NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTIO, Exams of Nursing

Download NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTIO and more Exams Nursing in PDF only on Docsity! NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ Chapter 26: Communicating Question 1 A nurse explains to a client that he will need to have a bowel prep before going to his esophagogastroscopy. On what should the nurse focus to improve communication skills? 1. Pace 2. Intonation 3. Simplicity 4. Clarity Correct Answer: 3 Question 2 The nurse observes during a dressing change that the clients wound has become infected. When asked by the client how the wound looks, the nurse says it looks fine but the nurses facial expression doesnt support the response. Which aspect of communication should this nurse improve? 1. Adaptability 2. Credibility 3. Timing and relevance 4. Clarity and brevity Correct Answer: 1 Question 3 Type: MCSA A nurse is working on a telemetry unit when one of the clients has a NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ Which level of proxemics should the nurse use? 1. Intimate 2. Personal 3. Social 4. Public Correct Answer: Question 9 A nurse enters a clients room and asks about his level of pain. The client, grimacing, says Its fine. Which communication factor is the client struggling with? 1. Territoriality 2. Environment 3. Congruence 4. Attitude Correct Answer: 3 Question 10 A nurse is working with an elderly male client on a medical unit. Which statement demonstrates elderspeak by the nurse? 1. Its time for us to go to physical therapy. 2. I think it would be better if you were planning to go to a nursing home after discharge. 3. Your children must really love their dad. 4. Your wife must be having trouble adjusting to your illness. Correct Answer: 1 Question 11 A client has just lost her second baby to preterm complications. Which statement demonstrates the best therapeutic response for the nurse to make? NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ 1. Dont be so sad. You can always try again. 2. Didnt your doctor advise you about genetic counseling? 3. I know how you feel. I have children of my own. 4. I am so sad for you. Ill stay with you for a while if you need to talk. Correct Answer: 4 Question 12 The nurse is conducting an admission interview. Which response indicates that the nurse is attentively listening to the clients explanations? 1. Can you explain what your symptoms are like? 2. When was the last time you saw a doctor for this? 3. Uh-huh, while nodding the head 4. Im sorry, say that again? Correct Answer: 3 NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ Question 17 A nurse needs to evaluate the effectiveness of a teaching session with a client. Which approach would provide the best feedback? 1. Client communication 2. Process recording 3. Therapeutic communication 4. Verbal communication Correct Answer: 2 Question 18 During a health history, a client admits to taking nutritional supplements instead of prescribed medication. Which responses by the nurse indicate effective communication? Standard Text: Select all that apply. 1. What you did was wrong. 2. Who do you think you are? 3. You shouldnt have done that. 4. Tell me more about the supplements. 5. Explain the reasoning behind your decision. Correct Answer: 4, 5 Question 19 The nurse needs to communicate information about a clients status to a physician. Which approach demonstrates assertive communication by the nurse? 1. You need to check the laboratory results of the client in room 423. NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ 2. You should visit with the clients family about the upcoming procedure. 3. We need to be more aware of the situation among the client and the clients family. 4. I am concerned that the client does not have adequate pain management. Correct Answer: 4 Question 20 The nurse wants to gain information about a clients situation. Which question should the nurse use to maximize communication with this patient? 1. What brings you to the hospital? 2. Are you having pain? 3. Does your pain feel better or worse today? 4. Is there anything I can do for you? Correct Answer: 1 NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ Question 2 The nurse is communicating with an older client. Which actions demonstrate that the nurse understands the best approaches to communicate with this client? Standard Text: Select all that apply. 1. Asking, What can I do to make you feel safe? 2. Observed intently listening to the client describe how being alone makes her feel 3. Offering to take the client out for a walk 4. Consistently arranging for the client to have her hair done 5. Managing to get a copy of the clients favorite magazine Correct Answer: 1, 2, 5 Question 22 The nurse is beginning a helping relationship with a newly admitted client. Which behaviors should the nurse demonstrate that support this type of relationship? Standard Text: Select all that apply. 