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What is the most appropriate nursing intervention?

What is the name given to the progressive deteriorating organic mental disorder that can be associated with aging?

You ask Mr L is he has had any hallucinations. A hallucination is a disorder of…

Winnie - Which of the following would be the most appropriate for you as that student nurse to do next?

At which time of the day would the nurse expect to obtain the lowest body temperature?

Which critical thinking skill helps you to see relationships among the data?

A nursing diagnosis is:

When working with patients in pain, nurses need to recognise/avoid common misconceptions about pain.Which is correct?

What specific assessment would you consider when assessing Sarah?

Which of the following processes is not required in order for effective respiration to occur?

Which of the following nursing assessments will give you objective data relating to the functioning of her cerebellum?

If Mr London were to fabricate an event to fill in memory gaps, this would be called

Based on the Braden scale, which one of the following scores places him at the highest level of risk?

You present an educational class about vision and eye health. You explain how visual perception occurs. You include:

Identify the correct nursing intervention for Thelma

Mr L has a reddened area over his coccyx. What should your next actions for him include?

Pressure injuries form primarily as a result of

Which test would be most appropriate to perform when assessing Winnie’s eye muscle strength and cranial nerve function?

How could you advise Mrs L to best manage Mr L when he is experiencing confusion?

Mr London has very limited mobility, how often should you assist him to change position to prevent pressure injuries?

Which of the following is not an element in the chain of infection?

Which of the following would be the most important for you to remember when auscultating Rangi’s posterior chest?

During a comprehensive assessment, which part of the body would you assess for info about the motor function of CNVII

In the ABCDE of initial assessment and treatment in acute situations, the ‘D’ refers to:

Winnie’s patellar reflex is normal. Which of the following is the correct number to document this?

Which of the following is not a characteristic of dementia?

Which type of pain would be associated with arthritis?

Which of the following would be the most accurate nursing diagnosis for Molly?

You are preparing to assess Mrs Jones’ distance visual acuity. She wears reading glasses, which is the most appropriate?

When Mr London is in a supine position, what are the potential sites of pressure injury?

As there are several things happening in the clinic at the moment you need to consider clinical priority:

Your assessment includes identifying if Mr L has an acute infection. An infection can cause a confusional state known as

The RN is having difficulty eliciting a patellar reflex. Which of the following would be most appropriate to have W do?

Which of the following questions will help you evaluate Mrs Jones for a hearing impairment?

You are having difficulty auscultating Joyce’s heart sounds, specifically S1 and S2. Which of the following would help?

To break the chain of infection, what is an example of a nursing intervention to reduce a reservoir of infection?

What type of assessment are you most likely to perform on Sarah today?

Mr L has partial thickness skin loss involving the epidermis and possibly dermis in the sacral region. What stage?

When deciding where to place the bp cuff on Richards arm, which action is the most appropriate?

RNs should be aware of the verbal/nonverbal ways patients communicate discomfort.What would be an assessment tool to use

Which of the following would be the most likely sign of a frontal lobe contusion?

Which of the following is a warning sign of acute respiratory distress?

Which of the following describes a wheeze?

Which of these is incorrect in relation to delirium?

When assessing Rangi, which part of the body would you assess for the presence of central cyanosis?

If Mrs Jones has difficulty hearing high pitched sounds, which of the following would you document this finding as?

Which of the following represents the break in sounds between the first and second sounds when auscultating J’s bp?

You are educating about analgesics. Included is the fact that analgesics containing codeine may cause:

When performing a physical examination of Winnie, which of the following would be most appropriate?

Which of the following is a myth about pain in the older adult?

Mrs Jones asks you why cerumen is important because it “just clogs up the the ear”. Which response is most appropriate?

An appropriate SMART goal for Thelma is?

What risk factors are assessed using the Braden scale?

Identify an appropriate nursing diagnosis for Thelma

During ocular exam you shine a light into one eye and the pupil of the other eye contracts. What do you interpret as?

Which of the following statements about PPE is incorrect?

How would you advise Molly and her mum as to the best way to reduce the risk of spreading disease?

Richard is lying down on the examination table when you monitor his bp. Which of the following would you expect?

Damage to which area of the brain is likely to have resulted in Thelma’s symptoms?

An appropriate nursing diagnosis for Richard would be:

When auscultating the apices of Rangi’s lungs, where would you place your stethoscope?

What is the most appropriate assessment for Mrs Jacobs?

Which of the following would be the most important advice for the student nurse on confidence and proficiency?

Sarah describes her pain as coming on quickly and being short in duration. What type of pain is this?

For which patient condition would you most likely expect a capillary refill time longer than 2 seconds?