ATI Final Study Set

A nurse is caring for a client who has a prescription for acetaminophen 325 mg PO for an oral temperature above 38.4°C. Above what Fahrenheit temperature should the nurse administer acetaminophen to the client?

101.1°F

A nurse is calculating a client's intake for a 12 hour shift. The client has dextrose 5% in 0.45% sodium chloride infusing at 125 mL/hr, gentamicin 150 mg in 100 mL at 1400, ranitidine 50 mg in 50 mL at 1000 and 1600, 250 mL of blood over 2 hours, and a nasogastric flush of 30 mL every 2 hours. What is the total intake in mL that the nurse should document for the client for this 12 hour period?

2130 mL

A nurse is monitoring a clients fluid intake. For breakfast, the client consumed 8 ounces milk, 10 ounces of water, 4 ounces of flavored gelatin, one scrambled egg, one crispy piece of bacon, and two biscuits with jelly. How many mL should the nurse record as the clients fluid intake?

660 mL

A client has one L of dextrose 5% in 0.45% sodium chloride infusing IV at 125 mL/hr. How many hours will it take for the leader to infuse?

8 hours

After assessing a client, the nurse documents "1+ pedal edema bilaterally." This indicates that the nurse observed an indentation of which of the following depths after applying pressure? A. 2 mm B. 4 mm C. 6 mm D. 8 mm

A. 2 mm

A nurse is assessing a client who is undergoing a physical exam. Following the inspection, which of the following techniques should the nurse use when assessing the client's abdomen? A. Auscultation B. Light Palpation C. Percussion D. Deep palpation

A. Auscultation

A nurse is performing a focused assessment of a clients peripheral vascular system. In which of the following locations should the nurse palpate the posterior tibial pulse? A. Below the medial malleolus B. In the popliteal fossa C. In the antecubital space D. On the dorsum of the foot

A. Below the medial malleolus

A nurse is caring for a client who is postop and has paralytic ileus. Which of the following abdominal assessments should the nurse expect? A. Frequent bowel sounds with flatus B. Absent bowel sounds with distention C. Hyperactive bowel sounds with diarrhea D. Normal bowel sounds with increased peristalsis

B. Absent bowel sounds with distention

A nurse on a medical-surgical unit is caring for a client. Which of the following actions should the nurse prioritize when using the nursing process? A. Identify goals for client care B. Obtain client info C. Document nursing care needs D. Evaluate the effectiveness of care

B. Obtain client info

A nurse is caring for a client who was admitted to a long term care facility for rehab after a hip replacement. At which of the following times should a nurse begin discharge planning? A. One week prior to discharge B. Upon the client's admission to the care facility C. Once the discharge date is identified D. When the client addresses the topic with the nurse

B. Upon the client's admission to the care facility

A nurse is assisting a client who has dysphagia at mealtimes. Which of the following actions should the nurse take? A. Assist the client into a semi-sitting position B. Have the client lean back slightly C. Advise the client to tuck his chin downward D. Instruct the client to tilt his head slightly backward

C. Advise the client to tuck his chin downward

A nurse is measuring a client's vital signs and notices an irregularity in the pulse. Which of the following actions should the nurse take? A. Measure the pulse using a Doppler ultrasound stethoscope B. Check the client's pedal pulses C. Count the apical pulse rate for 1 minute and describe the rhythm in the chart D. Take the pulse at each peripheral site and count the rate for 30 seconds

C. Count the apical pulse rate for 1 minute and describe the rhythm in the chart

A nurse is caring for a client who has xerostomia with a lack of saliva. Which of the following nutrients will be affected by the lack of salivary amylase? A. Fat B. Protein C. Starch D. Fiber

C. Starch

A nurse is caring for a client who requires fluid restriction and may only drink 1 oz of water with each oral medication. How many milliliters of water should the nurse document as intake for 3 separate medications the client receives during a 12 hour night shift?

