1. Ahnurse h inhahpediatrichunithishpreparinghtohinserthanhIV h catheterhforh7-year-
h old. h Whichh of h the h followingh actions h should h the h nurse h take?
A. (Unable h toh read)
B. Tellh the h childh theyh willh feelh discomforth duringh the h catheterh insertion.
C. Use h ah mummyh restrainth toh holdh the h childh duringh the h catheterh insertion.
D. Require h the h parentsh toh leave h the h roomh duringh the h procedure.h Correcth Answer:h B
2. Ahnurse hishcaringhforhahclienthwhohhasharteriovenoushfistulahWhichhofhthehfollowinghfindingshshouldhtheh
nurse hreport?
A. Thrillhuponh palpation.
B. Absence h of h ah bruit.
C. Distendedh bloodh vessels
D. Swishingh soundh uponh auscultation.h Correcth Answer:h B
3. Ahnurse hishprovidinghdischargehteachinghforhahclienthwhohhashanhimplantableh cardioverterhdefibrillatorh
whichh of h the h followingh statementsh demonstratesh understandingh ofh the h teaching?
A. "Ih willhsoakh inh the h tubh ratherh andh showering"
B. "Ih willh wearh loose h clothingh aroundh myh ICD"
C. "Ih willh stoph usingh myh microwave h ovenh ath home h because h of h myh ICD"
D. "Ih canh holdh myh cellphone h onh the h same h side h of h myh bodyh ash the h ICD"h Correcth Answer:h B
4. Ahnurse hishcaringhforhahclienthwhohishath14hweeksbgestationhandhreportshfeelingshof hambivalence haboutbbh
eingh pregnant.h Whichh ofh the h followingh responsesh shouldh the h nurse h make?
A. "Describe h yourh feelingsh toh me h abouth beingh pregnant"
B. "Youhshouldhdiscusshyourhfeelingshabouthbeinghpregnanthwithhyourh p
rovider"
C. "Have h youh discussedh these h feelingsh withh yourh partner?"
D. "Whenh didh youh starth havingh these h feelings?"h Correcth Answer:h A
5. Ah nurse h ish planningh care h forh ah clienth whoh hash ah prescriptionh forh ah bowel-
traininghprogramhfollowinghahspinalhcordhinjury.hWhichhofhthehfollowinghactionshshouldhthehnursehincludeb
h inh the h planh of h care?
A. Encourage h ahmaximumhfluidhintakehofh1,500bmlhperhday.hB.hIncreasehthe hamounthofhrefinedhgrainshinhth
h e h client's h diet.
C. Provide h the h clienth withh ah coldh drinkh priorh toh defecation.
D. Administerh ah rectalh suppositoryh 30bminuteshpriorh tobscheduledh defecationh times.h Correcth Answer:h D
6. Ahnurse hishcaringhforhahclienthwhohishinhactive hlaborhandhrequestsbpainhmanagement.hWhichhofhthe hfolloh
winghactionshshouldhthe hnurse htake?
A. Administerh ondansetron.
B. Place h the h clienth inh ah warmh shower.
C. Applyh fundalh pressure h duringh contractions.
D. Assisth the h clienth toh ah supine h position.h Correcth Answer:h B
,7. ahnurse hinhanhemergencyhdepartmenthishperformingbtriage hforhmultiple hclientshfollowinghahdisasterhinhthh
e h community.h Tohwhichh of hthehfollowingh typesh of h injuriesh shouldh theh nurseh assignh the h highesth priority?
A. Below-the h knee h amputation
B. Fracturedh tibia
C. 95%h full-thicknessh bodyh burn
D. 10cmh (4in) h lacerationh toh the h forearmh Correcth Answer:h A
8. ahnurse hmanagerhishupdatinghprotocolshforhthe husehof hbelthrestraints.hWhichhofhthehfollowinghguidelinesh
shouldhthe hnurse hinclude?
A. Remove h the h client'sh restrainth everyh 4hr
B. Documenth the h client'sh conditionh everyh 15hmin
C. Attachh the h restrainh toh the h bed'sh side h rails
D. Requesth ah PRNh restrainh prescriptionh forh clientsh whoh are h aggressive h Correcth Answer:h B
9. Ah nurse h ish teachingh anh in-
service habouthnursinghleadership.hWhichhofhthehfollowinghinformationhshouldhthe bnurse hincludebabouthanb
h effective h leader?
