ATI RN CONCEPT-BASED ASSESSMENT
LEVEL 1 ONLINE PRACTICE A
QUESTIONS WITH CORRET ANSWERS
Abjnursebjisbjassessingbjabjpreschoolerbjwhobjhasbjabjurinarybjtractbjinfectionbj(UTI).bjWhich
bjofbjthebjfollowingbjfindingsbjshouldbjthebjnursebjexpect?
1.bjDiarrhea
2.bjAbdominalbjpain
3.bjIncreasedbjthirst
4.bjSkinbjrashbj-bjANS--AbdominalbjPain
Rat:bjThebjnursebjshouldbjexpectbjabjpreschoolerbjwhobjhasbjabjUTIbjtobjexperiencebjabdom
inalbjpain.bjOtherbjmanifestationsbjincludebjconstipation,bjdysuria,bjfoul-
smellingbjurine,bjandbjfever.
Abjnursebjisbjcounselingbjabjclientbjwhobjhasbjabjfamilybjhistorybjofbjcolorectalbjcancerbjabou
tbjmanagementbjofbjnutritionbjtobjhelpbjpreventbjgastrointestinalbj(GI)bjcancers.bjWhichbjofbjt
hebjfollowingbjimagesbjindicatesbjabjfoodbjorbjbeveragebjthebjnursebjshouldbjencouragebjthe
bjclientbjtobjincludebjliberallybjinbjhisbjdiet?bj-bjANS--FruitsbjandbjVeggies
Rat:bjTobjhelpbjreducebjthebjriskbjofbjcancersbjofbjthebjGIbjsystem,bjthebjnursebjshouldbjinstr
uctbjthebjclientbjtobjconsumebjatbjleastbj2.5bjcupsbjofbjfruitsbjandbjvegetablesbjperbjday.
Abjnursebjisbjpreparingbjtobjextinguishbjabjsmallbjfirebjinbjabjclientsbjroom.bjWhichbjofbjthebjfol
lowingbjactionsbjshouldbjthebjnursebjtakebjwhenbjusingbjthebjfirebjextinguisher?
1.bjAimbjthebjfirebjextinguisherbjatbjthebjtopbjofbjthebjflames.
2.bjPumpbjthebjhandlesbjofbjthebjfirebjextinguisherbjupbjandbjdownbjthreebjtimes.
3.bjSweepbjthebjfirebjextinguisherbjinbjabjcircularbjmotionbjuntilbjthebjfirebjisbjextinguished.
4.bjSlidebjthebjpinbjonbjtopbjofbjthebjfirebjextinguisherbjstraightbjout.bj-bjANS--
Slidebjthebjpinbjonbjtopbjofbjthebjfirebjextinguisherbjstraightbjout.
Rat:bjThebjnursebjshouldbjpullbjthebjpinbjonbjthebjtopbjofbjthebjfirebjextinguisherbjtobjallowbjfor
bjusebjtobjextinguishbjthebjfire.
,Abjnursebjisbjcaringbjforbjabjchildbjwhobjhasbjceliacbjdisease.bjWhichbjofbjthebjfollowingbjitem
sbjshouldbjthebjnursebjremovebjfrombjthebjchild'sbjmealbjtray?
1.bjCorn-flakebjcereal
2.bjOrangebjjuice
3.bjScrambledbjeggs
4.bjOatmealbjwithbjraisinsbj-bjANS--Oatmealbjwithbjraisins
Rat:bjCeliacbjdiseasebjisbjthebjintolerancebjtobjdietarybjgluten,bjwhichbjisbjabjproteinbjinbjwhe
at,bjrye,bjoats,bjandbjbarley.bjThisbjintolerancebjcausesbjdiarrhea,bjweightbjloss,bjabdominal
bjpain,bjandbjfatigue.bjTherefore,bjthebjnursebjshouldbjremovebjoatmealbjfrombjthebjchild'sbj
mealbjtray.
