NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaran, Exams of Nursing

Download NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaran and more Exams Nursing in PDF only on Docsity! NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2024 all chapters covered Final Exam one Evolve  Which important aspect of coordinating care within the interdisciplinary team is facilitated by use of the “SBAR” and “PACE” procedures? a. Communication b. Implementation c. Policymaking d. Protocol development  The nurse educator is instructing newly hired registered nurses about patient-centered care. Which competency categories are included in this content? a. Attitudes b. Environments c. Judgem ents d. Knowledge e. Skills f. Values  Bedside computers are an example of informatics used in health care primarily for which purpose? a. Documenting interdisciplinary care NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2024 all chapters covered b. Enhancing collaboration and coordination of care c. Offering client access to e-mail and the internet d. Retrieving data from evidence-based practice  The nurse has recently been assigned to a medical-surgical clinical rotation. According to the scope of medical-surgical nursing, what type of client assignment does the nurse expect to see? a. Hospitalized children with acute and chronic illnesses b. Hospitalized adults with acute and chronic illnesses c. Older adult in a nursing home d. Working adults in a corporate setting  Which of these hospital staff members will the nurse manager assign to coordinate the discharge of a client who will need community-based rehabilitation services after a traumatic injury? a. The nurse responsible for the client’s case management b. The physical therapist who developed the client’s exercise program c. The health care provider assigned as the client’s medial resident d. The unit-based RN who has cared for the client during the hospital stay  The nurse is asked to collaborate with other to implement an interdisciplinary plan of care for a client. Which health care team members are essential for the client’s daily care regimen? NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2024 all chapters covered surgery? a. Ask what the client knows about self-care after prostate surgery b. Have family members available during the teaching c. Provide written information about post discharge care d. Plan to teach early in the morning after the client has eaten.  The nurse is working in the intensive care unite. When does the nurse call the rapid response team (RRT)? NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered a. An 87-year old client awakens confused, then reorients quickly b. A newly admitted client request pain medication c. A postoperative client’s dressing has bloody drainage d. A postoperative client’s blood pressure suddenly drops  The nursing student has been assigned to the hospital rapid response team (RRT). Which statement by the student indicates a correct understanding of the RRT member’s purpose? a. I will be caring for clients in the hospital b. I will be riding along in the hospital’s ambulance c. I will be admitting clients to the hospital d. I will be participating in code blude resuscitation  Which principal nursing action best support a focus on client safety? a. Client restraints b. Handwashing NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered c. Preoperative checklist d. Respect of others e. Five rights of drug administration  The nurse is appointed to a hospital committee whose goal is to “improve the safety of nursing practice.” Which areas of practice are included in the committee’s task? a. Attentiveness/ surveillance of client b. Mandatory reporting c. Medication administration d. Participation in professional organizations e. Prevention of errors or complications f. Teaching clients about the care regimens  An older client who has had a total hip replacement will be transferred to rehabilitation center for continuing care before going home the joint commission, along with national patient safety goal standards, mandates communication between hospital nurses and other providers to ensure adequate transition management. Which aspects of this client’s care plan are most important for the nurse to communicate to the rehabilitation center care team? NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered b. Research the most recent articles in nursing magazines that discuss care for clients with pneumonia c. Review the chart to determine what primary health care provider’s prescriptions are frequently written for clients with pneumonia. d. Survey experienced RNs about which nursing action effective when caring for clients with pneumonia. two evolve 1. The nurse is reinforcing the physical therapist’s teaching on gait training for a client who had a total knee replacement 6 weeks ago. Which ambulatory aid does the nurse expect the client to be using? a. Crutches b. Straight cane c. Walker with a built-in seat d. Walker with rollers 2. A paraplegic client is being discharge home from rehabilitation. What primary concerns does the nurse include in the client’s discharge plan? NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered Select all that apply a. Assistive and adaptive devices b. Cast care c. Depression prevention d. Range-of-motion (ROM) exercises e. Wheelchair accessibility 3. The nurse has been effectively using digital stimulation in older adult clients with constipation problems. For