Nursing Concepts and Procedures, Exams of Nursing

Download Nursing Concepts and Procedures and more Exams Nursing in PDF only on Docsity! DAS LVN FINAL EXAM NEWEST ACTUAL EXAM QUESTIONS AND DETAILED CORRECT ANSWERS |2024- 2025 A client who has cystitis complains of extreme dysuria, and phenazopyridine (Pyridium) has been prescribed. Which of these aspects should the nurse include in client teaching? Select one: A. "Reduce the amount of whole grains and meats in your diet." B. "This medicine turns your urine red-orange and can stain clothes and toilets." C. "Drink at least 3 liters of water and 3 liters of cranberry juice per day." D. "Expect your urine to appear more concentrated." Correct Answer B. "This medicine turns your urine red- orange and can stain clothes and toilets." A nurse is teaching a client about the various contraceptives. What is a 100% effective method of birth control and protection against sexually transmitted diseases (STDs)? Select one: A. Abstinence B. Depo-Provera C. Oral contraceptives D. Rhythm method Correct Answer A. Abstinence The nurse examines a client who slipped and fell while climbing stairs and now has ankle swelling and pain on movement. While the client is waiting for their ankle to be x-rayed, which nursing measure is most helpful for relieving the soft-tissue swelling? Select one: A. Apply ice to the ankle B. Place a heating pad on the ankle C. Immobilize the client's foot D. Exercise the client's foot Correct Answer A. Apply ice to the ankle Which statement most accurately describes a nursing action associated with Standard Precautions? Select one: A. Blood-contaminated materials are disposed of in a biohazard container. B. Gloves are not required to be worn for client care unless body fluids are seen. C. A mask is worn when in direct contact with clients. Select one: A. Light, clay colored B. Black and tarry C. Greenish-yellow D. Brown with bloody mucus Correct Answer A. Light, clay colored A nurse enters a client's room and finds the client and family member visiting very upset and crying. What is the best response by the nurse to the client and family member at this time? Select one: A. "Well, it is raining outside today. Do you want me to close or open the curtains for you?" B. "You both look very upset. Is there anything you would like to talk about?" C. "Would you like me to come back later?" D. "Has your primary care provider been in to answer your questions today?" Correct Answer B. "You both look very upset. Is there anything you would like to talk about?" A nurse is caring for a client with streptococcal pharyngitis. What type of precautions should the nurse initiate? Select one: A. Contact precautions B. Airborne precautions C. Protective precautions D. Droplet precautions Correct Answer Droplet precautions When caring for a client with diabetic neuropathy, what sign should the nurse monitor the client for? Select one: A. Weight gain B. Lack of sensation C. Somnolence D. Temperature elevation Correct Answer B. Lack of sensation The nurse is working with a young child. What are important principles to keep in mind when communicating with a young child? Select one: A. Role playing is a threatening communication technique with children. B. When a child is sick, the child will often regress to an earlier stage of development. C. Children use verbal communication rather than drawing pictures to make their needs known. D. Therapeutic communication techniques work well for children ages 6 to 18. Correct Answer B. When a child is sick, the child will often regress to an earlier stage of development. A client has been diagnosed with an enlarged prostate. What information should the nurse explain to the client about the effects of an enlarged prostate? Select one: A. Painful erection B. Inability to defecate C. Lower sperm count D. Retention of urine Correct Answer D. Retention of urine Each accredited healthcare facility must have an infection control committee that monitors and evaluates any infection occurring in the facility. The nurse is reviewing with a group of nursing students the goals of the infection control committee. Based on this information, what would be the best answer by the nursing student about the goals of the infection control committee? 1. Offer continuing education for nursing students to prevent infections 2. Serve as consultants in cases of questions or concerns by healthcare personnel 3. Establish employee health and wellness programs 4. Work to prevent further recurrences Select one: A. 2, 4 B. 3, 4 D. Avoid sleeping in a supine position to avoid recurrent asthma attacks. Correct Answer A. Rinse and clean the mouthpiece of the inhaler daily. The nurse is reinforcing home care instructions to the mother of a 10 year old child with hemophilia. What activity does the nurse suggest that the child could safely participate? Select one: A. Field hockey B. Basketball C. Soccer D. Swimming Correct Answer D. Swimming A client is admitted to a unit with influenza. What is the most appropriate type of precautions that should be initiated by the nurse for this client? Select one: A. Droplet precautions B. Protective precautions C. Airborne precautions D. Contact precautions Correct Answer A. Droplet precautions The primary health care provider makes a diagnosis of laryngotracheobronchitis (croup) for a 2 year old child. Which common characteristic of croup would the nurse expect to document in the child's chart? Select one: A. Muffled cough B. Moist cough