Public Health Nursing Practices, Exams of Nursing

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A nurse prepares an injection of morphine to administer to a client who reports pain. Prior to administering the medication, the nurse assists another client onto a bedpan. She ask a second nurse to give the injection, which of the following actions should the second nurse take? A. Offer to assist the client who needs the bedpan B. Administer the injection the other nurse prepared C. Prepare another syringe and administer the injection D. Tell the client who needs the bedpan she will have to wait - ANSWER

A. Offered to assist the client who needs a bed pan A nurse is preparing to administer a 0900 medication to a client. Which of the following are acceptable administration times for this medication (select all that apply) A. 0905 B. 0825 C. 1000 D. 0840 E. 0935 - ANSWER >> A. 0905 D. 0840 **time must be within 30min of scheduled dose A nurse is working with a newly licensed nurse who is administering medications to clients. Which of the following actions should the nurse identify as an indication that the newly hired nurse understands medication error prevention?

A. Taking all medications out of the unit dose wrappers before entering the clients room B. Checking with the provider when a single dose requires administration of multiple tablets C. Administering a medication, then looking up the usual dose range D. Relying on another nurse to clarify the medication prescription - ANSWER >> B. Checking with the provider when a single dose requires administration of multiple tablets *This is an indication that prescription or transcription errors may have occurred A nurse educator is teaching a module about safe medication administration to newly licensed nurses. Which of the following statements should the nurse identify as an indication that one of the groups understands how to implement medication therapy? (Select all that apply) A. " I will observe for side effects" B. " I will monitor for therapeutic effects" C. " I will prescribe the appropriate dose" D. " I will change the dose if adverse effects occur" E. " I will refuse to give a medication if I believe that it is unsafe" - ANSWER >> A. " I will observe for side effects" B. " I will monitor for therapeutic effects" E. " I will refuse to give a medication if I believe that it is unsafe" *other options are outside of your scope of practice A nurse is preparing to administer digoxin to a client who states " I don't want to take that medication. I do not want one more pill." Which of the following responses should the nurse make?

A. " your physician prescribed it for you, so you really should take it." B. " well, let's get it over with quickly then" C. " OK I will just give you your other medications" D. " tell me about your concerns with taking this medication" - ANSWER

D. Tell me your concerns with taking this medication A nurse is caring for a client diagnosed with severe respiratory syndrome. The nurse is aware that healthcare professionals are required to report communicable and infectious diseases. Which of the following illustrates the rationale for reporting? (Select all that apply) A. Planning and evaluating control and prevention strategies B. Determining public health priorities C. Ensuring proper medical treatment D. Identifying endemic disease E. Monitoring for common source outbreaks - ANSWER >> A. Planning and evaluating control and prevention strategies B. Determining public health priorities C. Ensuring proper medical treatment E. Monitoring for common source outbreaks A nurse is caring for a client who presents with linear clusters of fluid containing vesicles with some crustings. The nurse should identify the client has manifestations of what following condition? A. Allergic reaction B. Ringworm C. Systemic lupus erythematosus D. Herpes zoster - ANSWER >> D. Herpes zoster A nurse is caring for a client who reports a severe sore throat, pain when swallowing, and swollen lymph nodes. The client is experiencing which of the following stages of infection?

A. Prodromal B. Incubation C. Convalescence D. Illness - ANSWER >> D. Illness A nurse educator is reviewing with a newly hired nurse the difference in manifestation of a localized versus a systemic infection. The nurse indicates understanding when she states which of the following are manifestations of a systemic infection? (Select all that apply) A. Fever B. Malaise C. Edema D. Pain or tenderness E. Increased pulse and resp rate - ANSWER >> A. Fever B. Malaise E. Increased pulse and resp rate A nurse is contributing to the plan of care for a patient who is admitted to a facility with suspected diagnosis of pertussis. Which of the following intervention should the nurse include in the care plan? (Select all that apply) A. Place the client in a room that has negative air pressure of at least six exchanges per hour B. Wear a mask when providing care within 3 feet of the client C. Place a surgical mask on the client if transporting from another department is unavoidable D. Use sterile gloves when handling soiled linens E. Wear a gown when performing care that may result in contamination from secretions - ANSWER >> B. Wear a mask when providing care within 3 feet of the client