1. Becoming familiar with the clients social history by reading the admission interview 2. Orienting the client to the physical layout of the facility as well as to the facilitys policies 3. Gaining the clients trust by consistently keeping promises to return and visit 4. Respecting the clients wish to be alone after hearing about the loss of a family friend 5. Asking to remain with the client when he is experiencing symptoms of the flu Correct Answer: 1, 3, 4, 5 Question 23 The graduate nurse is thinking about leaving a new job because of actions demonstrated by the nurse manager. Which actions should the graduate nurse identify as bullying? Standard Text: Select all that apply. NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ of the affective domain? 1. Each member of the class must identify two attitudinal changes that have occurred in their lives since beginning their nursing education. 2. All members must list the technical skills theyve learned. 3. Members must demonstrate a favorite nursing skill at the end of the class period. 4. Members must read a paragraph about a new clinical trial, summarize the information, and present it to the rest of the class. Correct Answer: 1 Question 5 A client is practicing using an incentive spirometer after surgery. The nurse has explained the use, demonstrated how it works, and also given the rationale for the client to continue to use this device. When mastering the use of this device, the client will demonstrate learning in which of Blooms domains? 1. Cognitive 2. Psychomotor NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ 3. Affective 4. Imitation Correct Answer: 2 Question 6 A nurse is presenting teaching sessions to a group of residents in a home for long- term physical rehabilitation. Which client exhibits the highest motivation? 1. An individual who has been struggling with following nursing directives regarding discharge goals 2. The client who has just moved in and is already waiting for discharge 3. A client who is excited to learn about his new prosthesis 4. A client who has been there the longest and is a great coach for newcomers Correct Answer: 3 Question 7 A nurse is working in a neonatal intensive care unit, teaching parents how to care for their tiny babies while they are still in the hospital. Which statement by a parent reflects a readiness to learn? 1. Im so afraid Ill hurt my baby with all these tubes. 2. I want to make sure my spouse is here, in case I dont hear everything thats said. 3. When my baby is just a little bigger, Ill be able to handle him. 4. Youll give us written instructions before we go home, correct? Correct Answer: 2 NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ Question 8 The nurse is instructing a client on self-administration of insulin. Which statement regarding feedback will be most beneficial to the client? 1. You know, there are children who can learn to do this. 2. Maybe it would be better if we taught your spouse to help you with this. 3. Next time, dart the needle in your skin, instead of pushing it in. 4. If you dont learn this, you cant be discharged. Correct Answer: 3 Question 9 A home health client having difficulty keeping his medication schedule organized says There are so many pills and the names are all confusing to me. I dont even understand what theyre for. What should the nurse do? 1. Help the client remember color and size in relationship to dosing time. 2. Write out the generic and trade name of all the pills for the client. 3. Fill a pill bar and tell the client not to worry, and just take the pills according to that system. 4. Have the physician talk to the client about his medications. NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ 4. Schedule the clients clinic appointments in accordance with the dosing schedule, then give the injection when the client is at the clinic. Correct Answer: 3 Question 14 A client has been diagnosed with diabetes mellitus and must learn how to do his own finger stick blood sugar analysis as part of his treatment. The client has been sullen and uncommunicative since receiving the diagnosis. How can the nurse best increase the clients motivation to learn? 1. Demonstrating the finger stick on the nurse 2. Offering to do the procedure for the client each time it is scheduled 3. Teaching the clients support system how to perform the procedure 4. Encouraging the clients participation each time the procedure is performed Correct Answer: 4 Question 15 The nurse is working with a group of older clients through a community senior citizens center. Utilizing an understanding of health literacy, the nurse will make sure that 1. information given to this group is written at a third-grade level. 2. teaching includes a variety of approaches. 3. information includes pictures. 4. there is ample time for teaching. Correct Answer: 4 Question 16 A client being discharged after a myocardial infarction has been prescribed several NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ new medications and a low fat diet. The client states: Im never going to understand what to do, when to do it, and why I should be doing all these things. Which nursing diagnosis should the nurse formulate for this client? 