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Nursing Assessment Test Questions With Complete Solutions
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Nursing Assessment Test Questions With Complete Solutions
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Nursing Assessment Test Questions With CompleteSolutions
After the newborn is circumcised with the traditional Gomco
clamp, the nurse should take which action? Correct Answer
apply petroleum gauze and observe carefully for bleeding
By her fifth month of pregnancy, the 32 year old multipara of
average prenatal height and weight has gained 14 pounds.
Which is the most appropriate statement for the nurse to make?
Correct Answer Your weight gain is appropriate, and you
should continue on the present diet
During peritoneal dialysis, the client suddenly beings to breathe
more rapidly. Which action should the nurse take immediately?
Correct Answer elevate the head of the client's bed
During the acute phase of gout, which nursing intervention
would be most helpful to decrease pain with ambulation?
Correct Answer partial weight bearing
During the first group meeting, the client with a phobic disorder
says, "My feeling of being terrified of closed space is dumb. I
just can't seem to do anything about it. Right now I get nervous
and scared thinking about it." Which response by the nurse is
best? Correct Answer something frightened you as a child and
probably caused these fears
During the second session of group therapy, the client sits
quietly with arms folded and eyes down cast. Which approach
,by the nurse would be best in response to this client? Correct
Answer use broad openings and leads to encourage discussion
How would the nurse position the postoperative client with a
new tracheostomy Correct Answer With the head elevated and
turned to one side until consciousness returns.
In formulating a nursing care plan for the client following a
myocardial infarction, the nurse should include which short term
goal? Correct Answer the client will be free from pain and
dysrhythmias
In preparation for discharge, the nurse reviews the diabetic
exchange list with the client diagnosed with diabetes. A
sandwich made of two slices of whole wheat bread, one slice of
turkey, 1 tsp of mayonnaise, and two lettuce leaves is the
equivalent of which exchange Correct Answer 2 bread
exchanges, 1 meat exchange, 1 fat exchange, and 1 vegetable
exchange
Irrigating solution is infused through a client's bladder at
30mL/hour. After 24 hrs, the catheter collection bag contains
2,500 mL of urine. Which volume is the actual output from the
client? Correct Answer 1780 mL
Nurse cares for the client diagnosed with a hearing impairment.
Which is the most appropriate action for the nurse to take during
the care of this client? Correct Answer Place the client in good
light to the client can see the nurse's mouth
, Nurse cares for the client diagnosed with a wound infection.
What is the priority action for the nurse to take while caring for
the client? Correct Answer check and record the client's
temperature
One week after discharge from the hospital, the client with heart
failure (HF) comes to the cardiac clinic for a follow-up visit.
Which statement, if made by the client to the nurse, indicates an
improvement in the condition? Correct Answer i only use one
pillow to sleep with now, instead of two
Prior to discharge, the nurse teaches the new mother about
umbilical cord care for her infant. The nurse should include
which in the instructions? Correct Answer cleanse the base of
the cord with water
The 17 month old child sucks the thumb especially at night
when quieting for sleep. Which of these suggestions by the
nurse is best? Correct Answer This behavior will subside. It
usually peaks at 24 months.
The 22-year-old client comes to the emergency room after
puncturing the foot with a dirty, rusty nail. The client had the
last tetanus shot 6 ½ years ago. Which nursing action is most
appropriate Correct Answer administer a tetanus toxoid booster
The 3-year-old boy is seen by the nurse in the local clinic. The
child has croup. The parent asks the nurse what can be done for
the child at home to alleviate the symptoms. Which suggestion
by the nurse is most appropriate Correct Answer Run hot water
to make steam and stay in the bathroom with the door closed
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