C. Place a surgical mask on the client if transporting from another department is unavoidable E. Wear a gown when performing care that may result in contamination from secretions A nurse is caring for a client who fell at a nursing home. The client is orientated to person, place, time and can follow directions. Which of the following actions should the nurse take to decrease the risk of another fall? (Select all that apply) A. Place a belt restraint on the client when he is sitting on the bedside commode B. Keep the bed in lowest position with side rails up C. Make sure that the client call light is within reach D. Provide the client with nonskid footwear E. Complete a fall risk assessment - ANSWER >> C. Make sure that the client call light is within reach D. Provide the client with nonskid footwear E. Complete a fall risk assessment *Placing all side rails up may put the client at a higher risk due to climbing over the rails to get out of bed A nurse manager is reviewing with nurses on the unit for care of a client who has had a seizure. Which of the following statements by a nurse requires further instruction? A. " I will place the client on his side" B. " I will go to the nurses station for assistance" C. " I will administer his medications" D. " I will prepare to insert an airway" - ANSWER >> B. " I will go to the nurses station for assistance"

*When a client is having a seizure you should stay with him and use the call light to summon additional assistance A nurse observes smoke coming from under the door of the staff lounge. Which of the following actions is the nurses priority? A. Extinguish the fire B. Activate the fire alarm C. Move clients who are nearby D. Close all open doors of the unit - ANSWER >> C. Move clients who are nearby The nurse is caring for a client who has a history of falls. Which of the following actions is the nurses priority? A. Complete a fall risk assessment B. Educate the client and family about fall risk C. Eliminate safety hazards from the clients environment D. Make sure the client uses assistive aids in his possession - ANSWER

A. Complete a fall risk assessment

• it is important to do this first to determine the clients fall risk. After determining the risk you are then able to implement appropriate safety measures A charge nurse is assigning rooms for the clients to be admitted to the unit. To prevent falls, which of the following clients should the nurse assigned to the room closest to the station? A. A middle adult who is post operative following a laparoscopic cholecystectomy B. A middle-aged adult who requires telemetry for a possible myocardial infraction

C. A young adult who is post operative following an open reduction internal fixation of the ankle D. An older adult who is postoperative following a below the knee amputation - ANSWER >> D. An older adult who is postoperative following a below the knee amputation A nurse in a providers office is preparing to access adult males musculoskeletal system as a part of a comprehensive physical examination. Which of the following findings should the nurse expect? (Select all that apply) A. Concave thoracic spine posteriorly B. Exaggerated lumbar curvature C. Concave lumbar spine posteriorly D. Exaggerated thoracic curvature E. Muscles slightly larger on his dominant side - ANSWER >> C. Concave lumbar spine posteriorly E. Muscles slightly larger on his dominant side A nurse is assessing a clients neurosensory system. To evaluate stereognosis, the nurse should ask the client to close his eyes and identify which of the following items? A. A word she whispers 30 cm from his ear B. A number she traces on the palm of his hand C. The vibration of a tuning fork she places on his foot D. A familiar object she places in his hand - ANSWER >> D. A familiar objects placed in his hand A nurse is caring for a client who reports pain with internal rotation of her shoulder. This discomfort can affect the clients ability to perform which of the following activities?

