1. A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which of the following findings should the nurse identify as a potential indication of a skin malignancy? a. A lesion with uniform pigmentation b. New appearance of petechiae c. A mole with asymmetrical...
1. A nurse if performing a skin assessment for a client who expresses concern about skin
cancer. Which of the following findings should the nurse ID as a potential indication of a
skin malignancy?
A mole with an asymmetrical appearance.
2. A nurse is assessing a client who reports increased pain following physical therapy.
Which of the following questions should the nurse ask when assessing the quality of the
client's pain?
Is your pain sharp or dull?
3. A nurse is admitting a new client. which of the following actions should the nurse take
while performing medication reconciliation?
compare the client's home medications with the provider's prescription
4. A nurse is auscultating the anterior chest of a client newly admitted to a medical-surgical
unit. Listen to the audio clip of what the nurse auscultates through his stethoscope and
identify the type of breath sounds he hears?
Normal breath sounds
5. A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the
following actions should the nurse take?
Administer the medication with the needle at 45-degree angle.
6. a nurse is using an open irrigation technique to irrigate a client's indwelling urinary
catheter. which of the following actions should the nurse take?
Subtract the amount of irrigant used from the client’s urine output.
7. a nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury.
which type of dressing should the nurse use?
, Hydrocolloid
8. A nurse is preparing to administer heparin to a client. Which of the following actions
should the nurse plan to take?
Administer the medication into the abdomen.
9. A nurse on a medical-surgical unit is caring for a client who has a new prescription for
wrist restraints. Which of the following actions should the nurse take?
Pads the client wrist before applying the restraints
10. A nurse is initiating a protective environment for a client who has had an allogeneic stem
cell transplant. Which of the following precautions should the nurse plan for this client?
Make sure the client wears a mask when outside her room if there is construction in the
area.
11. A nurse is caring for a client who has dementia. Which of the following interventions
should the nurse take to minimize the risk for injury to the client?
Use a bed exit alarm system.
12. A nurse is caring for a client who has herpes zoster and asks the runs about the use of
complementary and alternative therapies for pain control. the nurse should inform inform
the client that his condition is a contraindication for which of the following therapies?
Acupuncture
13. A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a chair.
To prevent self-injury, which of the following actions should the nurse take when lifting
this object?
Stand close to the cabinet when lifting it.
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