1. Health-Seeking Behavior related to desire to prevent heart problems 2. Deficient Knowledge (diet and medication regimen) related to inexperience 3. Noncompliance related to situational factors 4. Risk for Myocardial Infarction related to deficient knowledge Correct Answer: 2 Question 17 The nursing diagnosis Readiness for Enhanced Knowledge (Nutrition) related to desire to improve nutritional intake has been formulated for a client who has decided to change his eating habits to be more nutritionally sound. What would be an appropriate outcome for this client? 1. Client will understand the importance of eating healthy. 2. Client will be able to lose weight. NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ 3. Client will list foods that are nutritionally sound, low fat, and high fiber. 4. Client will appreciate the value of using the Food Guide Pyramid. Correct Answer: 3 Question 18 A home health nurse is working with a client who has pulmonary fibrosis. Of the following teaching priorities, which will take the highest priority? 1. Client will be able to set up and administer a nebulizer treatment by the end of the day. 2. Client will have increased activity level by the end of the week. 3. Client will be able to do activities of daily living (ADLs) without shortness of breath in 3 days. 4. Client will have a positive attitude about the diagnosis by the end of the month. Correct Answer: 1 Question 19 A school nurse is putting together a program for adolescents about positive lifestyle choices. What should the nurse keep in mind when preparing content to present to this age group? Standard Text: Select all that apply. 1. Based on learning outcomes 2. Current 3. Adjusted to the adolescent client 4. Based on sources available within the school system 5. Consistent with the teaching topics Correct Answer: 1, 2, 3, 5 Question 20 The nurse is going to be working with a client who has a permanent colostomy and NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ 3. When the nurse is satisfied that the client can complete the technique 4. If the wound heals Correct Answer: 1 Question 24 The nurse has completed a teaching session for a client with a tracheostomy. Documentation of the session should include what information Select all that apply. 1. Diagnosed learning needs 2. Supplies required 3. Client outcomes 4. Need for additional teaching 5. Topics taught Correct Answer: 1, 3, 4, 5 Question 25 When making an assessment of the clients learning needs, the nurse will focus on which elements? Standard Text: Select all that apply. NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ 1. Nurses own knowledge 2. Clients age 3. Clients understanding of health problem 4. Sensory acuity 5. Learning style Correct Answer: 2, 3, 4, 5 Question 26 A school nurse is planning a program for adolescents about positive lifestyle choices. The nurse should keep in mind that content presented to this age group must be Standard Text: Select all that apply. 1. based on learning outcomes. 2. current. 3. adjusted to the adolescent client. 4. based on sources available within the school system. 5. accurate. Correct Answer: 1, 2, 3, 5 Question 27 A client is being discharged after a 23-hour stay for a surgical procedure. When preparing the instructions for this client, what does the nurse need to do? Standard Text: Select all that apply. NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ 1. Ensure the clients safe transition to home. 2. Include information about what the client has been taught. 3. Include what the client still needs to learn when discharged. 4. Check the clients insurance for hospitalization coverage. 5. Call the clients prescriptions in to the clients local pharmacy. Correct Answer: 1, 2, 3 Question 28 The nurse serves as an educator of other health care personnel. In what capacity will this nurse participate in education? Standard Text: Select all that apply. 1. Preceptor of new graduate nurses 2. Instructing a part of the critical care course 3. Clinical instruction of nursing students 4. One-to-one teaching of clients 5. Teaching grandparents how to care for children NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ 4. Notify the physician that the client will not be adhering to medical instruction as planned. 5. Identify the client as being noncompliant with instruction. Correct Answer: 1, 2 Question 33 The nurse suspects a client has low literacy. What did the nurse assess to come to this conclusion? Standard Text: Select all that apply. 1. Incorrect completion of previous hospitalizations form 2. Client refusing to sign forms because eyeglasses are at home 3. Client saying he forgot to report for laboratory testing 4. Score of 6 on the Newest Vital Sign assessment tool 5. Questioning the dosage pattern on a newly prescribed medication Correct Answer: 1, 2, 3 Question 34 The nurse is designing a teaching plan for a client to learn a new psychomotor skill. What strategies can the nurse use to facilitate learning for this client? Standard Text: Select all that apply. 