ATI EXAMI
A nurse is performing admission assessment on a client. The nurse determines the client's radial pulse rate is 68/min & the simultaneous apical pulse rate is 84/min. What is the client's pulse deficit?
16/min
A nurse is instructing an assistive personnel (AP) about caring for a client who has low platelet count as a result of chemotherapy. Which of the following instructions is the priority for measuring vital signs for this client? A. "Do not measure the client's temperature rectally" B. "Count the client's radial pulse for 30 seconds & multiply it by 2" C. "Do not let the client know you are counting their respirations" D. "Let the client rest for 5 minutes before you measure her blood pressure"
A. "Do not measure the client's temperature rectally"
A nurse is cautioning the mother of an 8-month-old infant about safety. Which of the following statements by the mother indicates an understanding of safety for the infant? A. "My baby loved to play with his crib gym, but I took it away from him." B. "I just bought a soft mattress so my baby will sleep better." C. "My baby really likes sleeping on the fluffy pillow we just got for him." D. "I put the baby's car seat out of the way on the table after I put him in it"
A. "My baby loved to play with his crib gym, but I took it away from him."
A nurse is talking with parents of a 12-year-old child. Which of the following issues verbalized by the parents should the nurse identify as the priority? A. "We just don't understand why our son can't keep up with the other kids in simple activities like running & jumping" B. "Our son keeps trying to find ways around our household rules. He always wants to make deals with us" C. "We think our son is trying too hard to excel in math just to get the top grades in his class" D. "Our son is always afraid the kids in school will laugh at him because he likes to sing"
A. "We just don't understand why our son can't keep up with the other kids in simple activities like running & jumping"
A nurse is caring for a client who is 24 hr post operative following an inguinal hernia repair. The client is tolerating clear liquids well, has active bowel sounds, & is expressing a desire for "read food." The nurse tells the client that she will call the surgeon & ask. The surgeon hears the nurse's report and prescribes a full liquid diet. The nurse used which of the following levels of critical thinking? A. Basic B. Commitment C. Complex D. Integrity
A. Basic
A nurse is planning diversionary activities for school-age children on an inpatient pediatric unit. Which of the following activities should the nurse include? (select all that apply) A. Building models B. Playing video games C. Reading books D. Using toy carpentry tools E. Playing board games
A. Building models B. Playing video games C. Reading books E. Playing board games
A nurse is planning care for a client who is on bed rest. Which of the following interventions should the nurse plan to implement? A. Encourage the client to perform antiembolic exercises every 2 hr B. Instruct the client to cough & deep breathe every 4 hr C. Restrict the client's fluid intake D. Reposition the client every 4 hr
A. Encourage the client to perform antiembolic exercises every 2 hr
A nurse is teaching the parents of a toddler about discipline. Which of the following actions should the nurse suggest? A. Establish consistent boundaries for the toddler B. Place the toddler in a room with the door closed C. Inform the toddler how you feel when he misbehaves D. Use favorite snacks to reward the toddler
A. Establish consistent boundaries for the toddler
A nurse is preparing a health promotion course for a group of middle adults. Which of the following strategies should the nurse recommend? (select all that apply) A. Eye examination every 1 to 3 years B. Decrease intake of calcium supplements C. DXA screening for osteoporosis D. Increase intake of carbohydrate in the diet E. Screening for depressive disorders
A. Eye examination every 1 to 3 years C. DXA screening for osteoporosis D. Increase intake of carbohydrate in the diet E. Screening for depressive disorders
A nurse in a clinic is planning health promotion & disease prevention strategies for a client who has multiple risk factors for cardiovascular disease. Which fo the following interventions should the nurse include? (select all that apply) A. Help the client see the benefits of her actions B. Identify the client's support systems C. Suggest & recommend community resources D. Devise & set goals for the client E. Teach stress management strategies
A. Help the client see the benefits of her actions B. Identify the client's support systems C. Suggest & recommend community resources E. Teach stress management strategies
A nurse is instructing a client, who has an injury of the left lower extremity, about the use of a cane, Which of the following instructions should the nurse include? (select all that apply) A. Hold the cane on the right side B. Keep two points of support on the floor C. Place the cane 38 cm (15 in) in front of the feet before advancing D. After advancing the cane, move the weaker leg forward E. Advance the stronger leg so that it aligns evenly with the cane
