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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