A. Mopping her floors B. Brushing the back of her hair C. Fastening her bra behind her back D. Reaching into a cabinet above the sink - ANSWER >> C. Fastening her bra behind her back A nurse is performing a neurosensory examination for a client. Which of the following assessments should the nurse perform to test the clients balance? (Select all that apply) A. Romberg test B. Heel to toe walk C. Snellen test D. Spinal accessory function E. Rosenbaum test - ANSWER >> A. Romberg test B. Heel to toe walk A nurse is collecting data from an older adult client as part of a Neurosensory examination. Which of the following findings should the nurse expect as changes associated with aging? (Select all that apply) A. Slower light touch sensation B. Some vision and hearing decline C. Slower fine finger movement D. Some short term memory decline E. Decreased risk of depression - ANSWER >> A. Slower light touch sensation B. Some vision and hearing decline C. Slower fine finger movement D. Some short term memory decline A nurse is caring for a client who states "I have to check with my wife and see if she thinks I'm ready to go home." The nurse replies, "how do

you feel about going home today?" Which clarifying technique is the nurse using to enhance communication with the client? A. Pacing B. Reflecting C. Paraphrasing D. Restating - ANSWER >> B. Reflecting Which of the following actions should the nurse take when using the communication technique of active listening? (Select all that apply) A. Use an open posture B. Write down what the client says to avoid forgetting details C. Establish and maintain eye contact D. Nod in agreement with the client throughout the conversation E. Respond positively when giving feedback - ANSWER >> A. Use an open posture C. Establish and maintain eye contact E. Respond positively when giving feedback

• writing things down can distract you from hearing the rest of the conversation, nodding could interpret agreement to what the client is saying as opposed to just acknowledging what he's saying A nurse is caring for a client who is concerned about his impending discharge to home with a new colostomy bag because he is an avid swimmer. Which of the following statements should the nurse make? (Select all that apply) A. " you will do great! You just have to get used to it." B. " why are you worried about going home?" C. " your daily routine will be different when you go back home"

D. " tell me about your support system you'll have after you leave the hospital" E. " let me tell you about a friend of mine with a colostomy who enjoys swimming" - ANSWER >> C. " your daily routine will be different when you go back home" D. " tell me about your support system you'll have after you leave the hospital" E. " let me tell you about a friend of mine with a colostomy who enjoys swimming" Which of the following strategies should a nurse used to establish a helping relationship with a client? A. Make sure the communication is equally reciprocal between the nurse and the client B. Encourage the client to communicate his thoughts and feelings C. Give the nurse client communication no time limits D. Allow communication to occur spontaneously throughout the nurse client relationship - ANSWER >> B. Encourage the client to communicate his thoughts and feelings A nurse is caring for a school age child who is sitting in a chair. To facilitate effective communication, which of the following actions should the nurse take? A. Touch the child's arm B. Sit at eye level with the child C. Stand facing the child D. Stand with a relaxed posture - ANSWER >> B. Sit at eye level with the child A nurse is caring for a client who has terminal lung cancer. The nurse observes the clients family assisting with all ADLs. Which of the

following rationales for self-care should the nurse communicate with the family? A. Allowing the client to function independently will strengthen her muscles and promote healing B. The client needs to be given privacy at times for self reflecting and organizing her life C. The clients sense of loss can be lessened through retaining control of certain areas of her life D. Performing ADLs is required prior to discharge from an acute care facility - ANSWER >> C. The clients sense of loss can be lessened through retaining control of certain areas of her life A nurse is caring for a client who has stage five lung cancer and his three days postoperative following a wedge resection. The client states, "I told myself I would go through with the surgery and quit smoking, if I could just live long enough to attend my daughters wedding." Based on Kubler Ross' is model which stage of grief is the client experiencing? A. Anger B. Denial C. Bargaining D. Acceptance - ANSWER >> C. Bargaining A nurse is consoling the partner of a client who just expired after a long battle with liver cancer. The partner is displaying grief and states, "I hate him for leaving me here." Which of the following statements by the nurse successfully facilitates mourning for the grieving partner? (Select all that apply) A. "Would you like me to contact the chaplain to come and speak with you?"

