NURSING ASSESSMENT TEST QUESTIONS AND ANSWERS . Buy Quality Materials!

NURSING ASSESSMENT TEST QUESTIONS AND ANSWERS . Buy Quality Materials! The nurse prepares the client for a sigmoidoscopy procedure. Which statement should be included in the instructions to the client? A tubal be inserted through your anus to allow visualization of the rectum and colon. The five year old child plays with several other children around the same age. This child is most likely to engage in which activity? Play with a toy telephone and imitate the doctor The nurse performs an assessment on the client. Which should the nurse include as part of the assessment? Compare the size of both pupils The nurse Supervisor staff who care for the client with a radiation implant. What is the priority action for the nurse to take? Rotate the staff members assigned to the client The nurse finds the client diagnosed with Meniere's disease leaning over the sink in the room and clutching it with both hands. The nurse determined that client is having an acute attack. Which action should the nurse take first? Help the client back to bed and to rest quietly with affected ear in the uppermost position The nurse makes a home care visit to the two year old child treated for ingesting paint thinner. To prevent further episodes of poisoning, it is most important for the nurse to include which intervention in the plan of care? Reinforce that toddlers Explorer by putting things in their mouth. The nurse cares for the client who reports sudden onset of severe right flank pain. The client is diagnosed with urinary calculi. Which nursing action has the highest priority? strain all urine through several layersof gauze The 17 month old child sucks the thumb especially at night when quieting for sleep. Which of these suggestions by the nurse is best? This behavior will subside. It usually peaks at 24 months. The nurse cares for the client diagnosed with diabetic ketoacidosis. Which findings with the nurse expect to observe? Hot, dry, flushed skin, excessive thirst, rapid pulse The nurse cares for the client diagnosed with Parkinson's disease. Which nursing goal is most appropriate when planning care for the client? Maintain optimal function within the clients limitations The nurse observes the client diagnosed with undifferentiated schizophrenia dancing alone next to the radio. Suddenly the client stops dancing and stares at the nurse in a threatening manner. Which is the most appropriate action for the nurse take? Verbalize it appears the client seems upset since the dancing stopped. The nurse cares for the 75 year old client after a total hip replacement procedure. The client has periods of disorientation and confusion, especially at night. The nurse prepares to administer an evening medication. The client glances to the left and says, "Huh? Oh yeah, that's okay!" And starts to laugh which response is the best for the nurse to make? I notice you're laughing The nurse cares for the 13 year old client diagnosed with a detached retina of the left eye. Which would the nurse expect to find during the assessment of the client Client reports seeing quick flashes of light How would the nurse position the postoperative client with a new tracheostomy With the head elevated and turned to one side until consciousness returns. By her fifth month of pregnancy, the 32 year old multipara of average prenatal height and weight has gained 14 pounds. Which is the most appropriate statement for the nurse to make? Your weight gain is appropriate, and you should continue on the present diet Nurse cares for the client diagnosed with a wound infection. What is the priority action for the nurse to take while caring for the client? check and record the client's temperature The nurse instructs the client diagnosed with diabetes about symptoms of hypoglycemia. Which information should be included in the teaching? Cool skin, sweating, headache The client with chronic obstructive pulmonary disease is drowsy and unable to expectorate secretions. Which action should the nurse take first? perform nasotrachel suction The nurse determines which nursing action is most important in terms of providing effective pain relief? Establish a trusting relationship with the client The 43 year old client who had a hysterectomy 6 months ago suddenly developed an intense fear of elevators. What is the best explanation of this fear? projection of anxiety onto a neutral object The nurse cares for the 8 year old client diagnosed with hemophilia. The child injured the knee and developed painful swelling. Which action should the nurse take first? Apply ice to the client's knee and elevate the leg Nurse cares for the client diagnosed with a hearing impairment. Which is the most appropriate action for the nurse to take during the care of this client? Place the client in good light to the client can see the nurse's mouth Which nursing assessment is most important in helping the client prevent sensory deprivation Evaluate the client immediate environment The nurses assesses if the conscious client has an obstructed airway. Which action should the nurse take first? ask the client if he/she can speak