Abjnursebjatbjabjprovidersbjofficebjisbjcounselingbjabjclientbjwhobjreportsbjinsomnia.bjWhichbj
ofbjthebjfollowingbjstatementsbjshouldbjthebjnursebjmakebjtobjincludebjthebjclientsbjpreferen
cesbjintobjabjsleepbjpromotionbjplan?
1.bj"Ifbjalcoholicbjbeveragesbjarebjdesired,bjconsumebjthembjinbjthebjearlybjevenings"
2.bj"Sleepbjinbjthebjlocationbjofbjyourbjhomebjwherebjyoubjfeelbjyourbjrestbjbest"
3.bj"Turnbjonbjabjfavoritebjtelevisionbjshowbjjustbjbeforebjgoingbjtobjbed"
4.bj"Allowbjyourbjsleepbjandbjwakebjtimesbjtobjvarybjdependingbjonbjhowbjyoubjfeelbjeachbjda
y"bj-bjANS--"Sleepbjinbjthebjlocationbjofbjyourbjhomebjwherebjyoubjfeelbjyourbjrestbjbest"
Rat:bjThebjnursebjshouldbjencouragebjthebjclientbjtobjsleepbjwhereverbjshebjfeelsbjshebjgets
bjthebjmostbjrest,bjwhetherbjitbjbebjabjbed,bjcouch,bjorbjchair.
Abjnursebjisbjassessingbjthebjspiritualbjwellbeingbjandbjdevelopmentbjofbjabjpreschooler.bjT
hebjnursebjasksbjthebjpreschooler,bj"Whybjisbjitbjwrongbjtobjkickbjourbjbabybjsister?"bjWhichbj
ofbjthebjfollowingbjresponsesbjshouldbjthebjnursebjexpect?
1.bj"It'sbjnotbjwrongbjbecausebjshebjmadebjmebjmad."
2.bj"It'sbjwrongbjbecausebjmybjdadbjsaidbjIbjcan'tbjkickbjher."
3.bj"It'sbjwrongbjtobjkickbjherbjbecausebjthebjgodsbjwon'tbjlikebjit."
4.bj"It'sbjwrongbjbecausebjshebjwouldbjgetbjhurtbjandbjbebjsad."bj-
bjANS--"It'sbjwrongbjbecausebjmybjdadbjsaidbjIbjcan'tbjkickbjher."
Rat:bjThebjnursebjshouldbjexpectbjthebjpreschoolerbjtobjbebjmotivatedbjtobjchoosebjrightbjfro
mbjwrongbjbecausebjofbjrulesbjtaughtbjtobjhimbjbybjhisbjparents.bjThebjnursebjshouldbjunder
standbjthat,bjevenbjthoughbjthebjpreschoolerbjmightbjknowbjthebjrules,bjhebjisbjnotbjyetbjableb
jtobjunderstandbjthebjrationalebjforbjthebjrules.
Abjnursebjinbjabjlongbjtermbjcarebjfacilitybjisbjadmittingbjabjnewbjclientbjfollowingbjabjbriefbjsta
ybjinbjacutebjcare.bjInbjadherencebjwithbjthebjJointbjCommissionbjNationalbjPatientbjSafetybj
Goalsbjregardingbjmedicationbjadministration,bjwhichbjofbjthebjfollowingbjactionsbjshouldbjt
hebjnursebjtake?
,A.bjInformbjthebjclientbjthatbjhebjwillbjnotbjbebjreceivingbjthebjmedicationsbjhebjtookbjpriorbjtob
jhisbjhospitalization.
B.bjComparebjabjlistbjofbjthebjclient'sbjcurrentbjmedicationsbjwithbjthebjonesbjhebjwillbjtakebjin
bjlong-termbjcare.
C.bjEliminatebjanybjover-the-counterbjproductsbjfrombjthebjclient'sbjcurrentbjmedicationbjlist.
