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Fundamental Dynamic Quizzes
A nurse is caring for a client who has cancer and is experiencing pain. The nurse should implement which of the following interventions to assist the client with pain relief? - encourage the client to listen to soft music A nurse in a providers office is measuring a client and notes a loss in height from the previous year. The nurse should identify this finding as a manifestation of which of the following musculoskeletal system disorders? - osteoporosis A nurse is assessing a clients pulses of the lower extremities. The nurse should identify which of the following as the location of the most distal pulse? - dorsalis pedis A nurse is caring for a semi conscious client who had a small-bore NG tube placed yesterday for the administration of internal feeding. Which of the following methods should the nurse use to verify correct tube placement? Select all that apply - a. Verify the initial x-ray examination b. Measure the length of the exposed tube c. Determine the pH of aspirated fluid A nurse is caring for a client who has a terminal illness. The client asked several questions about the nurses religious believes related to death and dying. Which of the following actions should the nurse take? - Encourage the client to express thoughts about death and dying A nurse in a same-day procedure unit is caring for several clients who are undergoing different types of procedures. The nurse should anticipate that the client who has which of the following devices can safely undergo magnetic resonance imaging MRI? - Hearing aids A nurse is caring for a client who had a mastectomy and has a self suction drainage evacuator in place. Which of the following actions should the nurse take to ensure proper operation of the device? - Collapse the device to remove air after emptying A nurse is preparing to assess the function of a clients trigeminal nerve. Which of the following items should the nurse gather for the test? - Cotton wisps
A nurse is caring for a child who is postoperative following a tonsillectomy. Which of the following actions should the nurse take? - Administer analgesics to the child on a routine schedule throughout the day and night A nurse is assessing a clients nutritional status. The nurse determines the client is consuming 500 cal more per day than his energy level requires. If his dietary habits do not change, how long will it take the client to gain 4.5 kg? - 10 weeks A nurse is caring for a client who has the head of his bed elevated to 45° with his knees slightly flexed. Which of the following positions should the nurse document for this client? - Fowlers A nurse is planning an in-service training session about nutrition. Which of the following statements should the nurse include in the teaching? - Fats provide energy A nurse is teaching a client who is postoperative following a knee arthroplasty about the muscles he will need to strengthen and physical therapy. Which of the following muscle groups is responsible for movement of the knee joint? - antagonistic A nurse is teaching a middle-aged female about disease prevention and health maintenance. Which of the following diagnostic test should the nurse recommend as part of the clients routine health screening? - eye examination every two years A nurse is evaluating the development of a group of clients. According to Ericsson, the developmental task of intimacy versus isolation occurs during which of the following stages of development? - Young adulthood A nurse is assessing a client who reports nausea and vomiting for two days. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? - Increased heart rate A nurse is presenting an in-service training session about nutrition. Which of the following simple sugars should the nurse identify as the carbohydrate found in milk? - lactose A nurse is providing teaching about nutritious diets to a group of adult women. Which of the following statements should the nurse include? - "Include 2.5 cups of vegetables in your daily diet"
A nurse is planning care for a client who has prescription for collection of a sputum specimen for culture and sensitivity. Which of the following actions should the nurse take when obtaining the specimen? - Collect the specimen upon arising in the morning A nurse is admitting a client who has tuberculosis. In addition to standard precautions, which of the following transition based precautions should the nurse add to the clients plan of care? - Airborne A nurse is caring for a client who has chronic kidney disease. The kidneys regulate body fluids as well as assisting in which of the following functions? - Regulation of acid base balance During a physical examination of a client the nurse suspects strabismus. Which of the following tests should the nurse use to collect additional data? - corneal light reflex A nurse is preparing to administer a feeding via a gastrostomy tube to a client who had a stroke. Which of the following actions should the nurse take prior to initiating the feeding? - elevate HOB A nurse is caring for a client who reports using several herbal medicines. Which of the following actions should the nurse take? - Verify the herbal supplements do not interact do not interact with medications the provider has prescribed A nurse is collecting a specimen for culture from a patient's infected wound. Which of the following actions should the nurse perform? - Cleanse the wound with 0.9% sodium chloride irrigation A nurse is caring for an older adult client who has an in-the-canal hearing aid. The client states that the hearing aid is making a whistling sound. The nurse should identify which of the following factors as the source for the sound? - Excessive wax in the ear canal A nurse is caring for a client who is postoperative following a vaginal hysterectomy and asks for a drink. Her postoperative diet prescription states "clear liquids, advanced diet as tolerated". Which of the following responses should the nurse make? - I am going to listen to your abdomen A nurse is teaching an assistive personnel how to obtain a capillary finger stick blood sample. Which of the following actions by the AP requires the nurse to intervene? - Elevating the finger above heart level
