15 Jan Question 45The nurse recognizes that

Question 1Which of the following is considered the safest and most comfortable injection site for a patient who is requiring an intramuscular (IM) injection?

· Question 2When educating a diabetic patient about complex carbohydrates, the nurse teaches that complex carbohydrates require the body to work harder to break them down to use for energy, helping to maintain a more consistent blood glucose level. The nurse identifies an example of a complex carbohydrate as

· Question 3At the staff education meeting, the nurse discussed that it is important to use the four senses to determine signs of illness or injury that a patient may be exhibiting. Signs are

· Question 4A psychologist who theorized that cognitive development occurs from birth to adolescence in an orderly sequence of four stages is

· Question 5The nurse enters the room of a patient who is breathing rapidly and gasping. First the nurse should

· Question 6Complete the client’s intake and output total for the shift.

Intake; Output

300 cc H2O; 250 cc emesis

400 ml soup; 100 cc urine

2 TBSP juice; 150 cc urine

100 cc Jell-O; 50 ml vomit

1 (8oz) cup ice chips; 200 cc liquid diarrhea

Question 7When assessing the integrity of the patient’s skin, the nurse is

Question 8While preparing a dose of liquid famotidine (Pepcid) for administration through a gastrostomy tube for a 40-year-old, the nurse measures 15 mL into a plastic medicine cup. Which of the following indicates the appropriate dose of medication?

Question 9When preparing the urine specimen for urinalysis, which of the following activities does the nurse do?

Question 10The nurse recognizes that a 22 g, 1″ needle would be most appropriate for a(n)

Question 11The nurse is providing discharge instructions for the parents of a 6-year-old boy diagnosed with pink eye. The nurse would include

Question 12The nurse receives a new order for a 24-hour urine collection. The best action by the nurse is to

Question 13When giving a tap water enema, the nurse inserts the tip of the rectal tube into the rectum 2 or 3 inches and raises the enema can

Question 14Manual stool removal is contraindicated in which of the following scenarios?

Question 15While caring for a patient newly admitted with fluid and electrolyte imbalances, the nurse would be most concerned by which of the following?

Question 16The nurse includes which of the following instructions to the patient regarding their stool specimen for occult blood?

Question 17Which of the following independent nursing actions should the nurse use to prevent constipation?

Question 18While assisting a student nurse provide a nitroglycerine patch, the nursing instructor would intervene if

Question 19The nurse is preparing to provide a subcutaneous injection. The nurse’s technique would include

Question 20Mark Smith has been wandering lost in the desert for several days before being rescued. The physician orders a urinalysis and a urine specific gravity. The nurse anticipates that the patient’s urine will

Question 21When questioned by a patient about the difference between palliative care and the services provided by hospice, the nurse explains that palliative treatment

Question 22Mary continues to be nauseated. Which of the following nursing interventions would best help Mary?

Question 23The nurse is caring for a toddler who obeys authority in order to avoid punishment. The nurse recognizes that the toddler is in the stage of Lawrence Kohlberg’s moral development theory that is called

Question 24Mary Jones came to the emergency room because of sudden onset of vomiting. While waiting to see the doctor, she has a large projectile emesis on the floor. The nurse has Mary see the doctor immediately because projectile vomiting is a/an

Question 25When performing catheter care, the nurse cleanses the urethral meatus

Question 26While caring for a patient with dehydration, the nurse is most likely to include which of the following in the patient’s plan of care?

Question 27A nurse working in a pediatrician’s office is preparing to do a throat culture for a 5-year-old. The child’s parent asks, “Why do we have to do this?” The best statement by the nurse to the child’s parent is

Question 28The nurse understands that when the terminal patient states, “No, I don’t need anything. What would you get me anyway?” he or she is most likely in the stage of grief called

Question 29Mrs. Smith has been advised by her doctor to eat a low fat diet because of her gallbladder disease. Which of the following activities should the nurse encourage her to do?

Question 30 Which of the following statements is true of patients with Suprapubic catheters?

Question 31The nurse assisted Mr. Hansen back to his bed from the bathroom. When she went to flush the toilet, she noted his stools were of a tarry black consistency. The nurse knows that the presence of Melena indicates

Question 32While checking on students who are caring for patients on the orthopedic unit, the nursing instructor would be most concerned if

Question 33The nurse recognizes that the term for the physical changes that occur in the size of human beings is

Question 34 When preparing to give an enema, the nurse instructs the client to take a deep breath while the rectal tube is being inserted. The rationale for deep breathing is

Question 35Which of the following mechanisms results in inhalation?

Question 36The day after surgery a patient asked the nurse, “Why do the nurses keep listening to my abdomen? That’s not where I had surgery.” Which of the following responses best answers the patient’s question?

Question 37Which of the following individuals will be at the lowest risk for an electrolyte imbalance?

Question 38 The nurse documents pin site care for a patient in skeletal traction. Documentation likely includes

Question 39Mark Jones has been taking narcotic analgesics following his surgery. Which of the following is true regarding the impact of narcotics on bowel habits?

Question 40The nurse is caring for a patient whose urine is notably reddish-brown in color. The most likely reason for this symptom is

Question 41When educating a patient about cooking methods, the nurse recognizes that additional teaching is warranted when the patient states that a way to reduce fat intake is

Question 42Which of the following pH values indicates the presence of alkalosis?

Question 43The nurse is providing care for a 32-year-old with suspected bowel obstruction who is receiving intramuscular injections of narcotic pain medication. The patient states, “I hate shots. Why can’t I just take a pill?” The best response by the nurse is

Question 44Mr. Blue has been having kidney troubles. Which of the following conditions should the nurse report immediately to the physician?

Question 45The nurse recognizes that the type of development that occurs throughout one’s life in distinct stages, each stage requiring that specific tasks must be mastered, is called

Question 46The student nurse is providing care for a patient who becomes short of breath while ambulating to the bathroom. The best way for the student to document this finding is

Question 47During the physical assessment, the nurse asks the elderly female patient if she experiences constipation. The nurse knows that

Question 48During the physical assessment the nurse questions the patient about his bowel elimination habits. The nurse’s goal is

Question 49The best time to obtain a sputum specimen is

Question 50The nurse recognizes that an individual who is most likely experiencing frequent loss of friends, family members, and physical capabilities is