1. A client with human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome confides that he is a homosexual and his employer does not know
... [Show More] his HIV status. Which response by the nurse is best? A. “Would you like me to help you tell them?” B. “The information you confide in me is confidential.” C. “I must share this information with your family.” D. I must share this information with your employer.” 2. The mother of a child with bronchial asthma tells the nurse that the child wants a pet. Which of the following pets is most appropriate? A. Cat B. Fish C. Hamster D. Canary 3. An elderly client is being admitted to same-day surgery for cataract extraction. The client has several diamond rings. The nurse should explain to the client that: A. Her rings will be taped before the surgery B. She will sign a valuables envelope that will be placed in a safe, C. The rings will be locked in the narcotics box D. The nursing supervisor will hold onto the rings during the surgery 4. When an infant resumes taking oral feedings after surgery to correct intussusception, the parents comment that the child seems to suck on the pacifier more since the surgery. The nurse explains that sucking on a pacifier: A. Provides an outlet for emotional tension. B. Indicates readiness to take solid foods. C. Indicates intestinal motility. D. Is an attempt to get attention from the parents. 5. Under which circumstances may a nurse communicate medical information without the client’s consent? A. When certifying the client’s absence from work. B. When requested by the client’s family. C. When treating the client with a sexually transmitted disease. D. When ordered by another physician. 6. A 22 year old client is brought to the emergency department with his fiancée after being involved in a serious motor vehicle accident. His Glasgow Coma Scale score is 7 and he demonstrates evidence of decorticate posturing. Which of the following is appropriate for obtaining permission to place a catheter for intracranial pressure (ICP) monitoring? A. The nurse will obtain a signed consent from the client’s fiancée because he is of legal age and they are engaged to be married. B. The physician will get a consultation from another physician and proceed with placement of the ICP catheter until the family arrives to sign the consent. C. Two nurses will receive a verbal consent by telephone from the client’s next of kin before inserting the catheter. D. The physician will document the emergency nature of the client’s condition and that an ICP catheter for monitoring was placed without a consent 7. A 68 year old client’s daughter is asking about the follow-upon evaluation for her father after pneumonectomy for primary lung cancer. The nurse’s best response is which of the following? A. “The usual follow-up is chest X-ray and liver function tests every 3 months.” B. “The follow-up for your father will be a chest X-ray and a computed tomography scan of the abdomen every year.” C. “No follow-up is needed at this time.” D. “The follow-up for your father will be a chest X-ray every 6 months.” 8. The nurse is preparing to administer blood to a client who requires postoperative blood replacement. The nurse should use a blood administration set that has a: A. Micron mesh filter B. Nonfiltered blood administration set. C. Special leukocyte-poor filter D. Microdrip administration set 9. During the health history interview, which of the following strategies is the most effective for the nurse to use to help clients feel that they have an active role in their health care? A. Ask clients to complete a questionnaire B. Provide clients with written instructions C. Ask clients for their description of events and for their views concerning past medical care. D. Ask clients if they have any questions 10. The nurse is planning care for a client who chews the fingers constantly. Before applying mitten restraints, the nurse could try which of the following intervention? Select all that apply. A. Ask the client to rub lotion over the hands every day after bathing B. Encourage physical activity, such as ambulation C. Provide frequent contacts for communication and socialization D. Provide family education E. Encourage involvement of family and friends [Show Less]