1. Demonstration 2. Practice 3. Modeling 4. Discovery 5. Role playing NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ Correct Answer: 1, 2, 3 Question 35 The nurse instructs a client on self-care for a new ostomy. Which client behaviors demonstrate that instruction has been effective? Standard Text: Select all that apply. 1. Client provides skin care and changes ostomy device. 2. Client states what items are needed to perform ostomy care. 3. Client is unable to identify changes in skin around the stoma. 4. Client tells the nurse that he does not want to do the care. 5. Client asks his wife to learn how to perform the care so he will not have to do it. Correct Answer: 1, 2 Question 36 The nurse is documenting the teaching plan for a client. What should be included in this documentation? Standard Text: Select all that apply. 1. Actual information to be taught NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ 2. Teaching strategies to use 3. Skills to be taught 4. Amount of time needed to teach each topic 5. Vital signs before and after each teaching session Correct Answer: 1, 2, 3, 4 Question 37 The nurse has completed a teaching session for a client with a tracheostomy. What should the documentation include? Standard Text: Select all that apply. 1. Diagnosed learning needs 2. Supplies required 3. Client outcomes 4. Need for additional teaching 5. Topics taught Correct Answer: 1, 3, 4, 5 Question 38 The nurse is creating a teaching plan for a client recovering from total hip replacement surgery. What should the nurse include in this clients plan? Standard Text: Select all that apply. 1. The content to be included 2. The outcome for the teaching NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ 2. Bicycle rides 3. Recreational activities 4. X-rays Correct Answer: 4 Question 4 The nurse would like to improve communication among caregivers. How should the nurse use the Joint Commission 2013 National Patient Safety Goals to achieve this objective? 1. Review a list of look-alike/sound-alike drugs used in the organization. 2. Use a verification process to confirm the correct procedure. 3. Report critical results of tests and diagnostic procedures on a timely basis.. 4. Use the clients room number as an identifier. Correct Answer: 3 NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ Question 5 The nurse is planning care for a client who is prone to falling. Which nursing diagnoses should the nurse use for this client? 1. Deficient Knowledge 2. Risk for Injury 3. Risk for Disuse Syndrome 4. Risk for Suffocation Correct Answer: 2 Question 6 The nurse is identifying care goals for a client who is prone to getting hurt. Which care goal should the nurse select for this client? 1. Assess the clients mental status. 2. Keep the client dependent on the staff for all care. 3. Make all choices for the client. 4. Remain free from injury. Correct Answer: 4 Question 7 As a member of the safety committee, the nurses task is to identify actions to prevent falls within the organization. Which intervention should the nurse emphasize as important to prevent falls? 1. Display the phone number to the nurses station. 2. Keep electrical cords under the bed. NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ 3. Keep the environment tidy. 4. Read label directions. Correct Answer: 3 Question 8 The home care nurse wants to ensure the safety of an older client who lives at home alone. Which intervention should the nurse identify as a way to prevent this client from falling? 1. Check vision every 5 years. 2. Exercise regularly. 3. Place socks on feet. 4. Turn the light on after getting out of bed. Correct Answer: 2 Question 9 The mother of a 2-year-old expresses concern to the nurse that her child continually climbs out of the crib at home. What should the nurse advise the mother to do? 1. Omit the afternoon nap. NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ order, what should the nurse do? 1. Assess the restraints every 10 minutes. 2. Pad bony prominences. 3. Secure the restraint to the side rail. 4. Tie the restraint with a square knot. Correct Answer: 2 Question 13 An older client diagnosed with Alzheimers disease continually tries to get out of bed at night. Which safety measure should the nurse consider using with this client? 1. Explain all procedures and treatments. 2. Place a bed safety monitoring device on the bed. NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ 3. Orient the client to surroundings. 4. Use relaxation techniques. Correct Answer: 2 Question 14 The nurse is caring for a client who is confused and wanders. Which alternative to a restraint can the nurse use for this client? 1. Assign this client to the farthest room from the nurses station. 2. Place a rocking chair in the clients room. 3. Pull up all of the side rails on the bed. 4. Wedge pillows against the side rails on the bed. Correct Answer: 2 Question 15 The nurse is identifying outcomes for an older client prone to injuries. Which outcome should the nurse identify as appropriate for this client? 1. The client will demonstrate an understanding of all limitations. 2. The client will establish a buddy system. 3. The client will make uninformed choices when addressing health issues. 