D.bjOmitbjthebjmedicationbjindicationsbjwhenbjlistingbjthebjclient'sbjmedicationbjdosebjinform
ation.bj-bjANS--
Comparebjabjlistbjofbjthebjclient'sbjcurrentbjmedicationsbjwithbjthebjonesbjhebjwillbjtakebjinbjlo
ng-termbjcare.
Rat:bjThebjJointbjCommissionbjNationalbjPatientbjSafetybjGoalsbjregardingbjmedicationbjre
conciliationbjincludesbjmaintainingbjandbjcommunicatingbjaccuratebjclientbjmedicationbjinfo
rmation.bjThebjnursebjshouldbjcompletebjabjmedicationbjreconciliationbjtobjidentifybjandbjres
olvebjanybjdiscrepanciesbjbybjcomparingbjthebjclient'sbjlistbjofbjcurrentbjmedicationsbjwithbjt
hebjmedicationsbjhebjwillbjtakebjinbjthebjlong-
termbjcarebjfacilitybjandbjaddressingbjanybjduplications,bjomissions,bjorbjinteractions.
Abjnursebjisbjcaringbjforbjabjclientbjwhobjisbj2bjdaysbjpostoperativebjfollowingbjanbjabove-the-
kneebjamputation.bjThebjclientbjstatesbjhebjisbjexperiencingbjabjdull,bjburningbjpainbjinbjthebjl
egbjthatbjwasbjamputated.bjWhichbjofbjthebjfollowingbjactionsbjshouldbjthebjnursebjtakebjtobjt
reatbjthebjclient'sbjneuropathicbjpain?
A.bjInformbjthebjclientbjthatbjphantombjlimbbjpainbjisbjnotbjreal.
B.bjAdministerbjabjbeta-blockingbjmedicationbjtobjthebjclient.
C.bjPlacebjthebjclientbjonbjabjsoftbjmattress.
D.bjLoosenbjthebjbandagebjonbjthebjclient'sbjresidualbjlimb.bj-bjANS--Administerbjabjbeta-
blockingbjmedicationbjtobjthebjclientbj
Rat:bjThebjnursebjshouldbjadministerbjabjbeta-
blockingbjmedicationbjtobjthebjclient.bjThisbjclassificationbjofbjmedicationbjhasbjbeenbjshow
nbjtobjrelievebjthebjphantombjlimbbjpainbjmanifestationsbjofbjconstantbjdullbjandbjburningbjty
pebjpain.
Abjnursebjisbjteachingbjthebjparentbjofbjabjtoddlerbjaboutbjhomebjinjurybjprevention.bjWhenbj
discussingbjsnacks,bjwhichbjofbjthebjfollowingbjstatementsbjbybjthebjparentbjindicatesbjanbju
nderstandingbjofbjthebjteaching?
1.bj"IbjcanbjofferbjherbjgrapesbjasbjlongbjasbjIbjpeelbjthembjfirst."
2.bj"IbjcanbjgivebjherbjwatermelonbjpiecesbjafterbjIbjremovebjthebjseeds."
3.bj"Ibjshouldbjgivebjherbjpopcornbjthatbjisbjair-poppedbjandbjwithoutbjsaltbjorbjbutter."
4.bj"Ibjshouldbjcutbjhotbjdogsbjintobjthin,bjroundbjslicesbjbeforebjgivingbjthembjtobjher."bj-
bjANS--"IbjcanbjgivebjherbjwatermelonbjpiecesbjafterbjIbjremovebjthebjseeds."
Rat:bjThebjnursebjshouldbjinformbjthebjparentbjthatbjtoddlersbjcanbjeasilybjchokebjonbjseeds
bjfrombjfruits,bjsuchbjasbjwatermelonbjseedsbjorbjcherrybjpits,bjbecausebjofbjtheirbjroundbjsha
pebjandbjsize.bjRemovingbjthebjseedsbjandbjcuttingbjthebjwatermelonbjintobjpiecesbjprovide
, sbjthebjtoddlerbjwithbjabjnutritiousbjsnackbjthatbjdoesbjnotbjincreasebjthebjtoddler'sbjriskbjofbjf
oreignbjbodybjobstruction.
