PN fundamentals A
Nurse is reinforcing teaching with a client who has a prescription for a transcutaneous
electrical nerve unit - ANSWERNurse should instruct the client to place electrodes near
or on the pain site to produce analgesia at the peripheral neuroreceptors
Nurse is reinforcing teaching with a client who is receiving PCA. Which of the following
statements by the clients indicates an understanding of the teaching ? - ANSWERI will
not allow anyone to press the PCA button for me
a Nurse is palpating the pulse located on top of a clients foot. Which of the following
pulses should the nurse document that she is palpating ? - ANSWERDorsalis Pedis
A nurse is collecting data from a client who has an NG tube set to low intermittent
suction. WHich of the following findings indicates hypomagnesemia? -
ANSWERPositive Chvostek's sign
A nurse is caring for a client who is alert and in a long term care facility. Which of the
following actions should the nurse take to protect the clients privacy ? - ANSWERAsk
the client before discussing his condition when family is present
A nurse is collecting data from an older adult client. Which of the following findings
should the nurse report to the provider ? - ANSWERThe client reports urinary
incontinence
a nurse is reinforcing teaching with an older adult client who reports an inability to sleep
which of the following information should the nurse include when teaching the client
about aging and sleep ? - ANSWERSleep pattern change with age
A nurse is assisting with the admission of a client who has brough her medications to
the facility. Which of the following actions should the nurse take ? - ANSWERCompare
the medications the provider has prescribed with the clients meds
a Nurse is reinforcing teaching with an older adult about oral hygiene . Which of the
instructions should the nurse include ? - ANSWERReplace her toothbrush following an
illness
a nurse is assisting with a presentation to a group of older adults at a community center
aboiut hypothermia and hyperthermia which of the following information should the
nurse include about age related changes . - ANSWERCirrculation becomes less
efficient with age
A nurse is caring for a client who has a clostridium difficile (C-Diff) infection. Which of
the following solutions should the nurse use to perform hand hygiene while caring for
this client? - ANSWERMild soap
A nurse is caring for a client who is postoperative and is experiencing cause and
vomiting. The nurse should identify which of the following findings as indications that the
, PN fundamentals A
client has fluid volume deficit? (Select all that apply) - ANSWERDecreased skin turgor,
orthostatic hypotension, flat neck veins.
A nurse writes client information on a piece of paper while receiving report. Which of the
following actions should the nurse take to dispose of the paper? - ANSWERShed the
paper in a secure container.
A nurse is reinforcing preoperative teaching with a client who does not speak the same
language as the nurse. Which of the following actions should the nurse take? -
ANSWERProvide handouts written in the client's primary language.
A nurse is contributing to a plan of care for a client who has a new prescription for a
wrist restraint. Which of the following actions should the nurse include in the plan? -
ANSWERPad bony prominence on the wrist
A nurse is caring for a client who has recently undergone a total bilateral mastectomy.
Which of the following statements by the client requires immediate action by the nurse?
- ANSWER"When i look at myself in the mirror, I don't know if i can go on."`
A Nurse is assisting witht he plan of care for a client who has a bacterial infection and a
persistent oral temperature of 38.9 c 102 F Which of the folloiwing interventions should
the nurse include in the plan of care to treat the fever ? - ANSWERAdminister
acetaminophen
A nurse is contributing to the plan of care for a client who has a positive throat culture
for strep. Which of the following interventions should the nurse recommend to be
included in the plan of care? - ANSWEREnsure the client wears a surgical mask during
transportation throughout the facility.
A nurse is caring for a client who has a prescription for potassium supplement. The
client tells the nurse that the pill is too large to swallow and refuses to take it. The nurse
offers to break to pill into two smaller pieces. The nurse is demonstrating which of the
following ethical principles? - ANSWERBeneficence
A nurse is using Maslow's hierarchy of needs in assisting with discharge planning for a
client. Which of the following activities should the nurse recommend as the priority for
this client? - ANSWERAttend an exercise program.
A nurse is reviewing the medical record of a client who has heart failure. The nurse
should identify which of the following lab results as an indication that the client has fluid
volume excess? - ANSWERBUN 8mg/dL
A nurse is repositioning a client who has quadriplegia and is in the supine position.
Which of the following actions should the nurse take to prevent client musculoskeletal
injury? - ANSWERinternally rotate the client's hips by using a trochanter roll.
