13.  The nursing assistant reports to the nurse that the client became short of breath while bathing. What action should the nurse do first?

5.  A nurse is caring for a client who has a radiation injury. Which of the following actions should the nurse take?

27.  A nurse is instructing a client who has COPD about using the orthopneic position to relieve shortness of breath. Which of the following statements should the nurse make? 

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?

29.  A nurse is obtaining a health history for a client’s comprehensive physical examination. After inspecting the client’s abdomen, which of the following skills of the physical examination process should the nurse perform next? 

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?

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. 

45.  A nurse is conducting an assessment of an older adult patient. Which of the following strategies should the nurse use to ensure an accurate and comprehensive assessment of this patient? Select all that apply. 

10.  The nurse hears a client scream out, “Help the bed is on fire!” Upon entering the room, the client is slapping the flames on the bed. Which action should the nurse take first?