging in size from 1 mm to
0.5 cm.
B. Localized red rash consists of flat areas, pinpoint to 0.5 cm in diameter.
C. Several areas of red, papular lesions from pinpoint to 0.5 cm in size.
D. Localized petechial areas, ranging in size from pinpoint to 0.5 cm in diameter.
- answer-;
B. Localized red rash consists of flat areas, pinpoint to 0.5 cm in diameter.
The nurse is completing a mental assessment for a client who is demonstrating
slow thought processes, personality changes, and emotional lability. Which area
of the brain controls these neuro-cognitive functions?
A. Thalamus.
B. Hypothalamus.
C. Frontal lobe.
D. Parietal lobe.
- answer-;
C. Frontal lobe.
A male client tells the nurse that he does not know where he is or what year it is.
What data should the nurse document that is most accurate?
A. demonstrates loss of remote memory.
B. exhibits expressive dysphasia.
, C. has a diminished attention span.
D. is disoriented to place and time.
- answer-;
D. is disoriented to place and time.
An IV infusion of terbutaline sulfate 5 mg in 500 ml of D5W, is infused at a rate of
30 mcg/min prescribed for a client in premature labor. How many ml/hr should
the nurse set the infusion pump?
A. 30
B. 60
C. 120
D. 180
- answer-;
D. 180
An African-American grandmother tells the nurse that her 4-year-old grandson is
suffering with "miseries." Based on this statement, which focused assessment
should the nurse conduct?
A. Inquire about the source and type of pain.
B. Examine the nose for congestion and discharge.
C. Take vital signs for temperature elevation.
D. Explore the abdominal area for distension.
- answer-;
A. Inquire about the source and type of pain.