which client is this practice unsafe? a. A 68-year old with long history of multiple sclerosis (MS) b. A 70-year-old with recently diagnosed atrial fibrillation c. A 74-year-old who is 4 months post cerebral vascular accident (CVA) with left-side weakness d. An 84-year-old with progressive dementia and confusion 4. A nursing assistant asks the rehabilitation nurse for assistance in transferring a 320-pound (145 kg) client from the bed to a wheelchair. How does the nurse respond? a. First, I want to check the physical therapy care plan b. Ok, but let’s get the mechanical lift device NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered c. Sure, but we need to ask additional staff members for assistances d. Yes, I would be happy to help you transfer the client NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered 10. The client is struggling with use of eating utensils. Which rehabilitation team member is brought in to help the client with this problem? a. Activity therapist b. Occupational therapist c. Physiatrist d. Physical therapist 11. An 80-year-old client is bedridden after having a cerebral vascular accident. Which nursing intervention does the nurse use to help prevent skin breakdown? a. Applying moist packs to the skin every shift b. Ensuring the client’s skin remains dry and clean c. Decreasing calories consumed, avoiding weight gain NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered d. Turning and repositioning at least every 4 hours 12. An 82-year-old client with medication-controlled hypertension has altered bladder and bowel patterns as a result of an uninhibited bowel and bladder. Bowel training has been unsuccessful despite consistent toileting and dietary modifications. Why is bisacodyl (Dulcolax) prescribed for this client? Select all that apply a. For its action as an effective bladder antispasmodic b. To promote bladder emptying c. To enhance the action of prescribed antihypertensive medication d. To effectively reestablish defecation patterns e. To promote rectal emptying 13. The partner of a newly diagnosed paraplegic client says, “I don’t know how I am going to manage a job, car for my partner, and take care of the family.” How does the nurse respond? a. Can you quit your job? b. How did you handle challenges before your partner was injured? c. Let’s see what resources are available to help d. Things will get better and you will be fine 14. A rehabilitation nurse is teaching the client with a spastic NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered bladder to perform intermittent catheterizations. Which client statement shows the need for further education? a. Before I catharize myself, I will try to urinate b. I can wait from 9 AM until 6 PM between catheterizations c. I will use the Valsalva and Crede maneuvers before trying to urinate d. You can teach my son to help me with my catheterizations 15. The rehabilitation nurse in a medical-surgical setting is assessing the client’s ability to perform activities of daily living (ADLs). Which test does the nurse use? a. Confusion assessment method (CAM) b. Functional independence measures c. Minimum data set d. Shift change assessment 16. A paraplegic client with injury to the sixth thoracic vertebra has urinary incontinence that is assessed as “sudden and gushing.” When catheterized after being incontinent, urine remains in the client’s bladder. Which bladder training technique does the nurse recommend for this client? a. Providing a high-fiber diet NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered drops by 20 mm Hg when the client gets out of bed. What is the likely cause of this client’s change in blood pressure? a. Her stroke is worsening, becoming more acute b. Orthostatic hypotension is exacerbated by antihypertensive medication c. The dose of her antihypertensive medication is to high d. The does of her antihypertensive medication is to low 21. A client has a priority problem of skin breakdown related to immobility and incontinence. Which nursing intervention does the rehabilitation RN delegate to a nursing assistant? a. Assessing the client’s skin for areas of breakdown b. Developing a schedule for turning the client c. Planning a diet high in protein and calories d. Re-positioning the client every 2 hours 22. The nurse is mentoring a nursing student about best practices for safe client handling. What practice does the nurse teach the student? a. Keep the client at arm’s length to maximize your leverage in moving him or her b. Place your feet at right angles to the client’s feet to stabilize NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered yourself c. Put the bed at waist level for care and hip level for movement of the client d. Try to keep the client positioned to your side so that you can benefit from a rotating motion when moving him or her 23. The hospital nurse is assigned to establish a rehabilitation milieu on the unit. What elements does the nurse include? Select all that apply a. Allowing time for clients to practice self- management skills b. Encouraging clients and providing emotional support c. Keeping to a structured hospital schedule (e.g., medication administration) d. Making the inpatient unit a more homelike environment e. Carefully monitoring fluid and dietary intake f. Protecting clients from embarrassment (e.g., bowel training) 24. Following a fall, a 62-year-old client is admitted to the rehabilitation unit with a broken collarbone and a full leg brace. Which transfer