A nurse is collecting data about a client’s respiratory system. Which of thefollowing breath sounds should the nurse expect to hear over the peripheryof the major lung fields?

A: Vesicular (Vesicular sounds are soft and low-pitched)

A nurse employs a thorough, systematic method for obtaining OBJECTIVEdata about a client. Which of the following methods should the nurse ustocollect this information?

A: Physical Examination (Physical findings are objective and the nurseshouldcollect this information in a systematic way. A nurse is assisting a provider with performing thoracentesis to removepleural fluid. How should the nurse position the client?

A: Leaning forward over a pillow. A nurse is preparing to insert an NG tube for a client who requires enteral

feedings. Which of the following instructions should the nurse give the client

before beginning the procedure?

A: “Raise your index finger if you need to pause during the insertion.” A nurse is performing a mental-status exam for a client who has

manifestations of dementia. Which of the following directions should thenurse give the client when evaluating the client’s ability to think abstractly?A:

Discuss the meaning of a common proverb. (Evaluates clients ability tothinkabstractly.)

A nurse is presenting an in-service session about nutrition. Which of thefollowing simple sugars should the nurse identify as the carb found inmilk?A: LACTOSE (Sugar found in milk)

A nurse is assisting with teaching a newly licensed nurse about painmanagement in clients age of 65 and older. Which of the following piecesof

information should the nurse include?

A: Clients who are 65 or older are reluctant to report pain. (Might not want tobother or anger caregivers and might believe that pain is expected.)

A nurse in an oncology clinic is collecting data for a client who is undergoingtreatment for ovarian cancer. Which of the following statements by the client

indicate she is experiencing psychological distress?

A: “I keep having nightmares about my upcoming surgeries.” A nurse is assisting with the admission of a client to the medical unit andasks if he has advance directives. The client states “I have a document withmethat names someone who can make health care decisions for me if i amnot

able.” The nurse should identify that the client is referring to which of thefollowing documents?A: Durable Power of Attorney Document (namesa