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While walking in the hallway of an acute care unit of the hospital, the nurse overhears the change of shift report. The nurse should:

A.

make the charge nurse on the unit aware of the situation so that he or she can take the necessary steps to maintain the confidentiality of the information being reported.

B.

disregard the information because it changes quickly on the acute care unit and is outdated within 2–3 hours anyway.

C.

return to his or her own unit and not disclose that confidential information has been overheard.

D.

ignore the situation.

Which of the following clients require airborne precautions?

A.

a client with fever, chills, vomiting, and diarrhea

B.

a client suspected of varicella (chickenpox)

C.

a client with abdominal pain and purpura

D.

a client diagnosed with AIDS

Carrying a donor card for organ donation means that:

A.

medical care is altered in the event of serious injuries to get organs for donation.

B.

the family or legally responsible party of a client has no decision-making authority in the event that the client is considered for organ donation.

C.

a client is allowed to revoke his decision for organ donation at any time.

D.

a client is considered an organ donor for only one organ or tissue.

The nurse is caring for a dying client who has persistently requested that the nurse “help her to die and be in peace.” According to the Code of Ethics for Nurses, the nurse should:

A.

Ask the client whether she has signed the advance directives document.

B.

Tell the client that he or she will ask another nurse to care for her.

C.

Instruct the client that only a physician can legally assist a suicide.

D.

Try to make the client as comfortable as possible, but refuse to assist in death.

When questioning an elder about suspected abuse, the nurse should keep the questions:

A.

nonjudgmental.

B.

probing.

C.

confrontational.

D.

indirect.

What is the reason for a contract between nurse and client?

A.

Contracts state the roles the participants take.

B.

Contracts are indicative of the feeling tone established between participants.

C.

Contracts are binding and prevent either party from ending the relationship prematurely.

D.

Contracts spell out the participation and responsibilities of both parties.

Increased cortisol levels might be found in a client with which condition?

A.

Cushing’s syndrome

B.

Addison’s disease

C.

renal failure

D.

congestive heart failure

What is pica?

A.

dependency on alcohol

B.

increased iron in the diet

C.

the sickle cell trait

D.

eating ice

Which of the following blood pressure parameters indicates PIH? Elevation over a baseline of:

A.

30 mmHg systolic and/or 15 mmHg diastolic.

B.

40 mmHg systolic and/or 20 mmHg diastolic.

C.

10 mmHg systolic and/or 5 mmHg diastolic.

D.

20 mmHg systolic and/or 20 mmHg diastolic.

Nonpharmacological pain management involves all of the following except:

A.

hypnosis alone.

B.

psychological care, including support groups.

C.

physical and psychological modalities.

D.

pain-reducing drugs only.

The nurse is using Cognitive-Behavioral methods of pain control and knows that the these methods can be expected to do all the following except:

A.

completely relieve all pain.

B.

provide benefit by restoring the client’s sense of self-control.

C.

help the client to control symptoms.

D.

help the client actively participate in his or her own care.

When a couple experiencing infertility presents for a fertility workup, which of the following procedures should the nurse prepare the couple to have first?

A.

hysterosalpingography

B.

semen analysis

C.

endometrial biopsy

D.

transvaginal ultrasound

A physician orders a serum creatinine for a hospitalized client. The nurse should explain to the client and his family that this test:

A.

is normal if the level is 4.0 to 5.5 mg/dl.

B.

can be elevated with increased protein intake.

C.

is a better indicator of renal function than the BUN.

D.

reflects the fluid volume status of a person.

All of the following clients are in need of an emergency assessment except:

A.

a bleeding client who has an injury from falling debris.

B.

an unresponsive client.

C.

a client with an old injury.

D.

a pregnant woman with imminent delivery.

In a disaster, triage situation, the nurse should be least concerned with which of the following regarding a client in crisis?

A.

ability to breathe

B.

pallor or cyanosis of the skin

C.

number of accompanying family members

D.

motor function