4. The client will take his medication as desired. Correct Answer: 2 Question 16 The nurse is reviewing safety with a home-care client. What should the nurse include in this teaching? NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ 1. Always pull a plug at the plug-in from the wall outlet. 2. Keep plants in the home. 3. Use overloaded outlets when necessary. 4. Remove labels from containers and refill for recycling. Correct Answer: 1 Question 17 The nurse is attending a seminar on bioterrorism. What should the nurse identify as being the highest concern for homeland security? 1. Cancer 2. Seasonal flu 3. Tuberculosis 4. Smallpox NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ 5. Alcohol use with prescribed medications Correct Answer: 1, 2, 3 Question 22 A client is being transferred from an acute care facility to a long-term care facility. What information should the nurse provide to the long-term care facility about the clients medications? 1. Nothing, as the medications all need to be reordered at the long-term care facility. 2. Have the clients medication prescriptions filled before going to long-term care facility. 3. Instruct the client to tell the nurses at the long-term care facility what medications are prescribed. 4. Inform the nurse at the long-term care facility what medications the client is prescribed, and document that this information was provided. Correct Answer: 4 Question 23 A client is prescribed seizure precautions. The nurse places functioning oral suction equipment in the clients room for what reason? 1. Suctioning might be needed to prevent the aspiration of oral secretions. 2. The client has difficulty swallowing liquids. 3. There was a spare oral suction set up, and the nurse did not want to return it to the engineering department. 4. It helps when the client is brushing her teeth. Correct Answer: 1 NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ Question 24 The nurse is evaluating teaching provided to a client about home safety. Which observation indicates that teaching has been effective? 1. Smoke alarm functioning with new batteries installed 2. Scatter rugs located in the kitchen and bathroom only 3. Cord for a space heater stretched across a hallway 4. Light bulbs burned out in the bathroom and living room Correct Answer: 1 Question 25 The nurse is installing a bed safety-monitoring device for a client. What should the nurse do after testing the device and alarm sound? 1. Place the leg band on the client with the leg in a straight horizontal position. 2. Place the sensor under the mattress near the shoulder region. 3. Set a time delay for 30 seconds. 4. Connect the sensor pad to the control unit. NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ Correct Answer: 1 Question 26 A client is prescribed to have wrist restraints applied. Place in order the steps the nurse will take to apply these restraints. Standard Text: Click and drag the options below to move them up or down. Choice 1. Pad bony prominences on the wrist. Choice 2. Apply the padded portion of the restraint around the wrist. Choice 3. Pull the tie of the restraint through the slit in the wrist restraint and ensure that it is not too tight. Choice 4. Attach the other end of the restraint to the movable portion of the bed frame using a half- bow knot. Correct Answer: 1, 2, 3, 4 Question 27 The nurse is identifying activities and skills to delegate to unlicensed assistive personnel (UAP). Which action can the nurse safely delegate? 1. Provide oral fluids to a newly extubated client. 2. Irrigate the indwelling urinary catheter of a client recovering from prostate surgery. 3. Apply a wrist restraint to a client. 4. Administer oral pain medication to a client before the client attends physical therapy. Correct Answer: 3 Question 28 A client is prescribed seizure precautions. What can the nurse safely delegate to UAP to complete when implementing the precautions? NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ address workplace safety issues. Which issues should the nurse recommend for analysis by this committee? Standard Text: Select all that apply. 1. Lifting clients 2. Inadequate lighting 3. Bending and walking 4. Exposure to infectious agents 5. Exposure to hazardous medications Correct Answer: 1, 3, 4, 5 Question 33 During a home visit, the nurse determines that a toddler is at risk for injury. What did the nurse assess to identify this clients risk? Standard Text: Select all that apply. 1. Unscreened windows 2. Electrical outlets uncovered 3. Yard with a built-in pool unfenced NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ 4. Cleaning solution in the bottom cabinet 5. Pots on stove with handles turned inward Correct Answer: 1, 2, 3, 4 Chapter 44: Activity and Exercise Question 1 Type: MCMA The nurse is assisting in logrolling a client recovering from spinal surgery. Why should the nurse place a pillow between the clients legs when turning? Standard Text: Select all that apply. 