A. Actsh ash anh advocate h forh the h nursingh unit.
B. (Unable h toh read) h forh the h unit
C. Prioritiesh staff h requesth overh clienth needs.
D. Providesh routine h clienth care h andh documentation. h Correcth Answer:h A
10. Ah nurseh ish reviewinghthe hlaboratoryhfindingshofhahclienthwhohhashdiabeteshmellitush andhreportshthathsh
h eh hash beenh followingh herh(unable htoh read) h care. h Theh nurseh should h identifyh whichh ofh theh followingh findings
h indicates h ah need h toh revise h the h client's h planh of h care.
A. Serumh sodiumh 144hmEq/
B. (Unable h toh read)
C. Hba1ch10b%
D. Randomh serumh glucose h 190hmg/dl.h Correcth Answer:h C
11. Ahnurseh inhahprovider'shoffice h ishreviewinghthe hlaboratoryhresultshof hahgrouphofhclients.hThe hnurse hshouh
ldhidentifyhthathwhichhofhthe hfollowinghsexuallyhtransmittedhinfectionshishahnationallyhnotifiable hinfectiousb
h disease h thath should h be h reported h toh the h state h healthh department?
A. Chlamydia
B. Humanh papillomavirus
C. Candidiasis
D. Herpsh simplex h virush Correcth Answer:h A
12. Ahnurseh ishteachinghahnewlyhlicensedhnurse habouththerapeutichtechniquesbtobuse hwhenhleadinghahgrou
h ph onh ah mentalh healthh unit. h Whichh ofh the hfollowingh groupbfacilitation h techniques hshould h theh nurseh include
bh inh the h teaching?
A. Share h personalh opinionsh toh helph influence h the h group'sh values
B. Measure h the h accomplishmentsh of h the h grouph againsth ah previoush group
C. Yieldh inh situationsh of h conflictsh toh maintainh grouph harmony
D. Use h modelingh toh helph the h clientsh improve h theirh interpersonalh skillsh Correcth Answer:h D
,13. Ahnurse h ishplanninghforhahclienthwhohpracticeshOrthodoxbJudaism.hThe hclienthtellshthe hnursehthath(Unabh
le h tohread) hPassoverhholiday.h Whichhofhthehfollowinghactionhshouldhthehnursehincludehinhthehplanhofh care?
A. Provide h chickenh withh creamh sauce.
B. Avoidh servingh fishh withh finsh andh scales.
C. Provide h unleavenedh bread.
D. Avoidh servingh foodsh containingh lamb.h Correcth Answer:h C
14. Ahnurse hishcaringhforhahclienthwhobhashahpulmonaryhembolism.hThe hnurse hshouldhidentifyhthe heffectiveh
nesshofhthe htreatment
A. Ah chesth x-rayh revealsh increasedh densityh inh allh fields.
B. The h clienth reportsh feelingh lessh anxious.
C. Diminishedh breathh soundsh are h auscultatedh bilaterally
D. ABG h resultsh include h Phh 7.48hPaO2h77hmmh Hgh andh PaCO2h47hmmh Hg.h Correcth Answer:h B
15. Ahnurse hinhanbemergencyhdepartmenthishassessinghahclienthwhohreportshingestinghthirtyhdiazepamhtablh
etsh(Unablebtohread) hahrespiratoryhratehofh10/min.hAfterhsecuringhthe hclient'shairwayhandhinitiatinghanhIV,h
whichh of h the h followinghactionsh shouldh the h nurse h dohnext.
A. Monitorh the h client'sh IV h site h forh thrombophlebitis.
B. Administerh flumazenilh toh the h client.
C. Evaluate h the h clienth forh furtherh suicidalh behavior.
D. Initiate h seizure h precautionsh forh the h client.h Correcth Answer:h B
16. Ah nurse h inh anbemergencyhdepartmenthishcaringh forhahclienthwhohreportshcocainehuseh1hrhago.hWhichho
h f h the h followingh findings h should h the h nurse h expect?
A. Hypotension
B. Memoryh loss
C. Slurredh speech
D. Elevatedh temperature h Correcth Answer:h D
17. Ahnurse hishassessinghahnewbornhwhohhashahbloodhglucoseblevelhofh30bmg/dl.hWhichhof hthebfollowinghmh
anifestationshshouldhthe hnurse hexpect?
A. Loose h stools
B. Jitteriness
C. Hypertonia
D. Abdominalh distentionh Correcth Answer:h B
18. Ah nurse h inhahpediatrichclinichish reviewinghthehlaboratoryhtesthresultshof hahschoolhagehchild.h Whichhofh th
h e h followingh findings h should h the h nurse h reporth toh the h provider?
