Nokea
A nurse is assisting with speaking in front of a group of nurses about new guidelines to prevent pressure ulcers. Which of the following actions by the nurse demonstrates confidence?
- A. The nurse stands tall before talking.
- B. The nurse paces back and forth while making the speech.
- C. The nurse looks down at her notes for the duration of the talk.
- D. The nurse taps her foot repeatedly during the speech.
Correct Answer: A
Rationale: Standing tall with good posture conveys confidence and authority while speaking.
You may also like to solve these questions
A nurse is collecting data as part of a neurological examination of a client who is receiving treatment for head trauma. Which of the following observations will give the nurse information about the function of the third cranial nerve?
- A. Instruct the client to look up and down without moving his head.
- B. Observe the client's ability to smile and frown.
- C. Evaluate the client's pupillary reaction to light.
- D. Ask the client to shrug his shoulders against passive resistance.
Correct Answer: C
Rationale: The correct answer is C: Evaluate the client's pupillary reaction to light. The third cranial nerve, also known as the oculomotor nerve, controls the pupillary response by constricting the pupil when exposed to light. By observing the client's pupillary reaction to light, the nurse can assess the function of the third cranial nerve. This test specifically targets the parasympathetic fibers of the nerve, which control pupillary constriction.
Choice A (Instruct the client to look up and down without moving his head) would assess the function of the fourth cranial nerve (trochlear nerve).
Choice B (Observe the client's ability to smile and frown) would assess the function of the seventh cranial nerve (facial nerve).
Choice D (Ask the client to shrug his shoulders against passive resistance) would assess the function of the eleventh cranial nerve (accessory nerve).
Therefore, choices A, B, and D are
A nurse is performing pulmonary hygiene for a client. The nurse should place the client on his right side with pillows elevating the left side of his chest to help mobilize secretions from which of the following lung segments?
- A. Lateral segment of the left lower lobe
- B. Lateral segment of the right lower lobe
- C. Posterior segment of the left upper lobe
- D. Posterior segment of the right upper lobe
Correct Answer: C
Rationale: Elevation of specific lung areas helps drain mucus and prevent complications such as pneumonia or atelectasis.
A nurse is reinforcing teaching with a 40-year-old female client about preventive health screenings. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should have my skin checked every 5 years for cancer.
- B. I will need to have a mammogram every year now.
- C. I should have my first colonoscopy when I turn 65.
- D. I will be checked for uterine cancer every 2 years.
Correct Answer: B
Rationale: The correct answer is B: "I will need to have a mammogram every year now." This statement indicates an understanding of preventive health screenings for a 40-year-old female. Mammograms are recommended annually starting at age 40 to screen for breast cancer. Choice A is incorrect as skin checks for cancer should be more frequent than every 5 years. Choice C is incorrect as the first colonoscopy is recommended at age 50, not 65. Choice D is incorrect as uterine cancer screening is typically not done every 2 years.
During a change-of-shift report, a nurse sees that a client's IV bag of 0.9% sodium chloride has 900 mL of fluid left in it. The nurse makes rounds 30 min later and notes that the IV bag is empty. Which of the following actions should the nurse take?
- A. Elevate the head of the bed to high Fowler's.
- B. Request NPO status for the client.
- C. Check the client's respiratory rate and lung sounds.
- D. Measure the client's temperature.
Correct Answer: C
Rationale: A rapid infusion of IV fluid can cause fluid overload, leading to respiratory distress. Checking respiratory status helps assess for complications.
A nurse is caring for a client who has hypertension and is afraid to take medication. Which of the following nursing responses uses reflection?
- A. You seem upset about your blood pressure.'
- B. What time do you take your medication?'
- C. How do you feel when you take the medication?'
- D. I understand your reluctance to use medication.'
Correct Answer: A
Rationale: Reflection restates the client's emotions, encouraging further discussion.