A. Hold the cane on the right side B. Keep two points of support on the floor D. After advancing the cane, move the weaker leg forward
A nurse is talking with an older adult client about improving her nutritional status. Which of the following interventions should the nurse recommend? (select all that apply) A. Increase protein intake to increase muscle mass B. Decrease fluid intake to prevent urinary incontinence C. Increase calcium intake to prevent osteoporosis D. Limit sodium intake to prevent edema E. Increase fiber intake to prevent constipation
A. Increase protein intake to increase muscle mass C. Increase calcium intake to prevent osteoporosis D. Limit sodium intake to prevent edema E. Increase fiber intake to prevent constipation
A nurse is reviewing CDC immunization recommendations with a young adult client. Which of the following vaccines should the nurse recommend as routine, rather than catch-up, during young adulthood? (select all that apply) A. Influenza B. Measles, mumps, rubella C. Pertussis D. Tetanus E. Polio
A. Influenza C. Pertussis D. Tetanus
A nurse is caring for a client who has a new prescription for antihypertensive medication. Prior to administering the medication, the nurse uses an electronic database to gather information about the medication and the effects it might have on this client. Which of the following components of critical thinking is the nurse using when he reviews the medication information? A. Knowledge B. Experience C. Intuition D. Competence
A. Knowledge
A nurse is collecting history & physical examination data from a middle adult. The nurse should expect to find decreases in which of the following physiologic functions? (select all that apply) A. Metabolism B. Ability to hear low-pitched sounds C. Gastric secretions D. Far vision E. Glomerular filtration
A. Metabolism C. Gastric secretions E. Glomerular filtration
A nurse is preparing a wellness presentation for families about health screening for adolescents. Which of the following information should the nurse include? (select all that apply) A. Obtain a periodic mental status evaluation B. Discuss prevention of sexually transmitted infections C. Regularly screen for tuberculosis D. Provide education about drug & alcohol use E. Teach monthly breast examination for girls
A. Obtain a periodic mental status evaluation B. Discuss prevention of sexually transmitted infections C. Regularly screen for tuberculosis D. Provide education about drug & alcohol use
A nurse is caring for an 82-year-old client in the emergency department who has an oral body temperature of 38.3ºC (101ºF), pulse rate 114/min, & RR 22/min. He is restless & his skin is warm. Which of the following interventions should the nurse take? (select all that apply) A. Obtain culture specimens before initiating antimicrobials B. Restrict the client's oral fluid intake C. Encourage the client to rest & limit activity D. Allow the client to shiver to dispel excess heat E. Assist the client with oral hygiene frequently
A. Obtain culture specimens before initiating antimicrobials C. Encourage the client to rest & limit activity E. Assist the client with oral hygiene frequently
A nurse at a clinic is collecting data about pain from a client who reports severe abdominal pain. The nurse asks the client whether he has nausea & has been vomiting. Which of the following pain characteristics is the nurse attempting to determine? A. Presence of associated manifestations B. Location of the pain C. Pain quality D. Aggravating & relieving factors
A. Presence of associated manifestations
A nurse is planning a health promotion & primary prevention class for the parents of school-age children. Which of the following information should the nurse include? (select all that apply) A. Provide information about the risk of childhood obesity B. Discuss the danger of substance use disorders C. Promote discussion about sexual issues D. Recommend the school-age child sit in the front seat of the car E. Reinforce stranger awareness
A. Provide information about the risk of childhood obesity B. Discuss the danger of substance use disorders C. Promote discussion about sexual issues E. Reinforce stranger awareness
A nurse is instructing a group of nursing students in measuring a client's respiratory rate. Which of the following guidelines should the nurse include? (select all that apply) A. Request a prescription for an antihypertensive medication B. Ask the client if she is having pain C. Request a prescription for an antianxiety medication D. Return in 30 min to recheck the client's blood pressure
A. Request a prescription for an antihypertensive medication B. Ask the client if she is having pain C. Request a prescription for an antianxiety medication
A nurse is talking with the parents of a 6-month-old infant about gross motor development. Which of the following gross motor skills are expected findings in the next 3 months? (select all that apply) A. Rolls from back to front B. Bears weight on legs C. Walks holding onto furniture D. Sits unsupported E. Sits down from a standing position
