• A nurse has just received a medication order which is not legible. Which statement best
reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea of what you mean."
B) "Would you please clarify what you have written so I am sure I am reading it
cor...
A nurse has just received a medication order which
is not legible. Which statement best
reflects assertive communication?
A) "I cannot give this medication as it is written. I have no
idea of what you mean."
B) "Would you please clarify what you have written so I
am sure I am reading it
correctly?"
C) "I am having difficulty reading your handwriting. It
would save me time if you would
be more careful."
D) "Please print in the future so I do not have to spend
extra time attempting to read your
writing."
The correct answer is B) "Would you please clarify what
you have written so I am sure I
am
reading it correctly?"
The nurse is assessing the mental status of a client
admitted with possible organic brain
Disorder. Which of these questions will best assess the
function of the client's recent memory?
A) "Name the year." "What season is this?" (pause for
answer after each question)
B) "Subtract 7 from 100 and then subtract 7 from
that." (pause for answer) "Now
Continue to subtract 7 from the new number."
C) "I am going to say the names of three things and I want
you to repeat them after me:
blue, ball, pen."
D) "What is this on my wrist?" (point to your watch)
Then ask, "What is the purpose of
it?"
The correct answer is C: "I am going to say the names of
three things and I want you to
repeat them after me: blue, ball, pen."
In planning care for a 6 month-old infant, what must
the nurse provide to assist in the
development of trust?
A) Food
B) Warmth
C) Security
D) Comfort
The correct answer is C: Security
What is the most important consideration when
teaching parents how to reduce risks in
the home?
A) Age and knowledge level of the parents
B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home
The correct answer is D: Age of children in the home9.
A 35 year- old client with sickle cell crisis is talking on the
telephone but stops as the
nurse enters the room to request something for pain. The
nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
The correct answer is C: Administer the prescribed
analgesia
While caring for a toddler with croup, which initial
sign of croup requires the nurse's
immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
The correct answer is A: Respiratory rate of 30
A client is admitted with low T3 and T4 levels and an
elevated TSH level. On initial
assessment, the nurse would anticipate which of the
following assessment findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
The correct answer is A: Lethargy
The emergency room nurse admits a child who
experienced a seizure at school. The
father comments that this is the first occurrence, and
denies any family history of
epilepsy. What is the best response by the nurse?
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has
epilepsy."
C) "Since this was the first convulsion, it may not happen
again."
D) "Long term treatment will prevent future seizures."
The correct answer is B: "The seizure may or may not mean
your child has epilepsy."
Alcohol and drug abuse impairs judgment and
increases risk taking behavior. What
nursing diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficitC) Altered thought process
D) Disturbance in self-esteem
The correct answer is A: Risk for injury
The nurse is caring for a 10 month-old infant who
is has oxygen via mask. It is
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