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 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 on 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 health

care team who provides direct care for the client, just like any other diagnosis

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