A. Hgbh 12.5hg/dl
B. Plateletsh 250,000/mm3
C. Hcth40%
D. WBCh 14,000/mm3hCorrecth Answer:h D
19. Ahcharge hnurse hishteachinghahnewlyhlicensedhnursehabouthclientshdesignatinghahhealthhcare hproxyhinhsith
uationshthathrequire hahdurablehpowerhofhattorneyhforhhealhcareh(DPSHC).hWhichhofhthe hfollowinghinformath
ionhshouldhthe hcharge hnurse hinclude?
A. "The h proxyhshouldh make hhealthh care hdecisionshforhthe hclienthregardlessh of hthe bclient'shabilityh tohdohso."
B. "The h proxyh canh make h financialh decisionsh ifh the h needh arises."
, C. The hproxyhcanhmakehtreatmenthdecisionshif hthehclienthishunderh a
nesthesia."
D. "The h proxyh shouldh manage h legalh issuesh forh the h client."h Correcth Answer:h C
20. Ahnurse hinhthe hPACUhishcaringhforhahclienthwhohreportshnausea.hWhichhofhthe hfollowinghactionshshouldh
the hnurse htake hfirst?
A. Turnh the h clienth onh theirh side.
B. Administerh anh analgesic
C. Administerh antiemetic
D. Monitorh the h client'sh vitalh signs.h Correcth Answer:h A
21. Ahnurse hishcaringhforhahclienthwhobhashahhistoryhofhdepressionhandhishexperiencinghahsituationalhcrisis.h
Whichhof h the h followinghactionshshouldhthe h nurse h take h first?
A. Confirmh the h client'sh perceptionh ofh the h event
B. Notifyh the h client'sh supporth system
C. Helph the h clienth identifyh personalh strengths
D. Teachh the h clienth relaxationh techniquesh Correcth Answer:h A
22. Ahnursehishcaringhforhahclienthwhobhashbipolarhdisorderhandhishexperiencinghacutehmania.hThehnursebobh
tainedhahverbalhprescriptionhforhrestraints.hWhichhof hthe hfollowinghshouldhthe hactionshshouldhthe hnurse btah
ke?
A. Requesth ah renewalh ofh the h prescriptionh everyh 8h hr.
B. Checkh the h client'sh peripheralh pulse h rate h everyh 30hmin
C. Obtainh ah prescriptionh forh restrainth withinh 4hhr.
D. Documenth the h client'sh conditionh everyh 15h minutes.h Correcth Answer:h D
24. Ah charge h nurse h onh ah medical-
surgicalhunithishplanninghassignmentshforhahlicensedbpracticalhnurseh(LPN) hwhohhashbeenhsenthfromhthe h(Uh
nable h tohread)bunithdue htohahstaffinghshortage.hWhichhof hthebfollowinghclienthshouldhthe hnursehdelegate htoh
the hLPN?
Ah clienth whoh hashanh Hgbhofh 6.3hg/dlhandh ahprescriptionh forhpackedhRBCs.
h A h clienth whoh sustained h ah concussion h andh hash unequalh pupils.
C.h Ah clienth whobishpostoperative hfollowingh ahbowelhresectionhwithhanh NG htube hseth toh continuoush suction.
D.hAh clienthwhohfracturedhhishfemurhyesterdayhandhishexperiencinghshortnessbof hbreath.hCorrecthAnswer:h
C
25. Ahnursehishworkinghonhahsurgicalhunithishdevelopinghahcarehplanhforhahclienthwhohhashparaplegia.hThe hclih
enthhashanhareahofhnonblanchableherythemahoverhhishischium.hWhichhofhthehfollowinghinterventionshshoulh
dhthe hnurse hinclude hinhthe hcare hplan?
A. Place h the h clienth uprighth onh ah donut-shapedh cushion
B. Teachh the h clienth toh shifth hish weighth everyh 15hminh while h sitting
C. Turnh andh repositionh the h clienth everyh 3hhrh while h inh bed
D. Assessh pressure h pointsh everyh 24h hrh Correcth Answer:h A
25. Ah nurse h ishcaringhforhahclienthwhohishdilatedhtoh10hcmhandhpushing.h Whichhofh the h followinghpain-
h managementh (Unable h toh read) h ah safe h option h forh the h client?