90 mL

A nurse is conducting an admission interview with a client. Which of the following pieces of assessment info should the nurse collect during the introductory phase of the interview? A. Client's level of comfort and ability to participate in the interview B. Previous illnesses and surgeries C. Events surrounds the client's recent illness D. Sociocultural history

A. Client's level of comfort and ability to participate in the interview

A nurse is caring for a client who is postop following abdominal surgery. Which of the following actions should the nurse perform first after discovering that the client's wound has eviscerated? A. Cover the incision with a moist sterile dressing B. Have the client lie on his back with his knees flexed C. Call the client's surgeon D. Reassure the client

A. Cover the incision with a moist sterile dressing

A nurse is preparing to administer eye drops to a client following surgery. Which of the following actions should the nurse take when instilling the eye drops? A. Drop the eye medication into the lower conjunctival sac B. Apply gentle pressure to the outer opening of the eye for 2 minutes C. Hold the eye dropper 0.5 cm (0.2 in) from the cornea D. Instruct the client to close the eyes tightly after administration

A. Drop the eye medication into the lower conjunctival sac

A nurse is admitting a client who has decreased circulation in his left leg. Which of the following actions should the nurse take first? A. Evaluate pedal pulses B. Obtain a medical history C. Measure vital signs D. Assess for leg pain

A. Evaluate pedal pulses

A new resident provider asks the charge nurse for an access code to review clients' online records. The resident is not scheduled to attend the facility's orientation computer class until next week. Which of the following actions should the nurse take? A. Explain that it is against policy to share access codes and refer the resident to his supervisor B. Access the clients' online data and monitor the resident as he reads them. C. Access the online system and allow the resident to locate clients' data D. Ask each client to give permission for the resident to access medical records

A. Explain that it is against policy to share access codes and refer the resident to his supervisor

A nurse is caring for a client who is receiving a blood transfusion. the client reports flank pain, and the nurse notes reddish- brown urine in the client's urinary catheter bag. The nurse recognizes these manifestations as which of the following types of transfusion reactions? A. Hemolytic B. Febrile C. Circulatory Overload D. Sepsis

A. Hemolytic

A nurse on a mental health unit is preparing to terminate the nurse-client relationship with a client who no longer requires care. Which of the following concepts should the nurse and client discuss in the termination phase of the relationship? A. Loss B. Trust C. Self-disclosure D. Risk-taking

A. Loss

A community health nurse is conducting a class about body mechanics for county office workers. Which of the following instructions should the nurse include? A. Sit with your back supported B. Keep your knees at hip level C. Use an ergonomically designed computer keyboard D. Keep your elbows away from your body E. Adjust the monitor screen so that you have to tilt your head slightly to look at it

A. Sit with your back supported B. Keep your knees at hip level C. Use an ergonomically designed computer keyboard

A nurse is caring for a client who has peripheral edema. The nurse should identify that which of the following nutrients regulates extracellular fluid volume? A. Sodium B. Calcium C. Potassium D. Magnesium

A. Sodium

A nurse is caring for a client who is exhibiting confusion. The nurse should identify that which of the following lab values can cause confusion? A. Sodium 123 mEq/L B. Blood glucose 100 mg/dL C. Potassium 3.5 mEq/L D. Hemoglobin 13 g/dL

A. Sodium 123 mEq/L

A nurse on the medical-surgical unit is caring for a client who is at risk of experiencing seizures. Which of the following pieces of equipment must be available at the client's bedside at all times? A. Suction equipment B. Clean gloves C. Blankets D. Oxygen

A. Suction equipment

A nurse is caring for client who has type 1 diabetes mellitus and is resistant to learning how to self-inject insulin. Which of the following statements should the nurse make? A. Tell me what I can do to help you overcome your fear of giving yourself injections B. Your provider will not be pleased that you refuse to give yourself insulin injections C. It's okay. I'm sure your partner will be able to learn how to give you the insulin injections D. You won't be able to go home unless you learn to give yourself insulin injections

A. Tell me what I can do to help you overcome your fear of giving yourself injections

A hospice nurse is visiting with the family member of a client. The family member states that the client has insomnia almost nightly. Which of the following practices should the nurse identify as contributing to the clients insomnia? A. The client watches television in her bed during the day B. The client drinks warm milk before bedtime C. The client goes to bed at 2200 every night D. The client gets up to use the bathroom once during the night

A. The client watches television in her bed during the day

A nurse is providing teaching to a client with heart failure about reducing his daily intake of sodium. Which of the following factors is the most important in determining the client's ability to learn new dietary habits? A. The involvement of the client in planning the change B. The emphasis the provider places on dietary changes C. The learning theory the nurse uses to teach the dietary changes D. The extent of the dietary changes planned for the client

A. The involvement of the client in planning the change

A nurse is assessing a client's respiratory system. Which of the following breath sounds should the nurse expect to hear over the periphery of the major lung fields? A. Vesicular B. Bronchial C. Rhonchi D. Bronchovesicular