Abjnursebjisbjsearchingbjelectronicbjdatabasesbjforbjclinicalbjresearchbjaboutbjbehavioralbjin
dicatorsbjofbjpainbjinbjanbjinfant.bjWhichbjofbjthebjfollowingbjonlinebjsourcesbjshouldbjthebjnur
sebjselectbjtobjresearchbjthisbjinfantbjcarebjissue?
1.bjCumulativebjIndexbjtobjNursingbjandbjAlliedbjHealthbjLiteraturebj(CINAHL)
2.bjThebjNursingbjMinimumbjDatabjSet
3.bjThebjOmahabjSystem
4.bjThebjNursingbjInterventionsbjClassificationbj(NIC)bj-bjANS--
CumulativebjIndexbjtobjNursingbjandbjAlliedbjHealthbjLiteraturebj(CINAHL)
Rat:bjThebjnursebjshouldbjselectbjthebjCumulativebjIndexbjtobjNursingbjandbjAlliedbjHealthbj
Literaturebj(CINAHL)bjtobjlocatebjclinicalbjresearchbjaboutbjhealth-
relatedbjclientbjcarebjissues.bjCINAHLbjisbjabjcumulativebjindexbjthatbjthebjnursebjcanbjsearc
hbjelectronicallybjtobjlocatebjreliablebjdatabjrelatedbjtobjthebjspecificbjtopicbjbeingbjresearche
d.
Abjnursebjisbjcaringbjforbjabjclientbjwhobjhasbjdysphagiabjfollowingbjabjstroke.bjWhichbjofbjthe
bjfollowingbjactionsbjshouldbjthebjnursebjtakebjtobjfacilitatebjsafebjswallowingbjandbjdecreas
ebjthebjriskbjofbjaspiration?
1.bjDelaybjthebjclient'sbjmeal-timebjifbjhebjisbjfatigued.
2.bjInstructbjthebjclientbjtobjtiltbjhisbjheadbjtobjthebjsidebjwhenbjswallowing.
3.bjAssistbjthebjclientbjwithbjfluidbjintakebjbybjinsertingbjitbjintobjthebjclient'sbjmouthbjwithbjabjs
yringe.
4.bjEncouragebjthebjclientbjtobjfocusbjonbjabjtelevisionbjprogrambjduringbjmealbjtime.bj-
bjANS--Delaybjthebjclient'sbjmeal-timebjifbjhebjisbjfatigued.
Rat:bjTobjfacilitatebjsafebjswallowingbjandbjdecreasebjthebjriskbjofbjaspiration,bjthebjnursebjs
houldbjencouragebjthebjclientbjtobjrestbjpriorbjtobjmeal-
time.bjIfbjthebjclientbjisbjfatigued,bjthebjnursebjshouldbjdelaybjthebjmeal-
timebjandbjgivebjthebjclientbjtimebjtobjrest.
Abjnursebjinbjabjlongbjtermbjcarebjfacilitybjisbjperformingbjabjfallbjriskbjassessmentbjonbjabjne
wlybjadmittedbjclientbjusingbjthebjTimedbjUpbjandbjGobj(TUG)bjtest.bjThebjclientbjreportsbjusi
ngbjabjtripodbjcanebjforbjambulation.bjWhichbjofbjthebjfollowingbjactionsbjshouldbjthebjnursebj
takebjwhenbjusingbjthisbjtest?
1.bjObservebjthebjclientbjambulatingbjabjdistancebjofbj3bjmbj(10bjfeet)bjduringbjthebjTUGbjtest
.
2.bjInstructbjthebjclientbjtobjperformbjthebjTUGbjtestbjwithoutbjthebjusebjofbjthebjcane.
3.bjAssistbjthebjclientbjtobjstandbjupbjfrombjthebjchairbjwhenbjstartingbjthebjTUGbjtest.
