Answers
The nurse is reviewing a client's vital signs and recognizes which vital sign to be within
normal range. - answer Respirations = 14 breaths/minute
The nurse is teaching a client about the different methods of taking a temperature.
Which of the following statements made by the nurse is correct to teach the client about
taking a temperature? - answer "When taking an oral temp wait at least 15 minutes
after eating or drinking."
The nurse is taking a client's blood pressure. Correct technique for taking a manual
blood pressure includes: - answer palpating the brachial pulse and place the blood
pressure cuff 2.5 cm (1 inch) above the pulse
The nurse is assessing a client's pain with a numeric pain scale. The client reports pain
of 8 out of 10 on the pain scale which describes the ___________ of this client's pain. -
answer severity
The nurse will perform which action when correctly following standard precaution
recommendations? - answer wear gloves when changing a wound dressing on a
client
The nurse is preparing to enter a client's room and is going to apply complete PPE.
What is the correct sequence for donning all articles of PPE? - answer Gown, Mask,
Goggles, Gloves
Medical asepsis includes procedures used to eliminate all microorganisms, including
pathogens and spores, from an object or area. - answer FALSE (sterile asepsis)
While interviewing a client, the nurse will implement patient centered care by: - answer
sitting face-to-face and making eye contact with the client
The client being interviewed is asked why they are seeking care. The client says, " I
have been throwing up for three days". The nurse will document this client's reason for
seeking care by writing: - answer "I have been throwing up for 3 days."
The nurse is assessing the health history of an older adult. How will the nurse provide
developmental care for this client? - answer Affirm healthy actions and note health
strengths
The student nurse is being evaluated while completing a physical examination of a
client. Except for during an abdominal assessment, the student nurse will correctly