A. Naloxone h hydrochloride.
B. Spinalh anesthesia.
h old. h Whichh of h the h followingh actions h should h the h nurse h take?
A. (Unable h toh read)
B. Tellh the h childh theyh willh feelh discomforth duringh the h catheterh insertion.
C. Use h ah mummyh restrainth toh holdh the h childh duringh the h catheterh insertion.
D. Require h the h parentsh toh leave h the h roomh duringh the h procedure.h Correcth Answer:h B
2. Ahnurse hishcaringhforhahclienthwhohhasharteriovenoushfistulahWhichhofhthehfollowinghfindingshshouldhtheh
nurse hreport?
A. Thrillhuponh palpation.
B. Absence h of h ah bruit.
C. Distendedh bloodh vessels
D. Swishingh soundh uponh auscultation.h Correcth Answer:h B
3. Ahnurse hishprovidinghdischargehteachinghforhahclienthwhohhashanhimplantableh cardioverterhdefibrillatorh
whichh of h the h followingh statementsh demonstratesh understandingh ofh the h teaching?
A. "Ih willhsoakh inh the h tubh ratherh andh showering"
B. "Ih willh wearh loose h clothingh aroundh myh ICD"
C. "Ih willh stoph usingh myh microwave h ovenh ath home h because h of h myh ICD"
D. "Ih canh holdh myh cellphone h onh the h same h side h of h myh bodyh ash the h ICD"h Correcth Answer:h B
4. Ahnurse hishcaringhforhahclienthwhohishath14hweeksbgestationhandhreportshfeelingshof hambivalence haboutbbh
eingh pregnant.h Whichh ofh the h followingh responsesh shouldh the h nurse h make?
A. "Describe h yourh feelingsh toh me h abouth beingh pregnant"
B. "Youhshouldhdiscusshyourhfeelingshabouthbeinghpregnanthwithhyourh p
rovider"
C. "Have h youh discussedh these h feelingsh withh yourh partner?"
D. "Whenh didh youh starth havingh these h feelings?"h Correcth Answer:h A
5. Ah nurse h ish planningh care h forh ah clienth whoh hash ah prescriptionh forh ah bowel-
traininghprogramhfollowinghahspinalhcordhinjury.hWhichhofhthehfollowinghactionshshouldhthehnursehincludeb
h inh the h planh of h care?
A. Encourage h ahmaximumhfluidhintakehofh1,500bmlhperhday.hB.hIncreasehthe hamounthofhrefinedhgrainshinhth
h e h client's h diet.
C. Provide h the h clienth withh ah coldh drinkh priorh toh defecation.
D. Administerh ah rectalh suppositoryh 30bminuteshpriorh tobscheduledh defecationh times.h Correcth Answer:h D
6. Ahnurse hishcaringhforhahclienthwhohishinhactive hlaborhandhrequestsbpainhmanagement.hWhichhofhthe hfolloh
winghactionshshouldhthe hnurse htake?
A. Administerh ondansetron.
B. Place h the h clienth inh ah warmh shower.
C. Applyh fundalh pressure h duringh contractions.
D. Assisth the h clienth toh ah supine h position.h Correcth Answer:h B
,7. ahnurse hinhanhemergencyhdepartmenthishperformingbtriage hforhmultiple hclientshfollowinghahdisasterhinhthh
e h community.h Tohwhichh of hthehfollowingh typesh of h injuriesh shouldh theh nurseh assignh the h highesth priority?
A. Below-the h knee h amputation
B. Fracturedh tibia
C. 95%h full-thicknessh bodyh burn
D. 10cmh (4in) h lacerationh toh the h forearmh Correcth Answer:h A
8. ahnurse hmanagerhishupdatinghprotocolshforhthe husehof hbelthrestraints.hWhichhofhthehfollowinghguidelinesh
shouldhthe hnurse hinclude?
A. Remove h the h client'sh restrainth everyh 4hr
B. Documenth the h client'sh conditionh everyh 15hmin
C. Attachh the h restrainh toh the h bed'sh side h rails
D. Requesth ah PRNh restrainh prescriptionh forh clientsh whoh are h aggressive h Correcth Answer:h B
9. Ah nurse h ish teachingh anh in-
service habouthnursinghleadership.hWhichhofhthehfollowinghinformationhshouldhthe bnurse hincludebabouthanb
h effective h leader?