C. Barky cough D. Wheezy cough Correct Answer C. Barky cough The best place for you to obtain a pulse rate for a child younger than the age of 2 years is Select one: A. At the radial site B. At the femoral site C. At the carotid site D. At the apical site Correct Answer D. At the apical site A nurse is caring for a client with tuberculosis (TB). What measure should be employed when caring for the client? Select one: A. Take precautions to prevent transmission through the feco-oral route. B. Ask the client to eat a diet rich in protein and vitamins A and C. C. Instruct the client to keep the doors of the room closed at night. D. Dispose the infectious waste of the client in biohazardous waste receptacles. Correct Answer B. Ask the client to eat a diet rich in protein and vitamins A and C. A client visits the healthcare facility for information on tubal ligation. What information should the nurse provide the client? Select one: A. The client needs only a minor dressing B. It is a temporary sterilization technique C. Only one non-absorbable stitch is needed D. The client can drive home after surgery Correct Answer A. The client needs only a minor dressing A nurse is employed with the infection control committee of a healthcare facility. Based on this information, what should the nurse tell the new employees about the goal of the infection control committee in the healthcare agency? Select one: A. Providing a central place for reporting infections B. Improving coordination between nurses and physicians C. Maintaining hygiene in the healthcare facility D. Determining the history of clients' illnesses Correct Answer A. Providing a central place for reporting infections The nurse is reviewing with a group of nursing students about Standards Precautions. Which information is important to include in the presentation? Correct Answer Combination of Universal Precautions and Body Substance Precautions A client who has cystitis complains of extreme dysuria, and phenazopyridine (Pyridium) has been prescribed. Which of these aspects should the nurse include in client teaching? Correct Answer "This medicine turns your urine red-orange and can stain clothes and toilets." The nurse is caring for a client who is experiencing a panic attack. The nurse instructs the patient to breathe into a paper bag. What respiratory alteration is this client most likely experiencing? Correct Answer Hyperventilation Which assessment findings in a client who has had a hip replaced would require immediate nursing intervention? Correct Answer Legs are crossed. A nurse understands that effective communication requires several components. The nurse is reviewing with a group of psychiatric nursing students the term receiver. Based on this information, what is the best description by the student nurse or receiver of the message? Correct Answer Interpreter of the message 10. A client visits the healthcare facility for information on tubal ligation. What information should the nurse provide the client? Correct Answer The client needs only a minor dressing Which action best demonstrates the correct measure for prevention of transmission of tuberculosis? Correct Answer Have the client wear a mask when being transported to the x-ray department. A nurse is caring for a client who has developed aphasia following an accident. Which should the nurse keep in mind when caring for this client? Correct Answer Establish hand and eye signals. What are the goals of the infection control committee? Correct Answer Working to implement measures to minimize further recurrences of infections, Offering continuing education course on infection control, Serving as consultants in cases of questions or concerns expressed by healthcare personnel, Supporting employee health and wellness programs A client has just given birth. After ensuring that the newborn is stable, what step should the nurse perform while still in the delivery room to help the client bond with the infant? Correct Answer Allow the mother to breastfeed A nurse implements Airborne Precautions for a client with tuberculosis. How does airborne transmission occur? Correct Answer When tiny microorganisms from evaporated droplets remain suspended in air When caring for a client diagnosed with pneumonia. The client has difficulty coughing up his secretions. Which nursing actions are appropriate when planning to obtain a sputum specimen? Correct Answer Encourage client to increase fluid intake, Assist the client to change positions., Educate client on coughing and deep breathing exercises The best place for you to obtain a pulse rate for a child younger than the age of 2 years is Correct Answer At the apical site Which type of precaution should the nurse include in an in- service presentation on two-tier precautions for infection control? Correct Answer Transmission-Based Precautions 20. During a precipitous delivery, the client had a laceration, which the nurse documents as a second- degree laceration. What does a second-degree laceration indicate? Correct Answer Laceration that involves the perineal body A non-lifestyle factor that predisposes a person to gastric or duodenal ulcers is Correct Answer Age If the client asks about long term consequences associated with untreated pelvic inflammatory disease (PID), the nurse accurately identifies which reproductive condition? Correct Answer Sterility The nurse is reviewing with a group of student nurses the three parts of the communication process. Which is the binders: Correct Answer To maintain immobilization of a joint or limb, To promote venous return, To prevent edema, To prevent contractures When the client's condition requires the application of bandages or binders, understanding reasons for their use and performing correct safe application techniques are important. The nurse is reviewing with a group of student nurses the purposes and therapeutic benefits of bandages and binders. Correct Answer To maintain immobilization of a joint or limb, To promote venous return, To prevent edema, To prevent contractures The nurse is teaching the parents of a juvenile diagnosed with type 1 diabetes the three "polys" of diabetes symptoms. Which term describes excessive hunger? Correct Answer Polyphagia A nurse inserts an indwelling urethral catheter into a client awaiting surgery. Based on the manufacturer's guidelines, why should the nurse inflate the balloon of the catheter with water before the insertion? Correct Answer To detect any leaks or a defective balloon During a mock training session, student nurses are taught the acronym "PASS" to be followed during a fire. What does "A" stand for? Correct Answer Aim at the base of the fire, near the edge The nurse educator is reviewing medical asepsis with the nursing students. Based on information provided, which is the best response by the student nurse about medical asepsis? Correct Answer Practice of reducing the number of microorganisms Following a postoperative procedure, a nurse is asked to apply antiembolism stockings to the client. Which does the application of antiembolism stockings prevent? Correct Answer Clot formation within the blood vessels 40. A nurse is caring for a client with severe cardiovascular disease that has been placed on a 1,500- mL fluid restriction. Which is the most important therapeutic nursing intervention that the nurse should monitor in this client? Correct Answer Fluid intake and output A nurse in a healthcare facility receives a call that the facility will be bombed. What action should the nurse take after receiving the bomb threat? Correct Answer Notify the facility's security personnel. A nurse is caring for a client who is bedridden. To establish a bladder routine, what should the nurse encourage the client to do? Correct Answer Increase fluid intake A client in the healthcare facility asks the nurse what immediate action is taken in case of a fire. Which should the nurse inform the client? Correct Answer Rescue the client's in immediate danger to safety. What actions can break the chain of infection? Correct Answer Proper disposal of used needles, Wearing gloves when there is a risk for contact with body fluids, Sterilizing equipment, Thorough hand washing when hands are visibly dirty A nurse is performing fundal massage for a client. What precaution should the nurse take when giving a fundal massage? Correct Answer Never massage a contracted fundus An intrauterine device has been inserted into a client as a requested birth control method. What is an advantage of intrauterine devices (IUDs)? Correct Answer Continuous protection without client's active participation The nurse informs the client with Hepatitis B, because of his disease, it is essential for him to avoid what activity for the remainder of his life? Correct Answer Donating blood Signs of hypoglycemia: Correct Answer dizziness, cold damp skin, feeling faint A client has been diagnosed with an enlarged prostate. What information should the nurse explain to the client about the effects of an enlarged prostate? Correct Answer Retention of urine 50. A nurse caring for a 43 year-old client explains to the client that ovarian functions gradually decrease around A client has been prescribed a lactose-restricted diet by the physician. Based on this dietary order, for what should the nurse assess the client after ingesting lactose (dairy product)? Correct Answer Abdominal Cramping The nurse is describing Standard Precautions to a group of nursing students. Which are practices associated with Standard Precautions in the care of clients? Correct Answer Proper disposal of linens, used equipment, medication packages, and biohazardous materials, Maintenance of sterility of needles and catheters, Handwashing when hands are visibly soiled. A primary health care provider prescribes for a stool specimen collection for Ova & Parasite (O&P) from a client. This test helps to detect: Correct Answer Worms & eggs What is the suffix for tumor? Correct Answer -oma The nurse knows that the goal of medical asepsis is to prevent reinfection of the client and prevent or reduce transmission of microorganisms from one individual to another. Which technique practiced by the nurse is the best example of medical asepsis? Correct Answer Using personal protective equipment A nurse takes pictures of a client with a dog in the bed during an animal-assisted therapy visit in the long-term care facility. The nurse and organization do not request permission to have the photographs sent to a nursing magazine for publication. It is clear that the action of the nurse amounts to an offense. Under what category can the offense be classified? Correct Answer Libel A prescription containing various medicines issued by a physician for a client with typhoid appears incorrect to a nurse. Which is an appropriate action for the nurse? Correct Answer Contact the primary care provider that the order needs correction. 