Remar exam 2
A nurse is doing an admission assessment on a client who has multiple bruises on her body.
The nurse suspects abuse. Which of the following statements is the most appropriate for
the nurse to ask?
• Are you being hurt by your partner?
• Are you happy with your home environment?
• Do you and your partner have problems resolving personal conflict?
• Do you feel afraid when your partner is around? – CORRECT ANSWER
Great job! Abuse is defined as the intentional infliction of injury, mental or physical, or
intentional neglect of care. A direct question is needed to assess if this is happening.
A nurse is caring for a client with peripheral vascular disease and notices the legs are cold
and blue. Which is the priority action for the nurse to take?
• Assess for distal pulses – CORRECT ANSWER
• Notify the doctor
• Administer epinephrine
• Chart the observation
That is correct. The nurse should check the pulses before notifying the physician.
A nurse is bringing a client back to the operating room for an appendectomy and finds
there is no consent form in the chart. What is the initial action by the nurse?
• Contact the unit supervisor
• Notify the healthcare provider – CORRECT ANSWER
• File an incident report
• Bring the client back to the surgical unit
Great job! The safest thing to do is to notify the physician.
The nurse is caring for a client who has a new colostomy. The colostomy stoma is red, moist
and slightly raised. The nurse should:
