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+ 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+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ cardiac arrest. The clients spouse is in the room when the code team arrives. Which statement by the nurse to the spouse is the best in this situation? 1. I know youre worried about your loved one. Im sure this is a difficult situation for you. Do you have any questions right now? 2. Your spouses heart stopped. All these people are here to help get it started. 3. Your spouses physician will be here shortly and explain all of the medication and treatment that your spouse is receiving right now. 4. Is there someone you would like to call? Im sure this is a scary situation and you may feel more comfortable if someone were with you during this time. Correct Answer: 2 Question 4 The nurse enters a clients room and finds that the telephone is lying in the clients lap, tissues are wadded up on the bed, and the clients eyes are red and watery. What is the best response by the nurse? 1. Can I hang that phone up for you? 2. Well, its a beautiful day outside. Lets open the blinds. 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. Public distance Correct Answer: 2 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 13 The nurse is engaging a client in the introductory phase of the helping relationship. Which stages will be completed during this phase? Standard Text: Select all that apply. 1. Opening the relationship 2. Clarifying the problem 3. Structuring and formulating the contract 4. Planning before the interview 5. Understanding thoughts and feelings Correct Answer: 1, 2, 3 Question 14 During an interaction between a nurse and client, the nurse conveys respect and an attitude that shows the nurse takes the clients opinions seriously. In which stage of the working relationship are the nurse and client engaged? 1. Exploring and understanding thoughts and feelings 2. Facilitating and taking action 3. Confrontation 4. Concreteness Correct Answer: 1 Question 15 Several nurses have been assigned to develop a rotation schedule that provides adequate staffing of all shifts. In which type of group are these nurses functioning? 1. Self-help group 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+ 1. Pairing the graduate with a seasoned nurse to assist with learning new skills 2. Asking the graduate to participate in client rounds with the new interns on the care area 3. Confronting the graduate by stating that refusing an assignment is grounds for dismissal 4. Stating that requests for vacation time will be denied because the nurse asks too many questions 5. Assigning the graduate nurse a complicated client with needs that the graduate is not comfortable performing Correct Answer: 3, 4, 5 Chapter 27: Teaching Question 1 The nurse has completed client teaching regarding medication administration. Which client statement best illustrates compliance? 1. Im glad to know about my medications. It makes taking them a lot easier. 2. I already knew most of what you told me. 3. I think you should have waited until I was ready to go home. Maybe Id remember better. 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+ Correct Answer: 1 Question 10 At the end of a busy clinical day a staff nurse asks the instructor if a student would like to administer a Z-track injected medication. This is a skill that the students have not yet been exposed to yet. What should the instructor respond to the staff nurse that supports timing and learning environment? 1. It will take me a moment to explain the procedure to the students because weve not practiced this, but Ill find somebody to administer it. 2. Would it be OK if the students observed today? Then, well do it next time were here. 3. Were leaving now, but thanks for asking. 4. Ill check with the students and see if one of them would like to volunteer. Correct Answer: 2 Question 11 A client with an incision necessitating a complex dressing change is being discharged and will require continued dressings at home. Which statement by the client indicates a need to postpone teaching? 1. Its going to take time for me to understand this whole thing. 2. Lets make sure my spouse is around before you start explaining. 3. I wish my doctor would have explained this more in depth. 4. Im feeling nauseous, but go ahead and start anyway. Correct Answer: 4 Question 12 A nurse is working with the family of a child who is hospitalized with asthma. 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+ is ready to go home within the next several days. When organizing the teaching/learning experience, the nurse should 1. start from the beginning and proceed through all material. 2. break up sessions into shortened time periods. 3. discover what the learner knows before proceeding with further teaching. 4. make sure the clients spouse is present before the teaching session begins. Correct Answer: 3 Question 21 A client needs discharge teaching regarding the use of a walker before going home. The clients room is small and adjacent to a soda machine and small lounge area. In planning a teaching session, which is the best thing the nurse can do? 1. Wait until just prior to discharge, then do the teaching in the hospital lobby. 