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1. A nurse is caring for a client who died approximately one hour ago. The nurse notes that the
client's temperature has decreased in the last hour since his death. Which of the following
processes explains this phenomenon?
a. Rigor mortis
b. Postmortem decomposition
c. Algor mortis
d. Livor mortis
2. A nurse is calculating a client's intake and output. During the last shift, the client has had ½
cup of gelatin, a skinless chicken breast, 1 cup of green beans, and 300 cc of water. The client
has urinated 250 cc and has had 2 bowel jmovements. jWhat jis jthis jclient's jintake jand joutput
jfor jthis jshift?
a. 420 jcc jintake, j250 jcc joutput
b. 300 jcc jintake, j250 jcc joutput
c. 550 jcc jintake, j550 jcc joutput
d. 300 jcc jintake, j550 jcc joutput
3. A jclient jhas jdeveloped ja jvitamin jC jdeficiency. jWhich jof jthe jfollowing jsymptoms jmight
jthe jnurse jmost jlikely jsee jwith jthis jcondition?
a. Cracks jat jthe jcorners jof jthe jmouth
pg. j1
,2
b. Altered jmental jstatus
c. Bleeding jgums jand jloose jteeth
d. Anorexia jand jdiarrhea
4. Which jof jthe jfollowing jinterventions jshould ja jnurse jperform jfor ja jfemale jclient jwho jis
incontinent with impaired skin integrity?
a. Turn the client at least every 8 hours
b. Apply lotion to the skin before a bath
pg. j2
,3
c. Provide jperineal jcare jafter jthe jclient juses jthe jbathroom
d. Bathe jthe jclient jevery j3 jdays
5. Which jof jthe jfollowing jclients jis jat ja jhigher jrisk jof jdeveloping joral jhealth jproblems?
a. A jpregnant jclient
b. A jclient jwith jdiabetes
c. A jclient jreceiving jchemotherapy
d. Both jb jand jc
6. Which jnursing jintervention jis jmost jappropriate jto jreduce jenvironmental jstimuli jthat
jmay jcause jdiscomfort jfor ja jclient?
a. Loosen jpressure jdressings jon jwounds
b. Use jassistance jto jpull ja jclient jup jin jbed
c. Check jtemperature jof jwater jused jin ja jsponge jbath
d. Position jthe jclient jprone
7. A jnurse jis jcaring jfor ja jclient jwith jariboflavinosis. jWhich jof jthe jfollowing jfoods jshould
jthe jnurse jserve jthis jclient?
a. Citrus jfruits
pg. j3
, 4
b. Milk
c. Fish
d. Potatoes
pg. j4