A. Actsh ash anh advocate h forh the h nursingh unit.
B. (Unable h toh read) h forh the h unit
C. Prioritiesh staff h requesth overh clienth needs.
D. Providesh routine h clienth care h andh documentation. h Correcth Answer:h A
10. Ah nurseh ish reviewinghthe hlaboratoryhfindingshofhahclienthwhohhashdiabeteshmellitush andhreportshthathsh
h eh hash beenh followingh herh(unable htoh read) h care. h Theh nurseh should h identifyh whichh ofh theh followingh findings
h indicates h ah need h toh revise h the h client's h planh of h care.
A. Serumh sodiumh 144hmEq/
B. (Unable h toh read)
C. Hba1ch10b%
D. Randomh serumh glucose h 190hmg/dl.h Correcth Answer:h C
11. Ahnurseh inhahprovider'shoffice h ishreviewinghthe hlaboratoryhresultshof hahgrouphofhclients.hThe hnurse hshouh
ldhidentifyhthathwhichhofhthe hfollowinghsexuallyhtransmittedhinfectionshishahnationallyhnotifiable hinfectiousb
h disease h thath should h be h reported h toh the h state h healthh department?
A. Chlamydia
B. Humanh papillomavirus
C. Candidiasis
D. Herpsh simplex h virush Correcth Answer:h A
12. Ahnurseh ishteachinghahnewlyhlicensedhnurse habouththerapeutichtechniquesbtobuse hwhenhleadinghahgrou
h ph onh ah mentalh healthh unit. h Whichh ofh the hfollowingh groupbfacilitation h techniques hshould h theh nurseh include
bh inh the h teaching?
A. Share h personalh opinionsh toh helph influence h the h group'sh values
B. Measure h the h accomplishmentsh of h the h grouph againsth ah previoush group
C. Yieldh inh situationsh of h conflictsh toh maintainh grouph harmony
D. Use h modelingh toh helph the h clientsh improve h theirh interpersonalh skillsh Correcth Answer:h D
,13. Ahnurse h ishplanninghforhahclienthwhohpracticeshOrthodoxbJudaism.hThe hclienthtellshthe hnursehthath(Unabh
le h tohread) hPassoverhholiday.h Whichhofhthehfollowinghactionhshouldhthehnursehincludehinhthehplanhofh care?
A. Provide h chickenh withh creamh sauce.
B. Avoidh servingh fishh withh finsh andh scales.
C. Provide h unleavenedh bread.
D. Avoidh servingh foodsh containingh lamb.h Correcth Answer:h C
14. Ahnurse hishcaringhforhahclienthwhobhashahpulmonaryhembolism.hThe hnurse hshouldhidentifyhthe heffectiveh
nesshofhthe htreatment
A. Ah chesth x-rayh revealsh increasedh densityh inh allh fields.
B. The h clienth reportsh feelingh lessh anxious.
C. Diminishedh breathh soundsh are h auscultatedh bilaterally
D. ABG h resultsh include h Phh 7.48hPaO2h77hmmh Hgh andh PaCO2h47hmmh Hg.h Correcth Answer:h B
15. Ahnurse hinhanbemergencyhdepartmenthishassessinghahclienthwhohreportshingestinghthirtyhdiazepamhtablh
etsh(Unablebtohread) hahrespiratoryhratehofh10/min.hAfterhsecuringhthe hclient'shairwayhandhinitiatinghanhIV,h
whichh of h the h followinghactionsh shouldh the h nurse h dohnext.
A. Monitorh the h client'sh IV h site h forh thrombophlebitis.
B. Administerh flumazenilh toh the h client.
C. Evaluate h the h clienth forh furtherh suicidalh behavior.
D. Initiate h seizure h precautionsh forh the h client.h Correcth Answer:h B
16. Ah nurse h inh anbemergencyhdepartmenthishcaringh forhahclienthwhohreportshcocainehuseh1hrhago.hWhichho
h f h the h followingh findings h should h the h nurse h expect?
A. Hypotension
B. Memoryh loss
C. Slurredh speech
D. Elevatedh temperature h Correcth Answer:h D
17. Ahnurse hishassessinghahnewbornhwhohhashahbloodhglucoseblevelhofh30bmg/dl.hWhichhof hthebfollowinghmh
anifestationshshouldhthe hnurse hexpect?
A. Loose h stools
B. Jitteriness
C. Hypertonia
D. Abdominalh distentionh Correcth Answer:h B
18. Ah nurse h inhahpediatrichclinichish reviewinghthehlaboratoryhtesthresultshof hahschoolhagehchild.h Whichhofh th
h e h followingh findings h should h the h nurse h reporth toh the h provider?
