m m m m m
ECT (UPDATED 2023 m m
1. Amclientmbecomesmverymdejectedmandmstates,m"Nomonemreallymcaresmwhatmhapp
ensmtomme.mLifemisn'tmworthmlivingmanymore."mWhichmofmthemfollowingmresponses
mshouldmthemnursemmake?
D)m"Imcaremaboutmyou,mandmImammconcernedmthatmyoumfeelmsomsad"
2. Amnursemismprovidingminstructionsmaboutmbowelmcleansingmwithmpolyethylenemglycol
-
melectrolytemsolutionm(PEG)mformamclientmwhomismgoingmtomhavemamcolonoscopy.mWhic
hmofmthemfollowingminformationmshouldmthemnurseminclude?
"Abdominalmbloatingmmightmoccur."
3. Ampublicmhealthmnursemismassessingmanmoldermadultmclientmwhomlivesmwithmam
damilymmember.mThemnursemidentifiesmseeralmbruisesminmvariousmstagesmofmh
ealing,mTHemclientmandmfamilymmembermexplainmthatmthembruisesmaremamresul
tmofmclumsiness.mHowever,mbasedmonmthemdistributionmofmthembruises,mthemn
ursemsuspectsmabuse.mWhichmofmthemfollowingmactionsmshouldmthemnursemta
kemfirst?
“Reportmthemfindingsmtomamsupervisor”
4. AmnursemismcaringmformamclientmwhomhasmHIV.mWhichmofmthemfollowingmlaboratorymv
aluesmismthemnurse'smpriority?
CD4-T-cellmcountm180mcells/mm
5. Amnursemismcaringmformamclientmwhomismbeingmtreatedmwithmamcesiummimpla
nt.mThemclientmtellsmthemnurse,m"Imfeelmsomisolatedmandmaloneminmthismroom"
.mAftermacknowledgingmthemclient'smfeelingsmofmloneliness,mwhichmofmthemfo
llowingmresponsesmshouldmthemnursemprovide?
“Domyoumhavemamcellmphonemyoumcanmtalkmtomfriendsmandmfamilymon?”
6. Amnursemismspeakingmwithmthemmothermofmam6-year-
oldmchild.mWhichmofmthemfollowingmstatementsmbymthemmothermshouldmconcernm
themnurse?
“Themteachermsaysmmymchildmhasmtomsquintmtomseemthemboard.”
7. Amchargemnursemhasmaccessmtomthemfacility'smelectronicmclientmrecords.mItmismappropri
atemformthemchargemnursemtomsharemhermpersonalmpasswordmwithmwhom?
“mnomone”
, 8. Amnurseminmamprenatalmclinicmismassessingmamclientmwhomismsuspectedmofmh
avingmamhydatidformmmole.mWhichmofmthemfollowingmfindingsmshouldmthemnur
semexpectmtomobserveminmthismclient?
Excessivemuterinemenlargement
9. Amnursemismcaringmformanmantepartummclientmwhomhasmiron-
deficiencymanemia.mWhenmteachingmthemclientmaboutmnutrition,mthemnursemshouldmemp
hasizemthemneedmformanmincreasedmintakemofmwhichmofmthemfollowingmfoods?
redmmeatmandmorganmmeat
10. Amnursemismadmittingmamclientmwhomhasmexperiencedmamweightmlossmofm25mlbm(
11mkg)minmthempastm3mmonths.mThemclientmweighsm88mlbm(40mkg)mandmbelieves
mshemismfat.mWhichmofmthemfollowingmaspectsmofmcaremshouldmthemnursemconsid
ermthemfirstmprioritymformthismclient?
Identifymthemclient'smnutritionalmstatus
11. nursemismprovidingmdischargemteachingmaboutmnutritionmtomthemparent
smofmamchildm whomhasmcysticmfibrosism (CF).mWhichm ofmthemfollowingmr
esponsesmbymthemparentsmindicates manmunderstandingmofmthemteach
ing?
“Wemwillmgivemourmchildmpancreaticmenzymesmwithmsnacksmandmmeals”
12. Amnursemismcaringmformamclientmwhomhasmseveremheadminjuriesmandmismdeclare
dmbrainmdead.mThemtransplantmcoordinatormhasmspokenmwithmthemclient'smfamily
maboutmorganmdonation.mThemclient'smspousemstatesmshemismconfusedmandmdoe
smnotmknowmwhatmshemshouldmdo.mWhichmofmthemfollowingmresponsesmbymthemn
ursemismappropriate?
Whatmdomyoumthinkmyourmspousemwouldmhavemwanted?
13. Amnursemismadmittingmamclientmwhomhasmactivemtuberculosismtomamroommonmammedi
cal-
msurgicalmunit.mWhichmofmthemfollowingmroommassignmentsmshouldmthemnursemmake
mformthe mclient?
Amroommwithmairmexhaustmdirectlymtomthemoutdoormenvironment
14. Amnursemismpreparingmanmin-
servicemformanmannualmskillsmfairmatmamcommunitymmedicalmfacilitymaboutmfiremsafety.
mPlace mthemstepsminmthemorderminmwhichmtheymshouldmbemperformed minmthemcasemofma
mfirememergency.m(Movemthemstepsminmorder)
RescuemClientsmP