The nurse practitioner is performing an annual physical examination on an 88-year-
old female. Which assessments are most important to include? Select all that apply.
a. Height and weight
b. Pap test
c. Breast cancer screening
d. Gait and balance
e. Visual acuity exam
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a. Height and weight
d. Gait and balance
e. Visual acuity exam
What is the leading cause of injury and preventable source of mortality and morbidity
in older adults?
a. Heart disease
,b. Car accidents
c. Pneumonia
d. Falls
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d. Falls
Which action is most appropriate for a client experiencing constipation? Select all
that apply.
a. Increase intake of milk and cheese
b. Increase intake of bread and pasta
c. Increase intake of fruits and vegetables
d. Increase intake of lean meats
e. Increase intake of beans and legumes
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c. Increase intake of fruits and vegetables
e. Increase intake of beans and legumes
The nurse is concerned about fluid loss for the at-risk client. What should be included
in the output measurement? Select all that apply.
a. Sputum
b. Urine
c. Emesis
d. Sweat
e. Wound drainage
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, b. Urine
c. Emesis
In which situation would standard precautions be adequate? Select all that apply.
a. While talking with a client with a moist, productive cough
b. While assisting a client with oral care
c. While ambulating a client after a procedure
d. While inserting an intravenous catheter
e. When changing a dressing for a client with MRSA
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b. While assisting a client with oral care
c. While ambulating a client after a procedure
d. While inserting an intravenous catheter
The nurse performs a routine assessment on Mr. Martin and discovers that his pulse
oximetry reading is 89%. She contacts the healthcare provider and receives an order
for oxygen at 2 L/nasal cannula. What hazards should be considered with the use of
oxygen? Select all that apply.
a. High oxygen concentration can lead to alveolar collapse.
b. Toxicity can develop if too much oxygen is delivered.
c. Oxygen tanks are pressurized and can turn into an unguided missile.
d. Oxygen is highly combustible.
e. Oxygen is not harmful and should be used regularly for sick clients.
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, a. High oxygen concentration can lead to alveolar collapse.
b. Toxicity can develop if too much oxygen is delivered.
c. Oxygen tanks are pressurized and can turn into an unguided missile.
d. Oxygen is highly combustible.
Anna is recovering from a thyroidectomy in which her parathyroid gland was also
removed. She tells the nurse she has muscle cramping as well as numbness and
tingling in her fingers and toes. The nurse assesses a positive Chvostek's sign.
Which electrolyte imbalance is causing the problem?
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Hypocalcemia
The diagnosis step of the nursing process includes which activity?
a. Assessing and diagnosing
b. Evaluating goal achievement
c. Performing and documenting nursing actions
d. Analyzing data
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a. Assessing and diagnosing
The nurse is encouraging a client to select a role model for health promotion
behavior. Which of the following qualities should the nurse instruct the client to look
for in a role model?
a. Age older than client
b. Offers limited accessibility
old female. Which assessments are most important to include? Select all that apply.
a. Height and weight
b. Pap test
c. Breast cancer screening
d. Gait and balance
e. Visual acuity exam
Give this one a try later!
a. Height and weight
d. Gait and balance
e. Visual acuity exam
What is the leading cause of injury and preventable source of mortality and morbidity
in older adults?
a. Heart disease
,b. Car accidents
c. Pneumonia
d. Falls
Give this one a try later!
d. Falls
Which action is most appropriate for a client experiencing constipation? Select all
that apply.
a. Increase intake of milk and cheese
b. Increase intake of bread and pasta
c. Increase intake of fruits and vegetables
d. Increase intake of lean meats
e. Increase intake of beans and legumes
Give this one a try later!
c. Increase intake of fruits and vegetables
e. Increase intake of beans and legumes
The nurse is concerned about fluid loss for the at-risk client. What should be included
in the output measurement? Select all that apply.
a. Sputum
b. Urine
c. Emesis
d. Sweat
e. Wound drainage
Give this one a try later!
, b. Urine
c. Emesis
In which situation would standard precautions be adequate? Select all that apply.
a. While talking with a client with a moist, productive cough
b. While assisting a client with oral care
c. While ambulating a client after a procedure
d. While inserting an intravenous catheter
e. When changing a dressing for a client with MRSA
Give this one a try later!
b. While assisting a client with oral care
c. While ambulating a client after a procedure
d. While inserting an intravenous catheter
The nurse performs a routine assessment on Mr. Martin and discovers that his pulse
oximetry reading is 89%. She contacts the healthcare provider and receives an order
for oxygen at 2 L/nasal cannula. What hazards should be considered with the use of
oxygen? Select all that apply.
a. High oxygen concentration can lead to alveolar collapse.
b. Toxicity can develop if too much oxygen is delivered.
c. Oxygen tanks are pressurized and can turn into an unguided missile.
d. Oxygen is highly combustible.
e. Oxygen is not harmful and should be used regularly for sick clients.
Give this one a try later!
, a. High oxygen concentration can lead to alveolar collapse.
b. Toxicity can develop if too much oxygen is delivered.
c. Oxygen tanks are pressurized and can turn into an unguided missile.
d. Oxygen is highly combustible.
Anna is recovering from a thyroidectomy in which her parathyroid gland was also
removed. She tells the nurse she has muscle cramping as well as numbness and
tingling in her fingers and toes. The nurse assesses a positive Chvostek's sign.
Which electrolyte imbalance is causing the problem?
Give this one a try later!
Hypocalcemia
The diagnosis step of the nursing process includes which activity?
a. Assessing and diagnosing
b. Evaluating goal achievement
c. Performing and documenting nursing actions
d. Analyzing data
Give this one a try later!
a. Assessing and diagnosing
The nurse is encouraging a client to select a role model for health promotion
behavior. Which of the following qualities should the nurse instruct the client to look
for in a role model?
a. Age older than client
b. Offers limited accessibility
