Question 1

A client says to the nurse, "My doctor told me they are going to do some kind of test on me. I really didn't understand it." The nurse's best response would be

Volume B

Options :

A : "Tell me your concerns."

B : "In the future tell your doctor he needs to speak more loudly."

C : "I would not worry about it too much. There is no pain involved."

D : "I'm sure you will be fine once you see what they are doing."

Answer: A

Question 2

A woman is seen in the physician's office because of nutritional anemia. During a nursing history, the client makes all of the following comments. Which comment would be indicative of nutritional anemia?

Volume D

Options :

A : "I get a headache about twice a week."

B : "I have trouble sleeping at night."

C : "I get pain in my lower back."

D : "I always feel tired and weak."

Answer: D

Question 3

To which of the following assessment data should the nurse give highest priority for a client admitted to the emergency room in a hepatic coma?

Volume A

Options :

A : Neurological status

B : Airway adequacy

C : Ammonia levels

D : Gastrointestinal bleeding

Answer: B

Question 4

Which of the following nursing interventions would be most important for determining fluid balance in a client with end-stage renal failure?

Volume A

Options :

A : Monitor urine specific gravity

B : Measure fluid intake and output

C : Weigh daily

D : Record frequency of bowel movements

Answer: C

Question 5

When maintaining accurate records in situations of suspected abuse, the nurse should document

Volume A

Options :

A : an interpretation of the client-s statements regarding the abuse.

B : a body map to indicate size, color, areas and types of injuries.

C : a description of the suspected abuser.

D : generalized statements about the events leading up to the abuse.

Answer: B

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