单选题An agitated client demands to see his chart so that he can read what has been written about him. Which of the following statements is the nurse's best response in this situation? A. "I'm sorry the chart is the property of the facility. We don't permit clients to read them. " B. "You have the right to see your chart. Please discuss this with your primary care provider. " C. "You may see your chart after you're discharged. " D. "Please discuss this matter with your attorney. /
单选题A respectable lawyer is admitted to an acute care facility with epigastric pain. Since admission, the client has called the nurse every 15 minutes with one request or another. Which of the following could explain this client's behavior? A. Repression. B. Somatization. C. Regression. D. Conversion.
单选题When planning continuing care for the depressed client, the nurse should include: A．Offering the client an opportunity to make some decisions B．Encouraging the client to decide how to spend leisure time C．Making all decisions to relieve the client of this responsibility D．Allowing the client time to be alone to decide in which activities to engage
单选题John often finds herself daydreaming about boy's and wondering what her life will be like when she gets married. According to Piaget, John is likely in which stage? A．Sensorimotor stage B．Preoperational stage C．Concrete operational stage D．Formal operational stage
单选题An otherwise healthy adolescent has meningitis and is receiving IV and oral fluids. The nurse should monitor this client's fluid intake because fluid overload may cause A. cerebral edema. B. dehydration. C. heart failure. D. hypovolemic shock.
单选题During the admission interview, a client reports that she frequently has nightmares and memories of a rape that occurred 3 years ago. She feels depressed and asks the nurse, "Do you think I will ever get better? I don't know what is wrong with me. " The nurse's most supportive response would be A. "It sounds like you have some unresolved pain about the trauma. Take time here to talk and allow yourself to heal. " B. "I'm not sure what is wrong, but the medication will help you soon enough. " C. "It's important to talk to your physician about an issue such as this. " D. "Don't feel bad; the treatment will help you. /
单选题A child is sent to the school nurse because, according to his teacher, he's constantly scratching his head. When the nurse assesses his hair and scalp, she finds evidence of lice. What did she probably see? A. Flaking of the scalp with pink, irritated skin exposed. B. Small white spots that adhere to the hair shaft, close to the scalp. C. Scaly, circumscribed patches on the scalp, with mild alopecia in these areas. D. Multiple tiny pustules on the scalp with no abnormal findings on the hair shafts.
单选题The nurse is caring for a toddler in respiratory arrest. The nurse will assist with endotracheal intubation and use an uncurled tube because the A. vocal cords provide a natural seal. B. trachea is shorter. C. larynx is anterior and cephalad. D. cricoid cartilage is the narrowest part of the larynx.
单选题The nurse is providing care for a pregnant 16-year-old client. The client says that she's concerned she may gain too much weight and wants to start dieting. The nurse should respond by saying. A. "Now isn't a good time to begin dieting because you are eating for two. " B. "Let's explore your feelings further. " C. " Nutrition is important because depriving your baby of nutrients can cause developmental and growth problems. " D. "The prenatal vitamins should ensure the baby gets all the necessary nutrients. /
单选题Which of the following assessments indicates fetal distress? A. Fetal scalp pH of 7.14. B. Fetal heart rate (FHR) of 144 beats/minute. C. Acceleration of FHR with contractions. D. Long-term variability.
单选题A 16-year-old girl comes to the school nurse complaining of cramps, backache, and nausea with her periods. The nurse most likely would interpret these symptoms as which of the following? A. Pathologic. B. Physiologic. C. Psychogenic. D. Psychosomatic.
单选题The nurse is preparing a treatment plan for a client taking oral corticosteroids to control severe chronic asthma. Which statement indicates that the client understands his treatment plan（）
单选题A nurse instructs a prenatal class about the importance of doing Kegel exercises frequently. Kegel exercises help to A. promote better breathing by strengthening the diaphragm muscle. B. maintain good perineal muscle tone by tightening the pubococcygeus muscle. C. minimize leg cramps by strengthening the calf muscles. D. prepare the mother for pushing by strengthening the abdominal muscles.
单选题A parent group is discussing different types of punishment. The parents ask the nurse to discuss corporeal punishment. What would be the nurse's response? A. "Corporeal punishment does not physically harm the child. " B. "Corporeal punishment can result in children becoming accustomed to spanking. " C. "Corporeal punishment can be beneficial in teaching children what they should do. " D. "Corporeal punishment reinforces the idea that violence is not acceptable. /
单选题The nurse is caring for a client admitted to the hospital with a bowel obstruction. The nurse should wear sterile gloves when A. inserting an indwelling urinary catheter. B. giving a back rub on intact skin. C. changing an oxygen system. D. inserting an IV catheter.
单选题A client is experiencing an early postpartum hemorrhage. Which action
is inappropriate?
A. Inserting an indwelIing urinary catheter.
B. Fundal massage.
C. Administration of oxytoxics.
D. Pad count.
单选题A client complains of a severe, throbbing headache following a lumbar puncture. The priority nursing intervention for this client is to A. restrict fluid intake. B. increase fluid intake. C. raise the head of the bed. D. assess vital signs.
单选题The nurse is developing a plan of care for a client with anorexia nervosa. Which action should the nurse include in the plan? A. Set up a strict eating plan for the client. B. Encourage the client to exercise, which will reduce her anxiety. C. Restrict visits with the family until the client begins to eat. D. Provide privacy during meals.
单选题A 54-year-old female was found unconscious on the floor of her bathroom with self- inflicted wrist lacerations. An ambulance was called and the client was taken to the emergency department. When she was stable, the client was transferred to the inpatient psychiatric unit for observation and treatment with antidepressants. Now that the client is feeling better, which nursing intervention is most appropriate（）
单选题When caring for a client during the second stage of labor, which action would be least appropriate? A. Assisting the client with pushing. B. Ensuring the client's legs are positioned appropriately. C. Allowing the client clear liquids. D. Monitoring the fetal heart rate.