When performing a focused gastrointestinal system assessment, the practical nurse (PN) asks a male client when his last bowel movement occurred. The client answers, “Three days ago.”. Which action should the PN implement first? A.Administer a prescribed PRN stool softener. B.Encourage client to ambulate more frequently. C.Recommend increasing high fiber foods daily. D.Determine the client’s […]

The normal pacemaker of the heart is the: A.Purkinje fibers. B.AV bundle. C.Sinoatrial node. D.Atrioventricular node. The Correct Answer and Explanation is: The correct answer is C. Sinoatrial node. Explanation: The heart’s normal pacemaker is the sinoatrial (SA) node. This specialized cluster of cells, located in the right atrium near the opening of the superior

A nurse is educating a client about lung cancer. Which statement made by the client indicates a correct understanding of common risk factors for lung cancer?A “Lung cancer is primarily caused by exposure to secondhand smoke.”B “Genetics play the most significant role in the development of lung cancer.”C “As long as I avoid tobacco smoke,

A nurse is contributing to a plan of care for a client who has a new prescription for a wrist restraint. Which of the following actions should the nurse include in the plan? A.Check that the restraint is tied to a fixed frame of the bed. B.Pad bony prominences on the wrist. C.Remove the restraint

A nurse is caring for a client who has right-sided paralysis following a cerebrovascular accident. Which of the following prescriptions should the nurse anticipate to prevent a plantar flexion contracture of the affected extremity? A.Sequential compression device B.Abduction splint. C.Ankle-foot orthotic. D.Continuous passive motion machine. The Correct Answer and Explanation is: The correct answer is

A nurse is reinforcing teaching for a client who has COPD. Which of the following statements by the client indicates a need for further teaching? A.I will rest for at least 30 minutes before eating. B.I will drink plenty of beverages with my meals. C.I will eat five or six small meals each day? D.I

The nurse is teaching a patient with chronic obstructive pulmonary disease (COPD) about huff coughing to clear secretions. During the patient’s return demonstration, the patient exhales using pursed lips. What should the nurse do next? A.Advise the patient that the procedure is being performed correctly. B.Tell the patient to take several shallow breaths before the

A nurse is preparing to reconstitute amoxicillin/clavulanate potassium oral suspension for administration to a client who has a respiratory tract infection. According to the label, which of the following actions should the nurse take? (Refer to the medication label below.) Directions for mixing Tap bottle until all powder flows freely. Add approximately 2/3 of total

An older client is admitted to an acute care facility with the diagnosis of left lower lobe pneumonia. How should the practical nurse (PN) position the client for auscultation of posterior lung fields? A.Lateral, semi-prone. B.Semi-Fowler’s. C.Right side-lying. D.Forward orthopneic. The Correct Answer and Explanation is: The correct answer is A. Lateral, semi-prone. Explanation When

A nurse in the PACU is caring for a client. Which of the following assessments is the nurse’s priority? A.Respiratory status. B.Surgical site. C.Level of consciousness. D.Pain level. The Correct Answer and Explanation is: Correct Answer: A. Respiratory status. In the Post-Anesthesia Care Unit (PACU), the priority for a nurse is to ensure the client’s