1) A nurse is performing a Romberg's test during the physical assessment of a client. Which

of the following techniques should the nurse use?

ANS: Have the client stand with her arms at her side and her feet together.

2) A nurse is planning an deduction session for an older adult client who has just learned

that she has type 2 diabetes mellitus. Which of the following strategies should the nurse

plan to use with this client?

ANS: Allow extra time for the client to respond to questions

3) A nurse is teaching an older client who is at risk for osteoporosis about beginning a

program of regular physical activity. Which of the following types of activity should the

nurse recommend?

ANS: Walking briskly

4) A nurse is assessing an adult client who has been immobile for the past 3 weeks. The

nurse should identify that which of the following findings requires further intervention?

ANS: Erythema on pressure points

5) A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a

client. Which of the following actions should the nurse take?

ANS: Gently shake the container of medication prior to administration.

6) A nurse is responding to a call light and finds a client lying on the bathroom floor. Which

of the following actions should the nurse take first?

ANS: Check the client for injuries

7) A nurse is caring for a client who is expressing anger over his diagnosis of colorectal

cancer. Which of the following actions should the nurse take?

ANS: Reassure the client that this is an expected response to grief.

8) A nurse in a clinic is caring for a middle adult client who states, "The doctor says that,

since I am at an average risk for colon cancer, I should have routine screening. What does

that involve?" Which of the following responses should the nurse make?

ANS: "You should have a fecal occult blood test every year."

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