ANSWERS
A nurse is teaching her client how to obtain a sputum specimen. In order to
provide safe and effective care, the nurse instructs the patient that the following
action will facilitate obtaining the specimen?
A. Limiting fluid intake
B. Having the client take deep breaths
C. Asking the client to spit into a collection container
D. Suggesting to the client that the specimen be obtained after eating correct
answer b
A young woman's fiancé died in a car accident one month prior to their wedding
day. Since his death, she has become sexually promiscuous. What type of grief, if
any, is the woman displaying?
A. Chronic
B. Disenfranchised
C. Masked
D. No grief correct answer c
Fred just found out his wife was killed in a car accident. He visits his priest and
says, "I told God that I would go to church every day for the rest of my life if He
would just bring my wife back." What stage of dying and grief is Fred
experiencing?
, a) Anger
b) Bargaining
c) Depression
d) Denial correct answer b
In caring for a client with a tracheostomy, the nurse would give priority to the
nursing diagnosis of
A. Risk for Ineffective Airway Clearance
B. Anxiety Related to Suctioning
C. Social Isolation Related to Altered Body Image
D. Impaired Tissue Integrity correct answer a
Mrs. Addie is 70 years old. While the nurse is gathering admission assessment
data, the patient states, "I've taken a tablespoon of Milk of Magnesia every day
for 3 years." Which nursing diagnosis is most appropriate for the nurse to use in
her plan of care?
A. Diarrhea
B. Constipation
C. Risk for Ineffective Therapeutic Regimen
D. Perceived Constipation correct answer d
Of the following factors, which would put a client at greatest risk for impaired skin
integrity?