A. Vesicular

A nurse is caring for a client who is receiving TPN. Which of the following actions should the nurse take? A. Administer 0.9% sodium chloride until TPN is available from the pharmacy B. Check the client's capillary blood glucose level every 4 hours C. Obtain the client's weight each week D. Change the IV tubing every 3 days

B. Check the client's capillary blood glucose level every 4 hours

A nurse is preparing to administer a feeding via gastrostomy tube to a client who had a stroke. Which of the following actions should the nurse take prior to initiating the feeding? A. Warm the feeding in the microwave B. Elevate the head of the client's bed C. Flush the tube with 0.9% sodium chloride for irrigation D. Verify that the client's gastric pH is above 4

B. Elevate the head of the client's bed

A nurse in an emergency department is assessing a client who reports diarrhea and decreased urination for 4 days. Which of the following actions should the nurse take to assess the client's skin turgor? A. Push on a fingernail bed until it blanches, release it, and observe how long it takes the skin to become pink B. Grasp a skin fold on the chest under the clavicle, release it, and note whether it springs back C. Press on the skin above the ankle for 5 seconds, release it, and note the depth of the impression D. Measure the skinfold thickness on the upper arm using a pair of calibrated skinfold calipers

B. Grasp a skin fold on the chest under the clavicle, release it, and note whether it springs back

A nurse is teaching a client who is recovering from gallbladder surgery how to use an incentive spirometer. Which of the following pieces of information should the nurse include in the teaching? A. Exhale slowly to reach the goal volume B. Hold the breath for five seconds after goal volume is reached C. Continue to breathe deeply between each cycle D. Limit the repeat pattern of breathing to 5 breaths

B. Hold the breath for five seconds after goal volume is reached

A nurse is caring for a client who is postoperative following a vaginal hysterectomy and ask for a drink. Her postoperative diet prescription states " clear liquids; Advanced diet as tolerated." Which of the following responses should the nurse make? A. Lunch trays should be here within the hour B. I am going to listen to your abdomen C. I'll get you some water to drink D. Let's wait a bit so you don't feel sick

B. I am going to listen to your abdomen

A nurse is conducting a health promotion class for a group of college students. Which of the following statements by a student should the nurse identify as a potential problem with achieving Ericksons developmental task for this age group? A. I am in no hurry to get married. I think I'll enjoy single life for a while B. I go home on the weekends to be with my family because I do not have any good friends here on campus C. I am interested in politics and may consider becoming an elected official D. I am looking forward to finishing school and going to work for my family's business

B. I go home on the weekends to be with my family because I do not have any good friends here on campus

A nurse is caring for a middle-aged adult client. The nurse should identify which of the following statements as an indication that the client has completed Erikson's developmental task for her age group? A. I am comfortable with my decision to choose a lifelong partner B. I think I have done a good job with my children since they are all independent now C. As I look back over my life, I can see that I have achieved most of the goals I have set for myself D. I love my work so much that it is difficult to think about retirement

B. I think I have done a good job with my children since they are all independent now

A nurse is providing teaching about crutches to a client who has a fracture of the right foot. Which of the following instructions should the nurse include? A. When you go up a flight of stairs, place your right foot on the step first B. Keep the rubber crutch tips securely in place C. When standing, keep the crutches 12 inches in front of you and 12 inches to the side. D. Place your weight on the crutch pads at your armpits

B. Keep the rubber crutch tips securely in place

A nurse is caring for a client who is receiving mechanical ventilation via a tracheotomy tube and has a gastrostomy tube for enteral feedings. Which pieces of information are critical to communicate to the next nurse who will be caring for this client? A. Room temp. B. New prescriptions C. Number of visitors D. ABG results E. Tracheal secretion characteristics

B. New prescriptions D. ABG results E. Tracheal secretion characteristics

A client who reports SOB requests the nurse's help in changing positions. After repositioning the client, which of the following actions should the nurse take next? A. Encourage the client to take deep breaths B. Observe the rate, depth, and character of the client's respirations C. Prepare to administer oxygen D. Give the client a back rub to promote relaxation

B. Observe the rate, depth, and character of the client's respirations

A nurse is employing a thorough, systematic method while obtaining objective data about a client. Through which of the following methods should the nurse collect this info? A. Health History B. Physical Exam C. Review of Systems D. Interview

B. Physical Exam

A nurse is caring for a client who has a cuffed endotracheal tube in place. The nurse should identify that the purpose of inflating the cuff includes which of the following? A. Allowing the client to speak B. Stabilizing the position of the tube C. Preventing aspiration of secretions D. Preventing air leaks E. Preventing tracheal injury