70. The nurse is monitoring an ice bag being used on a client's ankle. The treatment should be discontinued immediately if the client complains of what type of pain? Correct Answer Burning The nurse has to complete a one-time catheterized urine specimen to determine residual urine volume in an older adult. Based on this information, what would be the anticipated amount of residual urine in the older adult? Correct Answer 50-100 mL The nurse is taking care of an 18-month-old child. When planning to take vital signs, what is the most accurate pulse for the nurse to assess in an 18-month-old child? Correct Answer Apical pulse The nurse knows that the peripheral vascular status must be checked frequently when bandages or binders are applied. What is the best recommended frequency that the peripheral vascular status has to be completed on a client? Correct Answer At least every 2 hours meaning of bio-, for example biology Correct Answer life What observations and assessment have to be completed as part of the peripheral neurovascular assessment also known as a CMS check? Correct Answer Skin color, Motion, Sensation T/F: "Hyper-" means above, excess of. Correct Answer True A nurse documents in the electronic medical record the discharge from a client's surgical wound as "slight serosanguineous drainage." What is meant by "serosanguineous drainage?" Correct Answer Composed of serum and blood T/F: The prefix peri- means around, immediately around. Correct Answer True A relative of a licensed nurse wants to pursue a career in practical nursing. What type of school is most likely to provide this type of training? Correct Answer Vocational or community college 80. The nurse examines a client who slipped and fell while climbing stairs and now has ankle swelling and pain on movement. While the client is waiting for their ankle to be x-rayed, which nursing measure is most helpful for complication is most critical for the nurse to monitor when caring for the client? Correct Answer Difficulty in breathing The client has been taking an anti-psychotic medication. The client begins to show signs of tardive dyskinesia, what are signs and symptoms of tardive dyskinesia? Correct Answer rhythmic movements of the tongue, head jerks, athetoid (writhing) movements, facial tics What typical characteristics would you find in a client with bipolar disorder? Correct Answer Grandiosity During a mock training session, student nurses are taught the acronym "RACE" to be followed during a fire. What does "C" stand for? Correct Answer Contain or confine the fire. A nurse is assigned to assist a client with a warm foot soak. What is the usual length of time that the nurse should leave the client in a warm foot soak? Correct Answer 15 to 20 minutes During a bed bath a client complains of drainage from the eye. Which guideline should the nurse follow when removing secretions from the eye? Correct Answer Moisten a clean washcloth and cleanse from the inner canthus to the outer. The nurse notices a bright red streak in the stool. What is the most likely cause of this observation? Correct Answer Bleeding in the rectum Define "pre" and "pro," as in the examples prenatal or prognosis. Correct Answer before 100. When should the nurse implement Transmission- Based Precautions? Correct Answer When caring for clients with known or suspected infectious diseases The nurse is teaching a client the necessary steps to collect a sputum specimen. What is the best time for the nurse to instruct the client to obtain a sputum specimen for the nurse that can provide the most accurate results? Correct Answer Early morning A client is discharged after treatment for respiratory and kidney disorders. What medical equipment used by the client must be disinfected for reuse? Correct Answer The intravenous (IV) pump A nurse is assisting a client to wash his face and hands. Which nursing consideration is indicated during the procedure? Correct Answer Allow the client to make a choice about using soap on the face. Which nursing action by a nurse ensures that HIPAA legislation of a client's electronic medical record is being maintained? Correct Answer The nurse turns off the computer and logs off when having to care for another client. The nurse is teaching a client never to insert objects such as cotton swabs, toothpicks, or matches into the ears to clean them. Based on this information, what are the rationales for not placing these objects in the ear that the nurse needs to review with the client? Correct Answer Injure the ear canal, Puncture the eardrum, Push earwax further into the ear canal A nurse is changing a wet-to-dry dressing for an infected leg wound. What is a specific precaution for a wet-to-dry dressing? Correct Answer Do not loosen the old dressing with normal saline. T/F: The definition of the suffix -(o)stomy is the creation of an opening. Correct Answer True The nurse documents that the client is edentulous (poor dentition). Based on this information, which would be the most appropriate anticipated diet ordered by the primary care provider for this client? Correct Answer Mechanical soft diet A client diagnosed with multiple sclerosis (MS). At home, the client is able to perform most activities of daily living independently or with some family assistance. The client has some difficulty remembering things and some weakness in their extremities, The client uses a walker to ambulate. Before discharge, which items would be most appropriate when teaching about factors that can exacerbate MS? Correct Answer Teach the client and family that