A nurse is called away for an emergency while conversing with a client who is concerned about his medical diagnosis. The nurse returns to the client promptly, as promised. Which of the following ethical principles is the nurse demonstrating? - fidelity A new resident provider asked the Charge Nurse for an access code to review clients online records. The resident is not scheduled to attend the facilities orientation computer class until next week. Which of the following actions should the nurse take? - Explained that it is against policy to share access codes and refer the resident to his supervisor A nurse is teaching a client who is using a patient controlled analgasia pump to deliver morphine for pain management. Which of the following statements should the nurse identify as an indication that the client understands the instructions? - I can still use my transcutaneous electrical nerve stimulation while I am pushing the PCA button A nurse is explaining Piaget's theory of cognitive development to a group of daycare providers for employees' children at an acute care facility. Which of the following activities should the nurse indicate as an example of concrete operational thinking? - Collecting and trading game cards A nurse is planning care for a client who has anorexia and nausea due to cancer treatment. Which of the following intervention should the nurse include? - Limit drinking liquids with fluid A nurse is reviewing measures to prevent back injuries with assistive personnel. Which of the following instruction should the nurse include? - When lifting an object, spread your feet apart to provide a wide base of support A nurse is caring for a client who is receiving continuous internal feeding through an NG tube and develops diarrhea. Which of the following actions should the nurse take? - Request a prescription for an isotonic eternal nutrition formula A nurse is providing discharge teaching to an older adult client about personal safety. Which of the following statements by the client indicates an understanding of the teaching? - I will put a night light in the hallway A nurse documents the presence of clubbing of the finger nails for a client who has emphysema. Which of the following is the underlying cause of this finding? - Chronic hypoxemia A nurse is planning to assess the abdomen of a client who reports feeling bloated for several weeks. Which of the following methods of assessment should the nurse use first? - inspection
A nurse is conducting an admission interview with the client. Which of the following pieces of assessment information should the nurse collect during the introductory phase of the interview? - Client's level of comfort and ability to participate in the interview A nurse on a mental health unit is preparing to terminate the nurse-client relationship with a client who no longer requires care. Which of the following concepts should the nurse and client discuss in the termination phase of the relationship? - loss A nurse is teaching a client who is postoperative how to use a slow oriented incentive spirometer. Which of the following actions should the nurse include? - cough deeply after each use A nurse is preparing to administer eyedrops to a client following surgery. Which of the following actions should the nurse take one instilling the eyedrops? - Drop the eye medication into the lower conjunctival sac A nurse is providing teaching to a client with heart failure about reducing his daily intake of sodium. Which of the following factors is the most important to determine the clients ability to learn new dietary habits? - The involvement of the client and planning the change A nurse is caring for a client who is unconscious. Which of the following actions should the nurse take when providing oral care for the client? - Test for the presence of the clients gag reflex A nurse is applying an ice bag to the ankle of a client following a sports injury. Which of the following actions should the nurse take? - Fill the bag 2/3 full with ice A nurse is caring for a client who has a hearing impairment. Which of the following intervention should the nurse use when speaking with the client? - Face the client when speaking A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following actions should the nurse perform first after discovering that the clients of wound has eviscerated? - Cover the incision with a moist sterile dressing. A nurse is teaching a client who has low back pain about heat therapy. Which of the following statements by the client indicates an understanding of the teaching? - "I need to place a towel between the heating pad and my skin."