Nurse is reinforcing teaching with a client who has a prescription for a transcutaneous
electrical nerve unit - ANSWERNurse should instruct the client to place electrodes near
or on the pain site to produce analgesia at the peripheral neuroreceptors
Nurse is reinforcing teaching with a client who is receiving PCA. Which of the following
statements by the clients indicates an understanding of the teaching ? - ANSWERI will
not allow anyone to press the PCA button for me
a Nurse is palpating the pulse located on top of a clients foot. Which of the following
pulses should the nurse document that she is palpating ? - ANSWERDorsalis Pedis
A nurse is collecting data from a client who has an NG tube set to low intermittent
suction. WHich of the following findings indicates hypomagnesemia? -
ANSWERPositive Chvostek's sign
A nurse is caring for a client who is alert and in a long term care facility. Which of the
following actions should the nurse take to protect the clients privacy ? - ANSWERAsk
the client before discussing his condition when family is present
A nurse is collecting data from an older adult client. Which of the following findings
should the nurse report to the provider ? - ANSWERThe client reports urinary
incontinence
a nurse is reinforcing teaching with an older adult client who reports an inability to sleep
which of the following information should the nurse include when teaching the client
about aging and sleep ? - ANSWERSleep pattern change with age
A nurse is assisting with the admission of a client who has brough her medications to
the facility. Which of the following actions should the nurse take ? - ANSWERCompare
the medications the provider has prescribed with the clients meds
a Nurse is reinforcing teaching with an older adult about oral hygiene . Which of the
instructions should the nurse include ? - ANSWERReplace her toothbrush following an
illness
a nurse is assisting with a presentation to a group of older adults at a community center
aboiut hypothermia and hyperthermia which of the following information should the
nurse include about age related changes . - ANSWERCirrculation becomes less
efficient with age
A nurse is caring for a client who has a clostridium difficile (C-Diff) infection. Which of
the following solutions should the nurse use to perform hand hygiene while caring for
this client? - ANSWERMild soap
A nurse is caring for a client who is postoperative and is experiencing cause and
vomiting. The nurse should identify which of the following findings as indications that the
, PN fundamentals A
client has fluid volume deficit? (Select all that apply) - ANSWERDecreased skin turgor,
orthostatic hypotension, flat neck veins.
A nurse writes client information on a piece of paper while receiving report. Which of the
following actions should the nurse take to dispose of the paper? - ANSWERShed the
paper in a secure container.
A nurse is reinforcing preoperative teaching with a client who does not speak the same
language as the nurse. Which of the following actions should the nurse take? -
ANSWERProvide handouts written in the client's primary language.
A nurse is contributing to a plan of care for a client who has a new prescription for a
wrist restraint. Which of the following actions should the nurse include in the plan? -
ANSWERPad bony prominence on the wrist
A nurse is caring for a client who has recently undergone a total bilateral mastectomy.
Which of the following statements by the client requires immediate action by the nurse?
- ANSWER"When i look at myself in the mirror, I don't know if i can go on."`
A Nurse is assisting witht he plan of care for a client who has a bacterial infection and a
persistent oral temperature of 38.9 c 102 F Which of the folloiwing interventions should
the nurse include in the plan of care to treat the fever ? - ANSWERAdminister
acetaminophen
A nurse is contributing to the plan of care for a client who has a positive throat culture
for strep. Which of the following interventions should the nurse recommend to be
included in the plan of care? - ANSWEREnsure the client wears a surgical mask during
transportation throughout the facility.
A nurse is caring for a client who has a prescription for potassium supplement. The
client tells the nurse that the pill is too large to swallow and refuses to take it. The nurse
offers to break to pill into two smaller pieces. The nurse is demonstrating which of the
following ethical principles? - ANSWERBeneficence
A nurse is using Maslow's hierarchy of needs in assisting with discharge planning for a
client. Which of the following activities should the nurse recommend as the priority for
this client? - ANSWERAttend an exercise program.
A nurse is reviewing the medical record of a client who has heart failure. The nurse
should identify which of the following lab results as an indication that the client has fluid
volume excess? - ANSWERBUN 8mg/dL
A nurse is repositioning a client who has quadriplegia and is in the supine position.
Which of the following actions should the nurse take to prevent client musculoskeletal
injury? - ANSWERinternally rotate the client's hips by using a trochanter roll.