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+ Correct Answer: 1, 2, 3 Question 29 The nurse planning an educational session for adult clients should include which andragogy concepts? Standard Text: Select all that apply. 1. People move from dependence to independence with maturity. 2. Previous experiences can be used as a resource for learning. 3. Learning is related to an immediate need or problem. 4. Learning is reinforced by prompt feedback. 5. Adults are oriented to learning when the material is useful sometime in the future. Correct Answer: 1, 2, 3, 4 Question 30 The nurse is utilizing humanistic theory when instructing a client. What will the nurse demonstrate when utilizing this theory? Standard Text: Select all that apply. 1. Empathy 2. Encouraging the client to establish goals 3. Encouraging the client to participate in self-directed learning 4. Multisensory teaching strategies 5. Providing a physical environment conducive to learning Correct Answer: 1, 2, 3 Question 31 A client tells the nurse that he has no questions about his illness, as he did a search for information on the Internet. What should the nurse do? 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+ 3. The approaches used to teach the content 4. The evaluation of the effectiveness of teaching 5. The amount of time needed to cover the content Correct Answer: 1, 2, 3, 5 Question 39 The nurse is preparing to teach a client on skin care and application of a stoma device. What should the nurse keep in mind when teaching the client this information? Standard Text: Select all that apply. 1. Address the clients concerns first. 2. Assess what the client knows already. 3. Address anxiety producing issues last. 4. Teach the basics before complicated tasks. 5. Leave time for review and answering questions. Correct Answer: 1, 2, 4, 5 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+ 2. Place a crib net over the top of the crib. 3. Remove all objects from around the crib. 4. Restrain the child if he gets up more than once. Correct Answer: 2 Question 10 While the nurse is performing morning care, a client begins to have a seizure. What should the nurse do to help this client? 1. Insert a tongue blade into the clients mouth. 2. Loosen any clothing around the neck and chest. 3. Restrain the client. 4. Turn the client to the supine position if possible. Correct Answer: 2 Question 11 The nurse is considering the use of restraints for a client. In which situation can the nurse apply restraints to a client? 1. Client wanders around the care area. 2. Client is picking at the access site for intravenous infusion of chemotherapy. 3. Client needed to use the bathroom and waited for help but didnt want to soil the bed and fell while attempting to walk to the bathroom. 4. Client does not want to stay in bed but wants to sit in the lounge with others. Correct Answer: 2 Question 12 The nurse is applying restraints to a client. After securing a health care providers 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+ Correct Answer: 4 Question 18 While eating in a restaurant, a nurse notices that a customer at the next table begins to clutch his throat while eating a steak. What should the nurse do first? 1. Ask the customer if he is choking. 2. Attempt to give five back blows. 3. Perform the Heimlich maneuver. 4. Start chest compressions. Correct Answer: 1 Question 19 The nurse is admitting an older client to the care area. What can the nurse do to promote a safe environment for the client? 1. Keep clutter to a minimum in the clients room. 2. Have the client wear terry-cloth slippers. 3. Provide adequate lighting. 4. Turn off alarms to reduce noise. Correct Answer: 3 Question 20 The nurse is determining a clients risk for injury. What should the nurse assess in this client? Standard Text: Select all that apply. 1. Age 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. Mobility 3. Hearing 4. Vision 5. Dietary intake Correct Answer: 1, 2, 3, 4 Question 21 An older client is observed having difficulty moving from a sitting to standing position, and has an unsteady gait. What should the nurse assess in this client to promote home safety? Standard Text: Select all that apply. 1. Presence of grab bars in the bathroom 2. Absence of scatter rugs on the floors 3. Correct use of cane to ambulate 4. Ability to stand in place for a minute before ambulating 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+ 1. Placing a tongue blade at the head of the bed 2. Padding the clients bed 3. Installing oxygen 4. Checking the oral suction apparatus Correct Answer: 2 Question 29 After ambulating a client to the bathroom, the unlicensed assistive personnel did not reattach the clients bed safety-monitoring device, and the client fell out of bed. What should the nurse document? 1. Client fell out of bed; bed safety-monitoring device malfunctioning. 