B. Stabilizing the position of the tube C. Preventing aspiration of secretions D. Preventing air leaks

A nurse is caring for a client with a prescription for a vest restraint. Which of the following actions should the nurse take? A. Fasten the ties on the restraint to the side rails of the bed B. Tie the restraint with a quick -release knot C. Allow a fingerbreadth between the restraint and the client's chest D. Place the restraint under the client's clothing

B. Tie the restraint with a quick -release knot

A nurse is providing teaching to a client who has a chronic cough and is scheduled for a brochoscopy. Which of the following client statements indicates an understanding of the teaching? A. I can keep my dentures in during the procedure B. I am allowed only clear liquids prior to the procedure C. A tissue sample might be obtained during the procedure D. A signed consent form is not required for this procedure

C. A tissue sample might be obtained during the procedure

A nurse discovers that the client received the wrong medication. Which of the following actions should the nurse take first? A. Complete a medical error report B. Notify the prescribing provider C. Assess the client D. Notify the charge nurse

C. Assess the client

A nurse is supervising a newly licensed nurse who is caring for a client with streptococcal pharyngitis and is on transmission -based precautions. Which of the following actions by the newly licensed nurse indicates an understanding of droplet precautions? A. Shaking soiled linens before putting it in a hamper B. Removing a face mask when standing 0.5 m (1.6 ft) from the client C. Assigning another client with the same infection to share a room with the client D. Allowing the client to visit a family member in the lobby of the facility

C. Assigning another client with the same infection to share a room with the client

A nurse is caring for a client who requires ventilatory assistance with breathing following a motor vehicle crash. The nurse should suspect an injury to which of the following parts of the brain? A. Hypothalamus B. Cerebral cortex C. Brainstem D. Cerebellum

C. Brainstem

A nurse is inserting an IV catheter for a client that results in a blood spill on her gloved hand. The client has no documented bloodstream infection. Which of the following actions should the nurse take? A. Wash the gloved hands and then throw away gloves B. Prepare an incident report to document the event C. Carefully remove the gloves and proceed with hand hygiene D. Ask the provider to order a blood culture to determine the risk of infection

C. Carefully remove the gloves and proceed with hand hygiene

A charge nurse is teaching adult CPR to a group of newly licensed nurses. Which of the following actions should teh charge nurse tecah as the first response in CPR? A. Call for assistance B. Begin chest compressions C. Confirm responsiveness D. Give rescue breaths

C. Confirm responsiveness

A nurse is caring for a client who has an NG tube for intermittent enteral feedings. Which of the following actions should the nurse take? A. Auscultate bowel sounds after each feeding B. Ensure the formula is cold before administering C. Elevate the head of the client's bed to 45 degrees before the feeding D. Flush the tubing with 15 mL of water after the enteral feeding

C. Elevate the head of the client's bed to 45 degrees before the feeding

A nurse is preparing to insert an NG tube for a client who has a bowel obstruction. Which of the following actions should the nurse take first? A. Give the client a glass of water B. Assist the client into a sitting position C. Explain the procedure to the client D. Measure the length of tubing to be inserted

C. Explain the procedure to the client

A nurse is teaching a middle-aged female client about disease prevention and health maintenance. Which of the following diagnostic tests should the nurse recommend as part of this client's routine health screening? A. Annual Papanicolaou (Pap) testing B. Mammogram every 2 years C. Eye exam every 2 years D. Annual colonoscopy

C. Eye exam every 2 years

A nurse is caring for a client with dehydration who has developed hypovolemic shock. Which of the following lab values should the nurse expect for this client? A. BUN 18 mg/dL B. Capillary refill 1.5 seconds C. Hct 55% D. Urine specific gravity 1.001

C. Hct 55%

A nurse is assessing a client who is experiencing stress following a near fall out of bed. Which of the following physiological responses should the nurse expect due to the fight-or-flight response? A. Decreased RR B. Pinpoint pupils C. Increased BP D. Bronchiolar construction

C. Increased BP

A nurse is administering a cleansing enema to client who is scheduled for a diagnostic procedure. Which of the following actions should the nurse take? A. Lubricate up to 3.2 cm (1.25 in) of the tip of the rectal tube B. Position the client on the right side C. Insert the tip of the tubing 8 cm (3.1 in) D. Hold the enema container 61 cm (24 in) above the rectum

C. Insert the tip of the tubing 8 cm (3.1 in)

A nurse is using the Braden scale to predict the pressure ulcer risk of a client in a long-term care facility. Using this scale, which of the following parameters should the nurse evaluate? A. Incontinence B. Mental State C. Nutrition D. General physical condition

