Fundamentals

The nurse changing the dressing on the client's perineum would fall into which zone?

Intimate zone

Which activity places a client at risk for hyperthermia?

Performing strenuous activity in high humidity

The nurse is assessing a client who underwent abdominal surgery 10 days ago. The client complains of pain in the abdomen. Which type of pain would the client experience?

Visceral pain

Which is the role of the nurse explaining the reason for the intravenous infusion and kit to the client?

Educator

Which professional standard is important for critical thinking?

Evaluation criteria

How will the nurse researcher categorize research in which subjects are given chlorhexidine and povidone-iodine as antiseptics?

Experimental research

Which internal variable influences health beliefs and practices?

Intellectual background

Which is the goal of school health nursing programs?

Health promotion

The nurse is conducting a client interview. Which response by the nurse is an example of back channeling?

"All right, go on...."

Which pulse site is used to perform Allen test?

Ulnar

A 50-year-old client is seen for a routine physical asks why a stool specimen for occult blood testing has been ordered. Which is the correct nursing response?

"It is performed routinely starting at your age as part of an assessment for colon cancer."

A client is dying. Hesitatingly, his wife says to the nurse, "I'd like to tell him how much I love him, but I don't want to upset him." Which is the correct response by the nurse?

"You should share your feelings with him while you can."

The nurse would instruct a client with type I diabetes to dispose of a used syringe in which container?

A plastic liquid detergent bottle with a screw-top lid

Which physical skin finding indicates opioid abuse?

Needle marks

Which potential health problem would the nurse include in the young adult's discharge teaching?

Accidents, including their prevention

Which is appropriate for the nurse to include in the education of the ethical principal of nonmaleficence to a group of nursing students?

Acts in ways to prevent harm to clients.

Which characteristics would a slow-to-warm up a child display? Select all that apply.

Adapts slowly with frequent communication. Reacts with mild but passive resistance to novelty. Reacts negatively and with mild intensity to new stimuli.

Which describes the role of the nurse in this situation when he or she informs the health care provider the client is requesting pain medication after surgery?

Advocate

Which theory is based on the model of primacy of caring?

Benner and Wrubel's theory

The nurse applies a cold pack to relieve musculoskeletal pain. Which rationale explains the analgesic properties of cold therapy?

Causing local vasoconstriction, preventing edema and muscle spasms.

Which interview technique is the nurse using when asking a client to score his or her pain on a sale from 0-10?

Close-ended questioning

The client reports difficulty in breathing. The nurse auscultates lung sounds and assesses the respiratory rate. Which is the purpose of the nurse's actions?

Data Collection

Which is the action of an antidiuretic hormone (ADH)?

Decreases water loss in urine

The nurse on the medical-surgical unit tells other staff members, "That client can just wait for the lorazepam; I get so annoyed when people drink too much." Which does this nurse's comment reflect?

Demonstration of a personal bias

An abscess develops in an obese adult after abdominal surgery. The wound is healing by secondary intention. Which diet would the nurse expect the health care provider to prescribe to meet this client's immediate nutritional needs?

High in protein and Vitamin C

A client who is in the advanced stages of illness asks the nurse to contact pastoral services for support. According to the Macmillan model, which is the correct nursing intervention in this situation?

Immediately involve pastoral services while caring for the client.

Which step in the nursing process would involve promoting a safe environment for the client?

Implementation

Which statement accurately describes a health care policy as it relates to health care economics?

It provides overarching goals and helps in setting priorities and values for the distribution of health resources.

Which concept refers to respecting the rights of others?

Open-mindedness

Which nursing theory is the inspiration for self-care?

Orem's theory

Which group benefits from Medicare?

People who are 65 years or older

Two nurses are planning to help a client with one-sided weakness move up in bed. Which principle of body mechanics would the nurse observe?

Position the nurses on either side of the bed with their feet apart, gather the pull sheet close to the client, turn toward the head of the bed, and then move the client.

How are profits used in a for-profit health care organization?

Profits are paid out to shareholders

Which is the purpose of respite care?

Providing short-term relief to the family caregiver

Which would the nurse document for a client with drooping of the eyelid over the pupil?

Ptosis

A client on hospice care is receiving palliative treatment. Which is the goal of palliative care for this client?

Relieve the client's discomfort

Which caring intervention helps provide comfort, dignity, respect, and peace to a client?

Relieving pain and suffering

Under which type of health care services would the student nurse include sports medicine?