2. Client fell out of bed; client removed leg band of bed safety-monitoring device. 3. Client fell out of bed; no observable injuries. 4. Client fell out of bed; bed safety-monitoring device not activated. Correct Answer: 4 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 30 A client who is on seizure precautions experiences a seizure while ambulating in the room. What should the nurse include in this clients documentation? Standard Text: Select all that apply. 1. Who assisted the client back to bed 2. Location of the seizure 3. Duration of the seizure 4. Status of airway and use of oxygen 5. Who discovered the client Correct Answer: 2, 3, 4 Question 31 The nurse is preparing to assess a client who has a history of falls. Which methods should the nurse use to assess this clients risk for injury? Standard Text: Select all that apply. 1. Cognitive awareness 2. Mobility 3. Nursing history 4. Physical examination 5. Health status Correct Answer: 3, 4 Question 32 The nurse is appointed to be a member of committee whose focus is to identify 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+ 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 4: There is no indication that the pregnant woman needs more exercise than the general population. Question 3 Type: MCSA The nurse is caring for a client diagnosed with early osteoporosis. Which intervention is most applicable for this client? 1. Institute an exercise plan that includes weight-bearing activities. 2. Increase the amount of calcium in the clients diet. Test Bank - Kozier and Erb's Fundamentals of Nursing (10th by Berman) 1102 3. Protect the clients bones with strict bed rest. 4. Provide the client with assisted range-of-motion exercising twice daily. Correct Answer: 1 Rationale 1: Osteoporosis is a demineralization of the bone in which calcium leaves the bone matrix. One causative factor is lack of weight-bearing activity. Weight bearing helps to move calcium back into the bones, thereby strengthening them. A standard intervention for those attempting to prevent or reverse osteoporosis is beginning an exercise plan that includes weight- bearing activities. Rationale 2: Additional calcium in the diet after osteoporosis has begun is not thought to be effective. Rationale 3: Strict bed rest may well make the osteoporosis worse because there is no weight-bearing activity. Rationale 4: Assisted range-of-motion exercises are not weight-bearing activities and do not 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+ help delay or reverse osteoporosis. Question 4 Type: MCSA The newly admitted client has contractures of both lower extremities. What nursing intervention should be included in this clients plan of care? 1. Frequent position changes to reverse the contractures 2. Exercises to strengthen flexor muscles 3. Range-of-motion exercises to prevent worsening of contractures 4. Weight-bearing activities to stimulate joint relaxation Correct Answer: 3 Rationale 1: Frequent position changes will not reverse contractures. Test Bank - Kozier and Erb's Fundamentals of Nursing (10th by Berman) 1103 Rationale 2: The contracture occurs because the flexor muscles are stronger than the extensor muscles. This imbalance in strength pulls the inactive joint into a flexed position, and a permanent shortening of the muscle occurs. 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+ 1. Nurses must wear back belts when lifting clients. 2. All nursing personnel must attend annual body mechanics education. 3. In order to prevent injury, nurses must strive to become physically fit. 4. No solo lifting of clients is permitted in the facility. Correct Answer: 4 Rationale 1: Wearing a back belt does not prevent injury. Rationale 2: Body mechanics training does not prevent injuries. Rationale 3: Physical fitness does not prevent back injury. Rationale 4: The only option that has any influence on frequency of back injury is a practice prohibiting solo lifting. Question 9 Type: MCSA The nurse must lift a 15-pound box of supplies from a low shelf on the supply cart to a table. Which technique should the nurse use to protect the back? 1. Place the feet together to provide a strong base of support. 2. Flex the knees to lower the center of gravity. 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. Face the box, pick it up, and rotate the upper body toward the table. 4. Hold the box as close to the body as possible. Correct Answer: 4 Rationale 1: Placing the feet together makes the body more unstable and more likely to fall. Rationale 2: In order to pick up this box as safely as possible, the nurse should flex the knees to lower the center of gravity. Rationale 3: After picking up the weight, the body should not be rotated, but should be turned to face the table. Rationale 4: In order to pick up this box as safely as possible, the nurse should hold the box as close to the body as possible. Question 10 Test Bank - Kozier and Erb's Fundamentals of Nursing (10th by Berman) 1108 Type: MCSA The nurse is caring for a client experiencing dyspnea. In which position should the nurse place this client? 