C. Nutrition Nutrition, sensory perception, moisture, activity, mobility, and friction

A nurse is planning to document care provided for a client. which of the following abbreviations should the nurse use? A. BT for bedtime B. SC for subcutaneous C. PC for after meals D. HS for half strength

C. PC for after meals

A nurse is preparing to perform mouth care for an unresponsive client. Which of the following actions should the nurse plan to take? A. Place the client supine B. Keep both side rails up C. Raise the level of the bed D. Inspect the client's mouth using a finger sweep

C. Raise the level of the bed

A nurse is reviewing the correct use of a fire extinguisher with a client. Which of the following actions should the nurse direct client to take first? A. Aim the hose at the base of the fire B. Squeeze the handle of the extinguisher C. Remove the safety pin from the extinguisher D. Sweep the hose from side to side to dispense material

C. Remove the safety pin from the extinguisher

A nurse delegated the task of emptying an indwelling catheter drainage bag to an assistive personnel (AP). the nurse later observes the AP emptying the bag without gloves. Which of the following actions should the nurse take? A. Notify the charge nurse about the incident B. Insist that the AP attend an in-service training about standard precautions C. Talk with the AP about the technique used D. Observe the AP a second time and intervene if the technique remains the same

C. Talk with the AP about the technique used

A nurse asks a client to explain the statement, "A bird in the hand is worth two in the bush." Through the question, the nurse is evaluating the client's ability in which of the following intellectual functions? A. Judgement B. Short-term memory C. Attention Span D. Abstract Reasoning

D. Abstract Reasoning

A nurse is caring for a client who states that she does not want to get out of bed due to pain from arthritis. Which of the following actions should the nurse take? A. Tell the client the provider does not want her to remain in bed B. Allow the client to remain in bed until her pain subsides C. Instruct the family to perform ADLs for the client D. Advise the client to perform ROM exercises while in bed

D. Advise the client to perform ROM exercises while in bed

During the completion of a health history with a nurse, a client reports intermittent chest pain for the past week. Which of teh following questions is the nurse's priority? A. Did you report the chest pain episodes to your physician? B. Is there a history of heart disease in your family? C. Have you had this pain before? D. Can you tell me what the pain felt like and show me exactly where it was?

D. Can you tell me what the pain felt like and show me exactly where it was?

A nurse is caring for a client who is having difficulty with muscle coordination following a head injury. The nurse should suspect injury to which of the following areas of the brain? A. Hypothalamus B. Cerebral cortex C. Pituitary D. Cerebellum

D. Cerebellum

A nurse documents the presence of clubbing of the fingernails for a client who has emphysema. Which of the following is the underlying cause of this finding? A. Trauma B. Severe infection C. Iron-deficiency anemia D. Chronic hypoxemia

D. Chronic hypoxemia

A nurse is preparing to administer a tuberculin skin test to a client. After performing hand hygiene, which of the following actions should the nurse take? A. Select a 23 gauge needle B. Insert the needle into the skin at a 25 degree angle C. Massage the area of injection following removal of the needle D. Circle the injection area with a pen

D. Circle the injection area with a pen

A nurse is caring for a client who requires a dressing change. Which of the following actions should the nurse take? A. Clean the incision from bottom to top B. Apply sterile gloved prior to opening dressing packages C. Remove the tape by pulling away from the wound D. Clean the drain site from the center outward

D. Clean the drain site from the center outward

A nurse is providing preop teaching to a client who is scheduled for arthroplasty in the next month and may require a blood transfusion. The client expresses concern about the risk of acquiring an infection from the blood transfusion. Which of the following statements should the nurse share with the client? A. Ask your provider to prescribe epoetin before surgery B. You should ask your provider about taking iron supplements prior to the surgery C. Ask a family member to donate blood for you D. Donate autologous blood before the surgery

D. Donate autologous blood before the surgery

A nurse is providing postop teaching about the management of dumping symdrome to a client who had a partial gastrectomy. Which of the following instructions should the nurse include in the teaching? A. Consume at least 4 oz of fluid with meals B. Take a short walk after each meal C. use honey to flavor foods such as cereal D. Eat protein with each meal

D. Eat protein with each meal

A nurse is teaching a client about lifestyle changes to manage a chronic illness. Which of the following strategies should the nurse use to first help the client make a commitment to these lifestyle changes? A. Identify the risks of nonadherence B. Schedule learning sessions to demonstrate the psychomotor skills the client will need C. Provide clearly written and easy-to-understand materials D. Help the client identify ways that these changes will result in positive personal outcomes

