1. A nurse is reviewing the techniques for transferring a client from a bed to a chair with
a group of assistive personnel (AP). Which of the following
... [Show More] instructions should the nurse
include?
ANS: Use lower-body strength
RATIONALE: The nurse should instruct the AP to use lower-body strength when lifting a client to
reduce stress on the back
2. A nurse is participating in a quality improvement study about the effectiveness of
client pain management in the unit. Which of the following strategies should the nurse
use to collect data?
ANS: Review clients' charts for their rating of pain before pain medication was administered and
1 hr after administration
RATIONALE: The nurse should collect data from clients' charts about pain ratings before and
after pain management interventions
3. A nurse is reinforcing teaching about confidentiality with a client who has a new
diagnosis of HIV. Which of the following information should the nurse include in the
teaching?
ANS: "Your HIV status will be shared with members of your health care team."
RATIONALE: The diagnosis of HIV or AIDS is shared with every member of the healthcare team
who provides direct care for the client, just like any other diagnoses
4. A nurse is planning care for a client who has a history of seizures. Which of the
following pieces of equipment should the nurse place in the client's room?
ANS: Suction catheter
RATIONALE: The nurse should place suction equipment in the room of a client who has a
history of seizures. During a seizure, the client might have excessive oral secretions or might
vomit. If the client's airway becomes occluded, then the nurse will need to suction the oral cavity
to maintain a patent airway
5. A nurse in a provider's office is reviewing the medical record of a client who requests a
prescription for an oral contraceptive. Which of the following findings should the nurse
identify as a contraindication for oral contraceptive use?
ANS: Coronary artery disease
RATIONALE: Coronary artery disease is a contraindication to oral contraceptive use because it
increases the client's risk for myocardial infarction. Other contraindications for receiving oral
contraceptives include gallbladder disease, breast cancer, and hypertension\
6. A nurse is assisting with the care of a school-age child immediately following surgery.
The child weighs 21.8 kg (48 lb) and has a chest tube applied to suction. Which of the
following findings should the nurse report to the provider?
ANS: 250 mL of sanguineous drainage over the last 3 hr
RATIONALE: The nurse should recognize that if more than 3 mL/kg/her of sanguineous
drainage occurs for more than 3 consecutive hours following surgery, it can indicate active
hemorrhaging. Therefore, 250 mL of sanguineous drainage from the child's chest tu [Show Less]