A nurse conducts a preoperative assessment for a 45-year-old client scheduled for mastectomy in 2 days. The client appears withdrawn, makes minimal eye contact, and states, “I don’t want to talk about it.” Which approach BEST assesses the client’s psychological response to impending surgery?

A critical care nurse receives report on a client with multiple pressure injuries requiring accurate staging documentation for quality metrics. Which statements demonstrate correct application of staging principles? (Select all that apply)

A nurse triages multiple clients with sensory complaints. Which clients demonstrate impaired reception requiring immediate safety interventions? (Select all that apply)

A nurse coordinates care for an 81-year-old client with a Stage 3 sacral pressure injury. Current status: prealbumin 15 mg/dL, weight loss of 4.5 kg over 2 weeks, consuming 50% of meals, and taking dexamethasone for rheumatoid arthritis. Which collaborative interventions address factors impeding this client’s wound healing? (Select all that apply)

A nurse plans care for a client on postoperative day one following spinal surgery. The client has an incision dressing, uses glucocorticoids, has diabetes mellitus, and reports pain with movement. Which nursing diagnoses represent priority concerns? (Select all that apply)

A nurse educator teaches staff about nociceptive pain physiology. A client with a severe sunburn reports pain with light touch to the affected area. The educator explains that inflammatory mediators have been released at the injury site. Which physiological process best explains why this client now experiences pain from stimuli that previously did not cause pain?

A nurse develops a preoperative teaching plan for a client scheduled for outpatient hernia repair who will return home the same day. Which teaching components will positively influence the client’s surgical recovery? (Select all that apply)

A nurse triages a client reporting severe abdominal pain but observing the client grasping the chest area. Which assessment cues help differentiate pain categories? (Select all that apply)

A nurse evaluates a client’s response to a new pain management plan implemented 48 hours ago. Which findings indicate successful outcomes? (Select all that apply)

A nurse is caring for a 68-year-old client admitted with severe vomiting and diarrhea for 3 days. Laboratory results show decreased blood pressure, increased heart rate, and elevated serum sodium. Which physiological response is the primary mechanism attempting to restore extracellular fluid volume?