1.A nurse is reinforcing teaching about health promotion with a group of young adult clients. Which of the following information should the nurse include?
a. Young adults should receive a dental assessment every 6 months.
b. Young adult males should have a testicular examination every 5 years.
c. Young adult females should have a routine physical examination every 4 years.
d. Young adults should receive a tuberculosis skin test every 3 years.
2.A nurse is caring for a client who has a prescription for a potassium supplement. The client tells the nurse that the pill is too large to swallow and refuses to take it. The nurse offers to break the pill into two smaller pieces. The nurse is demonstrating which of the following ethical principles?
a. Autonomy b. Beneficence
c. Justice
d. Nonmaleficence
3.A client who has advanced cancer tells the nurse that they have a difficult time talking to anyone about the illness. Which of the following actions should the nurse take to encourage therapeutic communication?
a. Keep the conversation moving by asking about the client’s family
b. Let the client know that, as their nurse, they are available and willing to listen
c. Ask if the client understands what to expect in the advantaged stages of the illness
d. Ask the client’s visitors not to say anything about the advanced disease
4.A nurse has delegated various client care tasks to the assistive personnel (AP) on the care team. Which of the following actions by the AP should the nurse identify as correct?
a. Using hand sanitizer to cleanse their hands of spilled food from a client’s meal tray
b. Setting aside their gown for future use in the room of a client who has a wound infection
c. Removing their gloves after a client’s room
d. Donning a mask to measure the vital signs of a client who has pertussis
5.A nurse is caring for a client who is postoperative and is experiencing nausea and vomiting. The nurse should identify which of the following findings as indications that the clients has fluid volume deficit? (Select all that apply.)
a. Full bounding pulse b. Cool extremities
c. Moist crackles in the lungs d. Orthostatic hypotension
e. Flat neck veins
6.A nurse is taking notes of client information on a piece of paper while receiving report. Which of the following actions should the nurse take to dispose of the paper?
a. Obscure the client’s name with a marker prior to disposal
b. Place the paper in a trash can at the nurses’ station c. Shred the paper in a secure container
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