technique is indicated for this client? NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered a. Bear-hug technique b. Cane-assisted transfer c. Mechanical lift d. Slide board 25. Following a cerebral vascular accident, a client with right-sided hemiplegia is in a rehabilitation unit. Which nursing intervention is effective in promoting the client’s independence? a. Assisting the client with all of his or her activities of daily living (ADLs) b. Instructing the client step-by-step on how to put on his or her robe c. Telling the client to the best that he or she can do d. Sending the client to a long-term care facility 26. Which staff member does the manager of an inpatient rehabilitation unit assign as the case manager for a stroke client with physical and speech deficits? a. Physical therapist b. Recreational therapist c. Rehabilitation nurse NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered a. I am so tired today, I want to rest b. I do not want to do this today c. My dog can do this—why can’t I do it too? d. This is not working; I need to try something else 3 evolve 1. The RN has delegated nursing actions to experienced unlicensed assistive personnel (UAP) working in a long-term care facility. Which action require direct supervision by the RN? Select all that apply a. Assisting a 70-year-old client who has new-onset leg pain when ambulating b. Feeding an 82-year-old client who has severe joint disease in both hands c. Helping a 66-year-old client complete her personal hygiene d. Repositioning a 69-year-old client who has recently became unconscious e. Assisting a 72-year-old client who has chronic arthritis of the knee to the restroom NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered 2. The RN manager of a skilled nursing facility wants to assign a staff member to assess the nutritional needs of an emaciated client with pressure ulcers. Which of these team members is appropriate? a. The LPN/LVN treatment nurse responsible for the client’s wound care b. The LPN/LVN medication nurse for this client c. The nurse assistant caring for this client for the past 2 weeks d. The RN team leader responsible for care planning 3. The nurse is conducting a medication assessment on an older adult client who is being admitted to a long-term care facility for rehabilitation following a hip replacement. With Beers criteria used as a resource, which drug poses a potential risk for this client? a. Acetaminophen (Tylenol) b. Celecoxib (Celebrex) c. Digoxin (Lanoxin) d. Mesalamine (Asacol) 4. The RN at a skilled nursing facility is supervising a staff of LPN/LVNs and nursing assistants. Which of these nursing actions NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered does the RN delegate to a nursing assistant? a. Admitting a new client with multiple bruises over the upper thighs b. Assisting a client with chronic joint stiffness to ambulate c. Making hourly assessments on a client with delirium and dementia d. Monitoring a confused client who has been placed in a jacket restraint 5. The nurse is assessing an older adult client’s alcohol use. Which client statement warrants a follow-up collection of more data? a. I am a “teetotaler”; I never drink anything alcoholic b. I had three glasses of champagne at my granddaughter’s wedding last month c. I like to have a glass of wine every once in a while d. I usually drink two vodkas to help me get to sleep each night 6. Which is the fastest-growing subgroup of older adults? a. Young old b. Middle old c. Old old d. Elite old 7. A 70-year-old client whose spouse died the previous year says to NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered c. Gives the client a bath d. Notifies the health care provider 12. The nurse is teaching a class of older adults about ways to promote their cognitive health. Which collaborative intervention will be most helpful for them? Select all that apply a. Allowing for increased rest and relaxation time b. Having solitary time to reminisce about life experiences c. Joining a peer group with a common learning goal d. Learning a new skill e. Meditating for 30 minutes each day f. Starting a new physical activity 13. The nurse is talking to a group of active senior citizens about making healthy lifestyle choices. Which suggestion is most important in promoting health and safety? a. Continue to eat healthy foods, especially protein b. Seek counseling for depression because it is not a normal part of aging c. Enroll in a safe driving refresher course and avoid risky diving situations d. Walk 30 minutes three to five times a week NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered 14. At a follow-up home-care visit after repair of a fractured radial bone, an older adult client states “I am not sleeping at all during the night.” The client partner reports that the client is sleeping all day. Which intervention does the nurse suggest? a. Increasing the client’s daytime activities b. Placing a “Do not disturb” sign on the door a night c. Taking additional pain medication (analgesic) during the day d. Taking herbal remedies to enhance the effects of prescribed medication 15. A client with end-stage lung cancer and metastasis to the brain has been admitted to the medical- surgical unit. After trying all options to provide a safe environment, the nursing staff is required to apply restraints. Which nursing intervention is required for this client? a. Checking the restraints every 1 to 2 hours NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered b. Releasing the restraints at least every 2 hours c. Using chemical sedation instead of restraints d. Using the most restrictive devices to prevent falls 16. An 80-year-old client is being relocated from home setting to a long- term care facility. Which nursing intervention best minimizes the effects of relocation stress syndrome? a. Explaining all procedures and routines to the client’s family at the time of relocation b. Keeping the room clear of personal belongings to reduce the risk of falling c. Providing the client with limited decision making to avoid stressful situations d. Reorienting the client frequently to his or her new location 17. A 70-year-old man who recently lost his spouse reports feeling lonely and sad much of the time. He lives alone and has no identified health problems, but reports “not feeling well” on most days. What will the nurse assess first to help prevent problems associated with client’s situation? a. The availability of activities for senior citizens b. Physical strength and ability to exercise c. Spending sprees on NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered 22. The son of an older adult client states that he has noticed progressive periods of forgetfulness in his father over the past year. After noting the son’s comments and assessing the client, which cognitive problem does the nurse suspect the client may have? a. Drug adverse effects b. Deliriu m c. Dementia d. Depression 23. An older adult client who is admitted to the medical-surgical unit with a diagnosis of heart failure states to the nurse, “I am of no use to anyone. I just want to die.” What therapy does the nurse expect the provider to order to ensure this client’s safety? a. Treatment with a tricyclic antidepressant medication b. Encouraging the client to rest. He or she may feel better in the morning. c. Obtaining a social work consultation to evaluate the client’s family situation d. Using a selective serotonin reuptake inhibitor to manage depression 6 Evolve NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered  The nurse is teaching a health and wellness class at a local senior citizen center. When discussing methods to promote cognition, which options should be included? a. Play card games b. Take music lessons c. Read the newspaper d. Learn a new language e. Complete crossword puzzles  The nurse cares for a client that is immobile. The client is most at risk of develop which complication? a. Diarrhea b. Renal calculi c. Hypertension d. Muscle hypertrophy  The nurse cares for a client reporting moderate pain. Which nursing action is MOST important to provide the client effective pain relief? a. Teach the client about pain b. Establish a trusting relationship c. Provide alternative measure to relieve pain NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered d. Determine how various relaxation techniques affect the pain  The nurse evaluates a client’s fluid balance. Which finding most likely requires an intervention? a. Output is equal to intake b. Output of1500mL in 24 hours c. Output 200 mL more than intake d. Output 700 ml less than intake  The nurse cares for a client diagnosed with polycythemia. What should the nurse include in the client teaching? a. Watch for excessive bruising b. Avoid crowds and people who are ill c. Report any pain, redness, or swelling in calves d. Do not take nonsteroidal anti-inflammatory (NSAIDs) medications  The nurse on a medical unit just received report. Which client should the nrue anticipate on order for arterial blood gases? a. Admitted with chronic pancreatitis NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered Impaired skin integrity c. Decreased fluid volume d. Altered level of consciousness 7 evolve 1. A hospitalized client of the Islamic (Muslim) religion is dying. What concept does the nurse share with the health care team about this client’s beliefs about death? a. Death is seen as the beginning of a new and better life, with Islam as the vehicle. b. Life experiences do not affect the individuals preparation for everlasting life c. The timing of death is under the power of the person who is facing death 2. Which condition, when assessed in the dying client, requires that the nurse take action? a. Alternating apnea and rapid breathing b. Anorexia c. Cool extremities d. NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered Moaning 3. A client with terminal lung cancer is receiving hospice care at home. Which nursing action does the RN manager ask the LPN/LVN to do? a. Administer prescribed medications to relieve the client’s pain, shortness of breath, and nausea b. Clarify family members feelings about the meaning of client behavior and symptoms c. Develop a plan of care after assessing the needs and feelings of both the client and the family d. Teach the family to recognize signs of client discomfort such as restlessness or grimacing 4. A dying client becomes increasingly withdrawn and begins to refuse to eat and drink. What intervention does the nurse implement? a. Brings in the client’s favorite food b. Calls the family to come in right away c. Gives intravenous hydration d. Offer ice chips 5. In a dying client’s hospital room, the nurse overhears family telling the client to “calm down”, and observes the client being agitated and NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered making repetitive motions. What action does the nurse take? a. Askes the family to speak in low tones or whisper to avoid