1. Stabilizes the spine 2. Prevents hip contractures 3. Supports the upper leg 4. Keeps the legs parallel and aligned 5. Prevents adduction of the upper leg Correct Answer: 3, 4, 5 Rationale 1: A pillow between the legs when logrolling does not stabilize the spine. Rationale 2: A pillow between the legs when logrolling does not prevent hip contractures. Rationale 3: A pillow between the clients legs when logrolling supports the upper leg when the client is turned. Rationale 4: A pillow between the clients legs when logrolling keeps the legs parallel and aligned. Rationale 5: A pillow between the clients legs when logrolling prevents adduction of the upper NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ leg. Question 2 Type: MCSA Test Bank - Kozier and Erb's Fundamentals of Nursing (10th by Berman) 1101 During a prenatal visit, the nurse is instructing a newly pregnant client in regard to exercise. What advice is best for the nurse to give this client? 1. Pregnant clients can exercise if exercise was a part of their life prior to pregnancy. 2. Due to the stress of a growing fetus, exercise should be limited to no more than 10 minutes per day. 3. Healthy pregnant women should exercise at least 30 minutes on most if not all days. 4. The pregnant womans exercise should actually increase above normal recommended levels to prevent water weight gain. Correct Answer: 3 Rationale 1: Pregnant clients should be encouraged to exercise, regardless if exercise was a part of life prior to being pregnant. Rationale 2: Exercise should be done 30 minutes on most days. Rationale 3: The current recommendation of the American College of Obstetricians and Gynecologists is for healthy pregnant women to get as much exercise as the general population (30 minutes on most if not all days). This is a change from the previous recommendation that pregnant women can exercise. NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ Rationale 3: Once contractures occur they are irreversible except by surgical intervention. The best nursing intervention is to keep the contractures from getting tighter (or worse) by providing range-of- motion exercises. Rationale 4: Weight-bearing activities will not reverse contractures. Question 5 Type: MCSA The nurse has documented that the client has orthostatic hypotension. Which assessment finding would support this assessment? 1. Decrease in blood pressure when moving from supine to standing 2. Decrease in heart rate when moving from supine to sitting 3. Pale color in the legs when lying in bed 4. Complaints of dizziness when first sitting up Correct Answer: 1 Rationale 1: Orthostatic hypotension occurs when the normal vasoconstriction reflex in the legs is dormant and the clients central blood pressure drops when moving from supine to sitting or to standing. Rationale 2: Orthostatic hypotension is a drop in blood pressure not a drop in heart rate. Rationale 3: Paleness of the legs is not significant. Rationale 4: The blood pressure drops, the heart rate increases, and the client may complain of dizziness or may faint upon arising. Question 6 Type: MCSA The clients chief complaint is, I just cant get around like I used to. I have to stop halfway up the stairs to the bedroom, and just walking to the bathroom makes me NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ so tired. Which nursing diagnosis is most likely appropriate for this client? Activity Intolerance: 1. Level 1. 2. Level 2. 3. Level 3. 4. Level 4. Correct Answer: 3 Rationale 1: The NANDA diagnosis Activity Intolerance is further individualized to the clients level of intolerance. Level 1 indicates normal activity with slightly more shortness of breath. Rationale 2: The NANDA diagnosis Activity Intolerance is further individualized to the clients level of intolerance. Level 2 indicates ability to walk about one level city block without difficulty or to climb one flight of stairs without stopping. Rationale 3: The NANDA diagnosis Activity Intolerance is further individualized to the clients level of intolerance. Level 3 (this clients level) indicates ability to walk no more than 50 feet on level ground without stopping and inability to climb one flight of stairs without stopping. NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ Rationale 4: The NANDA diagnosis Activity Intolerance is further individualized to the clients level of intolerance. Level 4 indicates dyspnea and fatigue at rest. Question 7 Type: MCSA The nurse is considering using the NANDA nursing diagnosis Impaired Physical Mobility in the care plan of a newly admitted client. In order to make this problem statement more individual, the nurse should take which action? 1. Include what mobility is impaired. 2. Use Level 1, 2, 3, or 4 to describe immobility. 3. Describe what happens when the client attempts mobility. 