A nurse is using the I-SBAR communication tool to provide the client's provider with information about
the client. The nurse should convey the client's pain status in which portion of the report?
A. Assessment
B. Background
C. Situation
D. Recommendation - Answer-A
A nurse is providing discharge to a client who is recovering from lung cancer. The provider instructed the
client that he could resume lower-intensity activities of daily living. Which of the following activities
should the nurse recommend to the client?
A. Sweeping the floor
B. Shoveling snow
C. Cleaning windows
D. Washing dishes - Answer-D
A nurse in the emergency department is caring for a client who has abdominal trauma. Which of the
following assessment findings should the nurse identify as an indication of hypovolemic shock?
A. Warm, dry skin
, B. Increase urinary output
C. Tachycardia
D. Bradypnea - Answer-C
Rationale: Due to the decrease in circulating blood volume that occurs with internal bleeding, the
oxygen carrying capacity of the blood is reduced. The body attempts to relieve the hypoxia by increasing
the heart rate and cardiac output, along with increasing the respiratory rate.
A nurse is planning to assess the abdomen of a client who reports feeling bloated for several weeks.
Which of the following methods of assessment should the nurse first?
A. Inspection
B. Auscultation
C. Percussion
D. Palpation - Answer-A
A nurse is responding to a parents question about his infants expected physical development during the
first year of life. Which of the following information should the nurse include?
A. A 2 month old infant can turn from his abdomen to his back
B. A 10 month old infant can pull up to a standing position
C. A 4 month old infant can sit up without support
D. A 6month old infant can crawl on his hands and knees - Answer-B
A client who reports shortness of breath requests her nurse's help in changing positions. After
repositioning the client, which of the following actions should the nurse take next?
A. Encourage the client to take deep breaths
B. Observe the rate, depth, and character of the clients respirations
C. Prepare to administer oxygen
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