2025/2026
Terms in this set (100)
The nurse prepares a Injections are administered just below the skin.
subcutaneous injection for a
client. Which statement describes Subcutaneous injections are administered just below the skin in the
a subcutaneous injection? subcutaneous tissue.
1. Injections are
administered into the
muscle.
2. Injections are
administered just below the skin.
3. Injections are administered
creating a seal over the
muscle site.
4. Injections are administered
into the dermal layer of
skin.
The nurse cares for a multipara Offer the client the bedpan.
client who delivered a newborn 1
hour ago. The nurse observes The client is encouraged to void as the uterus is boggy and
the client's breasts are soft, the deviated to right, indicating a full bladder.
uterus is boggy to the right of
the midline and 2 cm below the
umbilicus, and there is moderate
lochia rubra. Which action is
most important for the nurse to
take?
1. Perform a straight
catheterization.
2. Offer the client the bedpan.
3. Place the newborn to the breast.
4. Massage the uterine fundus.
, It provides IV access for clients on a fluid restriction.
The nurse provides care for a
A saline lock provides IV access without the client needing
client with a peripheral
continuous IV infusions. This is helpful in clients on a fluid
intravenous (IV) saline lock. The
restriction.
nurse recalls which is an
advantage to using a saline
It provides access for intermittent IV medications.
lock? (Select all that apply.)
A saline lock provides IV access for intermittent IV infusions, such as
antibiotics.
1. It provides IV access for
clients on a fluid restriction. It allows the client more mobility than continuous IV fluids.
2. It provides access for Because the client does not have continuous IV fluids, the client
intermittent IV medications. may have increased mobility.
3. It allows the client more
mobility than continuous IV It is more cost effective than continuous IV infusions.
fluids. Because a saline lock can be easily inserted for medication
4. It does not require flushing administration only, it is more cost effective than continuous IV
before and after medication infusions. Clients in outpatient situations can have a saline lock
administration inserted, the medication given, and the saline lock discontinued,
5. It is more cost effective than which decreases the overall cost.
continuous IV infusions.
The nurse provides care for The client diagnosed with depression says to the nurse, "My plan is
clients on a psychiatric unit and complete, and I'm ready to go."
is suddenly faced with multiple The client diagnosed with schizophrenia tells the nurse the TV
issues. In which order does the should be destroyed. The client with substance abuse reports
nurse address these situations? harassment by another client.
(Place the answers in order of The client diagnosed with bipolar disorder walks into the day room
priority starting with the first wearing only underwear.
client to be seen. All options
must be used.)
The nurse provides care to Tertiary.
clients in a community health Reducing complications is the tertiary level of prevention.
clinic. The nurse recalls which is
a level of disease prevention? Secondary.
(Select all that apply.) Measures to cure a disease are the secondary level of prevention.
1. Tertiary. Primary.
2. Secondary. Health promotion is the primary level of prevention.
3. Primary.
4. Preventative.
5. Restorative.
A client has partial-thickness Tachypnea.
and full- thickness burns over
75% of the body. The nurse is A responsive client with partial and full thickness burns over
most concerned if which 75% of the body responds to early hypovolemic shock by
symptom is observed? adrenergic stimulation that can cause tachycardia. The priority is
to monitor airway, breathing, and circulation and provide
1. Epigastric pain. supplemental oxygen and cardiac monitoring.
2. Restlessness.
,3. Tachypnea.
4. Lethargy.
, The nurse provides care for a Fiber increases the bulk of fecal matter, making it easier to pass.
client in the health provider's
office. The client is prescribed Fiber provides bulk in the fecal material, making it easier for the
fiber daily for constipation. The client to pass, and it prevents constipation when ingested
nurse understands that fiber regularly.
helps bowel elimination in
which way?
1. Fiber increases water
intake into the intestines,
making bowel movements loose.
2. Fiber decreases the
weight of stool, making it
easier to move through the
intestines.
3. Fiber causes the intestines to
contract to move stool through
the intestines.
4. Fiber increases the bulk of
fecal matter, making it easier
to pass.
A client has just indicated a wish Report the client's wish to commit suicide to the health care provider.
to commit suicide. The client then
asks the nurse not to tell anyone. To ensure client safety, the nurse must share this information, starting
Which action by the nurse is with the health care provider. The nurse should be transparent
best? and let the client know this information must be shared. One-to-
one client monitoring is required.
1. Encourage the client not
to do anything without thinking
it through very carefully.
2. Explain to the client that
anything told to the nurse is
kept strictly confidential.
3. Report the client's wish to
commit suicide to the health
care provider.
4. Encourage the client to tell
the nurse more about what is
being felt.
A nurse gives a presentation at Store important documents in an easily accessible location.
the local community center on Copies of insurance and health insurance cards, vaccination
hurricane disaster records, birth certificates, and identification are a few important
preparedness because documents that should be kept together in an easily accessible
hurricanes have devastated the location.
community in the past. Which
information is helpful for the nurse Obtain a supply of prescription medications for at least 72 hours.
to include in the presentation? Clients are instructed to speak to the health care provider about