B. "You will feel better soon. You have been expecting this for a while now." C. "Let's talk about your children and how they are going to react." D. "You know, it's quite normal to feel anger towards your husband at this time." E. "Tell me more about how you were feeling." - ANSWER >> A. "Would you like me to contact the chaplain to come and speak with you?" D. "You know, it's quite normal to feel anger towards your husband at this time." E. "Tell me more about how you were feeling." A nurse is caring for a client who has a terminal disease. Death is expected within 24 hours. The clients family is at bedside and asks the nurse about anticipated findings at this time. Which of the following findings should the nurse discuss? A. Regular breathing patterns B. Warm extremities C. Increased urine output D. Decreased muscle tone - ANSWER >> D. Decreased muscle tone A nurse is assisting a newly licensed nurse with postmortem care of a client. The family wishes to view the body. Which of the following statements by the newly licensed nurse indicates an understanding of this procedure? (Select all that apply) A. "I will remove the dentures from the body" B. "I will make sure the body is lying completely flat" C. "I will apply fresh linens and place a clean gown on the body" D. "I will remove all equipment from the bedside" E. " I will dim the lights in the room" - ANSWER >> C. "I will apply fresh linens and place a clean gown on the body" D. "I will remove all equipment from the bedside"

E. " I will dim the lights in the room" A nurse on a med surgical unit has received change of shift report and will care for four clients. Which of the following needs should the nurse assigned to an assistive personnel? A. Updating a plan of care for a postoperative client B. Reinforcing teaching with a client learning how to use a quad cane C. Re-applying a condom catheter for urinary incontinence D. Applying a sterile dressing to a pressure ulcer - ANSWER >> C. Reapplying a condom catheter for urinary incontinence A nurse manager of a med surgical unit is assigning care responsibilities for the oncoming shift. A client is awaiting transfer back to the unit from a PACU following thoracic surgery. To which of the following staff members should the nurse assign this client? A. Charge nurse B. RN C. PN D. AP - ANSWER >> B. RN A nurse is delegating the ambulation of a client who had knee arthroplasty five days ago to an AP. Which of the following information should the nurse share with the AP? (select all that apply) A. The roommate ambulate's independently B. The client ambulate's with his slippers on over his antiembolic stockings C. The client uses a front wheel walker while ambulating D. The client received pain medication 30 minutes ago E. The client is allergic to codeine

F. The client ate 50% of his breakfast this morning - ANSWER >> B. The client ambulate's with his slippers on over his antiembolic stockings C. The client uses a front wheel walker while ambulating D. The client received pain medication 30 minutes ago An RN is making assignments for a PN at the beginning of the shift. Which of the following assignments should the PN question? A. Assisting a client who is 24 hours postoperative to use an incentive spirometer B. Collecting a clean catch urine specimen from a client who has a wound infection C. Providing nasopharyngeal sectioning for a client with a pneumonia D. Teaching a client who has asthma to use a meter dosed inhaler - ANSWER >> D. Teaching a client who has asthma to use a meter doses inhaler *RN has to do this teaching, the PN can only reinforce the teaching A nurse is preparing an in-service program about delegation. Which of the following elements should she identify when presenting the five rights of delegation? (Select all that apply) A. Right client B. Right supervision and evaluation C. Right direction and communication D. Right time E. Right circumstances - ANSWER >> B. Right supervision and evaluation C. Right direction and communication E. Right circumstances A nurse in a providers office is caring for a client who states that, for the past week, she has felt tired during the day and cannot sleep at

night. Which of the following responses should the nurse ask when collecting data about the clients difficulty sleeping? (Select all that apply) A. " does your lack of sleep interfere with your ability to function during the day?" B. " do you feel confused in the late afternoon?" C. " do you drink coffee, tea, or any other caffeinated drinks? If so, how many cups per day?" D. " has anyone ever told you that you seem to stop breathing for a few seconds while you sleep?" E. " tell me about any personal stress you are experiencing" - ANSWER

A. " does your lack of sleep interfere with your ability to function during the day?" C. " do you drink coffee, tea, or any other caffeinated drinks? If so, how many cups per day?" D. " has anyone ever told you that you seem to stop breathing for a few seconds while you sleep?" E. " tell me about any personal stress you are experiencing" A nurse is talking with a client about ways to make him sleep and rest. Which of the following recommendations should the nurse give to the client to promote sleep and rest? Select all that apply

