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1. Nurse Jenna is making a short-term goal for an adult male patient who is on his first week of admission
following a spinal cord injury at the T3 level. What is an appropriate short-term goal that Jenna should
identify?
A) "The patient will carry out his hygiene activities"
B) "The patient will perform ambulation independently"
C) "The patient will consider changes in his lifestyle"
D) "The patient will know his limitations"
2. One night, Nurse Carol is assigned to a patient who is receiving intermittent tube feedings. The patient
insisted that he can't tolerate the intermittent feedings. Nurse carol should:
A) Suggest an antiemetic be prescribed
B) Gather more data from the night nurse about the feeding technique used
C) Change the feeding schedule to omit nights
D) Ask that the type of solution be changed
3. A nurse provides instructions to a parent of a toddler experiencing physiological anorexia. Which
statement, if made by the parent, indicates a need for further instructions?
A) I will not force-feed my child
B) At mealtime, I will offer less than my child may eat and let my child ask for more
C) I will feed my child if she will not eat
D) I will limit the juice intake to less than twelve ounces per day
4. Prior to administering a gastrostomy tube feeding to an infant, the nurse should:
A) Slowly instill 5 ml of water
B) Aspirate the tube
C) Provide the baby with a pacifier
D) Place in a semi-Fowler's position
5. Carrie is a clinical nurse specialist who is caring for a five-year-old patient for the first time. Carrie should
utilize which nursing strategy to promote communication?
A) Explain care when it is given
B) Use objects to explain care
C) Provide written explanations of care
D) Use drawings and stories to explain care
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: C | Question # 5 Answer: A |
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