A nurse is teaching a group of older adults about expected age related changes. Which of the following statements by group member indicates that the teaching has been effective? - I should expect my heart rate to take longer to return to normal after exercise as I get older A nurse discovers that a client received the wrong medication. Which of the following actions should the nurse take first? - Assess the client A hospice nurse is reviewing religious practices of a group of clients with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? - People who practice Judaism stay with the body of the deceased until burial. A nurse is assessing a clients peripheral pulses. Which of the following descriptions should the nurse use to document the findings? - Peripheral pulses bilaterally symmetric, equal, and strong in all 4 extremities A charge nurse is providing teaching to a newly licensed nurse about removing sutures from a clients laceration. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? - "I will clip each suture close to the skin and pull it through from the other side" A nurse is caring for a client who is having difficulty breathing. The nurse should assess the client into which of the following positions? - Fowlers A nurse is preparing to administer eyedrops for a client who has glaucoma. When installing the medication, which of the following actions should the nurse take? - Apply pressure to the puncta after instilling the medication A community health nurse is preparing a complaint about seasonal influenza. Which of the following plans for the nurse include as a form of secondary prevention? - Screening groups of older adults and nursing care facilities for early influenza manifestations A nurse is teaching a client who is postoperative following a knee arthroplasty about the muscles he will need to strengthen and physical therapy. Which of the following muscle groups is responsible for movement at the knee joint? - antagonistic A nurse is assessing a client who has a sudden onset of severe back pain of unknown origin. Which of the following question should the nurse asked to encourage discussion with her client? - What do you think caused the onset of your pain?
A nurse on an oncology unit receives reports at the beginning of her shift about four clients who are postoperative. Which of the following clients are the nurse see first? - A client who is today's postoperative following a colectomy due to colorectal cancer and has an ostomy bag full of bright red, bloody drainage A nurse is caring for a client who has type one diabetes Molite us and is resistant to learning how to self inject insulin. Which of the following statements should the nurse make? - Tell me what I can do to help you overcome your fear of giving yourself injections A nurse is caring for a client who had a stroke and is at risk for falling. Which of the following actions should the nurse take? - Monitor the client at least once every hour A nurse is caring for a client who has a prescription of acetaminophen 325 MG by mouth for an oral temperature above 38.4°. Above what Fahrenheit temperature should the nurse administer acetaminophen to the client? - 101.1°F A nurse is caring for a client who is receiving a blood transfusion. The client reports flank pain, and the nurse notes reddish brown urine in the clients urinary catheter bag. The nurse recognizes these manifestations as which of the following types of transfusion reactions? - hemolytic A nurse is teaching an assistive personnel how to obtain a capillary fingerstick blood sample. Which of the following actions by the AP requires the nurse to intervene? - Elevating the finger above the heart level A nurse is assisting a client who has dysphagia at meal times. Which of the following actions should the nurse take? - Advise the client to tuck his chin down word A nurse is providing discharge teaching for a client who has type two diabetes Molite us and will be caring for herself at home. The client expressed concerns about preparing an appropriate diet for her diabetes do to her cultural beliefs and preferences. Which of the following responses should the nurse offer? - The dietitian will help you choose foods you are used to that also meet your health needs A nurse is performing a physical assessment of a client. Which of the following action should the nurse take to assess the clients tissue perfusion? - Perform a blanch test
