A parent tells the nurse that their 6 year-old child who normally enjoys
school, has not been doing well since the grandmother died 2 months ago.
Which statement most accurately describes thoughts on
death and dying at this age?
A) Death is personified as the bogeyman or devil
B) Death is perceived as being irreversible
C) The child feels guilty for the grandmother's death
D) The child is worried that he, too, might die
The correct answer is A: Death is personified as the bogeyman or devil
A 67 year-old client with non-insulin dependent diabetes should be
instructed to contact the out-patient clinic immediately if the following
findings are present
A) Temperature of 37.5 degrees Celsius with painful urination
B) An open wound on their heel
C) Insomnia and daytime fatigue
D) Nausea with 2 episodes of vomiting
The correct answer is B: An open wound on their heel
The nurse admits an elderly Mexican-American migrant worker after an
accident that occurred during work. To facilitate communication the nurse
should initially
A) Request a Spanish interpreter
B) Speak through the family or co-workers
,C) Use pictures, letter boards, or monitoring
D) Assess the client's ability to speak English
The correct answer is D: Assess the client''s ability to speak English
In assessing a post partum client, the nurse palpates a firm fundus and
observes a constant trickle of bright red blood from the vagina. What is the
most likely cause of these findings?
A) Uterine atony
B) Genital lacerations
C) Retained placenta
D) Clotting disorder
The correct answer is B: Genital lacerations
During a situation of pain management, which statement is a priority to
consider for the ethical guidelines of the nurse?
A) The client's self-report is the most important consideration
B) Cultural sensitivity is fundamental to pain management
C) Clients have the right to have their pain relieved
D) Nurses should not prejudge a client's pain using their own values
The correct answer is A: The client''s self report is the most important
consideration
A 35-year-old client of Puerto Rican-American descent is diagnosed
with ovarian cancer. The client states “I refuse both radiation and
,chemotherapy because they are 'hot.'” The next action for the nurse to take is
to
A) Document the situation in the notes
B) Report the situation to the health care provider
C) Talk with the client's family about the situation
D) Ask the client to talk about the concerns about the "hot"treatments
The correct answer is D: Ask the client to talk about the concerns about the "hot"
treatments
Which of the following drugs should the nurse anticipate
administering to a client before they are to receive electroconvulsive
therapy?
A) Benzodiazepines
B) Chlorpromazine (Thorazine)
* C) Succinylcholine (Anectine)
D) Thiopental sodium (Pentothal Sodium)
The correct answer is C: Succinylcholine (Anectine)
A client is brought to the emergency room following a motor vehicle
accident. When assessing the client one-half hour after admission, the nurse
notes several physical changes. Which changes would require the nurse's
immediate attention?
A) Increased restlessness
B) Tachycardia
C) Tracheal deviation
, D) Tachypnea
The correct answer is C: Tracheal deviation
Which approach is a priority for the nurse who works with clients from
many
different cultures?
A) Speak at least 2 other languages of clients in the neighborhood
B) Learn about the cultures of clients who are most often encountered
C) Have a list of persons for referral when interaction with these clients occur
D) Recognize personal attitudes about cultural differences and real or expected
biases The correct answer is D: Recognize personal attitudes about cultural
differences and real or expected biases
The nurse notes an abrupt onset of confusion in an elderly patient. Which
of the following recently-ordered medications would most likely contribute
to this change?
school, has not been doing well since the grandmother died 2 months ago.
Which statement most accurately describes thoughts on
death and dying at this age?
A) Death is personified as the bogeyman or devil
B) Death is perceived as being irreversible
C) The child feels guilty for the grandmother's death
D) The child is worried that he, too, might die
The correct answer is A: Death is personified as the bogeyman or devil
A 67 year-old client with non-insulin dependent diabetes should be
instructed to contact the out-patient clinic immediately if the following
findings are present
A) Temperature of 37.5 degrees Celsius with painful urination
B) An open wound on their heel
C) Insomnia and daytime fatigue
D) Nausea with 2 episodes of vomiting
The correct answer is B: An open wound on their heel
The nurse admits an elderly Mexican-American migrant worker after an
accident that occurred during work. To facilitate communication the nurse
should initially
A) Request a Spanish interpreter
B) Speak through the family or co-workers
,C) Use pictures, letter boards, or monitoring
D) Assess the client's ability to speak English
The correct answer is D: Assess the client''s ability to speak English
In assessing a post partum client, the nurse palpates a firm fundus and
observes a constant trickle of bright red blood from the vagina. What is the
most likely cause of these findings?
A) Uterine atony
B) Genital lacerations
C) Retained placenta
D) Clotting disorder
The correct answer is B: Genital lacerations
During a situation of pain management, which statement is a priority to
consider for the ethical guidelines of the nurse?
A) The client's self-report is the most important consideration
B) Cultural sensitivity is fundamental to pain management
C) Clients have the right to have their pain relieved
D) Nurses should not prejudge a client's pain using their own values
The correct answer is A: The client''s self report is the most important
consideration
A 35-year-old client of Puerto Rican-American descent is diagnosed
with ovarian cancer. The client states “I refuse both radiation and
,chemotherapy because they are 'hot.'” The next action for the nurse to take is
to
A) Document the situation in the notes
B) Report the situation to the health care provider
C) Talk with the client's family about the situation
D) Ask the client to talk about the concerns about the "hot"treatments
The correct answer is D: Ask the client to talk about the concerns about the "hot"
treatments
Which of the following drugs should the nurse anticipate
administering to a client before they are to receive electroconvulsive
therapy?
A) Benzodiazepines
B) Chlorpromazine (Thorazine)
* C) Succinylcholine (Anectine)
D) Thiopental sodium (Pentothal Sodium)
The correct answer is C: Succinylcholine (Anectine)
A client is brought to the emergency room following a motor vehicle
accident. When assessing the client one-half hour after admission, the nurse
notes several physical changes. Which changes would require the nurse's
immediate attention?
A) Increased restlessness
B) Tachycardia
C) Tracheal deviation
, D) Tachypnea
The correct answer is C: Tracheal deviation
Which approach is a priority for the nurse who works with clients from
many
different cultures?
A) Speak at least 2 other languages of clients in the neighborhood
B) Learn about the cultures of clients who are most often encountered
C) Have a list of persons for referral when interaction with these clients occur
D) Recognize personal attitudes about cultural differences and real or expected
biases The correct answer is D: Recognize personal attitudes about cultural
differences and real or expected biases
The nurse notes an abrupt onset of confusion in an elderly patient. Which
of the following recently-ordered medications would most likely contribute
to this change?