A. Hgbh 12.5hg/dl
B. Plateletsh 250,000/mm3
C. Hcth40%
D. WBCh 14,000/mm3hCorrecth Answer:h D
19. Ahcharge hnurse hishteachinghahnewlyhlicensedhnursehabouthclientshdesignatinghahhealthhcare hproxyhinhsith
uationshthathrequire hahdurablehpowerhofhattorneyhforhhealhcareh(DPSHC).hWhichhofhthe hfollowinghinformath
ionhshouldhthe hcharge hnurse hinclude?
A. "The h proxyhshouldh make hhealthh care hdecisionshforhthe hclienthregardlessh of hthe bclient'shabilityh tohdohso."
B. "The h proxyh canh make h financialh decisionsh ifh the h needh arises."
, C. The hproxyhcanhmakehtreatmenthdecisionshif hthehclienthishunderh a
nesthesia."
D. "The h proxyh shouldh manage h legalh issuesh forh the h client."h Correcth Answer:h C
20. Ahnurse hinhthe hPACUhishcaringhforhahclienthwhohreportshnausea.hWhichhofhthe hfollowinghactionshshouldh
the hnurse htake hfirst?
A. Turnh the h clienth onh theirh side.
B. Administerh anh analgesic
C. Administerh antiemetic
D. Monitorh the h client'sh vitalh signs.h Correcth Answer:h A
21. Ahnurse hishcaringhforhahclienthwhobhashahhistoryhofhdepressionhandhishexperiencinghahsituationalhcrisis.h
Whichhof h the h followinghactionshshouldhthe h nurse h take h first?
A. Confirmh the h client'sh perceptionh ofh the h event
B. Notifyh the h client'sh supporth system
C. Helph the h clienth identifyh personalh strengths
D. Teachh the h clienth relaxationh techniquesh Correcth Answer:h A
22. Ahnursehishcaringhforhahclienthwhobhashbipolarhdisorderhandhishexperiencinghacutehmania.hThehnursebobh
tainedhahverbalhprescriptionhforhrestraints.hWhichhof hthe hfollowinghshouldhthe hactionshshouldhthe hnurse btah
ke?
A. Requesth ah renewalh ofh the h prescriptionh everyh 8h hr.
B. Checkh the h client'sh peripheralh pulse h rate h everyh 30hmin
C. Obtainh ah prescriptionh forh restrainth withinh 4hhr.
D. Documenth the h client'sh conditionh everyh 15h minutes.h Correcth Answer:h D
24. Ah charge h nurse h onh ah medical-
surgicalhunithishplanninghassignmentshforhahlicensedbpracticalhnurseh(LPN) hwhohhashbeenhsenthfromhthe h(Uh
nable h tohread)bunithdue htohahstaffinghshortage.hWhichhof hthebfollowinghclienthshouldhthe hnursehdelegate htoh
the hLPN?
Ah clienth whoh hashanh Hgbhofh 6.3hg/dlhandh ahprescriptionh forhpackedhRBCs.
h A h clienth whoh sustained h ah concussion h andh hash unequalh pupils.
C.h Ah clienth whobishpostoperative hfollowingh ahbowelhresectionhwithhanh NG htube hseth toh continuoush suction.
D.hAh clienthwhohfracturedhhishfemurhyesterdayhandhishexperiencinghshortnessbof hbreath.hCorrecthAnswer:h
C
25. Ahnursehishworkinghonhahsurgicalhunithishdevelopinghahcarehplanhforhahclienthwhohhashparaplegia.hThe hclih
enthhashanhareahofhnonblanchableherythemahoverhhishischium.hWhichhofhthehfollowinghinterventionshshoulh
dhthe hnurse hinclude hinhthe hcare hplan?
A. Place h the h clienth uprighth onh ah donut-shapedh cushion
B. Teachh the h clienth toh shifth hish weighth everyh 15hminh while h sitting
C. Turnh andh repositionh the h clienth everyh 3hhrh while h inh bed
D. Assessh pressure h pointsh everyh 24h hrh Correcth Answer:h A
25. Ah nurse h ishcaringhforhahclienthwhohishdilatedhtoh10hcmhandhpushing.h Whichhofh the h followinghpain-
h managementh (Unable h toh read) h ah safe h option h forh the h client?
A. Naloxone h hydrochloride.
B. Spinalh anesthesia.