D. Help the client identify ways that these changes will result in positive personal outcomes

A nurse is planning to insert a nasogastric tube for a client after explaining the procedure. The client states, "you are not putting that hose down my throat." Which of the following statements should the nurse make? A. Let's get the process over with because you won't get better without this tube B. You should talk to your provider about your fears C. Why don't you want the tube inserted? D. I can see that this is upsetting you

D. I can see that this is upsetting you

A charge nurse is providing teaching to a newly licensed nurse about removing sutures from a client's laceration. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A. I will use a staple remover and remove each suture individually B. Bandage scissors are used to cut the sutures C. Tweezers are necessary only for removing retention sutures D. I will clip each suture close to the skin and pull it through from the other side

D. I will clip each suture close to the skin and pull it through from the other side

A nurse is caring for a client who requires a chest x-ray. Prior to the client being transported for the procedure, which of the following actions should the nurse take first? A. Explain the x-ray procedure to the client B. Help the client to a wheelchair before the transporter arrives C. Ask if the client has any other questions D. Identify the client using 2 identifiers

D. Identify the client using 2 identifiers

A nurse is caring for a client who is 48 hours postop following a small bowel resection. The client reports gas pains in the periumbilical area. the nurse should plan care based on which of the following factors contributing to this postop complication? A. Blood loss B. NPO status after surgery C. NG tube suctioning D. Impaired peristalsis of the intestines

D. Impaired peristalsis of the intestines

A nurse manager is providing teaching to a group of newly licensed nurses about ways that clients acquire health care-associated infections (HAIs). Which of the following routes of infection should the manager identify and iatrogenic? A. Infection acquired from improper hand hygiene B. Infection acquired by drug resistance C. Infection acquired by inappropriate waste disposal D. Infection acquired from a diagnostic procedure

D. Infection acquired from a diagnostic procedure

A nurse is obtaining the blood pressure in a client's lower extremity. Which of the following actions should the nurse take? A. Auscultate the blood pressure at the dorsalis pedis artery B. Measure the blood pressure with the client sitting on the side of the bed C. Place the cuff 7.6 cm (3 in) above the popliteal artery D. Place the bladder of the cuff over the posterior aspect of the thigh

D. Place the bladder of the cuff over the posterior aspect of the thigh

A nurse at a screening clinic is assessing a client who reports a history of a heart murmur related to aortic valve stenosis. At which of the following anatomical areas should the nurse place the stethoscope to auscultate the aortic valve? A. Fifth intercostal space just medial to the midclavicular line B. Second intercostal space to the left of the sternum C. Fifth intercostal space to the left of the sternum D. Second intercostal space to the right of the sternum

D. Second intercostal space to the right of the sternum

A nurse is caring for an adult client in the terminal stages of lung cancer who refuses any further treatment. The nurse should provide care that facilitates which of the following outcomes? A. Allows minimal treatment B. Benefits the client's family C. Offers hope for a cure D. Supports self-determination

D. Supports self-determination

A client is being discharged home with oxygen therapy delivered through a nasal cannula. Which of the following instructions should the nurse provide to the client and family members? A. Use battery-operated equipment for personal care B. Apply mineral oil to protect the facial skin from irritation C. Remove the television set from the client's bedroom D. Wear cotton clothing to avoid static electricity

D. Wear cotton clothing to avoid static electricity

A nurse is caring for an older adult client who becomes agitated when the nurse requests that the client's dentures be removed prior to surgery. Which of the following responses should the nurse provide? A. It's for your safety. dentures can slip and block your airway during surgery B. You wouldn't want your teeth to be lost or broken during surgery would you? C. The anesthesiologist required all clients to remove their dentures D. What worries you about being without your teeth?

D. What worries you about being without your teeth?

A nurse is reviewing measures to prevent back injuries with UAP. Which of the following instructions should the nurse include? A. Stand 3 ft from the client when assisting with lifting B. Lock your knees when standing for long periods C. Lift up to 22.6 kg (50 lbs) without the use of assistive devices D. When lifting an object, spread your feet apart top provide a wide base of support

D. When lifting an object, spread your feet apart top provide a wide base of support

A nurse is evaluating the development of a group of clients. According to Ericsson, the developmental task of intimacy versus isolation occurs during which of the following stages of development? A. Middle adulthood B. Adolescence C. Childhood D. Young adulthood

D. Young adulthood