A. Practice muscle relaxation techniques B. Exercise each morning C. Take an afternoon nap D. Alter the sleep environment for comfort E. Limit fluid intake at least two hours before bedtime - ANSWER >> A. Practice muscle relaxation techniques B. Exercise each morning D. Alter the sleep environment for comfort E. Limit fluid intake at least two hours before bedtime

A nurse is caring for an older adult client who has been following the facilities routine and bathing in the morning. However, at home, she always takes a warm bath before bedtime. Now she is having difficulty sleeping at night. Which of the following actions should the nurse take first? A. Rub the clients back for 15 minutes before bedtime B. Offer the client warm milk and crackers at 2000 C. Allow the client to take a bath in the evening D. Ask the provider for sleeping medication - ANSWER >> C. Allow the client to take a bath in the evening A nurse is preparing a presentation at a local community center about sleep and hygiene. When explaining rapid eye movement (REM) sleep, which of the following characteristics should the nurse include? Select all that apply A. REM sleep provides cognitive restoration B. REM sleep last about 90 minutes C. It is difficult to awaken a person in REM sleep D. Sleepwalking occurs during REM sleep E. Vivid dreams are common during REM sleep - ANSWER >> A. REM sleep provides cognitive restoration C. It is difficult to awaken a person in REM sleep E. Vivid dreams are common during REM sleep A nurse is instructing a client who has newly been diagnosed of narcolepsy about measures that might help with self management. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A. I will add plenty of carbs to my meals

B. I will take a short nap whenever I feel sleepy C. I will make sure I stay warm when I am at my desk at work D. It is OK for me to drink alcohol as long as I have one drink per day - ANSWER >> B. I will take a short nap whenever I feel sleepy A nurse is caring for a client who is one day post operative following a total knee arthroplasty. The client states that his pain level is a 10 on a scale from 0 to 10. After reviewing the clients medical administration record which of the following medications should the nurse prepare to administer? A. Meperidine 75mg IM B. Fentanyl 50mcg/ hr via transdermal patch C. Morphine 2mg IV D. Oxycodone 10mg po - ANSWER >> C. Morphine 2mg IV *IV delivers sudden onset, pain is extreme A nurse is teaching a client about taking multiple oral medications at home including time release capsules, liquid medications, enteric coded pills, and opioids. Which of the following statements should the nurse identify as an indication that the client understands the instruction? A. " I can open the capsule with the beads in it and sprinkle them on my oatmeal" B. " if I am having difficulty swallowing, I will add the liquid medication to a batch of pudding" C. " I can crush pills with the coating on them" D. " I will eat two crackers with the pain pills" - ANSWER >> D. I will each two crackers with the pain pills

A nurse is teaching a client how to administer medication through a jejunostomy tube. Which of the following instructions should the nurse include? A. " Flush the tube before and after each medication" B. " mix your medications with your internal feeding" C. " push tablets through the tube slowly" D. " mix all crush medications prior to dissolving them in water" - ANSWER >> A. " flush the tube before and after each medication" A nurse is preparing to inject heparin subcutaneously for a client who is postoperative. Which of the following actions should the nurse take? A. Use a 22 gauge needle B. Select a site on the clients abdomen C. Spread of the skin with the thumb and index finger D. Observe for bleb formation to confirm proper placement - ANSWER

B. Select a site on the clients abdomen A nurse is teaching an adult client how to administer eardrops. Which of the following statements should the nurse identify as an indication that the client understands the proper technique? A. I will straighten my ear canal by pulling my ear down and back B. I will gently apply pressure with my finger to the front part of my ear after putting in the drops C. I will insert the nozzle of the eardrops bottle snug into my ear before squeezing the drops in D. After the drops are and I will place a cotton ball all the way into my ear canal - ANSWER >> B. I will gently apply pressure with my finger to the front part of my ear after putting the drops in

