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A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply). - ANSWER--To assess cognitive ability, I should ask the client to count backward by sevens." -To assess affect, I should observe the client's facial expression. -To assess language ability, I should instruct the client to write a sentence." A nurse is planning care for a client ...

A nurse is caring for a client who states, "My boss accused me of stealing yesterday. I was so angry I went to the gym and worked out." The nurse should recognize the client is demonstrating which of the following defense mechanisms? - ANSWER-Sublimation Rationale: The client is exhibiting behaviors consistent with sublimation, which is displayed when a client substitutes socially unacceptable behavior for acceptable behavior. A nurse is caring for a client who has generalized anxiet...

NCLEX Questions - c/o BrilliantN 202223 The nurse is taking the health history of a patient being treated for Emphysema and Chronic Bronchitis. After being told the patient has been smoking cigarettes for 30 years, the nurse expects to note which assessment finding? 1. Increase in Forced Vital Capacity (FVC) 2. A narrowed chest cavity 3. Clubbed fingers 4. An increased risk of cardiac failure - ANSWER-1. Increase in Forced Vital Capacity (FVC) Forced Vital Capacity is the volu...

Fisdap Cardiology Practice Quiz|100% Correct Answers A 61 y/o M with chest pain took one dose of nitroglycerine prior to your arrival. He has experienced no relief. Vital signs are BP 88/44, P 58, R 22. What should you do? a. assist with the administration of aspirin b. apply oxygen c. transport immediately d. administer a second dose of nitroglycerine - ANSWER-a. assist with the administration of aspirin He is hypotensive and doesn't meet the requirements for additional nitroglycer...

Delegation - ANSWER-Right Person, Right Task, Right Circumstance, Right Communication, Right Supervision AP's: vitals and ALDs PN: stable clients and the expected outcome Bleeding - ANSWER-Stabilize object Colorectal Screening - ANSWER-Sigmoid: 5 yrs Colon: 10 years ages 50-75 Manual BP - ANSWER-1 Inch above antecubital space Manual Systolic Measurement - ANSWER-Palpate radial pulse, inflate until pulse disappears, inflate another 30 mmHg, release and note when pulse is palpable aga...

A nurse is providing care based on Maslow's hierarchy of basic human needs. For which nursing activities is this approach useful? a. Making accurate nursing diagnoses b. Establishing priorities of care c. Communicating concerns more concisely d. Integrating science into nursing care - ANSWER-b. Maslow's hierarchy of basic human needs is useful for establishing priorities of care. The nurse is prioritizing nursing care for a patient in a long-term care facility. Which examples of nur...

b. The Three Cueing Systems model omits or obscures the role of phonology. - ANSWER-What is one important distinction between the Four-Part Processing Model for Word Recognition and the Three Cueing Systems model? a. The Four-Part Processing Model emphasizes visual processes. b. The Three Cueing Systems model omits or obscures the role of phonology. c. The Three Cueing Systems model emphasizes the role of phonology. d. The Three Cueing Systems model omits semantic processing. d. both fou...

When selecting an NCLEX answer or determining the order of priority what should you remember or use and what is the exception? - ANSWER-Use the ABC rule: Airway breathing, and circulation. The exception to the rule is with actual CPR, use C-A-B for CPR. Also remember safety first and acute before chronic. If the pt. is not in distress then you assess. If the pt is in distress then you should do something. If the pt has diaphorisis you should always do something. How should you address...

NCSBN Practice Questions With 100% Verified Answers The nurse is coordinating care for a postpartum client and her newborn with the unlicensed assistive personnel (UAP). The mother is human immunodeficiency virus (HIV) positive. The nurse would recognize the need to educate the UAP, who is observed doing which of the following actions? A. Assist the mother who is attempting to breastfeed her baby B. Place the infant on his or her back in the bassinet C. Wear gloves while changing the...

It is the start of the shift and the nurse has just finished listening to a report on four clients. Which client should the nurse assess first? A. A client with a diagnosis of an acute traumatic brain injury who has a blood pressure of 88/58 B. A client with a diagnosis of a concussion and who doesn't remember the motor vehicle accident C. A client diagnosed with viral meningitis and has signs of meningeal irritation D. A client diagnosed with generalized seizures who complains of a h...