disturbing the client b. Offer to call and have a hospital chaplain come to help the client calm down c. Recommends giving the client antianxiety medication to reduce distress d. Suggest that the family tell the client that things are “all right” 6. The nurse is performing a spiritual assessment on a dying client. Which question provides the most accurate data on this aspect of the client’s life? a. Do you believe in God? b. Tell me about the history of religion in your life c. What give you purpose and meaning in your life? d. Where have you been attending church for the past several years? NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered tasks is most appropriate to delegate to a nursing assistant? a. Assessing the client for cessation of respiratory effort and lack of pulse b. Documenting the time of death and required assessment data on the chart c. Notifying the spouse and other family members about the client’s death d. Removing all IV lines or tubes according to the hospice policy NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered 13. The family of an unconscious dying client realizes that their mother will die soon. The client’s children are having a difficult time letting go. How does the nurse respond to the needs of this family? a. “don’t be upset; she wouldn’t want it that way.” b. She will soon be in a better place.” c. “things will be fine, try not to worry so much.” d. “this must be difficult for you.” 14. The nurse manager for home health and hospice is scheduling daily client visits. Which client is appropriate for the nursing assistant to visit? a. Advanced cirrhosis of the liver and just called the hospice agency reporting nausea b. Aggressive brain tumor and needs daily assistance with ambulation and bathing c. Inoperable lung cancer and considering whether to have radiation and chemotherapy d. Prostate cancer and bone metastases and how new-onset leg weakness and tingling 15. A hospice client becomes to weak to swallow. What does the nurse do initially to increase the client’s comfort? a. Administer nutrition and fluids though a nasogastric tube NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered b. Explains to the family that aspiration may be a concern c. Obtains a physician order to initiate an IV line d. Teachers the family how to provider oral care 16. A dying client says to the nurse “I am afraid to die. I did a lot of wrong things in my life.” How does the nurse respond? a. “don’t worry, God will forgive you.” b. “I’m sure it is nothing to worry about.” c. Tell me more about that d. Why? What did you do wrong? 17. A client diagnosed with lung cancer 6 months ago is now ventilator- dependent and unresponsive. The family wants to remove the ventilator and stop antibiotics and IV fluids. What does the nurse do next? a. Facilitates a meeting between the family and health care team b. Removes the interventions, per the family’s wishes c. Tells the family that removing the interventions is illegal d. Waits to obtain information on the client’s wishes 18. A client with terminal pancreatic cancer is near death and reports increasing shortness of breath with associated anxiety. Which hospice protocol order does the nurse implement first? NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered c. Raises the head of the bed and opens the client’s eyes d. Removes dentures and any prosthetics 23. A dying client cannot swallow and is accumulating audible mucus in the upper airway (Death rattles). The nursing assistant reports that these noises are upsetting to the family members. What does the nurse tell the assistant to do? a. Assist the family in leaving the room so that they can compose themselves b. Place the client in a side-lying position so secretion can drain c. Position the client in a high-fowler’s position to minimize secretions d. Use a Yankauer suction tip to remove secretion from the client’s upper airway 24. The nurse recognizes signs and symptoms of delirium in an 80-year-old client who is dying from metastatic breast cancer. What does the nurse do initially for this client? a. Requests an order for an antipsychotic medication to control these symptoms b. Collaborates with the end-of-life (EOL) care team to evaluate possible medication- induced causes c. Discontinues all medications that have central nervous system NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered adverse effects d. Assures the client’s family that this terminal delirium indicates that death is imminent 25. A client dying of cancer is receiving high doses of opioids. In addition, which intervention is the most effective for this client? a. Classical music b. Deep muscle massage c. More pain medication d. Short, light massage 26. A nurse who is skilled in complementary and alternative medicine (CAM) therapies works on a cancer unit with clients who are terminally ill. For which client symptoms does the nurse use these therapies? a. Constipation NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered b. Cool extremities c. Increased pain d. Memory loss 14 1. The nurse is providing preoperative care for a client who will have an arthroscopy of the left knee. As part of the Joint Commission National Patient Safety Goals (NPSG), what will the nurse be required to do? a. Ensure that the correct procedure is noted in the client’s history b. Remind the surgeon that the client will have a left knee arthroscopy c. Verify with the client that a left knee arthroscopy will be performed. d. Mark