Restorative care

Which site is best used to assess a client for jaundice?

Sclera

The nurse is assessing a client who is undergoing chemotherapy. The nurse notes that the client is using a scarf to cover the head. The nurse asks the client about coping with the altered body image. Which functional pattern would the assessment include?

Self-perception-self-tolerance pattern

The nurse is assessing a client after surgery. Which assessment finding would the nurse obtain from the primary source?

Severity of pain

Which signs and symptoms are observed in the human body with decrease in body temperature? Select all that apply

Shivering Contraction of blood vessels

Refusing to follow the prescribed treatment regimen, a client plans to leave the hospital against medical advice. Which is it important for the nurse to inform the client of?

The client must accept full responsibility for possible undesirable outcomes.

Which statement defines the term "family resiliency"?

The family has an ability to cope with stressors

The nurse notes that a client has mild hypothermia based on which body temperature?

35 C

A Spanish-speaking client is being cared for by English-speaking nursing staff. Which communication technique would be correct for the nurse to use when discussing health care decisions with the client?

Contact an interpreter provided by the hospital

Which database can be used to find studies related to allied health sciences?

MEDLINE

Which variable is an example of an external variable?

Socioeconomic factors

A client is likely to undergo reconstructive surgery for which purpose?

To restore function and/or apperance

Which factor is used to assess the quality of health care provided to a client?

Functional health status of the client after discharge

Which integumentary finding is related to skin texture?

Surface character

A client has been placing used insulin needles in a container sealed with heavy-duty tape. Where would the nurse tell the client to dispose of the container?

The local hazardous waste collection site

Which opposing conflict would a middle-aged adult face according to Erikson's theory of psychosocial development?

Generativity versus self-absorption and stagnation

The nurse is assessing a client's degree of edema and finds 8 mm of depth. Which would be correct to document this condition?

4+

Which assessment is expected when a client is placed in the lithotomy position during physical examination?

Female genitalia

The nurse speaking in support of the best interest of a vulnerable client reflects which nursing duty?

Advocacy

Which is the definition of a tort?

An illegality committed by one person against the property or person of another.

The nurse records the client's weight and body mass index (BMI) at a healthy range, but the client states, "I wish I were as thin as my coworkers." Which culturally bound condition is the client at risk for?

Anorexia nervosa

Which nursing process would the nurse undertake when collecting the medical history of a client?

Assessment

When questioning the staff about a change in the client's plan of care, which would the nurse demonstrate?

Authority

Which statements have been correctly stated about Nightingale's theory of nursing? Select all that apply.

Focus of nursing is caring through the environment. Oriented toward providing fresh air, light, warmth, cleanliness, quiet, and adequate nutrition Focuses on helping the client deal with the symptoms and changes in function related to an illness

When caring for a client who is receiving enteral feedings, the nurse would take which measure to prevent aspiration?

Elevate the head of the bed between 30-45 degrees

Which of these programs is LEAST likely to focus on medication delivery process modification?

Experimental research

Which critical thinking skill in nursing practice requires the nurse to possess knowledge and experience for choosing care strategies for clients?

Explanation

Which critical thinking skill is being used when the nurse applies knowledge and experience to client care?

Explanation

The nurse is discussing discharge plans with a client. The client states, "I'm worried about going home." The nurse responds, "Tell me more about this." Which interviewing technique did the nurse use?

Exploring

The nurse concludes that a client with a body temperature of 98.6 F is experiencing which condition?

Normothermia

A client does not take his or her medication regularly and is depressed. Which interference can the nurse make about the client's motivational level?

Not motivated

Which member of the interprofessional team in a palliative care setting serves as the client advocate, evaluating the physical, emotional, and spiritual needs of the clients?

Nurse

Which is the subset of clinical health care informatics?

Nursing Informatics (NI)

Which cation regulates intracellular osmolarity?

Potassium

A client complains of pain in the ear. While examining the client, the nurse finds swelling in front of the left ear. Which lymph node would the nurse expect to be involved?

Preauricular

Which nursing practice is associated with a self-regulation skill?

Reflecting on one's experience.

Which accurately describes hospice care?

System of family-centered care that allows clients to remain at home in comfort while easing the pains of terminal illness

While assessing a client for the dorsalis pedis pulse, the nurse documents the reading as 1+. Which can be inferred from this finding?

The pulse strength is barely palpable.