1. 211. The elderly client is admitted to the hospital for severe back
pain. Which data should the nurse assess first during the admission
assessment?
A. The client’s use of herbs.
B. The client’s current pain level.
C. The client’s sexual orientation.
D. The client’s ability to care for self.
2. 212. Which information should the nurse teach the client
regarding sports injuries?
A. Apply heat intermittently for the first 48 hours.
B. An injury is not serious if the extremity can be moved.
C. Only return to health-care provider if the foot becomes
cold.
D. Keep the injury immobilized and elevated for 24 to 48
hours.
3. 213. Which assessment technique should the nurse use to assess
the client’s optic nerve?
A. Have the client identify different smells.
B. Have the client discriminate between sugar and salt.
C. Have the client read the Snellen chart.
D. Have the client say “ah” to assess the rise of the uvula.
4. 214. Which referral would be most important for the client with
permanent hearing loss?
A. Aural rehabilitation.
B. Speech therapist.
, C. Social worker.
D. Vocational rehabilitation.
5. 215. Which instruction should the nurse discuss with the female
client with viral conjunctivitis?
A. Contact the HCP if pain occurs.
B. Do not share towels or linens.
C. Apply warm compresses to the eyes.
D. Apply makeup very lightly.
6. 216. The client is two (2) hours postoperative right-ear
mastoidectomy. Which assessment data should be reported to the
health-care provider?
A. Complaints of aural fullness.
B. Hearing loss in the affected ear.
C. No vertigo.
D. Facial drooping.
7. 217. Which behavior by the male client would make the nurse
suspect the client has a hearing loss? Select all that apply.
A. The client reports hearing voices in his head.
B. The client becomes irritable very easily.
C. The client has difficulty making decisions.
D. The client’s wife reports that he ignores her.
E. The client does not dominate a conversation.
8. 218. The client with cataracts who has had intraocular lens
implants is being discharged from the day surgery department.