1. The nurse is caring for a client who is having a colonoscopy. The client states, “I am so
nervous about what the doctor might find during the test.” The nurse responds by saying: “Are
you feeling anxious about the results of your colonoscopy?” The nurse’s response is an example
of which of the following communication techniques?
A. Clarification
B. Paraphrasing
C. Sharing observations
D. Providing information
2. A nurse is completing a client’s history and physical examination. Which information should
the nurse consider subjective data?
A. Blood pressure
B. Cyanosis
C. Nausea
D. Petechiae
3. A nurse is responsible to check that an assistive personnel (AP) uses appropriate personal
protection equipment while caring for clients. Which of the following statements made by the AP
indicates an appropriate understanding of standard precaution techniques?
A. “I will wear gloves at all times when in contact with any clients, regardless of the
diagnosis.”
B. “I will wear gloves and gown when bathing a client who has open skin lesions.”
C. “I will wear gloves, gown and mask at all times while caring a client who has AIDS.”
D. “I will wear gloves when taking a client’s BP.”
4. The patient at greatest risk for developing multiple adverse effects of immobility is a?
A. 1-year-old child with a hernia repair.
B. 80-year-old woman who has suffered a hemorrhagic cerebrovascular accident (CVA).
C. 51-year-old woman following a thyroidectomy.
D. 38-year-old woman undergoing a hysterectomy.
5. When assessing peripheral vascular status of the lower extremities, you place your fingertips
on the top of your patient’s foot between the extensor tendons of the great toe and those of the toe
next to it. Which pulse are you palpating?
A. Posterior tibial
B. Dorsalis pedis
C. Popliteal
D. Femoral
6. The nurse puts elastic stockings (TED Hose) on a patient following major abdominal surgery.
The nurse teaches the patient that the stockings are used after a surgical procedure to?
A. Prevent varicose veins.
B. Prevent muscular atrophy.
C. Ensure joint mobility and prevent contractures.
D. Promote venous return to the heart.
7. A nurse is about to use the Wong-Baker FACES pain scale to assist a patient in assessing his
pain level. Which of the following should the nurse know in order to use this pain scale? Pick all
that apply.
A. Face #0 is chosen when the patient is crying because of severe pain
B. Face #10 is chosen when the patient “hurts a little bit”
C. The nurse matches a face on the scale with that of the patient’s face when he is in pain
D. This scale is useful for adult patients who have cognitive impairments
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