LEVEL 1 ONLINE PRACTICE A
QUESTIONS WITH CORRET ANSWERS
Abjnursebjisbjassessingbjabjpreschoolerbjwhobjhasbjabjurinarybjtractbjinfectionbj(UTI).bjWhich
bjofbjthebjfollowingbjfindingsbjshouldbjthebjnursebjexpect?
1.bjDiarrhea
2.bjAbdominalbjpain
3.bjIncreasedbjthirst
4.bjSkinbjrashbj-bjANS--AbdominalbjPain
Rat:bjThebjnursebjshouldbjexpectbjabjpreschoolerbjwhobjhasbjabjUTIbjtobjexperiencebjabdom
inalbjpain.bjOtherbjmanifestationsbjincludebjconstipation,bjdysuria,bjfoul-
smellingbjurine,bjandbjfever.
Abjnursebjisbjcounselingbjabjclientbjwhobjhasbjabjfamilybjhistorybjofbjcolorectalbjcancerbjabou
tbjmanagementbjofbjnutritionbjtobjhelpbjpreventbjgastrointestinalbj(GI)bjcancers.bjWhichbjofbjt
hebjfollowingbjimagesbjindicatesbjabjfoodbjorbjbeveragebjthebjnursebjshouldbjencouragebjthe
bjclientbjtobjincludebjliberallybjinbjhisbjdiet?bj-bjANS--FruitsbjandbjVeggies
Rat:bjTobjhelpbjreducebjthebjriskbjofbjcancersbjofbjthebjGIbjsystem,bjthebjnursebjshouldbjinstr
uctbjthebjclientbjtobjconsumebjatbjleastbj2.5bjcupsbjofbjfruitsbjandbjvegetablesbjperbjday.
Abjnursebjisbjpreparingbjtobjextinguishbjabjsmallbjfirebjinbjabjclientsbjroom.bjWhichbjofbjthebjfol
lowingbjactionsbjshouldbjthebjnursebjtakebjwhenbjusingbjthebjfirebjextinguisher?
1.bjAimbjthebjfirebjextinguisherbjatbjthebjtopbjofbjthebjflames.
2.bjPumpbjthebjhandlesbjofbjthebjfirebjextinguisherbjupbjandbjdownbjthreebjtimes.
3.bjSweepbjthebjfirebjextinguisherbjinbjabjcircularbjmotionbjuntilbjthebjfirebjisbjextinguished.
4.bjSlidebjthebjpinbjonbjtopbjofbjthebjfirebjextinguisherbjstraightbjout.bj-bjANS--
Slidebjthebjpinbjonbjtopbjofbjthebjfirebjextinguisherbjstraightbjout.
Rat:bjThebjnursebjshouldbjpullbjthebjpinbjonbjthebjtopbjofbjthebjfirebjextinguisherbjtobjallowbjfor
bjusebjtobjextinguishbjthebjfire.
,Abjnursebjisbjcaringbjforbjabjchildbjwhobjhasbjceliacbjdisease.bjWhichbjofbjthebjfollowingbjitem
sbjshouldbjthebjnursebjremovebjfrombjthebjchild'sbjmealbjtray?
1.bjCorn-flakebjcereal
2.bjOrangebjjuice
3.bjScrambledbjeggs
4.bjOatmealbjwithbjraisinsbj-bjANS--Oatmealbjwithbjraisins
Rat:bjCeliacbjdiseasebjisbjthebjintolerancebjtobjdietarybjgluten,bjwhichbjisbjabjproteinbjinbjwhe
at,bjrye,bjoats,bjandbjbarley.bjThisbjintolerancebjcausesbjdiarrhea,bjweightbjloss,bjabdominal
bjpain,bjandbjfatigue.bjTherefore,bjthebjnursebjshouldbjremovebjoatmealbjfrombjthebjchild'sbj
mealbjtray.
