The nurse notes a reddened area on the right heel that does not turn lighter in color when pressed with a finger. Which term will the nurse use to describe this area?A.Secondary erythema. B.Nonblanchable erythema. C.Blanchable hyperemia. D.Reactive hyperemia. The Correct Answer and Explanation is: The correct answer is B. Nonblanchable erythema. Explanation: When assessing […]

A preschool child is asked, “Why do trees have leaves?” Which response would be an example of animism? A “Solcan have shade over my sandbox.”.B “To hide behind when they are scared.”.C “Because God made them that way.”.D “For the squirrels to play in.”. The Correct Answer and Explanation is: The correct answer is B:

A nurse is collecting data from a newborn and finds an apical pulse of 130/min. Which of the following actions should the nurse take? A.Document this as an expected finding. B.Call the neonatologist to assess the newborn. C.Ask another nurse to verify the heart rate. D.Prepare the newborn for transport to the NICU. The Correct

How does skin traction compare to skeletal traction in nursing practice? A.Skin traction is more invasive and requires surgical insertion of metal pins. B.Skin traction involves the use of weights attached to the skin, while skeletal traction uses weights connected to metal pins inserted into the bone. C.Skin traction is only used for chronic orthopedic

A nurse is preparing to administer heparin 7,500 units subcutaneous. Available is heparin 10,000 units/mL. How many ml. should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.) The Correct Answer and Explanation is: To determine how many milliliters of heparin

A nurse is caring for a patient with hepatic encephalopathy. While making the initial shift assessment, the nurse notes that the patient has a flapping tremor of the hands. The nurse should document the presence of what sign of liver disease? A.Asterixis B.Fetor hepaticus C.Palmar erythema D.Constructional apraxia The Correct Answer and Explanation is: The

A client with hepatic encephalopathy is receiving lactulose. Which assessment provides the nurse with the best information to evaluate the client’s therapeutic response to the drug? A.Stool color and character. B.Serum electrolytes and ammonia. C.Serum hepatic enzymes. D.Fingerstick glucose. The Correct Answer and Explanation is: Correct Answer: B. Serum electrolytes and ammonia. Explanation: Hepatic encephalopathy

When assessing the abdomen, the nurse would expect to auscultate which sounds? A.High-pitched gurgling B.Bruits C.Friction rubs. D.Low-pitched sonorous sounds The Correct Answer and Explanation is: Correct Answer: A. High-pitched gurgling Explanation: When assessing the abdomen, the nurse should expect to auscultate high-pitched gurgling sounds, which are the normal bowel sounds. These sounds are created

A nurse is assessing a client’s bowel sounds. At which of the following points in the assessment should the nurse auscultate the client’s abdomen? A.After palpating the abdomen B.Prior to percussing the abdomen C.Prior to inspecting the abdomen D.After assessing for kidney tenderness The Correct Answer and Explanation is: The correct answer is: B. Prior

When assessing a client diagnosed with narcissistic personality disorder, the nurse expects to identify which characteristic behavior? A.Submissive and clinging behaviors B.Grandiose sense of self-importance C.Pattern of intense and chaotic relationships D.Odd beliefs and magical thinking The Correct Answer and Explanation is: The correct answer is: B. Grandiose sense of self-importance Explanation: Narcissistic Personality Disorder