fatigue and illness can worsen MS. The nurse notes that seizure precautions have been included in the client's care plan. When implementing seizure precautions, which nursing action is most appropriate? Correct Answer Make sure the side rails on the bed are padded at all times. When assessing the physical condition of a 2-day-old infant, the nurse notices a relatively soft swelling on one side of the skull extending up to the midline. Which does this condition indicate? Correct Answer Cephalhematoma The following have the meaning of "from, without": Correct Answer an-, a- T/F: Nightingale opened the first nursing school outside a hospital in 1860. Some principles of the Nightingale School for Nurses are still taught today, such as cleanliness is vital to recovery. Correct Answer True The meaning of the root gastr- is Correct Answer stomach The meaning of the prefix/root hyster-, i.e. hysterectomy Correct Answer uterus The nurse has finished caring for a client in the healthcare facility. What is the correct order for removing and disposing of gloves after completion of client care? 1. Wash hands. 2. Drop gloves into the appropriate waste receptacle. 3. Roll the two gloves together, with the side that was nearest the hands on the outside. 4. Grasp the outside of one glove, near the cuff, with the thumb and forefinger of the other hand, and pull the glove off. 5. Hook the bare thumb or finger inside the other glove and pull it off, turning it inside out and over the already removed glove. Correct Answer 4, 5, 3, 2, 1 130. What type of school is most likely to provide this type of vocational nurse training? Correct Answer Vocational or community college The meaning for the suffix -poiesis, i.e. hematopoiesis. Correct Answer forming, making The urine of a client who is on diuretic has been sent for a specific gravity test. As a result, the client had large amounts of output, pale light-colored yellow urine. Based on this information, what would the nurse anticipate as the best value of urinary specific gravity in such a case? Correct Answer 1.005 The definition of the root rhin-; an example rhinology Correct Answer nose Which is the single most basic method of preventing transmission of pathogens? Correct Answer Hand washing The nurse has to keep track of wound drainage on dressings. The nurse weighs the dressing after it is removed and it weighs 2 fluid ounces. The nurse compares the dressing with the dry weight of an identical dressing that weighs 1 fluid ounce. How many milliliters (mL) should the nurse document on the output for the wound drainage? Correct Answer 30 mL The nurse is using Montgomery straps on a client following abdominal surgery. What is the rationale for using Montgomery straps for the client? Correct Answer To enable frequent dressing changes A nurse is ordered to collect a sputum specimen from a client. The nurse instructs the client to deeply inhale and cough up the sputum to obtain a specimen. What is the rationale for such an instruction? Correct Answer Brings up sputum specimen from the lungs How many continuing education units are required to renew a nurse's license to practice? Correct Answer 30 A nurse is required to obtain a blood pressure, using the 2-step method. Which nursing intervention will help ensure that the systolic reading is not underestimated? Correct Answer Inflate the cuff to a pressure 30 mm Hg above the point where the palpated pulse disappears. 140. A 35 year-old client has just given birth to a healthy newborn during her 43rd week of gestation. Which should the nurse expect when assessing the condition of the T/F: When discussing nursing insignias, licensed vocational nurses are required to wear a photo I.D. badge when giving nursing care. Correct Answer True Which factors are present in an individual suffering from a possible psychiatric emergency? Correct Answer Suicidal thoughts, Gravely disabled, lacks ability to provide self care, Threat to harm self, Threat to harm others The meaning of the root neuro- is; an example neuron Correct Answer nerve The most essential of all basic survival needs is: Correct Answer oxygen An LPN has recently moved to a new state and is seeking employment. What laws does the LPN need to be aware of? Correct Answer The nurse must hold a license in the new state to practice nursing. The meaning of the root cyst-; an example cystitis Correct Answer bladder/sac What respiratory rate best reflects eupnea? Correct Answer 12-20 breaths per minute 160. The definition of the suffix -algia; as in example cardialgia Correct Answer pain Term that describes heart rate less than the normal range of 60 - 100 Correct Answer bradycardia T/F: An emergency preparedness plan will help individuals to cope personally with the disruption caused by a disaster and allows the healthcare worker to focus on caring for the clients. Correct Answer True The nurse is preparing to complete a sterile procedure and has to put sterile gloves on for the procedure. What is the proper sequence of steps for putting on the sterile gloves on by the nurse? 1. Grasp the glove for the dominant hand using the nondominant hand, touching only the inside upper surface of the glove's cuff. 2. Open the outer package of the sterile gloves on a clean, dry, flat surface. 3. Insert the fingers of the sterile gloved hand between the cuff and the glove to put on the second glove. 