CDM Passpoint 4
A nurse is caring for a preschooler who sustained deep partial-thickness burns on his hands as a result of touching a hot pot on the stove. When performing discharge teaching, the nurse should: a) delay the teaching until both parents are present. b) include the child in the teaching process. c) go into the hallway with the parent to do the teaching. d) be sure that the child has learned a lesson and won't repeat the action.
B
A 24-year-old primipara decides to breastfeed her baby but says, "I am worried that I will not be able to breastfeed my baby because my breasts are so small." What would the nurse include in the explanation to the client? a) The woman's motivation to breast-feed is more important than breast size. b) Breast size poses no influence on a woman's ability to breastfeed a baby. c) Breast milk can be enhanced by occasional formula feeding. d) Because her breasts are small, she will have to feed the baby more often.
C
When caring for clients at the healthcare facility, the nurse may meet clients who are atheists. Which of the following are consistent with atheist beliefs? a) Belief that God is the creator of the universe. b) Belief that God does not exist. c) Belief that God's reality is personal. d) Belief that God's reality is unknown.
B
Which source of information helps a nurse formulate nursing diagnoses for a specific client? a) Research articles b) Essential assessment data c) Admission criteria d) Outcome criteria
B
A pregnant client tells the nurse that she has been having discomfort from her hemorrhoids. After giving instruction about strategies to decrease the discomfort, which client statement would alert the nurse to the need for additional instruction? a) "I will avoid straining to have a bowel movement." b) "I will be sure to change positions frequently during the day." c) "I will stop using my prescribed iron supplements." d) "I will use warm sitz baths frequently during the day."
C
A nurse manager of the pediatric unit discovers that she is overbudget on supplies. How could each nurse assigned to the unit help with cost containment? a) Order supplies that are soon to be expired. b) Use care pathways to specify care and identify daily outcomes. c) Use the supply closet at work to stock personal medicine cabinets because the supplies are free.
B
In the maternal attachment process, which statement best describes the anticipated actions in the taking-hold phase? a) Looking at the baby b) Kissing, embracing, and caring for the neonate c) Talking about the neonate d) Mother's needs being met first
B
A client's 1200 blood glucose was inaccurately documented as 310 mg/dL (17.2 mmol/L) instead of 130 mg/dL (7.2 mmol/L). This error was not noticed until 1300. The nurse administered the sliding scale insulin for a blood glucose of 310 mg/dL (17.2 mmol/L). What should the nurse do first? a) Notify the health care provider (HCP). b) Consult with the clinical pharmacist. c) Call the charge nurse. d) Assess for hypoglycemia.
D
A nurse has an order to administer iron dextran 50 mg I.M. injection. When carrying out this order, the nurse should: a) insert the needle at a 45-degree angle. b) wipe the needle immediately after injection. c) pull the skin laterally toward the injection site. d) use the Z-track technique.
D
A client with gestational hypertension is experiencing abdominal pain and vaginal bleeding. Which assessment should the nurse perform first? a) Fetal heart tones b) Serum electrolytes c) Strength of contractions d) Urinary output
A
A nurse faxes a client's medical record to the wrong physician's fax machine. Which of the following should be the immediate action by the nurse? a) Contact the physician, ask that it be shredded, and complete an incident report. b) Let the physician discard the record when the mistake is realized. c) Contact the physician, and ask to have the document mailed to the correct physician. d) Remind other nurses on the unit not to fax medical records under any circumstances
A
Parents of a school-age child with asthma express concern about letting the child participate in sports. What should the nurse tell the parents about the relationship between exercise and asthma? a) Taking prophylactic drugs before the activity can prevent asthma attacks and enable the child to engage in most sports. b) Continuous activities such as jogging are less likely to trigger asthma than intermittent activities such as baseball. c) Asthma attacks are triggered by allergens, not exercise. d) The child should avoid exercise because it may trigger asthma attacks.
A
The nurse is discussing safety and accident prevention with the parent of a 9-month-old. The teaching has been effective when the parent makes which statement? a) "I make sure that I keep my cleaning supplies locked up." b) "Sometimes she plays in the bathroom when I am cleaning in there." c) "I have found that those child-protective cabinet locks do not work very well." d) "Occasionally she gets under the chair and plays with the telephone cord."
A
A neonate was startled and extended his arms, hands open. Which of the following is the nurse's best action when this is observed? a) Document the findings, as this is a normal response b) Do a complete neurological examination c) Apply O2 via nasal cannula at 0.25 L/min d) Contact the healthcare provider
B
A nurse is caring for a client returning from cardiac catheterization. The nurse helps transfer the client back to bed. Which transfer technique uses appropriate ergonomic principles? a) The nurse lowers the bed for transfer. She raises the bed before leaving the room, making sure to place the call light within reach. b) The nurse raises the bed for transfer, maintains a wide base of support during transfer, and lowers the bed before leaving the room. c) The nurse explains the procedure to the client and grabs the client under the arms to pull him over to the bed. d) The nurse maintains a narrow base of support during transfer and encourages the client to hold onto her if he's frightened.
B