1. High Fowlers position with two pillows behind the head 2. Orthopneic position across the overbed table 3. Prone position with knees flexed and arms extended 4. Sims position with both legs flexed Correct Answer: 2 Rationale 1: The high Fowlers position should not be used with more than one pillow or with overly large pillows. 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+ Question 14 Type: MCSA The client who is unconscious is developing foot drop. What nursing action is indicated? 1. Place high-topped shoes on the client while in bed. 2. Keep the linens on the end of the bed turned back to expose the feet. 3. Use only the prone and Sims positions for client positioning. 4. Use a device to elevate the linens off the feet. Correct Answer: 1 Rationale 1: High-topped shoes will place the clients feet in the anatomical position of dorsal flexion. Rationale 2: Turning the linens back will keep the weight of the linens off of the feet but will not prevent foot drop. Rationale 3: The prone and Sims positions are implicated in the development of foot drop. Rationale 4: A device to elevate the linens off of the feet will not prevent foot drop. Question 15 Type: MCMA The nurse is planning care for a client who has limited bed mobility. What instruction should be given to the assistive personnel who will be caring for this client? Standard Text: Select all that apply. 1. Place a turn sheet on the bed. 2. Always use two personnel to move the client. 3. Stand at the head of the bed to pull the client up. 4. Slide the client toward the head of 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+ 5. Encourage the client to assist as possible. Correct Answer: 1, 2, 5 Rationale 1: Placing a turn sheet on the bed will help overcome inertia and friction during moving. Rationale 2: Using two personnel will allow a lift and move rather than pulling or sliding the client over linens. Rationale 3: The personnel should stand on either side of the bed and use the turn sheet to move the client. Rationale 4: Sliding the client causes friction. The client should be moved using the turn sheet. Rationale 5: Encouraging the client to assist as much as possible will lighten the workload. Question 16 Type: MCSA The nurse is preparing to assist a client to a lateral position to position a bedpan. What action should the nurse take first? 1. Perform hand hygiene. 2. Move the client to the side of 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+ 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+ The correct position for the bed to be placed is parallel to the stretcher and 1. slightly higher. 2. slightly lower. 3. at the same height. 4. at least 2 inches lower. Correct Answer: 1 Rationale 1: When transferring a client from bed to gurney, the bed should be parallel to the stretcher and slightly higher. It is easier for the client to move down a slant to the new surface than to move up to a higher surface or to an even surface. Rationale 2: It is easier for the client to move down a slant to the new surface than to move up to a higher surface. Rationale 3: It is easier for the client to move down a slant to the new surface than to move up to an even surface. 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: It is easier for the client to move down a slant to the new surface than to move up to a higher surface. Test Bank - Kozier and Erb's Fundamentals of Nursing (10th by Berman) 1117 Question 21 Type: MCSA The postoperative client is ambulating for the first time since surgery. The client has been able to tolerate sitting up on the side of the bed and has stood at the bedside without difficulty on two occasions. Which staff member should ambulate this client? 1. The UAP 2. A licensed practical (vocational) nurse 3. A registered nurse 4. It makes no difference Correct Answer: 3 Rationale 1: Because this is the first time this client has ambulated, the best choice is for the registered nurse to ambulate the client. Rationale 2: Because this is the first time this client has ambulated, the best choice is for the registered nurse to ambulate the client. Rationale 3: Because this is the first time this client has ambulated, the best choice is for the registered nurse to ambulate the client. The registered nurse must assess and evaluate the clients response to the ambulation. Once the client has successfully ambulated, any nursing staff member can assist. The registered nurse should make assistive personnel aware of potential untoward effects of ambulation and of what to report to the nurse. 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+ NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+ 2. Move the cane forward while the body weight is between both legs. 3. The length of the cane should permit the elbow to be fully extended. 4. Move the weaker leg forward while the weight is between the cane and the stronger leg. 5. Move the stronger leg forward while the weight is between the cane and the weaker leg. Correct Answer: 2, 4, 5 NUR 1022C week 6-exam study guide_ LATEST UPDATE ( Q & As ),100% CORRECT BEST EXAM SOLUTION RATED A+