A. Rolls from back to front B. Bears weight on legs D. Sits unsupported
A nurse is assessing from a 2-week-old newborn during a routine checkup. Which of the following findings should the nurse expect? A. Sleeps 14 to 16 hr each day B. Posterior fontanel closed C. Pincer grasp present D. Hands remain in closed position E. Current weight same as birth weight
A. Sleeps 14 to 16 hr each day D. Hands remain in closed position E. Current weight same as birth weight
A nurse is giving a presentation about accident prevention to a group of parents of toddlers. Which of the following accident-preventing strategies should the nurse include? (select all that apply) A. Store toxic agents in locked cabinets B. Keep toilet seats up C. Turn pot handles toward the back of the stove D. Place safety gates across stairways E. Make sure balloons are fully inflated
A. Store toxic agents in locked cabinets C. Turn pot handles toward the back of the stove D. Place safety gates across stairways
A nurse on a pediatric unit is caring for an adolescent who has multiple fractures. Which of the following interventions should the nurse take? (select all that apply) A. Suggest that his parents bring in video games for him to play B. Provide a television & DVDs for the adolescent to watch C. Limit visitors to the adolescent's immediate family D. Involve the adolescent in treatment decisions when possible E. Allow the adolescent to perform his own morning care
A. Suggest that his parents bring in video games for him to play B. Provide a television & DVDs for the adolescent to watch D. Involve the adolescent in treatment decisions when possible E. Allow the adolescent to perform his own morning care
A nurse in a health clinic is caring for a 21-year-old client who reports a sore throat. The client tells the nurse that he has not seen a doctor since high school. Which of the following health screenings should the nurse expect the provider to perform for this client? A. Testicular examination B. Blood glucose C. Fecal occult blood D. Prostate-specific antigen
A. Testicular examination
A mother tells the nurse that her 2-year-old toddler has temper tantrums & says "no" every time the mother tries to help her get dressed. The nurse should recognize, the toddler is manifesting which of the following stages of development? A. Trying to increase her independence B. Developing a sense of trust C. Establishing a new identity D. Attempting to master a skill
A. Trying to increase her independence
A nurse at a provider's office is talking about routine screenings with a 45-year-old female client who has no specific family history of cancer or diabetes mellitus. Which of the following client statements indicates that the client understands how to proceed? A. "So I don't need the colon cancer procedure for another 2 or 3 years" B. "For now, I should continue to have a mammogram each year" C. "Because the doctor just did a Pap smear, I'll come back next year for another one" D. "I had my blood glucose test last year, so I won't need it again till next year"
B. "For now, I should continue to have a mammogram each year"
A nurse is teaching a young adult client about health promotion & illness prevention. Which of the following statements by the client indicates an understanding of the teaching? A. "I already had my immunizations as a child, so I'm, protected in that area" B. "It is important to schedule routine health care visits even if I am feeling well" C. "I will just go to an urgent care center for my routine medical care" D. "There's no reason to seek help if I am feeling stressed because it's just part of life"
B. "It is important to schedule routine health care visits even if I am feeling well"
A nurse is counseling a middle adult client who describes having difficulty dealing with several issues. Which of the following client statements should the nurse identify as the priority to assess further? A. "I am struggling to accept that my parents are aging & need so much help" B. "It's been so stressful for me to think about having intimate relationships" C. "I know I should volunteer my time for a good cause but maybe I'm just selfish" D. "I love my grandchildren, but my son expects me to relive my parenting days"
B. "It's been so stressful for me to think about having intimate relationships"
The mother of a 7-month-old infant tells the nurse at the pediatric clinic that her baby has been fussy with occasional loose stools since she started feeding him fruits & vegetables. Which of the following responses should the nurse make? (select all that apply) A. "It might be good to add bananas, as they can help with loose stools" B. "Let's make a list of the foods he is eating so we can spot any problems" C. "Did the changes begin after you started one particular food?" D. "Has he been vomiting since he started these new foods?" E. "Most babies react with little indigestion when you start new foods"
B. "Let's make a list of the foods he is eating so we can spot any problems" C. "Did the changes begin after you started one particular food?" D. "Has he been vomiting since he started these new foods?"