4. Insert the dominant hand into the glove, placing the thumb and fingers in the appropriate openings. Correct Answer 2, 1, 4, 3 What instructions should the nurse provide to the client to help prevent the development of drug-resistant microorganisms and the spread of disease? Correct Answer Take antimicrobial drugs as prescribed., Take antimicrobial drugs for the entire period prescribed. The application of antiembolism stockings helps to prevent: Correct Answer Blood clots How many total weeks is the Downey Adult School vocational nursing program? (Enter numerical value only) Correct Answer 48 A client has to void urine more often than usual. However, the volume of urine is not increased. Based on this information, what term should the nurse use to describe the client's condition in the electronic medication record? Correct Answer Frequency A client arrives in the ER and is staggering, confused and verbally abusive. The client complains of a headache from drinking alcohol and is asking for medications. The nurse explains to the client that the health care provider will need to perform an assessment prior to the administration of medication. When the client becomes verbally abusive, the nurse obtains leather restraints and threatens to place the client in the restraints. With which of the following can the client legally charge the nurse as a result of this nursing action? Correct Answer Assault The nurse is caring for an infant with a new diagnosis of hydrocephalus. What assessment findings require reporting to the primary health care provider? Correct Answer Temperature of 102 F, An increase in the occipital—frontal circumference measurement, Increased irritability 170. A nurse is caring for a low-birth-weight baby with phenylketonuria. What should the nurse keep in mind The meaning of the root oste- or oss-; an example osseous, osteoporosis Correct Answer bone The nurse educator is reviewing with student nurses the causes of skin breakdown. What is the best response by a student nurse of the common cause of skin breakdown that can occur as a result of clothing, bed linens, or client safety devices? Correct Answer Shearing force Nurses must understand and practice proper body mechanics and often need to teach clients the use of proper body mechanics for safe walking and movement. When a nurse spreads the feet sideways when lifting, which principle of body mechanics is being followed to maintain balance? Correct Answer Base of support What instruction should the nurse provide the client on the number of separate guaiac specimens that are collected before a determination of positive or negative finding is made? Correct Answer Three separate specimens on 3 separate days Using Maslow's hierarchy of needs, which term characterizes the highest level of need? Correct Answer Self actualization A client is to be treated for suspected cystitis. What intervention should the nurse implement first? Correct Answer Obtain a urine specimen for culture and sensitivity. During adolescence, there is an increased need for which of the following nutritional requirements? Correct Answer Calcium, Calories, Protein 190. After a bronchoscopy, the client can have liquids when Correct Answer His gag reflex has returned. The nurse is caring for a client following thyroidectomy. The nurse notes that calcium Gluconate is prescribed for the client. The nurse determines that this medication has Been prescribed to Correct Answer Treat hypocalcemic tetany A nurse is teaching a client about good oral hygiene. What information should the nurse provide the client regarding oral hygiene and mouth care? Correct Answer Practice oral hygiene to improve appetite and prevent decay. A nurse is caring for a client who has been allowed to get out of bed and move around with assistance. Which should the nurse keep in mind when assisting the mobile client out of bed? Correct Answer Explain the procedure to the client. , Assess and monitor the client for dizziness when sitting up the client., Place non-skid footwear on the client before standing the client on the floor. , Check the provider's order to determine the prescribed level of activity. The Nightingale lamp or the "Lamp of Learning" became a symbol of nursing and nursing education. A nursing student asks about the significance of the light of the lamp. What is the significance of the light of the lamp? Correct Answer Symbolizes the striving for excellence As part of routine data collection, a nurse is required to observe the characteristics of urine of assigned clients. Which observation would be the most accurate to document in the electronic medical record regarding the characteristics of a client's urine? Correct Answer Change in the normal color of urine may be caused by medications. A nurse is catheterizing a 45-year-old hospitalized client. Which guidelines should a nurse follow when carrying out this technique? Correct Answer Sterile articles should not be touched with unsterile ones. The normal range for systolic blood pressure is (as listed in the skills packet) Correct Answer 100 - 140 During the assessment of a preterm newborn, the attending nurse notices a soft bulging on the infant's back. On further examination, it is found that the child has a herniation of spinal cord nerve fibers and meninges. What explains this condition? Correct Answer Myelomeningocele A client is being admitted to the mental health unit with a diagnosis of schizophrenia. Based on your knowledge of this disorder, common signs and symptoms include: Correct Answer hallucination, catatonia (stupor, muscle rigidity), delusions