As you complete the health history, the patient appears nervous and avoids eye
contact. It is unclear whether he is a reliable source of information, and you begin to
question whether he is being truthful during the interview. Your best option is:
a. Continue with the interview but note the nervous appearance and avoidance of eye
contact.
b. Confront the patient. Let him know that you are concerned he is not a reliable
source of his health information.
c. Continue with the interview but ask the same question in a different way to
determine reliability.
d. Ask the person if there is someone else who can serve as a secondary contact to
ensure information is correct.
Give this one a try later!
c. Continue with the interview but ask the same question in a different way
to determine reliability.
,Palpation can be used for which of the following? Select all that apply.
a. Position of an organ
b. Size of a mass
c. Density of an organ
d. Deep tendon reflex
e. Pulsation
f. Vibration
Give this one a try later!
A,B,E,F
A patient reports having had abdominal pain for the past week. What would be the
nurse's best response?
1. "Can you point to where it hurts?"
2. "What have you had to eat in the last 24 hours?"
3. "Have you ever had any surgeries on your abdomen?"
4. "We'll talk more about that later in the interview."
Give this one a try later!
1. "Can you point to where it hurts?"
The clinic nurse is caring for a patient who has been coming to the clinic weekly for
blood bressure checks since she changed medications 2 months ago. Which the is the
most appropriate action for the nurse to take?
A. Obtain a complete health history on the patient before checking her BP.
B. Collect a follow up database and then check the patient's BP.
C. Ask the patient to read her health record and inidicate any changes since her last
visit
D. Check the patient's BP
,Give this one a try later!
B. Collect a follow up database and then check the patient's BP.
Neglect
Give this one a try later!
is the failure of the caregiver to prevent harm and includes failure to meet
basic needs such as hygiene, nutrition/hydration, clothing, shelter, and
medical care.
Which of the following are open-ended questions? Select all that apply.
a. Tell me about your headaches.
b. Describe your chest pain.
c. Point to where the pain is.
d. What do you expect from me as your nurse?
e. Do you want to discuss all your options?
Give this one a try later!
A,B,D
M.J., age 85, has been diagnosed with terminal lung cancer. During report you were
told that the family does not want her to know the diagnosis. M.J. asks you, "Am I
going to die?" Which of the following is the best therapeutic response from you, the
nurse?
a. "Tell me what prompted that question."
b. "I will ask your physician to discuss this matter with you."
, c. "Let's take each day as it comes."
d. "I think you should discuss that with your family."
Give this one a try later!
a. "Tell me what prompted that question."
The nurse is caring for a 17-year-old female patient. In which situation would the nurse
screen the patient for intimate partner violence (IPV)?
1. When intimate partner violence is suspected
2. When a history of abuse in the family is known
3. As a routine part of each health care encounter
4. As part of the exam for a female with an unexplained injury
Give this one a try later!
3. As a routine part of each health care encounter
The nurse is teaching a newly hired group of UAP about infection-control measures
on the unit. It is crucial for the nurse to remind the UAPs that which of the following is
the most effective way to prevent the spread of pathogens during client care?
A. Discarding used syringes in appropriate containers
B. Peforming hand hygiene frequently and consistently
C. Properly disposing of contaminated equipment
D. Chaning soiled linens daily for clients who have draining wounds.
Give this one a try later!
B. Peforming hand hygiene frequently and consistently
contact. It is unclear whether he is a reliable source of information, and you begin to
question whether he is being truthful during the interview. Your best option is:
a. Continue with the interview but note the nervous appearance and avoidance of eye
contact.
b. Confront the patient. Let him know that you are concerned he is not a reliable
source of his health information.
c. Continue with the interview but ask the same question in a different way to
determine reliability.
d. Ask the person if there is someone else who can serve as a secondary contact to
ensure information is correct.
Give this one a try later!
c. Continue with the interview but ask the same question in a different way
to determine reliability.
,Palpation can be used for which of the following? Select all that apply.
a. Position of an organ
b. Size of a mass
c. Density of an organ
d. Deep tendon reflex
e. Pulsation
f. Vibration
Give this one a try later!
A,B,E,F
A patient reports having had abdominal pain for the past week. What would be the
nurse's best response?
1. "Can you point to where it hurts?"
2. "What have you had to eat in the last 24 hours?"
3. "Have you ever had any surgeries on your abdomen?"
4. "We'll talk more about that later in the interview."
Give this one a try later!
1. "Can you point to where it hurts?"
The clinic nurse is caring for a patient who has been coming to the clinic weekly for
blood bressure checks since she changed medications 2 months ago. Which the is the
most appropriate action for the nurse to take?
A. Obtain a complete health history on the patient before checking her BP.
B. Collect a follow up database and then check the patient's BP.
C. Ask the patient to read her health record and inidicate any changes since her last
visit
D. Check the patient's BP
,Give this one a try later!
B. Collect a follow up database and then check the patient's BP.
Neglect
Give this one a try later!
is the failure of the caregiver to prevent harm and includes failure to meet
basic needs such as hygiene, nutrition/hydration, clothing, shelter, and
medical care.
Which of the following are open-ended questions? Select all that apply.
a. Tell me about your headaches.
b. Describe your chest pain.
c. Point to where the pain is.
d. What do you expect from me as your nurse?
e. Do you want to discuss all your options?
Give this one a try later!
A,B,D
M.J., age 85, has been diagnosed with terminal lung cancer. During report you were
told that the family does not want her to know the diagnosis. M.J. asks you, "Am I
going to die?" Which of the following is the best therapeutic response from you, the
nurse?
a. "Tell me what prompted that question."
b. "I will ask your physician to discuss this matter with you."
, c. "Let's take each day as it comes."
d. "I think you should discuss that with your family."
Give this one a try later!
a. "Tell me what prompted that question."
The nurse is caring for a 17-year-old female patient. In which situation would the nurse
screen the patient for intimate partner violence (IPV)?
1. When intimate partner violence is suspected
2. When a history of abuse in the family is known
3. As a routine part of each health care encounter
4. As part of the exam for a female with an unexplained injury
Give this one a try later!
3. As a routine part of each health care encounter
The nurse is teaching a newly hired group of UAP about infection-control measures
on the unit. It is crucial for the nurse to remind the UAPs that which of the following is
the most effective way to prevent the spread of pathogens during client care?
A. Discarding used syringes in appropriate containers
B. Peforming hand hygiene frequently and consistently
C. Properly disposing of contaminated equipment
D. Chaning soiled linens daily for clients who have draining wounds.
Give this one a try later!
B. Peforming hand hygiene frequently and consistently
