To obtain data for the nursing assessment, the nurse should:

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Question 1 of 5

To obtain data for the nursing assessment, the nurse should:

Correct Answer: D

Rationale: Eliciting clients' descriptions of experiences, thoughts, and behaviors is optimal. It gathers subjective data comprehensively, per assessment standards. Nonverbal is part, structure limits depth, and free talk lacks focus. D ensures thorough, client-centered data.

Question 2 of 5

A client with considerable pain asks, 'What is your opinion regarding acupuncture as a drug-free method for alleviating pain?' The nurse responds, 'I'd forget about it as those weird non-Western treatments can be scary.' The nurse's response is an example of

Correct Answer: C

Rationale: Ethnocentrism describes the nurse's response. Judging acupuncture as 'weird' and 'scary' reflects a bias toward Western norms, per cultural competence. Prejudice is broader, discrimination involves action, and insensitivity is less specific. C fits the attitude.

Question 3 of 5

To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse must

Correct Answer: A

Rationale: Applying suction for no more than 10 seconds prevents hypoxia during tracheostomy suctioning. Prolonged suction depletes oxygen, per airway management standards. Sterility , lubrication , and motion matter but hypoxia is the primary risk. A safeguards oxygenation.

Question 4 of 5

A child is admitted to the pediatric unit with a diagnosis of suspected meningococcal meningitis. Which admission orders should the nurse implement first?

Correct Answer: C

Rationale: Placing in respiratory/secretion precautions is first for suspected meningococcal meningitis. Droplet isolation prevents spread, per infection control, a public health priority. Seizures , monitoring , and antibiotics follow. C protects staff and patients.

Question 5 of 5

Which of these clients is the priority for the nurse to report to the public health department within the next 24 hours?

Correct Answer: B

Rationale: The elderly worker with a positive acid-fast bacillus smear is the priority to report. It suggests TB, a public health threat, per CDC mandates, requiring rapid notification. Shigella , Pneumocystis , and varicella are less urgent. B protects the community.

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