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NUR 104 Practice Test Assessment Questions And Answers With Verified Tests
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NUR 104 Practice Test Assessment Questions And Answers With Verified Tests
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NUR 104 Practice Test Assessment Questions AndAnswers With Verified Tests
The daughter of an older woman who became depressed following the death of her husband asks, "My mother was
always well adjusted until my father died. Will she tend to be sick from now on?"Which response is best for the
nurse to provide? ANS "It's highly likely that she will recover and return to her pre-illness state."
The home health, nurse visits and elderly, female client who had a stroke three months ago, and is now able to
ambulate with assistance of a quad cane. Which assessment finding has the greatest implications for the clients care?
ANS The nurse notes that there are numerous scatter rugs throughout the house.
What intervention should the nurse include in the plan of care for the client who is being treated with an Unna's
paste boot for leg ulcers due to chronic venous insufficiency? ANS Check, capillary refill of tools on lower
extremity with Unna's paste boot
What client statement indicates to the nurse that the client requires assistance with bathing? ANS "I don't
understand why I'm so weak and tired."
A middle-aged woman who enjoys being a teacher and mentor, feels that she should pass down her legacy of
knowledge and skills to the younger generation. According to Erikson, she is involved in what developmental stage?
ANS Generativity.
Which statement best describes, durable, power of attorney for healthcare? ANS The client sign the document
that designates another person to make legally binding healthcare decisions if the client is unable to do so
Which statement is an example of a correctly written nursing diagnosis statement? ANS Ineffective coping
related to response to positive biopsy test results
A client who has been on bed rest for several days now has a prescription to progress activity as tolerated. When the
nurse assist the client out of bed for the first time, the client becomes dizzy. What action should the nurse
implement? ANS Advise the client to sit on the side of the bed for a few minutes before standing again
A client is admitted with a stage four pressure ulcer that has a black, hardened surface with a light pink warm bed
with the malodorous green drainage. Which dressing is best for the nurse to use first? ANS Wet to moist
dressing
, The charge nurse observes an unlicensed assistive personnel (UAP), bending at the ways to live a 20 pound box of
medical supplies of the treatment room floor. What instruction should the charge nurse provide the UAP? ANS
Bend at the knees when lifting heavy objects
A female client who has breast cancer with metastasis to the liver and spine is admitted with constant, severe pain
despite around-the-clock use of oxycodone (Percodan) and amitriptyline (Elavil) for pain control at home. During
the admission assessment, which information is most important for the nurse to obtain? ANS Sensory pattern,
area, intensity, and nature of the pain.
A male client arrives at the outpatient surgery center for a scheduled needle aspiration of the knee. He tells the nurse
that he has already given verbal consent for the procedure to the healthcare provider. What action should the nurse
implement? ANS Witness the client's signature on the consent form.
A client is demonstrating a positive Chvostek's sign. What action should the nurse take? ANS Ask the client
about numbness or tingling in the hands.
The nurse is preparing a male client who has an indwelling catheter and an IV infusion to ambulate from the bed to
the chair for the first time following abdominal surgery. What action should the nurse implement prior to assist in
the client to the chair? (Select all that apply.) ANS Pre-medicate the client with an analgesic
Inform the client of the plan for moving to the chair
Ask the client to push the IV pole to the chair
Assess the clients blood pressure
The nurse notes that a client consistently coughs while eating and drinking. Which nursing diagnosis is most
important for the nurse to include in the client's plan of care? ANS Risk for aspiration
Amil, client with acquired immunodeficiency syndrome (AIDS) develops cryptococcal meningitis, and tells the
nurse that he does not want to be resuscitated if his breathing stops. What action should the nurse implement? ANS
Ask the client if this decision has been discussed with his healthcare provider
Well, the nurse is administering a bowl is feeding to a client via nasogastric tube, the client begins to vomit. What
action should the nurse implement first? ANS Discontinue the administration of the bolus feeding
A 73 year old Hispanic client is seen at the community health clinic with a history of protein malnutrition. What
information should the nurse obtain first? ANS Foods and liquids consumed during the past 24 hours.
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