A nurse is talking with a parent who is concerned about several issues with her preschooler. Which of the following issues should the nurse identify as the priority? A. "My son mimics my husband getting dressed" B. "My son has temper tantrums every time we tell him to do something he doesn't want to do" C. "I think my son truly believes that his toys have personalities & talk to him" D. "I feel bad when I see my son trying so hard to button his shirt"
B. "My son has temper tantrums every time we tell him to do something he doesn't want to do"
A nurse is evaluating teaching on a client who has a new prescription for a sequential compression device. Which of the following client statements should indicate to the nurse the client understands the teaching? A. "This device will keep me from getting sores on my skin" B. "This thing will keep the blood pumping through my leg" C. "With this thing on, my leg muscles won't get weak" D. "This device is going to keep my joints in good shape"
B. "This thing will keep the blood pumping through my leg"
A nurse in a provider's office is collecting data from the mother of a 12-month-old infant. The client states that her son is old enough for toilet training. Following an educational session with the nurse, the client now states that she will postpone toilet training until her son is older. Learning has occurred in which of the following domains? A. Cognitive B. Affective C. Psychomotor D. Kinesthetic
B. Affective
A nurse is caring for a client who is postoperative. Which of the following interventions should the nurse take to reduce the risk of thrombus development? (select all that apply) A. Instruct the client not to perform the Valsalva maneuver B. Apply elastic stockings C. Review laboratory values for total protein level D. Place pillows under the client's knees & lower extremities E. Assist the client to change position often
B. Apply elastic stockings E. Assist the client to change position often
A nurse who is admitting a client who has a fractured femur obtains a blood pressure reading of 140/94 mmHg. The client denies any history of hypertension. Which of the following actions should the nurse take next? A. Request a prescription for an antihypertensive med B. Ask the client if she is having pain C. Request a prescription for an anti-anxiety med D. Return in 30min to recheck the client's blood pressure
B. Ask the client if she is having pain
A nurse is evaluating how well a client learned the information he presented in an instructional session about following a heart-healthy diet. The client states that she understands what to do now. Which of the following actions should the nurse take to evaluate the client's learning? A. Encourage the client to ask questions B. Ask the client to explain how to select or prepare meals C. Encourage the client to fill out an evaluation form D. Ask the client if she has resources for further instruction on this topic
B. Ask the client to explain how to select or prepare meals
A nurse is collecting data from an older adult client as part of a comprehensive physical examination. Which of the following findings should the nurse expect as associated with aging? (select all that apply) A. Skin thickening B. Decreased height C. Increased saliva production D. Nail thickening E. Decreased bladder capacity
B. Decreased height D. Nail thickening E. Decreased bladder capacity
A nurse is talking with a client who recently attended a cholesterol screening event & a heart-healthy nutrition presentation at a neighborhood center. The client's total cholesterol was 248 mg/dL. After seeing the provider, the client started taking medication to lower his cholesterol level. The client was later hospitalized for severe chest pain, & subsequently enrolled in a cardiac rehabilitation program. Which of the following activities for the client is an example of primary prevention? A. Cholesterol screening B. Nutrition presentation C. Medication therapy D. Cardiac rehabilitation
B. Nutrition presentation
A nurse is planning a presentation for a group of older adults about health promotion & disease prevention. Which of the following interventions should the nurse plan to recommend? (select all that apply) A. Human papilloma virus (HPV) immunization B. Pneumococcal immunization C. Yearly eye examination D. Periodic mental health screening E. Annual fecal occult blood test
B. Pneumococcal immunization C. Yearly eye examination D. Periodic mental health screening E. Annual fecal occult blood test
A nurse is reviewing car seat safety with the parents of a 1-month-old infant. When reviewing car seat use, which of the following instructions should the nurse include? A. Use a car seat that has a three-point harness system B. Position the car seat so that the infant is rear-facing C. Secure the car seat in the front passenger seat of the vehicle D. Convert to a booster seat after 12 months
