Health promotion and maintanance & Basic care and comfort
1.
What equipment would be necessary to complete an evaluation of cranial nerves 9 and 10 during a physical assessment?
2.
What equipWhich technique would be best in caring for a client following receiving a diagnosis of a state IV tumor in the brain?ment would be necessary to complete an evaluation of cranial nerves 9 and 10 during a physical assessment?
3.
An 8.5 lb, 6 oz infant is delivered to a diabetic mother. Which nursing intervention would be implemented when the neonate becomes jittery and lethargic?
4.
What question would be most important to ask a male client who is in for a digital rectal examination?
5.
The nurse assesses a prolonged late deceleration of the fetal heart rate while the client is receiving oxytocin (Pitocin) IV to stimulate labor. The priority nursing intervention would be to:
6.
Which nursing approach would be most appropriate to use while administering an oral medication to a 4 month old?
7.
. Which nursing intervention would be a priority during the care of a 2 month old after surgery?
8.
While performing a physical examination on a newborn, which assessment should be reported to the physician?
9.
Which action by the mother of a preschooler would indicate a disturbed family interaction?
10.
During the history, which information from a 21 year old client would indicate a risk for development of testicular cancer?
11.
While caring for a client, the nurse notes a pulsating mass in the client’s periumbilical area. Which of the following assessments is appropriate for the nurse to perform?
12.
When observing 4 year-old children playing in the hospital playroom, what activity would the nurse expect to see the children participating in?
13.
The nurse is teaching the parents of a 3 month-old infant about nutrition. What is the main source of fluids for an infant until about 12 months of age?
14.
While the nurse is administering medications to a client, the client states “I do not want to take that medicine today.” Which of the following responses by the nurse would be best?
15.
The nurse is assessing a 4 month-old infant. Which motor skill would the nurse anticipate finding?
16.
The nurse should recognize that all of the following physical changes of the head and face are associated with the aging client except:
17.
All of the following characteristics would indicate to the nurse that an elder client might experience undesirable effects of medicines except:
18.
When assessing a newborn whose mother consumed alcohol during the pregnancy, the nurse would assess for which of these clinical manifestations?
19.
Which of these statements, when made by the nurse, is most effective when communicating with a 4-year-old?
20.
A 64-year-old client scheduled for surgery with a general anesthetic refuses to remove a set of dentures prior to leaving the unit for the operating room. What would be the most appropriate intervention by the nurse?
21.
The nurse is assessing a client who states her last menstrual period was March 17, and she has missed one period. She reports episodes of nausea and vomiting. Pregnancy is confirmed by a urine test. What will the nurse calculate as the estimated date of delivery (EDD)?
22.
The family of a 6-year-old with a fractured femur asks the nurse if the child’s height will be affected by the injury. Which statement is true concerning long bone fractures in children?
23.
The family of a 6-year-old with a fractured femur asks the nurse if the child’s height will be affected by the injury. Which statement is true concerning long bone fractures in children?
24.
A client is admitted to the hospital with a history of confusion. The client has difficulty remembering recent events and becomes disoriented when away from home. Which statement would provide the best reality orientation for this client?
25.
When a client wishes to improve the appearance of their eyes by removing excess skin from the face and neck, the nurse should provide teaching regarding which of the following procedures?
26.
A woman who is six months pregnant is seen in antepartal clinic. She states she is having trouble with constipation. To minimize this condition, the nurse should instruct her to
27.
The nurse is caring for an elderly woman who has had a fractured hip repaired. In the first few days following the surgical repair, which of the following nursing measures will best facilitate the resumption of activities for this client?
28.
What do you think is the most important nursing order in a client with major head trauma who is about to receive bolus enteral feeding?
29.
The pathological process causing esophageal varices is:
30.
Which of the following interventions will help lessen the effect of GERD (acid reflux)?
31.
What is the main benefit of therapeutic massages is:
32.
Which of the following foods should be avoided by clients who are prone to develop heartburn as a result of gastroesophageal reflux disease (GERD)?
33.
Which of the following should be included in a plan of care for a client receiving total parenteral nutrition (TPN)?
34.
Which of the following should be included in a plan of care for a client who is lactose intolerant?
35.
Pain tolerance in an elderly patient with cancer would:
36.
What is the main advantage of cutaneous stimulation in managing pain:
37.
The nurse is instructing a 65-year-old female client diagnosed with osteoporosis. The most important instruction regarding exercise would be to
38.
A client in a long term care facility complains of pain. The nurse collects data about the client’s pain. The first step in pain assessment is for the nurse to
39.
Which statement best describes the effects of immobility in children?
40.
After a myocardial infarction, a client is placed on a sodium restricted diet. When the nurse is teaching the client about the diet, which meal plan would be the most appropriate to suggest?
41.
A nurse is assessing several clients in a long term health care facility. Which client is at highest risk for development of decubitus ulcers?
42.
Mrs. Kennedy had a CVA (cerebrovascular accident) and has severe right-sided weakness. She has been taught to walk with a cane. The nurse is evaluating her use of the cane prior to discharge. Which of the following reflects correct use of the cane?
43.
The nurse is instructing a woman in a low-fat, high-fiber diet. Which of the following food choices, if selected by the client, indicate an understanding of a low-fat, high-fiber diet?
44.
An 85-year-old male patient has been bedridden for two weeks. Which of the following complaints by the patient indicates to the nurse that he is developing a complication of immobility?
45.
An eleven-month-old infant is brought to the pediatric clinic. The nurse suspects that the child has iron deficiency anemia. Because iron deficiency anemia is suspected, which of the following is the most important information to obtain from the infant’s parents?
46.
A 46-year-old female with chronic constipation is assessed by the nurse for a bowel training regimen. Which factor indicates further information is needed by the nurse?
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