A nurse is caring for an 82-year-old client in the emergency department who has a normal body temperature of 38.3°C or 101°F, pulse rate of 114/min and respiratory rate of 22/min. He is restless and his skin is warm. Which of the following intervention should the nurse take? Select all that apply A. Obtain culture specimens before initiating antimicrobials B. Restrict the clients oral fluid intake C. Encourage the client to rest and limit activity D. Allow the client to shiver to dispel excess heat E. Assist the client with oral hygiene frequently - ANSWER >> A. Obtain culture specimens before initiating antimicrobials C. Encourage the client to rest and limit activity E. Assist the client with oral hygiene frequently A nurse is instructing an AP about caring for a client who has a low platelet count as a result of chemotherapy. Which of the following instructions is a priority for measuring vital signs for this client? A. Do not measure the clients temperature rectally B. Count the clients radial pulse for 30 seconds and multiplied by two C. Do not let the client know you were counting her respirations D. Let the client rest for five minutes before you measure blood pressure - ANSWER >> A. Do not measure the clients temperature rectally A nurse is instructing a group of nursing students in a measuring of a clients respiratory rate. Which of the following guidelines should the nurse include? Select all that apply A. Place the client in a semi Fowler's position B. Have the client rest and arm across the abdomen C. Observe one for respiratory cycle before counting the rate

D. Count the rate for 30 seconds if it is irregular E. Count and report any sighs the client demonstrates - ANSWER >> A. Place the client in a semi Fowler's position B. Have the client rest and arm across the abdomen C. Observe one for A nurse who is admitting a client who has fractured my femur obtain a blood pressure reading 140/94 mm Hg. The client denies any history of hypertension. Which of the following actions should the nurse take first? A. Request a prescription for an anti-hypertensive medication B. Ask if the client is having any pain C. Request a prescription for an anti-anxiety medication D. Return in 30 minutes to check the clients blood pressure - ANSWER

B. Ask if the client is having any pain A nurse is caring for a client who will perform physical occult blood testing at home. Which of the following information should the nurse include when explaining the procedure to the client? A. Eating more protein is optimal prior to testing B. One stool specimen is sufficient for testing C. A red color change indicates a positive test D. The specimen cannot be contaminated with urine - ANSWER >> D. The specimen cannot be contaminated with urine A nurse is talking with a client who reports constipation. When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend? A. Macaroni and cheese B. Fresh fruit and whole wheat toast

C. Bread putting and yogurt D. Roasted chicken and white rice - ANSWER >> B. Fresh fruit and whole wheat toast A nurse is caring for a client who has had diarrhea for four days. When assessing the client, the nurse should expect which of the following findings? Select all that apply A. Bradycardia B. Hypotension C. Elevated temperature D. Poor skin tugor E. Peripheral edema - ANSWER >> B. Hypotension C. Elevated temperature D. Poor skin tugor While I nurse is administering a cleansing enema, the client reports cramping which of the following actions should the nurse take? A. Have the client hold his breath and briefly bear down B. Discontinue the fluid installation C. Remind the client that cramping is common at this time D. Lower the enema fluid container - ANSWER >> A nurse is preparing to administer a cleansing enema to an adult client in preparation for a diagnostic procedure. Which of the following steps to the nurse take? Select all that apply A. Warm the enema solution prior to installation B. Position the client on the left side with the right leg flexed forward C. Lubricate the rectal tube or nozzle D. Slowly insert rectal tube 5 cm

E. Hang the enema container at 24 inches above the anus - ANSWER >> A. Warm the enema solution prior to installation B. Position the client on the left side with the right leg flexed forward C. Lubricate the rectal tube or nozzle *For an adult he will insert 3 to 4 inches, maximum height recommendation is 18 inches A nurse in a providers office is evaluating a client who reports losing control of the year and whenever she coughs, sneezes, or laughs. The client relates this to history of three vaginal births, but no serious accidents or illnesses. Which of the following intervention should the nurse suggest to help the client control or illuminate the incontinence? Select all that apply A. Limit daily fluid intake B. Decrease or avoid caffeine C. Take calcium supplements D. Avoid drinking alcohol E. Use the Crede maneuver - ANSWER >> B. Decrease or avoid caffeine D. Avoid drinking alcohol A client who has an indwelling catheter reports I need to urinate. Which of the following actions should the nurse take? A. Check to see whether the catheter is patent B. Reassure the client that it is not possible for her to urinate C. Re-catheterize the bladder with a larger gauge D. Collect a urine specimen for analysis - ANSWER >> A. Check to see whether the catheter is patent A nurse is caring for a client who has a prescription for a 24 hour urine collection. Which of the following actions should the nurse take?

