Q. No. 1 . In Hildegard Peplau's Interpersonal Relations Model, the focus is on which of the following?
A. individual
B. community
C. larger society
D. Family
Ans: A
A. individual
B. community
C. larger society
D. Family
Ans: A
Q. No. 2. Your assigned client seems to be getting a lot of attention from his mother when he complains of pain. The mother
may be encouraging which of the following types of gains?
A. primary gains
B. secondary gains
C. narcissistic gains
D. egocentric gains
Ans: B
Q. No. 3. The nurse wants to check the popliteal pulse. This pulse can be better palpated if the nurse does which of the
following things?
A. Ask the client to extend the knee.
B. Have the client flex the knee.
C. Press lightly on the right side of the front of the knee.
D. Palpate more deeply than for other pulses.
Ans: B
Q. No. 4. You are preparing to bathe and wash the hair of an African American woman. Which of the following questions
would be most important to ask the client?
A. "Will you please unbraid your hair?"
B. "Do you have or want oil put on your hair and scalp?"
C. "Is it all right if I shampoo your hair twice?"
D. "Will you brush your hair before the shampoo?"
Ans: B
Q. No. 6. While listening to a client's lung sounds, you hear something that you believe is not normal, and you note that it is a
continuous sound. You will chart this as which of the following findings?
A. crackles
B. Rales
C. adventitious sounds
D. pleral friction rub
Ans: C
Q. No. 7 . The body's biggest organ is which of the following components of the body?
A. large intestine
B. the skin
C. small intestine
D. Kidneys
Ans: B
Q. No. 8 . One of your assigned clients gets up to go to the bathroom without calling you. The client falls to the floor and calls for help. You answer the call and alert your supervisor. After assuring that the vital signs are normal and there does not appear to be any injuries, you are told to fill out an incident report. In addition to noting that the client was found on the floor, which of the following statements would you most need to record in the nursing notes for the client?
A. "Incident report completed."
B. the reason the client was unattended
C. the vital signs and assessment of the client
D. location of the incident report
Ans: C
Q. No. 9 . One of your assigned clients who is scheduled for radiation therapy asks you to stay with her during radiation
because she is scared. Your best response to this request would be which of the following responses?
A. "Let's think of how to reduce your fear, as I must stay a distance away."
B. "I will be right there with you, and I will hold your hand so you won't be afraid."
C. "It is not necessary to be afraid, as nothing bad will happen to you."
D. "I will see if I can get permission from your doctor and the X-ray department."
Ans: A
Q. No. 10 . The client you are assigned to has four nursing diagnoses. Which of the following would you assign the highest priority?
A. chest pain related to cough secondary to pneumonia
B. self-care deficit related to activity intolerance secondary to sleep-pattern disturbance
C. risk for altered family processes secondary to hospitalization
D. self-esteem deficit situational
Ans: A
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Q. No. 10 . The client you are assigned to has four nursing diagnoses. Which of the following would you assign the highest priority?
A. chest pain related to cough secondary to pneumonia
B. self-care deficit related to activity intolerance secondary to sleep-pattern disturbance
C. risk for altered family processes secondary to hospitalization
D. self-esteem deficit situational
Ans: A
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