1) A nurse is collecting data from a client who was admitted with a Glasgow Coma Scale of 3. Which

of the following findings should the nurse expect?

- Nonresponsive Commands

2) A nurse is collecting data from a client who has coronary artery disease. Which of the following

manifestations should the nurse identify as an indication that the client has angina

- Chest Discomfort Radiated

- Pain lasting less that 15mins

- Pain that is relieved with rest

3) A nurse is receiving change-of-shift report for a group of clients. Which of the following clients

should the nurse plan to see first?

- A client who has diabetes mellitus with diaphoretic

4) A nurse is reinforcing teaching with a young adult client about testicular self-examination. Which

of the following instructions should the nurse include?

- Examine your testicles after a warm shower

5) A nurse is collecting data from a client who has tuberculosis and started combination therapy

2months ago. Which of the following diagnostic results indicates that the client is adhering to the

medication regimen.

- A negative sputum culture

6) A nurse is collecting data from a client who has bacterial meningitis. Which of the following

findings should the nurse expect?

- Severe Headache

7) A nurse is reinforcing with a client who has pernicious anemia. Which of the following statements

by the client indicated an understanding of the teaching

- I will be able to switch to a nasal form of cyanocobalamin when my levels stabilize

8) A nurse is reinforcing teaching with a male client who has right sided hemiparesis about

preforming ADL’s. Which of the following instructions should the nurse include in the teaching

- Comb your hair with the unaffected arm

9) A nurse is reinforcing discharge teaching with a client who has COPD and reports episodes of

dyspnea. Which of the following instructions should the nurse include?

- Used the pursed lip breathing technique

10) A nurse is reinforcing teaching with a client who has varicose veins of the right lower extremity.

Which of the following instructions should the nurse include in the teaching

- Apply elastic support hoes before getting out of bed in the morning

11) A nurse is preparing to transfer a client from a bed to chair following a total knee arthroplasty. The

client has a prescription for partial weight bearing. Which of the following actions should the nurse

take

- Flex at the hip and knees before transferring the client