Abjnursebjatbjabjprovidersbjofficebjisbjcounselingbjabjclientbjwhobjreportsbjinsomnia.bjWhichbj
ofbjthebjfollowingbjstatementsbjshouldbjthebjnursebjmakebjtobjincludebjthebjclientsbjpreferen
cesbjintobjabjsleepbjpromotionbjplan?
1.bj"Ifbjalcoholicbjbeveragesbjarebjdesired,bjconsumebjthembjinbjthebjearlybjevenings"
2.bj"Sleepbjinbjthebjlocationbjofbjyourbjhomebjwherebjyoubjfeelbjyourbjrestbjbest"
3.bj"Turnbjonbjabjfavoritebjtelevisionbjshowbjjustbjbeforebjgoingbjtobjbed"
4.bj"Allowbjyourbjsleepbjandbjwakebjtimesbjtobjvarybjdependingbjonbjhowbjyoubjfeelbjeachbjda
y"bj-bjANS--"Sleepbjinbjthebjlocationbjofbjyourbjhomebjwherebjyoubjfeelbjyourbjrestbjbest"
Rat:bjThebjnursebjshouldbjencouragebjthebjclientbjtobjsleepbjwhereverbjshebjfeelsbjshebjgets
bjthebjmostbjrest,bjwhetherbjitbjbebjabjbed,bjcouch,bjorbjchair.
Abjnursebjisbjassessingbjthebjspiritualbjwellbeingbjandbjdevelopmentbjofbjabjpreschooler.bjT
hebjnursebjasksbjthebjpreschooler,bj"Whybjisbjitbjwrongbjtobjkickbjourbjbabybjsister?"bjWhichbj
ofbjthebjfollowingbjresponsesbjshouldbjthebjnursebjexpect?
1.bj"It'sbjnotbjwrongbjbecausebjshebjmadebjmebjmad."
2.bj"It'sbjwrongbjbecausebjmybjdadbjsaidbjIbjcan'tbjkickbjher."
3.bj"It'sbjwrongbjtobjkickbjherbjbecausebjthebjgodsbjwon'tbjlikebjit."
4.bj"It'sbjwrongbjbecausebjshebjwouldbjgetbjhurtbjandbjbebjsad."bj-
bjANS--"It'sbjwrongbjbecausebjmybjdadbjsaidbjIbjcan'tbjkickbjher."
Rat:bjThebjnursebjshouldbjexpectbjthebjpreschoolerbjtobjbebjmotivatedbjtobjchoosebjrightbjfro
mbjwrongbjbecausebjofbjrulesbjtaughtbjtobjhimbjbybjhisbjparents.bjThebjnursebjshouldbjunder
standbjthat,bjevenbjthoughbjthebjpreschoolerbjmightbjknowbjthebjrules,bjhebjisbjnotbjyetbjableb
jtobjunderstandbjthebjrationalebjforbjthebjrules.
Abjnursebjinbjabjlongbjtermbjcarebjfacilitybjisbjadmittingbjabjnewbjclientbjfollowingbjabjbriefbjsta
ybjinbjacutebjcare.bjInbjadherencebjwithbjthebjJointbjCommissionbjNationalbjPatientbjSafetybj
Goalsbjregardingbjmedicationbjadministration,bjwhichbjofbjthebjfollowingbjactionsbjshouldbjt
hebjnursebjtake?
,A.bjInformbjthebjclientbjthatbjhebjwillbjnotbjbebjreceivingbjthebjmedicationsbjhebjtookbjpriorbjtob
jhisbjhospitalization.
B.bjComparebjabjlistbjofbjthebjclient'sbjcurrentbjmedicationsbjwithbjthebjonesbjhebjwillbjtakebjin
bjlong-termbjcare.
C.bjEliminatebjanybjover-the-counterbjproductsbjfrombjthebjclient'sbjcurrentbjmedicationbjlist.