B. Position the car seat so that the infant is rear-facing
A nurse receives a prescription for an antibiotic for a client who has cellulitis. The nurse checks the client's medical record, discovers that she is allergic to the antibiotic, & calls the provider to request a prescription for a different antibiotic. Which of the following critical thinking attitudes did the nurse demonstrate? A. Fairness B. Responsibility C. Risk taking D. Creativity
B. Responsibility
A nurse is collecting data to evaluate a middle adult's psychosocial development. The nurse should expect middle adults to demonstrate which of the following developmental tasks? (select all that apply) A. Develop an acceptance of diminished strength & increased dependence on others B. Spend time focusing on improving job performance C. Welcome opportunities to be creative & productive D. Commit to finding friendship & companionship E. Become involved with community issues & activities
B. Spend time focusing on improving job performance C. Welcome opportunities to be creative & productive E. Become involved with community issues & activities
A nurse is observing a client drawing up & mixing insulin. which of the following findings should the nurse identify as an indication that psychomotor learning has taken place? A. The client is able to discuss the appropriate technique B. The client is able to demonstrate the appropriate technique C. The client states that he understands D. The client is able to write the steps on a piece of paper
B. The client is able to demonstrate the appropriate technique
A nurse is caring for a client who is 24 hr postoperative following abdominal surgery. The nurse suspects the client's acute pain management is inadequate. Which of the following data reinforce this suspicion? (select all that apply) A. The client seems easily agitated B. The client is nonadherent with coughing, deep breathing, & dangling C. The client may have pain medication every 4 to 6 hr but accepts it every 6 to 7hr D. The client reports tenderness in his right lower leg. E. The client's vital signs are HR 124/min, RR 22/min, T 37ºC (98.6ºF), & BP 156/80 mmHg
B. The client is nonadherent with coughing, deep breathing, & dangling C. The client may have pain medication every 4 to 6 hr but accepts it every 6 to 7hr E. The client's vital signs are HR 124/min, RR 22/min, T 37ºC (98.6ºF), & BP 156/80 mmHg
A nurse is reviewing the CDC's immunization recommendations with the parents of an adolescent. Which of the following recommendations should the nurse include in this discussion? (select all that apply) A. Rotavirus B. Varicella C. Herpes zoster D. Human papilloma virus E. Seasonal influenza
B. Varicella D. Human papilloma virus E. Seasonal influenza
A nurse is reviewing the CDC immunization recommendations with the parents of the preschoolers. Which of the following vaccines should the nurse include in this discussion? (select all that apply) A. Haemophilus influenzae type B B. Varicella C. Polio D. Hepatitis A E. Seasonal influenza
B. Varicella C. Polio E. Seasonal influenza
A nurse is reviewing safety precautions with a group of young adults at a community health fair. Which of the following recommendations should the nurse include to address common health risks for this age group? (select all that apply) A. Install bath rails & grab bars in bathroom B. Wear a helmet while skiing C. Install a carbon monoxide detector D. Secure firearms in a safe location E. Remove throw rugs from the home
B. Wear a helmet while skiing C. Install a carbon monoxide detector D. Secure firearms in a safe location
A nurse is talking with the parents of a 10-year-old child who is concerned that their son is becoming secretive, such as closing the door when he showers, & dresses. Which of the following responses should the nurse make? A. "Perhaps you should try to find out what he is doing behind those closed doors" B. "Suggest that he leave the door ajar for his own safety" C. "At this age, children tend to become modest & value their privacy" D. "You should establish a disciplinary plan to stop this behavior"
C. "At this age, children tend to become modest & value their privacy"
A nurse is providing preoperative education for a client who will undergo a mastectomy the next day. Which of the following statements should the nurse identify as an indication that the client is ready to learn? A. "I don't want my spouse to see my incision" B. "Will you give me pain medicine after the surgery?" C. "Can you tell me about how long the surgery will take?" D. "My roommate listens to everything I say"