A nurse is planning an in-service training session about nutrition. Which of the following statements should the nurse include in the teaching? - Fats provide energy An adolescent client in an outpatient mental health facility tells the nurse that he struggles to follow his treatment plans because his friend discouraged him. Which of the following statements should the nurse make? - Tell me more about how your friends discourage you A nurse is assessing a client who has fluid volume excess. Which of the following findings should the nurse report? - Crackles in the lung fields A nurse is planning to perform mouse care for an unresponsive client. Which of the following action should the nurse plan to take? - Raise the level of the bed A nurse is monitoring a clients laboratory results. Which of the following results should the nurse report to the provider? - Potassium 3.0 mEq/L A nurse is caring for an older adult client who became agitated when the nurse requests that the clients dentures be removed prior to surgery. Which of the following responses should the nurse provide? - What worries you about being without your teeth? A nurse is taking a clients vitals. Which of the following findings should the nurse identify as outside the expected reference range? - Blood pressure 145/90 mmHg A nurse is preparing to install a vaginal medication in suppository for them to a client. Which of the following action should the nurse take during this procedure - Use the index finger to insert the suppository A nurse is changing the bed linens for a client who is on bedrest. Which of the following action should the nurse perform? - Hold the linens away from the body and clothing A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube and has a gastrostomy tube for eternal feedings. Which pieces of information are critical to communicate to the next nurse who will be caring for this client? - a. New prescriptions b. Arterial blood gas results c. Tracheal secretion characteristics
A nurse is talking with a parent of a preschool aged child who tells the nurse, "my child has suddenly become disinterested in certain foods". Which of the following statement should the nurse? - Keep a diary of the foods your child eats each day A nurse is auscultating a clients lungs and identifies rhonchi over the trachea and bronchi. Which of the following actions should the nurse take? - Encourage the client to cough A nurse is assessing a client for conductive hearing loss. When using the Rinne test, which of the following results should the nurse identify as an indication that the client has conductive hearing loss of the left ear? - Air conduction is less than bone conduction in the left ear A nurse is caring for a client who has breast cancer. The client has been receiving radiation therapy for several months and now refuses to undergo further treatment. Which of the following actions should the nurse take? - support clients decision A nurse is planning to perform passive range of motion exercises for a client. Which of the following action should the nurse take? - Repeat is joint motion five times during each session A nurse on a Tele Metry unit is caring for a client who had a myocardial infraction. The client states, " all this equipment is making me nervous". Which of the following responses should the nurse offer? - All of this equipment can be frightening A nurse is administrating medication to a client who asks the nurse to leave the medication at the bedside to be taking at a later time. Which of the following responses to the nurse made? - Call me when you're ready, and I will return with the medication A nurse is admitting a new client who will undergo a craniotomy. During the planning phase of the nursing process, which of the following action should the nurse take? - Establish client outcomes A nurse is teaching a group of young adults. Which of the following should the nurse identify as an expected developmental task for this age group? - Independent moral development A nurse is assessing a client vascular system. Which of the following techniques should the nurse used when evaluating the carotid arteries? - Auscultation of the arteries for bruits with the bell of the stethoscope
A nurse is preparing to administer 700 mL of 0.9% sodium chloride IV to a child to infuse over 24 hours. The drop factor of the manual IV tubing is 60 ggt/mL. The nurse should said the menu IV infusion to deliver how many ggt/mL per minute? - 29 Charge Nurse is observing a newly licensed nurse perform tracheostomy care for a client. Which of the following actions by the newly licensed nurse requires intervention? - Obtaining cotton balls for the tracheostomy care A nurse has received a prescription for dextran to administer to a client. The nurse should recognize that dextran belongs in which of the following functional classifications? - plasma volume expanders A nurse is caring for a client who is postoperative following vascular surgery on the left femoral artery. The nurse should identify that the surgical wound should be cleansed and which of the following directions? - From the wound toward the surrounding skin A nurse is providing teaching about food choices to a client who has a prescription for a clear liquid diet. Which of the following selections by the client indicates an understanding of the teaching? - Gelatin A nurse is caring for a client who has a BMI of 29 and expresses a desire to lose weight. Which of the following actions should the nurse take first? - Determine the client's intention to change current eating habits I nurse