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9.  The nurse is questioning a client about potential hazards in the home environment. Which of the following will the nurse educate to prevent a fall? Select all that apply.

32.  The nurse is gathering data on a newly admitted patient and notes tympany over the lower abdomen.  Which of the following will the nurse document in the chart as the finding? 

16.  A nurse is caring for a confused patient who is at risk of pulling out their intravenous (IV) line. The healthcare provider orders soft wrist restraints. Which of the following actions by the nurse is most appropriate? 

25.  During a mental status examination, the nurse assesses the patient’s behavior. Which of the following observations should the nurse document as a concerning finding? 

6.  The nurse needs to do a respiratory assessment on a client. The nurse will use which assessment technique?

18.  A client who is alert and oriented to person, place and time has decided to leave AMA. The nurse uses therapeutic communication in an attempt to change the client’s mind. If the nurse is unsuccessful, what is the nurse’s first responsibility?

42.  A factory worker arrives at the emergency department with a chemical burn on their arm from an unknown dry industrial substance. What is the priority action by the nurse? 

33. The nurse is collecting a patient’s past health history during an admission assessment. Which of the following should be included in this part of the health history? Select all that apply. 

2.  The nurse is caring for a client that has erythema, edema, heat, and pain to the right lower extremity. The nurse knows these are which of the following.

23. A nurse is conducting a health history interview with a patient who reports experiencing chest pain. Which question should the nurse ask first to assess the patient’s present illness?