A. Discard the first void B. Keep the urine in a single container at room temperature C. Ask the client to urinate and pour the urine into a specimen container D. Ask the client to urinate into the toilet, stop midstream, and then finish urinating into a specimen container - ANSWER >> A. Discard the first void A nurse is reviewing the factors that increase risk of UTIs with a client who has reoccurring UTIs. Which of the following factors to the nurse include? Select all that apply A. Frequent sexual intercourse B. Lowering of testosterone levels C. Wiping from front to back D. Location of the urethra in relation to the anus E. Frequent catheterization - ANSWER >> A. Frequent sexual intercourse D. Location of the urethra in relation to the anus E. Frequent catheterization A nurse is preparing to initiate a bladder training program for a client who has incontinence. Which of the following actions should the nurse take? Select all that apply A. Establish a schedule of urinating prior to meal times B. Have the client record urination times C. Gradually increased urination intervals D. Remind the client to hold the urine until the next scheduled urination times E. Provide a sterile container for urine - ANSWER >> B. Have the client record urination times

C. Gradually increased urination intervals D. Remind the client to hold the urine until the next scheduled urination times A nurse is determining a clients ability to learn self monitoring of blood glucose using a glucometer. Which of the following abilities should the nurse confirm that the client has down before proceeding with the instruction? Select all that apply A. Finger dexterity B. Visual acuity C. Color vision D. Basic literacy E. Demonstration of the ability - ANSWER >> A. Finger dexterity B. Visual acuity E. Demonstration of the ability A nurse is providing education on how to check blood glucose levels to a client who has a new diagnosis of type one diabetes mellitus. The nurse should include which of the following instructions about transferring blood onto the reagent portion of the test strip? A. Smear the blood onto the strip B. Squeeze the blood onto the strap C. Touch the puncture to stimulate bleeding D. Hold the test strip next to the blood on the fingertip - ANSWER >> D. Hold the test strip next to the blood on the fingertip A nurse attempts to collect a capillary blood specimen via fingerstick for a blood glucose monitoring from a client who has diabetes mellitus. The nurse is unable to obtain an adequate drop of blood for the reagent strip. Which of the following actions should the nurse take?

A. Puncture another finger to obtain a capillary specimen B. Test the urine with a urinary agent strip instead C. Wrap the hand in a warm moist cloth D. Perform a venipuncture to obtain a venous sample - ANSWER >> C. Wrap the hand in a warm moist cloth A nurse is teaching self monitoring of blood glucose (SMBG) to a client who has DM. Which of the following instructions to the nurse include? Select all that apply A. Perform this once daily at bedtime B. Wipe the hand with an alcohol swab C. Hold the hand in a dependent position prior to the puncture D. Hold the puncturing device perpendicular to the site E. Prick the outer edge of the finger tip for the blood sample - ANSWER

C. Hold the hand in a dependent position prior to the puncture D. Hold the puncturing device perpendicular to the site E. Prick the outer edge of the finger tip for the blood sample A nurse is caring for a group of clients on a medical surgical unit. For which of the following client care needs should the nurse initiate a referral for a social worker? (Select all that apply) A. A client who has terminal cancer request hospice care in her home B. A client asks about community resources available for older adults C. A client states that she wants her child baptized before surgery D. A client request an electric wheelchair for use after discharge E. A client states he does not understand how to use a nebulizer - ANSWER >> A. A client who has terminal cancer request hospice care in her home B. A client asks about community resources available for older adults D. A client request an electric wheelchair for use after discharge