D.bjOmitbjthebjmedicationbjindicationsbjwhenbjlistingbjthebjclient'sbjmedicationbjdosebjinform
ation.bj-bjANS--
Comparebjabjlistbjofbjthebjclient'sbjcurrentbjmedicationsbjwithbjthebjonesbjhebjwillbjtakebjinbjlo
ng-termbjcare.
Rat:bjThebjJointbjCommissionbjNationalbjPatientbjSafetybjGoalsbjregardingbjmedicationbjre
conciliationbjincludesbjmaintainingbjandbjcommunicatingbjaccuratebjclientbjmedicationbjinfo
rmation.bjThebjnursebjshouldbjcompletebjabjmedicationbjreconciliationbjtobjidentifybjandbjres
olvebjanybjdiscrepanciesbjbybjcomparingbjthebjclient'sbjlistbjofbjcurrentbjmedicationsbjwithbjt
hebjmedicationsbjhebjwillbjtakebjinbjthebjlong-
termbjcarebjfacilitybjandbjaddressingbjanybjduplications,bjomissions,bjorbjinteractions.
Abjnursebjisbjcaringbjforbjabjclientbjwhobjisbj2bjdaysbjpostoperativebjfollowingbjanbjabove-the-
kneebjamputation.bjThebjclientbjstatesbjhebjisbjexperiencingbjabjdull,bjburningbjpainbjinbjthebjl
egbjthatbjwasbjamputated.bjWhichbjofbjthebjfollowingbjactionsbjshouldbjthebjnursebjtakebjtobjt
reatbjthebjclient'sbjneuropathicbjpain?
A.bjInformbjthebjclientbjthatbjphantombjlimbbjpainbjisbjnotbjreal.
B.bjAdministerbjabjbeta-blockingbjmedicationbjtobjthebjclient.
C.bjPlacebjthebjclientbjonbjabjsoftbjmattress.
D.bjLoosenbjthebjbandagebjonbjthebjclient'sbjresidualbjlimb.bj-bjANS--Administerbjabjbeta-
blockingbjmedicationbjtobjthebjclientbj
Rat:bjThebjnursebjshouldbjadministerbjabjbeta-
blockingbjmedicationbjtobjthebjclient.bjThisbjclassificationbjofbjmedicationbjhasbjbeenbjshow
nbjtobjrelievebjthebjphantombjlimbbjpainbjmanifestationsbjofbjconstantbjdullbjandbjburningbjty
pebjpain.
Abjnursebjisbjteachingbjthebjparentbjofbjabjtoddlerbjaboutbjhomebjinjurybjprevention.bjWhenbj
discussingbjsnacks,bjwhichbjofbjthebjfollowingbjstatementsbjbybjthebjparentbjindicatesbjanbju
nderstandingbjofbjthebjteaching?
1.bj"IbjcanbjofferbjherbjgrapesbjasbjlongbjasbjIbjpeelbjthembjfirst."
2.bj"IbjcanbjgivebjherbjwatermelonbjpiecesbjafterbjIbjremovebjthebjseeds."
3.bj"Ibjshouldbjgivebjherbjpopcornbjthatbjisbjair-poppedbjandbjwithoutbjsaltbjorbjbutter."
4.bj"Ibjshouldbjcutbjhotbjdogsbjintobjthin,bjroundbjslicesbjbeforebjgivingbjthembjtobjher."bj-
bjANS--"IbjcanbjgivebjherbjwatermelonbjpiecesbjafterbjIbjremovebjthebjseeds."
Rat:bjThebjnursebjshouldbjinformbjthebjparentbjthatbjtoddlersbjcanbjeasilybjchokebjonbjseeds
bjfrombjfruits,bjsuchbjasbjwatermelonbjseedsbjorbjcherrybjpits,bjbecausebjofbjtheirbjroundbjsha
pebjandbjsize.bjRemovingbjthebjseedsbjandbjcuttingbjthebjwatermelonbjintobjpiecesbjprovide
, sbjthebjtoddlerbjwithbjabjnutritiousbjsnackbjthatbjdoesbjnotbjincreasebjthebjtoddler'sbjriskbjofbjf
oreignbjbodybjobstruction.
