PN Final Exam
In biologic death, there is an absence of respirations and: - answerHeartbeat
The nurse is caring for a client who has been confused and climbing out of the bed.
What action should the nurse take if the nurse must take care of another client and
leave the room? - answerDon't leave the client alone and request that another nurse sit
one-on-one with the client
The nurse is caring for a client with acute blood loss from a duodenal ulcer. The client is
a Jehovah's Witness and refuses to consent for blood administration ordered by the
physician.
What action by the nurse is appropriate? - answerRespect the client's wishes and
continue to monitor the client's condition
A middle aged client informs the nurse of an increasing weight gain.
Which screening should the nurse prepare the client for to assess for potential
complications of the weight gain - answerGlucose level to screen for diabetes.
What trends in nursing are expected to influence nursing in the 21st century? Select all
that apply. - answerhigher client acuity in hospital and long term settings
shift to community base care
advancements in technology
greater life expectancy
The nurses came for several patients on a medical unit. Which patient would the nurse
identify as a vulnerable person? - answerA mentally challenged adult admitted for
surgery
The nurse is caring for a group of clients. What fundamental procedure of healthcare
should the nurse include in the care? - answerUse standard precautions
A Muslim-Arab female client is in the clinic for a gynecologic procedure.
The client does not directly look at the nurse or physician in the eye when speaking.
What does the nurse interpret this behavior to mean? - answerThe client is
demonstrating modesty
The nurse is performing passive range of motion exercises for a client who is immobile.
Which response by the nurse is best when the client states, "Why are you doing this?" -
answer"It will prevent joint stiffness and muscle atrophy."
, A client asked the nurse why so many wrinkles have developed on the clients face.
Which response by the nurse is the best? - answerWrinkles are a result of a loss of
elasticity.
A 10-year-old child is brought to the school nurse with a black eye, after being involved
in an altercation with another child. What statement by the child would be of greatest
concern to the nurse? - answer"It is my fault my parents are getting a divorce."
A nurse is assisting an older adult with personal hygiene. Which action should the nurse
do when providing skin care for the client? - answerUse oils when giving a bath.
During the annual physical examination, a teenage client tells the nurse about feeling
anxious as well as frustrated because of facial acne. Which is the nurse's best
response? - answer"Let's talk about how to care for your skin."
A daughter caring for an aging parent in her home needs respite care from the
responsibility of caring for a frail adult.
Which would be the care setting of choice for this family? - answerSenior center
Did you study? - answerYes
The LVN/LPN would like to work for a home health agency. Which opportunity is best
for this nurse? - answerWorking with a child with special needs
A nurse is caring for an older adult client with a history of substance abuse. What
information should the nurse provide to the client's family when educating them on
substance abuse in their loved one? - answer"Substance abuse may result from
loneliness."
A client with hemiplegia is being taught how to dress more easily and independently.
How would the nurse demonstrate this skill to the client? - answerPlace clothing on the
affected arm or leg first.
The nurse is assisting an aging client with nutritional needs. Which fact should the nurse
keep in mind when planning meals for this client? - answerOlder adults have reduced
caloric needs.
A client has developed a large pressure wound on the right trochanter. How can the
nurse best ensure this client's nutritional needs are met to assist with healing? -
answerIncrease daily protein requirements
Which of the following strategies should a nurse use to establish a helping relationship
with a client? - answerEncourage the client to communicate his thoughts and feelings
The nurse is talking to a
In biologic death, there is an absence of respirations and: - answerHeartbeat
The nurse is caring for a client who has been confused and climbing out of the bed.
What action should the nurse take if the nurse must take care of another client and
leave the room? - answerDon't leave the client alone and request that another nurse sit
one-on-one with the client
The nurse is caring for a client with acute blood loss from a duodenal ulcer. The client is
a Jehovah's Witness and refuses to consent for blood administration ordered by the
physician.
What action by the nurse is appropriate? - answerRespect the client's wishes and
continue to monitor the client's condition
A middle aged client informs the nurse of an increasing weight gain.
Which screening should the nurse prepare the client for to assess for potential
complications of the weight gain - answerGlucose level to screen for diabetes.
What trends in nursing are expected to influence nursing in the 21st century? Select all
that apply. - answerhigher client acuity in hospital and long term settings
shift to community base care
advancements in technology
greater life expectancy
The nurses came for several patients on a medical unit. Which patient would the nurse
identify as a vulnerable person? - answerA mentally challenged adult admitted for
surgery
The nurse is caring for a group of clients. What fundamental procedure of healthcare
should the nurse include in the care? - answerUse standard precautions
A Muslim-Arab female client is in the clinic for a gynecologic procedure.
The client does not directly look at the nurse or physician in the eye when speaking.
What does the nurse interpret this behavior to mean? - answerThe client is
demonstrating modesty
The nurse is performing passive range of motion exercises for a client who is immobile.
Which response by the nurse is best when the client states, "Why are you doing this?" -
answer"It will prevent joint stiffness and muscle atrophy."
, A client asked the nurse why so many wrinkles have developed on the clients face.
Which response by the nurse is the best? - answerWrinkles are a result of a loss of
elasticity.
A 10-year-old child is brought to the school nurse with a black eye, after being involved
in an altercation with another child. What statement by the child would be of greatest
concern to the nurse? - answer"It is my fault my parents are getting a divorce."
A nurse is assisting an older adult with personal hygiene. Which action should the nurse
do when providing skin care for the client? - answerUse oils when giving a bath.
During the annual physical examination, a teenage client tells the nurse about feeling
anxious as well as frustrated because of facial acne. Which is the nurse's best
response? - answer"Let's talk about how to care for your skin."
A daughter caring for an aging parent in her home needs respite care from the
responsibility of caring for a frail adult.
Which would be the care setting of choice for this family? - answerSenior center
Did you study? - answerYes
The LVN/LPN would like to work for a home health agency. Which opportunity is best
for this nurse? - answerWorking with a child with special needs
A nurse is caring for an older adult client with a history of substance abuse. What
information should the nurse provide to the client's family when educating them on
substance abuse in their loved one? - answer"Substance abuse may result from
loneliness."
A client with hemiplegia is being taught how to dress more easily and independently.
How would the nurse demonstrate this skill to the client? - answerPlace clothing on the
affected arm or leg first.
The nurse is assisting an aging client with nutritional needs. Which fact should the nurse
keep in mind when planning meals for this client? - answerOlder adults have reduced
caloric needs.
A client has developed a large pressure wound on the right trochanter. How can the
nurse best ensure this client's nutritional needs are met to assist with healing? -
answerIncrease daily protein requirements
Which of the following strategies should a nurse use to establish a helping relationship
with a client? - answerEncourage the client to communicate his thoughts and feelings
The nurse is talking to a