is teaching a client about how to remove a soiled dressing. Which of the following statements by the client indicates an understanding of the teaching? - I'll wear non-sterile gloves A nurse is performing an otoscopic examination of a clients right ear. The light reflex is visible in the right lower quadrant of the tympanic membrane. Which of the following actions should the nurse take in response to this finding? - Document this as an expected finding A nurse is caring for a client who states that she does not want to get out of bed due to pain from arthritis. Which of the following actions should the nurse take? - Advise the client to perform range of motion exercises while in bed A home health nurse enters a clients home and find a used insulin syringe without a cap on the table which of the following actions should the nurse take? - Place the syringe in a puncture proof disposal container
A nurse is preparing to administer a tap water enema to a client. Which of the following actions should the nurse take? - Place the client in a left Sims' position A nurse is performing a comprehensive physical assessment of a client. The nurse should use inspection to assess which of the following? - gait A nurse in the emergency department is assessing a client who has deep, rapid respirations. Arterial blood gas analysis includes the following values: pH 7.25, PaCO2 40, and hc03 - 18. Which of the following acid base imbalances should the nurse identify and report to the provider? - Metabolic acidosis A nurse is caring for a client who is scheduled to receive transcutaneous electrical nerve stimulation for pain management. The client asked the nurse how a TENS unit helps to relieve pain. Which of the following responses should the nurse make? - It modulates the transmission of the pain impulse A nurse is caring for a client who has a terminal illness. The client is restless and reports severe pain but refuses the prescribed opioid pain medication. Which of the following actions should the nurse take? - Ask why the client is refusing the pain medication A nurse is beginning her shift and reviewing the medication administration records for her clients. She notes a dosage of a medication above the safe range and sees the nurse administered the dosage during the previous shift. Which of the following actions should the nurse take? - Call the provider and clarify the dosage A nurse is caring for a middle aged adult client. The nurse should identify which of the following statements as an indication that the client has completed Ericksons developmental task for her age group? - I think I have done a good job with my children since they are all independent now A nurse is caring for a client who has peripheral edema. The nurse should identify that which of the following nutrients regulates extracellular fluid volume? - Sodium A nurse is measuring a clients vital signs. The clients resting radial pulse rate is 55/min. Which of the following actions should the nurse take next? - Measure the clients apical pulse rate A nurse is reviewing the use of side rails with an assistive personnel. Which of the following statements by the AP indicates that further teaching is required? - If the client seems confused, I'll raise all 4 rails so that he doesn't hurt himself
A nurse is preparing a client who is scheduled for a hysterectomy for transport to the operating room. The client states she no longer wants to have the surgery. Which of the following actions should the nurse take? - Notify the provider of the client's decision A nurse is providing teaching about Nutritious diet's to a group of adult women. Which of the following statements should the nurse include? - Include 2.5 cups of vegetables in your daily diet A nurse is discussing fire safety with newly hired nurses. Which of the following actions is a priority if a fire occurs in the healthcare facility? - Evacuate clients from the unit A nurse in an urgent care center is caring for a 15 year old client who symptoms suggest a sexually transmitted infection. The clients parents are unavailable, but the clients grandmother accompanied the client to the clinic. Which of the following actions should the nurse take? - Ask the adolescent to sign the consent form And there's delegates the collection of a clients temperature to an AP. The nurse notes in the documentation that the AP obtained the clients auxiliary temperature; however, the nurse wanted an oral temperature. The nurse should identify that which of the following rights of delegation should have prevented the situation from occurring? - Right communication A nurse is assessing a client thyroid gland. which of the following instructions should the nurse give the client before inspecting and palpating the gland? - Tilt your head back and swallow A nurse is performing a physical assessment of a client the nurse should recognize that which of the following findings place is the client at risk for impaired skin integrity? - Faint pedal pulses A nurse is caring for a client who was admitted to a long-term care facility for rehabilitation after a total hip arthroplasty. Which of the following times should the nurse begin discharge planning? - Upon the client's admission to the care facility A nurse is performing a spiritual assessment of a client. Which of the following questions should the nurse ask? - "What is your source of strength and hope?" A nurse is caring for a client who is receiving IV therapy via a peripheral catheter. The nurse should identify that which of the following findings is an indication of infiltration? - Edema at the infusion site
