A nurse is assigning task roles for a group of clients in a community mental health clinic. Which of the following tasks should the nurse assign to the member of the group functioning as the orienteer? A.Measuring the group’s work against the assigned objectives B.Noting the progress of the group toward assigned goals C.Sharing experiences […]

A nurse is admitting an adolescent who has rubella. Which of the following actions should the nurse take? A.Administer aspirin to the client B.Isolate the client from staff who are pregnant. C.Initiate airborne precautions. D.Monitor for the development of Koplik spots The correct answer and Explanation is : The correct answer is B. Isolate the

A nurse is caring for a client who has gastroenteritis and is reviewing the client’s findings from two days ago and today. Which of the following findings require immediate follow-up? A.The client is confused and appears weak. B.The client’s oral mucosa is dry and tongue is furrowed. C.The client’s temperature is 37.4° C (99.3° F).

According to the prefix “mal-,” which of the following phrases best defines “malformed”? A.Formed within B.Partially formed C.Formed under D.Badly formed The correct answer and Explanation is : The correct answer is D. Badly formed. Explanation: The prefix “mal-” comes from Latin and means “bad” or “ill.” When this prefix is used in English, it

During an abdominal assessment, a client with a temperature of 103° F (39.4° C) experiences pain and abruptly stops inhaling during deep palpation. Which prescription is most important for the nurse to implement? A.Nothing by mouth. B.Electrocardiogram. C.Monitor urinary output. D.Complete bed rest. The correct answer and Explanation is : The most important prescription for

A nurse is caring for an adolescent who has a lower extremity fracture. Which of the following types of skin traction should the nurse expect the provider to prescribe? A.Bryant B.Cervical skin C.Dunlop D.Buck extension The correct answer and Explanation is : The correct answer is D. Buck extension. Explanation: Buck extension traction is a

A postpartum client’s fundus is firm, 3 cm above the umbilicus, and displaced to the right. Which of the following interventions should the nurse take? A.Assist the client to void then reassess the fundus. B.Document the findings as within normal limits. C.Gently massage the client’s fundus. D.Encourage the client to ambulate. The correct answer and

A client reports experiencing stomach pain and it is localized in the middle section of the abdomen below the xiphoid process. The nurse should describe the pain as occurring in which region of the abdomen? A.Epigastric region. B.Hypogastric region. C.Hypochondriac region. D.Umbilical region. The correct answer and Explanation is : The correct answer is: A.

A nurse is checking a newborn’s Moro reflex.Which of the following actions should the nurse take to elicit this reflex? A.Place the newborn on their abdomen and observe the movement of their extremities. B.Stroke the newborn’s cheek toward their mouth. C.Stroke upward on the lateral aspect of the newborn’s foot. D.Place the newborn on a

A nurse is assisting a client during ambulation when the client begins to fall. Which of the following actions should the nurse take? A.Lean the client toward the wall. B.Assume a narrow base of support. C.Lower the client to the floor. D.Provide support by holding the client’s arm The correct answer and Explanation is :