A nurse is assigned most of the patients with pressure ulcers. The nurse leaves the pressure ulcer open to air and does not apply a dressing. To which patient did the nurse provide care?

A) A patient with a clean Stage I
B) A patient with a clean Stage II
C) A patient with a clean Stage III
D) A patient with a clean Stage IV

A patient experiencing mania has not eaten or slept for 3 days. Which nursing diagnosis has priority?

A) Risk for injury
B) Ineffective coping
C) Impaired social interaction
D) Ineffective therapeutic regimen management

The nurse has just completed a lymph node assessment on a 60-year-old healthy female patient. When palpating the nodes on this healthy 60-year-old adult, how did the lymph nodes feel?

A) Fixed
B) Nonpalpable
C) Rubbery, discrete, and mobile
D) Large, firm, and fixed to the tissue

When the nurse is testing the triceps reflex, what is the expected response?

A) Flexion of the hand
B) Pronation of the hand
C) Flexion of the forearm
D) Extension of the forearm

The nurse is caring for a patient diagnosed with severe dehydration.The nurse notes that the patient's albumin level is 4.0.What might this indicate?

A) The patient is in a compromised protein state.
B) The level may be falsely high.
C) An acute nutritional deficiency
D) A long-term nutritional deficiency