4. Add strength assessment data. Correct Answer: 1 Rationale 1: In order to make this broad nursing diagnosis more specific to the client, the nurse should include what mobility is impaired. For example, if the client cannot transfer from bed to chair, a more specific nursing diagnosis is Impaired Transfer Mobility. Rationale 2: There are NANDA levels of activity intolerance, but not of immobility. Rationale 3: Describing what happens when the client attempts mobility might be used in the as manifested by section of the nursing diagnosis, but not in the problem statement section. Rationale 4: Strength assessment data might be used in the as manifested by section of the nursing diagnosis, but not in the problem statement section. Question 8 Type: MCSA The nurse is working on a hospital committee focused on preventing back injury in nurses. Which recommendation by this committee is most likely to result in a decrease in back injuries if followed? NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ Rationale 2: The orthopneic position across the overbed table facilitates respiration by allowing maximum chest expansion. Rationale 3: The prone position places the client on the abdomen and makes chest expansion difficult. Rationale 4: The Sims position is a side-lying position and does not support full chest expansion as much as the orthopneic position. Question 11 Type: MCSA While assisting the client with a bath, the nurse encourages full range of motion in all the clients joints. Which activity would best support range of motion in the hand and arm? 1. Give the client a washcloth to wash the face. 2. Move the wash basin farther toward the foot of the bed so the client must reach for it. Test Bank - Kozier and Erb's Fundamentals of Nursing (10th by Berman) 1109 3. Have the client brush the hair and teeth. 4. Move each of the clients hand and arm joints through passive range of motion. Correct Answer: 3 NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ Rationale 1: This activity does not utilize all of the major joints in the hands and arms. Rationale 2: The wash basin should be close to the client to prevent overreaching and possible falls. Rationale 3: Brushing the hair and teeth includes more of the joints of the hands and the arms than does washing the face. Rationale 4: Passive range of motion is a second best choice after normal use of the joints. Question 12 Type: MCSA The bed-bound client complains of pain and burning in the right calf area. What action should be taken by the nurse? 1. Deeply palpate the area for rebound tenderness. 2. Percuss over the area for change in tone. 3. Measure the calf and compare to the opposite calf. 4. Medicate the client for pain and reassess in 30 minutes. Correct Answer: 3 Rationale 1: Palpating the area is contraindicated because injury to the vein may induce a thrombus. Rationale 2: Percussing the area is contraindicated because injury to the vein may induce a thrombus. Test Bank - Kozier and Erb's Fundamentals of Nursing (10th by Berman) 1110 Rationale 3: The nurse should measure the calf and compare it to the opposite calf. The client may be developing a deep vein thrombosis or thrombophlebitis. Rationale 4: Medicating the client and reassessing in 30 minutes might allow a worsening of the clients condition. NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ Question 13 Type: MCSA The client who is bed-bound complains of abdominal pain. Bowel sounds are present. What action should be taken by the nurse? 1. Percuss for flatness over the liver. 2. Palpate for bladder fullness. 3. Use the p.r.n. order to medicate the client with an antacid. 4. Inspect the sacral area for edema. Correct Answer: 2 Rationale 1: Flatness is the normal percussion sound over the liver. Rationale 2: The nurse should palpate for bladder fullness that could cause this discomfort. Rationale 3: The nurse should not medicate the client until assessment is complete. Rationale 4: Sacral edema may occur with the bed-bound client, but should not be a contributor to abdominal pain. NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ 3. Place the clients arm over the chest. 4. Raise the opposite side rail. Correct Answer: 1 Rationale 1: Even though the intervention being performed is placing the client on a bedpan, the nurse should first perform hand hygiene. This prevents cross-transmission of infection from one client to another. Performing this hygiene in front of the client also increases the clients perception of the quality of care being provided and the nurses concern about infection control. Rationale 2: This action is done later in the procedure. Rationale 3: This action is done later in the procedure. Rationale 4: This action is done later in the procedure. Question 17 Type: MCSA When planning care, the nurse should identify which client as needing logrolling for position changes? 