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The nurse is monitoring neurological vital signs for D
a male client who lost consciousness after falling
and hitting his head. Which assessment finding is
the earliest and most sensitive indication of altered
cerebral function?
a. Unequal pupils.
b. Loss of central reflexes.
c. Inability to open the eyes.
d. Change in level of consciousness.
2. A nurse is planning to teach self-care measures to D
a female client about prevention of yeast infections.
Which instructions should the nurse provide?
a. Use a douche preparation no more than once a
month.
b. Increase daily intake of fiber and leafy green vegetables.
c. Select nylon underwear that is loose-fitting, white,
and comfortable.
d. Avoid tight-fitting clothing and do not use bubble-bath or bath salts.
3. A client who has active tuberculosis (TB) is admitted D
to the medical unit. What action is most important for
the nurse to implement?
a. Place an isolation cart in the hallway.
b. Fit the client with a respirator mask.
c. Don a clean gown for client care.
d. Assign the client to a negative air-flow room.
4. The nurse is planning to conduct nutritional assess- A
ments and diet teaching to clients at a family health
clinic. Which individual has the greatest nutritional
and energy demands?
a. A pregnant woman.
b. A teenager beginning puberty.
c. A 3-month-old infant.
d. A school-aged child.
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