Answer: C. The patient has no plans to quit smoking Rationale:  The phases of change, such as when a person wants to make a change in lifestyle habits, go through a series that starts with no desire or thought to change all the way to making the change and following through with it. In the […]

Answer: C.  Inspection, auscultation, percussion, palpation Rationale:  When assessing any other part of the body, the nurse would normally perform the methods of assessment in the order of inspection, palpation, percussion, and then auscultation. However, when assessing the abdomen, the order of the techniques is different and should be instead done in the order of […]

Answer: D.  The pads of the fingers Rationale:  When assessing a patient through palpation, the nurse may use different parts of the hand to find differing signs related to the patients condition. The pads of the fingers are best used for palpating pulsations, edema, and crepitus, as well as determining moisture content of the skin.

Answer: B.  Drink fluids starting several hours before exercise begins Rationale:  A person who exercises a great amount, such as with a student athlete, may be at risk of dehydration and electrolyte imbalance from water loss through sweat and respiration. … Continued

Answer: C.  There are high expectations of each family member E.  Punishment may involve withdrawal of approval Rationale:  A nurse who works with families may encounter various parenting styles. The authoritarian parenting style is one that is strict and where the parents exert a great amount of control over their children. The parents may physically […]

Answer: A.  There may be step-siblings in the family who do not share a biologic parent B.  The parents come together after a previous divorce or death of a spouse E.  The parents may add another child who becomes a half-sibling to the other children Rationale:  A blended family is one in which the parents […]

Answer: C. Dysphagia Rationale:  Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease that causes a decline in respiratory function, including shortness of breath and an inability to cough. The patient is also at a nutritional risk because of muscle wasting and dysphagia. Other factors that may contribute to nutritional issues in the ALS patient […]

Answer: C.  “This test checks how much sugar is coating the hemoglobin in your red blood cells; it can tell us your blood sugar levels for the past two months.” Rationale:  The hemoglobin A1C test, also called the glycosylated hemoglobin test, is part of diagnostic testing for diabetes. The test looks at the amount of […]

Answer: A. mitral valve prolapse. Rationale:  When auscultating heart sounds, the nurse may hear a variety of different sounds; some are normal parts of the heart’s anatomy, while others indicate an abnormality. A systolic click is a high-pitched sound that is heard at the late part of systole. When this sound is heard, it can indicate […]

Answer: A. The patient will be able to dress himself appropriately B. The patient will demonstrate how to use adaptive equipment effectively C. The patient will be able to cope with having someone help with dressing tasks Rationale:  A patient who struggles with self-care deficit may have difficulties performing activities of daily living and other […]