C. "Can you tell me about how long the surgery will take?"
A nurse is providing teaching for an older adult client who has lost 4.5 kg (9.9 lb) since his last admission 6 months ago. Which of the following instructions should the nurse include in the teaching? (select all that apply) A. "Eat three large meals a day" B. "Eat your meals in front of the television" C. "Eat foods that are easy to eat, such as finger foods" D. "Invite family members to eat meals with you" E. "Exercise every day to increase appetite"
C. "Eat foods that are easy to eat, such as finger foods" D. "Invite family members to eat meals with you" E. "Exercise every day to increase appetite"
A nurse is talking with an adolescent who is having difficulty dealing with several issues. Which of the following issues should the nurse identify as the priority? A. "I kind of like this boy in my class, but he doesn't like me back" B. "I want to hang out with the kids in the science club, but the jocks pick on them" C. "I am so fat, I skip meals to try to lose weight" D. "My dad wants me to be a lawyer like him, but I just want to dance"
C. "I am so fat, I skip meals to try to lose weight"
A nurse is counseling a young adult who describes having difficult dealing with several issues. Which of the following client statements should the nurse identify as the priority to assess further? A. "I have my own apartment now, but it's not easy living away from my parents" B. "It's been so stressful for me to even think about having my own family" C. "I don't even know who I am yet, & now I'm supposed to know what to do" D. "My girlfriend is pregnant, & I don't think I have what it takes to be a good father"
C. "I don't even know who I am yet, & now I'm supposed to know what to do"
A nurse is caring for a client who is receiving morphine via a patient-controlled analgesia (PCA) infusion device after abdominal surgery. Which of the following statements indicates that the client knows how to use the device? A. "I'll wait to use the device until it's absolutely necessary" B. "I'll be careful about pushing the button too much so I don't get an overdose" C. "I should tell the nurse if the pain doesn't stop while I am using this device" D. "I will ask my adult child to push the dose button when I am sleeping"
C. "I should tell the nurse if the pain doesn't stop while I am using this device"
A nurse is reviewing with the parents of a 2-year-old toddler. Which of the following parent statements should indicate to the nurse an understanding of the teaching? A. "I should keep feeding my son whole milk until he is 3 years old" B. "It's okay for me to give my son a cup of apple juice with each meal" C. "I'll give my son about 2 tablespoons of each food at mealtimes" D. "My son loves popcorn, & I know it is better for him than sweets"
C. "I'll give my son about 2 tablespoons of each food at mealtimes"
A nurse is monitoring a client who is receiving opioid analgesia for adverse effects of the medication. Which of the following effects should the nurse anticipate? (select all that apply) A. Urinary incontinence B. Diarrhea C. Bradypnea D. Orthostatic hypotension E. Nausea
C. Bradypnea D. Orthostatic hypotension E. Nausea
A nurse is caring for a 20-year-old client who is sexually active & has come to the college health clinic for a first-time checkup. Which of the following interventions should the nurse perform first to determine the client's need for health promotion & disease prevention? A. Measure vital signs B. Encourage HIV screening C. Determine risk factors D. Instruct the client to use condoms
C. Determine risk factors
A charge nurse is explaining the various stages of the lifespan to a group of newly licensed nurses. Which of the following examples should the charge nurse should include as a developmental task for a young adult? A. Becoming actively involved in providing guidance to the next generation B. Adjusting to major changes in roles & relationships due to losses C. Devoting a great deal of time to establishing an occupation D. Finding oneself "sandwiched" between & being responsible for two generations
C. Devoting a great deal of time to establishing an occupation
A nurse is teaching the father of a 12-year-old boy about manifestations of puberty. The nurse should explain that which of the following physical changes occur first? A. Appearance of downy hair on the upper lip B. Hair growth in axillae C. Enlargement of the testes & scrotum D. Deepening of the voice
C. Enlargement of the testes & scrotum
A nurse is planning diversionary activities for toddlers on an inpatient unit. Which of the following activities should the nurse include? (select all that apply) A. Building models B. Working with clay C. Filling & emptying containers D. Playing with blocks E. Looking at books
C. Filling & emptying containers D. Playing with blocks E. Looking at books
A nurse is talking with the parent of a 4-year-old child who states that his child is waking up at night with nightmares. Which of the following interventions should the nurse suggest? A. Offer the child a large snack before bedtime B. Allow the child to watch an extra 30 min of TV in the evening C. Have the child take an afternoon nap D. Increased physical activity before bedtime
C. Have the child take an afternoon nap
A nurse is collecting data from a client who is reporting pain despite taking analgesia. Which of the following actions should the nurse take to determine the intensity of the client's pain? A. Ask the client what precipitates the pain B. Question the client about the location of the pain C. Offer the client a pain scale to measure his pain D. Use open-ended questions to identify the client's pain sensations
C. Offer the client a pain scale to measure his pain
A nurse is caring for a client who has been sitting in a chair for 1 hr. Which of the following complications is the greatest risk to the client? A. Decreased subcutaneous fat B. Muscle atrophy C. Pressure ulcer D. Fecal impaction
C. Pressure ulcer
A nurse is planning diversionary activities for preschoolers on an inpatient pediatric unit. Which of the following activities should the nurse include? (select all that apply) A. Assembling puzzles B. Pulling wheeled toys C. Using musical toys D. Playing with puppets E. Coloring with crayons
C. Using musical toys D. Playing with puppets E. Coloring with crayons
A nurse is counseling an older adult who describes having difficult dealing with several issues. Which of the following problems verbalized by the client should the nurse identify as the priority? A. "I spend my whole life dreaming about retirement, & now I wish I had my job back B. "It's been so stressful for me to have to depend on my son to help around the house" C. "I just heard my friend Al died. That's the third one in 3 months" D. "I keep forgetting which medications I have taken during the day"
D. "I keep forgetting which medications I have taken during the day"
A nurse is evaluating teaching about nutrition with the parents of an 11-year-old child. Which of the following statements should indicate to the nurse an understanding of the teaching? A. "She wants to eat as much as we do, but we're afraid she'll soon be overweight" B. "She skips lunch sometimes, but we figure it's okay as long as she has a healthy breakfast & dinner" C. "We limit fast-food restaurant meals to three times a week now" D. "We reward her school achievements with a point system instead of a pizza or ice cream"
D. "We reward her school achievements with a point system instead of a pizza or ice cream"
A nurse is discussing the are of a group of clients with a newly licensed nurse. Which of the following clients should the newly license nurse identify as experiencing chronic pain? A. A client who has a broken femur & reports hip pain B. A client who has incisional pain 72 hr following pacemaker insertion C. A client who has food poisoning & reports abdominal cramping D. A client who has episodic back pain following a fall 2 years ago
D. A client who has episodic back pain following a fall 2 years ago
A nurse is preparing an instructional session for an older adult about managing stress incontinence. Which of the following actions should the nurse take first when meeting with the client? A. Encourage the client to participate actively in learning B. Select instructional material appropriate for the older adult C. Identify goals the nurse & the client agree are reasonable D. Determine what the client knows about stress incontinence
D. Determine what the client knows about stress incontinence
A nurse uses a head-to-toe approach to conduct a physical assessment of a client who will undergo surgery the following week. Which of the following critical thinking attitudes did the nurse demonstrate? A. Confidence B. Perseverance C. Integrity D. Discipline
D. Discipline
A nurse is preparing to administer medications to a preschooler. Which of the following strategies should the nurse implement to increase the child's cooperation in taking medications (select all that apply) A. Reassure the child an injection will not hurt B. Mix oral medications in a large glass of milk C. Offer the child choices when possible D. Have the parents bring in a favorite toy from home E. Engage the child in pretend play with a toy medical kit
D. Have the parents bring in a favorite toy from home E. Engage the child in pretend play with a toy medical kit
A nursing instructor is explaining the various stages of the lifespan to a group of nursing students. Which of the following examples should the nurse include as a developmental task for middle adulthood? A. The client evaluates his behavior after a social interaction B. The client states he is learning to trust others C. The client wishes to find meaningful friendships D. The client expresses concerns about the next generation
D. The client expresses concerns about the next generation