the left knee site with the client awake and the surgeon present 2. A preoperative client smokes a pack of cigarettes a day. What is the nurse’s teaching priority for the best physical outcomes? a. Instruct the client to quit smoking b. Teach about the dangers of tobacco c. Teach the importance of incentive spirometry NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered 7. At 8:00 am, the registered nurse is admitting a client scheduled for sinus surgery to the outpatient surgery department. Which information given by the client is of most immediate concern to the nurse? a. An allergy to iodine and shellfish b. Being nauseated after a previous surgery c. Having a small glass of juice at 7:00 am d. Expressing anxiety about the surgery 8. The nurse completes the preoperative checklist on a client scheduled for general surgery. Which factor contributes the greatest risk for the planned procedure? a. Age 59 years b. General anesthesia complications experienced by the client’s brother c. Diet-controlled diabetes mellitus d. Ten pounds (4.5 kg) over the client’s ideal body weight 9. An unidentified client from the emergency department requires immediate surgery, but he is not conscious and no one is with him. What must the nurse, who is verifying the informed consent, do? a. Ensure written consultation of two noninvolved physicians NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered b. Read the surgeon’s consult to determine whether the client’s condition is life- threatening. c. Sign the operative permit d. Withhold surgery until the next of kin is notified. 10. The nurse is instructing a client about the use of antiembolism stockings. Which statement by the client indicates the need for further teaching? a. “I will take off my stocking one to three times a day for 30 minutes” b. “my stockings are to loose” c. “It’s better if they are too tight rather than too loose” d. “these stockings help promote blood flow” 11. Colostomy surgery is categorized as what type of surgery? a. Cosmetic b. Curative c. Diagno stic d. Palliative 12. Which electrolyte laboratory result does the nurse report immediately to the anesthesiologist? a. Creatinine, 1.9 mg/dL (168 mcmol/L) NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered b. Fasting glucose, 80 mg/dL (4.4 mmol/L) c. Potassium, 3.9 mEq/L (3.9 mmol/L) d. Sodium, 140 mEq/L (140 mmol/L) 13. During a preoperative assessment, which statement by a client requires further investigation by the nurse to assess surgical risks? a. “I am taking vitamins” b. “I drink a glass of wine a night” c. “I had a heart attack 4 months ago” d. “I quit smoking 10 years ago” NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered assign to the least-experienced circulating nurse? a. The 20-year-old client who has a ruptured appendix and is having an emergency appendectomy b. The 28-year-old client with a fracture femur who is having an open reduction and internal fixation c. The 45-year-old client with coronary artery disease who is having coronary artery bypass grafting d. The 52-year-old client with stage 1 breast cancer who is having tunneled central venous catheter placed NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered 5. As the unit nurse is about to give a preoperative medication to a client going into surgery, it is discovered that the surgical consent form is not signed. What does the nurse do after verifying the procedure with the client? a. Calls the surgeon b. Calls the anesthesiologist c. Gives the medication as ordered d. Asks the client to sign the consent form 6. A client is having an arthroscopy of the left knee and has just been moved to the surgical holding area. Which statement by the nurse properly identifies the client while the nurse checks the identification label? a. “are you Mr. smith?” b. “Good morning, Mr. smith” c. “what is your name, and when were you born? d. “What surgery are you having today?” 7. Which intervention does the nurse implement for an older adult client to minimize skin breakdown related to surgical positioning? a. Apply elastic stocking to lower extremities b. Monitor for excessive NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered blood loss c. Pad bony prominences d. Secure joints on a board in anatomic positions 8. Who is most likely person to administer blood products in an operating suite? a. Circulating nurse b. Holding nurse c. Scrub nurse d. Specialty nurse 9. A preoperative client wears a hearing aid and is extremely hard of hearing without it. What does the nurse do to help reduce this client’s anxiety? a. Actively listen to this client’s concerns b. Allow the client to wear the hearing aid to surgery c. Ask if the client may wear the hearing aid until anesthesia is given d. Explain that it is hospital policy to remove a hearing aid before surgery 10. A client has undergone an 8-hour surgical procedure under general anesthesia. In assessing the client for complications related to positioning, the nurse is most concerned with which finding? a. Decreased sensation in the lower extremities NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered a. “I must cover my facial hair” b. “I don’t need a sterile gown to be in the OR” c. “If I go into the OR, I must wear a protective mask” d. “My scrubs will be sterile” 16 1. The nurse is performing a dressing change on a client who underwent abdominal surgery 6 days prior. The nurse notes a moderate amount of serosanguineous drainage on the old dressing. What will