1. A client with documented pneumonia 2. The client who has had abdominal surgery 3. The client who fell from a house, sustaining a fractured tibia 4. A client who has a severe headache from hypertensive crisis Correct Answer: 3 Rationale 1: There is no physiological reason why a client with pneumonia would need to be logrolled. Rationale 2: There is no physiological reason why a client recovering from abdominal NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ surgery would need to be logrolled. Rationale 3: The logrolling technique is used in moving any client who may have sustained a spinal injury. Of these clients, the most concern is for the client who fell from a house. Rationale 4: There is no physiological reason why the client with a headache would need to be logrolled. Question 18 Type: MCSA The nurse is assisting the client to dangle on the bedside. After raising the head of the bed, in which position should the nurse face? 1. Toward the nearest corner of the head of the bed Test Bank - Kozier and Erb's Fundamentals of Nursing (10th by Berman) 1115 2. Toward the side of the bed 3. Toward the far corner of the foot of the bed 4. Directly toward the client Correct Answer: 3 Rationale 1: This position could cause the nurses trunk to twist. NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ Rationale 2: This position could cause the nurses trunk to twist. Rationale 3: The nurse should face the far corner of the foot of the bed because this is the direction in which movement will occur. Rationale 4: This position could cause the nurses trunk to twist. Question 19 Type: MCSA What is the priority action of the nurse prior to transferring a client from bed to wheelchair? 1. Place the bed in its lowest position. 2. Place the wheelchair parallel to the bed. 3. Lock the brakes on the bed. 4. Place a transfer belt on the client. Correct Answer: 3 Rationale 1: This is not the most important action of the nurse. Rationale 2: This is not the most important action of the nurse. Test Bank - Kozier and Erb's Fundamentals of Nursing (10th by Berman) 1116 Rationale 3: Although all of these activities address important safety issues, the most important is to lock the wheels on the bed. If the wheels are not locked and the bed moves out from under the client, none of the other safety actions will likely prevent a fall or near fall. Rationale 4: This is not the most important action. Question 20 Type: MCSA The nurse is preparing to transfer a client from the bed to a stretcher. NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ Rationale 4: Because this is the first time this client has ambulated, the best choice is for the registered nurse to ambulate the client. Once the client has successfully ambulated, any nursing staff member can assist. Question 22 Type: MCSA The nurse is assisting a newly delivered mother in ambulating to the nursery to see the baby. The client complains of light-headedness and begins to faint. What is the nurses most important action? 1. Ensure the clients modesty as she falls. 2. Be certain the client does not hit the head on anything. 3. Call for immediate assistance. 4. Check the vital signs and for excessive vaginal bleeding. Correct Answer: 2 Rationale 1: This is not the priority for the nurse at this time. Rationale 2: All of these actions are important, but the priority is ensuring the client does not strike her head on anything when falling. The nurse should ease the client down while supporting her body against the nurse, protecting the head and laying it gently on the floor. NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ Rationale 3: This is important; however, it does not address that the client is falling. Rationale 4: This is important to do after the client has been assisted to the floor. Question 23 Type: MCSA The nurse is providing range-of-motion exercising to the clients elbow when the client complains of pain. What action should the nurse take? 1. Stop immediately and report the pain to the clients physician. 2. Discontinue the treatment and document the results in the medical record. 3. Reduce the movement of the joint just until the point of slight resistance. 4. Continue to exercise the joint as before to loosen the stiffness. Correct Answer: 3 Rationale 1: Stopping the treatment is not justified until an assessment occurs. Rationale 2: Stopping the exercises is not justified until an assessment occurs. Rationale 3: Range-of-motion exercising should never cause discomfort. In this case, the best action is to reduce the movement of the joint just until the point of slight resistance is felt and evaluate the pain response at that level. If there is no pain, the exercise can be continued. Rationale 4: Continuing at the same level of intensity may cause damage to the joint as well as cause the client pain. Question 24 Type: MCMA The client has a history of postural hypotension. Which activities should the nurse advise this client as likely to cause postural hypotension? Standard Text: Select all that apply. 1. Hot baths NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ 2. Heavy meals 3. Use of a rocking chair 4. Moving in bed 5. Bending down to the floor Correct Answer: 1, 2, 5 Rationale 1: Hot baths can cause venous pooling in the lower extremities. Rationale 2: Heavy meals divert blood to the gastrointestinal organs. Rationale 3: Use of a rocking chair can be good for the client, as the rocking action exercises the legs. Rationale 4: Moving in bed is not likely to cause postural hypotension. Rationale 5: Bending to the floor can cause rapid changes in blood pressure upon standing up again. Question 25 Type: MCMA The nurse is teaching a client on the use of a cane. What should the nurse include in this teaching? Standard Text: Select all that apply. 1. Hold the cane on the weaker side of the body. NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+