The nurse is assessing the lung sounds of a preschooler. Which action should the nurse implement to ensure the child’s cooperation? A.Have the child blow a cotton ball and have the parent catch it. B.Place a toy in the child’s hands while listening to the breath sounds. C.Offer the child bubbles before the stethoscope is […]

A score of 1 to 10 on the Global Assessment Functioning (GAF) scale would indicate that a client was at risk for: A.Hurting himself or others. B.Serious impairment in social and occupational functioning. C.Mild difficulty in focusing. D.Mild difficulty in handling social situations. The Correct Answer and Explanation is: The correct answer is A. Hurting

Components to a cognitive assessment include which of the following? (Select all that apply.) A.Comprehensive assessment B.Assessing for atypical presentation of Illness C.Complete blood count D.Differentiating delirium, dementia, and depression The Correct Answer and Explanation is: Correct Answers: Explanation: Cognitive assessment is a crucial part of evaluating a person’s mental status and neurological health, particularly

What is the most significant trigger for the development of a nurse-focused countertransference situation? A.The degree of authority the nurse has B.The nature of the client’s diagnosis C.The similar histories of the nurse and client D.The similarities between the client and nurse’s mother E.The nurse reads a ’get-well’ card to the client. The Correct Answer

A charge nurse is discussing the care of a client who has a substance use disorder with a staff nurse.Which of the following statements by the staff nurse should the charge nurse identify as countertransference?A.“The client asked me to go on a date with him, but I refused.”. B.“The client needs to accept responsibility for

A nurse on the day shift is preparing to change a client’s total parenteral nutrition (TPN) solution, but the new TPN solution has not arrived from the pharmacy. The client receives additional IV fat emulsion during the night shift.Which of the following actions should the nurse take? A.Hang the IV fat emulsion solution. B.Call the

A nurse is preparing to palpate a client’s systolic blood pressure using the brachial artery. After applying the blood pressure cuff to the client’s arm, identify the sequence of steps the nurse should follow. (Arrange the steps, placing them in the order of performance. Use all the steps.) A.Palpate the brachial pulse site. B.Discontinue palpation

Vital Signs Blood pressure 113/72 mmHg Heart rate 77 bpm .Respiratory rate 17 breaths/minHeart rate 77 bpmI and O 1100 1200 Oral Intake 0 ml 80 ml Intravenous intake 1000 ml 100 ml urine output 0 ml 400 ml Emesis 18 ml 22 ml Review H and P, nurse’s notes, laboratory results, flow sheet, and

A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8-hour period. The child weighs 33 lb. Which of the following actions should the nurse take? A.Notify the provider. B.Continue to monitor the client. C.Perform a bladder scan at the bedside. D.Provide oral rehydration fluids. The

A nurse is caring for a client who has tuberculosis. Which of the following precautions should the nurse plan to implement when working with the client? A.Protective B.Droplet C.Airborne D.Contact The Correct Answer and Explanation is: The correct answer is C. Airborne. When caring for a client with tuberculosis (TB), a nurse should implement airborne