Nokea
A nurse is caring for an immobile client. What is the priority assessment in this
client?
- A. Auscultation of lung sounds
- B. Assessment of skin turgor
- C. Auscultation of bowel sounds
- D. Assessment for the presence of peripheral edema
Correct Answer: A
Rationale:
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The client had surgery one day ago. What assessment is most likely related to
pain?
- A. Blood pressure of 175/90 mm Hg
- B. Respirations of 10 breaths per minute
- C. Heart rate 60 beats/minute
- D. Oxygen saturation of 97%
Correct Answer: A
Rationale:
Antibodies are passed from mother to fetus through the placenta. What is
this type of immunity called?
- A. Artificial passive
- B. Natural passive
- C. Natural active
- D. Artificial active
Correct Answer: B
Rationale:
A client has suffered from a femur fracture. What is the nurse's priority
assessment?
- A. Pain
- B. Medication history
- C. Pedal pulses
- D. Socio-economic status
Correct Answer: C
Rationale:
What complication of wound healing is an abnormal passage that connects
two body cavities or a cavity and the skin?
- A. Fistula
- B. Hemorrhage
- C. Evisceration
- D. infection
Correct Answer: A
Rationale:
A client just received a diagnosis of cancer. Which statement by the nurse
demonstrates empathy?
- A. "This must be hard news to hear. Tell me more about it."?
- B. "I believe you can overcome this because I have seen how strong you are."?
- C. "Tomorrow will be better."
- D. "What is your biggest fear about this diagnosis?"?
Correct Answer: A
Rationale: