Examsrevision

MULTIPLE CHOICE 1. A client is prescribed 0.9% sodium chloride (normal saline), which is an isotonic solution. The nurse recognizes the primary goal of such intravenous therapy is to: A. Expand the volume of fluid in the vascular system B. Pull fluid from the cells C. Keep protein levels normal D. Move fluid into the cells ANS: A Isotonic solutions such as normal saline, 0.9% sodium chloride, expand the bodys fluid volume without causing a fluid shift from one compartment to another...

Chapter 36: Loss and Grief Chapter 37: Stress and Coping Chapter 38: Activity and Exercise Chapter 39: Immobility Chapter 40: Hygiene

MULTIPLE CHOICE 1. It appears to the nurse the client is experiencing a crisis. The nurse plans to: A. Allow the client to work through independent problem-solving B. Complete an in-depth evaluation of stressors and responses C. Focus on immediate stress reduction D. Recommend ongoing therapy ANS: C The nurses focus for a client experiencing a crisis is immediate stress reduction. The client experiencing a crisis is unable to work through independent problem solving. Completing an ...

MULTIPLE CHOICE 1. The nurse should expect that which of the following clients is most likely to have difficulty performing personal hygiene tasks? A. The 54-year-old with osteoarthritis in his upper extremity joints B. The 26-year-old new mother experiencing postpartum depression C. The 15-year-old client who fractured his left clavicle while skateboarding D. The 36-year-old client who just learned that her lung cancer is inoperable ANS: A Any condition that interferes with movemen...

MULTIPLE CHOICE 1. Which of the following statements regarding physical activity and its effect on activity tolerance made by a client shows the most informed knowledge regarding the connection between the two? A. I know I need to walk more if I want to get stronger. B. I don’t like walking, but I do it because I know it will make me stronger. C. I try to walk a little farther each afternoon so I can dance at my grandsons wedding. D. I walk with my son three evenings a week because its ...

MULTIPLE CHOICE 1. Which of the following statements made by an older adult reflects the best understanding of the need to exercise no matter ones age? A. You are never too old to start exercising. B. My grandson and I walk together around the park 3 times a week. C. I got my granddaughter a subscription to a runners magazine for her birthday. D. Kids today just dont seem to get the exercise we did when I was growing up. ANS: B Strategies for physical activity incorporated early int...

Chapter 31: Medication Administration Chapter 32: Complementary, Alternative, and Integrative Therapies Chapter 33: Self-Concept Chapter 34: Sexuality Chapter 35: Spiritual Health

MULTIPLE CHOICE 1. A 73-year-old client who is no longer working as a cabinetmaker begins to make statements that suggest negative self-concept. This is most likely related to: A. The prospect of limited financial and health care resources B. The loss of family members and friends to death and illness C. The physical changes the aging process has had on his health and body D. The perceived loss of respect others once had for his woodworking abilities ANS: C Evidence suggests that se...

MULTIPLE CHOICE 1. A terminally ill client shares with the nurse that he, needs to tell someone what I want when the end comes. The nurses most therapeutic response is: A. We can talk about that now if you want to. Let me close the door and pull up a chair. B. I imagine you would like to discuss matters with your primary care provider. I’ll let him know you want to talk. C. Let me finish with my client care, I’ll be back in 10 minutes, and we can talk as long as you need to. D. If you...

MULTIPLE CHOICE 1. The nurse is working in the labor and delivery area with parents who are members of the Shinto and Buddhist religions. The nurse expects that after the birth of the child: A. Baptism will be performed immediately B. Special prayers will be said over the child C. Special preparations will be made for the umbilical cord and placenta D. No particular rituals will usually be performed in the postpartum period ANS: D No special rituals are usually performed in the imme...

Chapter 26: Informatics and Documentation Chapter 27: Patient Safety and Quality Chapter 28: Infection Prevention and Control Chapter 29: Vital Signs Chapter 30: Health Assessment and Physical Examination

MULTIPLE CHOICE 1. Teenagers tend to engage in risky sexual behavior primarily because they: A. Feel invincible B. Lack factual information C. Emulate poor social models D. Possess immature decision-making skills ANS: A Adolescents tend to think they are invincible and do not expect bad things to happen to them. While the other options can be factors in some teens decisions to engage in unprotected sex, the age-group generally lacks the insight that they are not invincible and that ...

MULTIPLE CHOICE 1. The nurse is working in the newborn nursery. In planning for temperature measurement, the nurse will obtain the reading on the infants by using the: A. Oral site B. Rectal site C. Axillary site D. Tympanic site ANS: C The axillary site can be used with newborns and uncooperative clients. The oral site should not be used with infants. The rectal site should not be used for routine vital signs in newborns. The tympanic site is questioned as being accurate in newborn...

MULTIPLE CHOICE 1. A client is dealing with chronic pain. The nurse suggests implementation of relaxation techniques. The nurses most informed response to the clients question How is relaxing going to help my pain? would be: A. What have you got to lose? It could certainly help. B. It will increase the effectiveness of the pain medication youre taking. C. Relaxing has been very helpful for people, especially those in severe pain. D. Relaxing your muscles is a better way for your body to r...

MULTIPLE CHOICE 1. The client is to receive heparin by injection. The nurse prepares to inject this medication in the clients: A. Scapular region B. Vastus lateralis C. Posterior gluteal D. Abdomen ANS: D The abdomen is the site most frequently recommended for heparin injections is the abdomen. The scapular areas may be used for subcutaneous injections, but it is not recommended site for heparin injections. The vastus lateralis is used for intramuscular injections, not subcutaneous ...

Chapter 21: Managing Patient Care Chapter 22: Ethics and Values Chapter 23: Legal Implications in Nursing Practice Chapter 24: Communication Chapter 25: Patient Education

MULTIPLE CHOICE 1. The school-aged child is taken to the school nurse after experiencing a nosebleed during a softball game. The appropriate intervention is for the nurse to: A. Have the child lean backward B. Apply pressure to the anterior nose C. Apply a warm cloth to the area D. Have the child close his mouth and blow his nose ANS: B The nurse should have the child who is experiencing a nosebleed sit up and lean forward to avoid aspiration of blood, apply pressure to the anterior...

MULTIPLE CHOICE 1. There are a variety of teaching methodologies that may be utilized to meet the clients needs. Which teaching method is best applied to a cognitive learning need? A. Modeling of behavior B. Discussion of feelings C. Computer-assisted instruction D. Demonstration of a procedure ANS: C An independent project such as computer-assisted instruction is an appropriate teaching method for cognitive learning. Modeling of behavior is an appropriate teaching method for psycho...

MULTIPLE CHOICE 1. An appropriate isolation procedure for the nurse to implement when working with a client who is found to have methicillin-resistant Staphylococcus aureus (MRSA) is to: A. Leave all linen in the clients room B. Place specimen containers in plastic bags for transport C. Wipe the stethoscope off before removing it from the room D. Remove the mask and goggles first when leaving the clients room ANS: B Specimen containers should be placed in plastic bags for transport ...

MULTIPLE CHOICE 1. A client who is experiencing a generalized clonic-tonic seizure is at greatest risk for injury caused by: A. The physical collapse that occurs at the onset of the seizure B. Muscle strains that result from the severe muscle jerking during the seizure C. The tongue laceration that occurs from jaw clenching during the seizure D. Aspiration resulting from the temporary loss of consciousness after the seizure ANS: A During a fall, or as a result of muscle jerking, mus...