A nurse is teaching a client who is postoperative about the importance of turning, coughing, and breathing deeply. Which of the following statements to the nurse identify as an indication that the client understand the instructions? - If I do this often, I won't get pneumonia A nurse is assessing the pH of a clients gastric fluid to confirm the placement of the NG tube in the stomach. Which of the following pH value should the nurse expect? - 2 A nurse is teaching a client who has urinary incontinence of a bladder retraining. Which of the following instructions to the nurse include? - Try to block the urge to urinate until the next scheduled time A home health nurse is planning to provide health promotion activities for a group of clients in the community. Which of the following activities as an example of primary prevention? - Educating clients about the recommended immunization schedule for adults A nurse is caring for a client who starts to experience a seizure while sitting in a chair. Which of the following actions should the nurse take? - Lower the client to the floor and place a pad under the client's head. A nurse is caring for a client in a long-term care facility. Which of the following findings should alert the nurse to the possibility that the client has developed delirium? - Reduced level of consciousness A nurse is preparing to administer an intramuscular injection to a young adult client. Which of the following injection sites is the safest for this client? - Ventrogluteal A nurse and a rehabilitation facility is observing an AP help a client transfer from a bed to a wheelchair. Which of the following actions indicates to the nurse that the AP understands how to perform this task? - Locks the brakes on the bed and the WC before moving the client. A nurse is caring for a client who begins having a tonic clonic seizure while sitting in a chair at the bedside. Which of the following actions should the nurse take first? - Lower the client to the floor A nurse is caring for a client who just received a diagnosis of cancer. The client states, " I just don't know what I'm going to do now." Which of the following responses should the nurse make? - Can you explain the concerns you're having right now
A nurse is caring for a client with dehydration who has developed hypovolemic shock. Which of the following laboratory values should the nurse expect for this client? - Hct 55% A nurse is employing a thorough, systematic method while obtaining objective data about a client. Through which of the following methods should the nurse collect this information? - physical examination A nurse is changing the dressing for a client who is three days postoperative following a cholecystectomy. The nurse observes yellow, sick drainage on the dressing. The nurse should document is finding as which of the following types of drainage? - Purulent exudate A nurse is using the I-SBAR communication tool to give a clients provider information about the client. The nurse should convey this clients pain status in which portion of the report? - assessment A nurse is caring for a client who has cancer and refuses visitors because of his debilitated physical appearance. Which of the following comments to the nurse make? - Would you like to talk about how you feel? A nurse in and emergency department is assessing a client who reports diarrhea and decreased urination for four days. Which of the following actions should the nurse take to assess the clients skin turgor? - Grasp a skin fold on the chest under the clavicle, release it, and know whether it springs back A nurse is providing teaching to a client regarding protein intake. Which of the following foods to the nurse include as an example of an incomplete protein? - Lentils A nurse is caring for a client who requires ventilator assistance with breathing following a motor vehicle crash. The nurse should suspect an injury to which of the following parts of the brain? - Brainstem Doing the completion of a health history with a nurse, client reports intermittent chest pain for the past week. Which of the following questions is the nurse is priority? - Can you tell me what the pain felt like and show me exactly where it was A nurse is performing a neurological assessment for a client. By asking the client to stick out his tongue, which of the following cranial nerves is the nurse testing? - Cranial Nerve XII