Abjnursebjisbjsearchingbjelectronicbjdatabasesbjforbjclinicalbjresearchbjaboutbjbehavioralbjin
dicatorsbjofbjpainbjinbjanbjinfant.bjWhichbjofbjthebjfollowingbjonlinebjsourcesbjshouldbjthebjnur
sebjselectbjtobjresearchbjthisbjinfantbjcarebjissue?
1.bjCumulativebjIndexbjtobjNursingbjandbjAlliedbjHealthbjLiteraturebj(CINAHL)
2.bjThebjNursingbjMinimumbjDatabjSet
3.bjThebjOmahabjSystem
4.bjThebjNursingbjInterventionsbjClassificationbj(NIC)bj-bjANS--
CumulativebjIndexbjtobjNursingbjandbjAlliedbjHealthbjLiteraturebj(CINAHL)
Rat:bjThebjnursebjshouldbjselectbjthebjCumulativebjIndexbjtobjNursingbjandbjAlliedbjHealthbj
Literaturebj(CINAHL)bjtobjlocatebjclinicalbjresearchbjaboutbjhealth-
relatedbjclientbjcarebjissues.bjCINAHLbjisbjabjcumulativebjindexbjthatbjthebjnursebjcanbjsearc
hbjelectronicallybjtobjlocatebjreliablebjdatabjrelatedbjtobjthebjspecificbjtopicbjbeingbjresearche
d.
Abjnursebjisbjcaringbjforbjabjclientbjwhobjhasbjdysphagiabjfollowingbjabjstroke.bjWhichbjofbjthe
bjfollowingbjactionsbjshouldbjthebjnursebjtakebjtobjfacilitatebjsafebjswallowingbjandbjdecreas
ebjthebjriskbjofbjaspiration?
1.bjDelaybjthebjclient'sbjmeal-timebjifbjhebjisbjfatigued.
2.bjInstructbjthebjclientbjtobjtiltbjhisbjheadbjtobjthebjsidebjwhenbjswallowing.
3.bjAssistbjthebjclientbjwithbjfluidbjintakebjbybjinsertingbjitbjintobjthebjclient'sbjmouthbjwithbjabjs
yringe.
4.bjEncouragebjthebjclientbjtobjfocusbjonbjabjtelevisionbjprogrambjduringbjmealbjtime.bj-
bjANS--Delaybjthebjclient'sbjmeal-timebjifbjhebjisbjfatigued.
Rat:bjTobjfacilitatebjsafebjswallowingbjandbjdecreasebjthebjriskbjofbjaspiration,bjthebjnursebjs
houldbjencouragebjthebjclientbjtobjrestbjpriorbjtobjmeal-
time.bjIfbjthebjclientbjisbjfatigued,bjthebjnursebjshouldbjdelaybjthebjmeal-
timebjandbjgivebjthebjclientbjtimebjtobjrest.
Abjnursebjinbjabjlongbjtermbjcarebjfacilitybjisbjperformingbjabjfallbjriskbjassessmentbjonbjabjne
wlybjadmittedbjclientbjusingbjthebjTimedbjUpbjandbjGobj(TUG)bjtest.bjThebjclientbjreportsbjusi
ngbjabjtripodbjcanebjforbjambulation.bjWhichbjofbjthebjfollowingbjactionsbjshouldbjthebjnursebj
takebjwhenbjusingbjthisbjtest?
1.bjObservebjthebjclientbjambulatingbjabjdistancebjofbj3bjmbj(10bjfeet)bjduringbjthebjTUGbjtest
.
2.bjInstructbjthebjclientbjtobjperformbjthebjTUGbjtestbjwithoutbjthebjusebjofbjthebjcane.
3.bjAssistbjthebjclientbjtobjstandbjupbjfrombjthebjchairbjwhenbjstartingbjthebjTUGbjtest.