the nurse do? a. Apply extra gauze to the new dressing b. Contact the surgeon to discuss the need for antibiotics c. Notify the surgeon about possible wound dehiscence d. Perform the dressing change according to unit protocol 2. In conducting a postoperative assessment of a client, what is important for the nurse to examine first? a. Breathing pattern b. Level of consciousness c. Oxygen saturation d. Surgical site NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered 3. Which assessment finding in a postoperative client after general anesthesia requires immediate intervention? a. Heart rate of 58 beats/min b. Pale, cool extremities c. Respiratory rate of 6 breaths/min d. Suppressed gag reflex 4. Which client is at greatest risk for slow wound healing? a. A 12-year-old healthy girl b. A 47-year-old obese man with diabetes NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered c. A 48-year-old woman who smokes d. A 98-year-old healthy man 5. Five RNs from other units have been assigned to the post-anesthesia care unit for the day. A 16-year-old client with diabetes has also just arrived from the operating room (OR) after having laparoscopic abdominal surgery. The charge nurse assigns the RN with which kind of experience to care for this new client? a. RN who usually works on the inpatient pediatric unit b. RN who provides education to diabetic clients in a client c. RN who has 5 years of experience in the delivery room d. RN who ordinarily work as a scrub nurse in the OR 6. The nurse assesses a client’s wound 24 hours postoperatively. Which finding causes the nurse the greatest concern and should be reported to the surgeon? a. Crusting along the incision line b. Redness and swelling around the incision c. Sanguineous drainage at the suture site d. Serosanguineous drainage on the dressing 7. The nurse reviews a routine discharge teaching plan concerning postoperative care with a client. Which statement by the client NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered 12. The RN has just received report about all of these clients on the inpatient surgical unit. Which client does the nurse care for first? a. A 43-year-old who had a bowel resection 7 days ago and has new serosanguineous drainage on the dressing b. A 46-year-old who had a thoracotomy 5 days ago and needs discharge teaching before going home c. A 48-year-old who had a bladder surgery earlier in the day and is reporting pain when coughing d. A 49-year-old who underwent repair of a dislocated shoulder this morning and has a temperature of 100.4 F (38 C) 13. A client has just undergone a surgical procedure with general anesthesia. Which finding indicates that the client needs further assessment in the post-anesthesia care unit? a. Pain at the surgical site b. Requirement for verbal stimuli to awaken c. Snoring sounds when inhaling d. Sore throat on swallowing 14. What pain management does a client who has been admitted to the post-anesthesia care unit typically receive? a. Intramuscular nonopioid analgesics NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered b. Intramuscular opioid analgesics c. Intravenous nonopioid analgesics d. Intravenous opioid analgesics 15. An RN and an LPN/LVN are working together in caring for a client who need all of these intervention after orthopedic surgery. Which action (s) would be best for the RN to accomplish? a. Reinforce the need to cough and deep-breathe every 2 to 4 hours b. Develop the discharge teaching plan in conjunction with the client c. Administer narcotic pain medication before assisting the client with ambulation d. Listen for bowel sounds and monitor the abdomen for distention and pain 17 evolve 1. Which home health nurse should the nurse manager assign to care for an 18-year-old client with kidney transplant who has many questions about the prescribed cyclosporine (Sandimmune)? a. RN who has worked for the home health agency for 5 years in maternal-child health b. RN who has extensive critical care nursing experience and has NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered worked in home health for a year c. RN who transferred to the home health agency after working for 10 years in an outpatient dialysis unit d. RN who worked for 5 years in an organ transplant unit and has recently been hired by the home health agency 2. A client who is exposed to invading organisms recovers rapidly after the invasion without damage to health body cells. How has the immune response protected the client? a. Intact skin and mucous membrane b. Self-tolerance c. Inflammatory response against invading foreign proteins NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered proteins b. Phagocytosis by macrophages and neutrophils destroy and eliminates foreign invaders c. In is caused by a left shift or increase in immature neutrophils d. Many immune system cells release into the blood have specific effects 7. The nurse is preparing a client for discharge on postoperative day 1 after a modified radical mastectomy. Which instruction is most important for the nurse to include in this client’s discharge plan? a. Please report any increased redness, swelling, warmth, or pain to your health care provider b. Do not allow anyone to take your blood pressure or draw blood on the side where you had your breast removed c. A referral has been made to the American Cancer society’s reach to recovery program, and a volunteer will call you next week NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered d. Avoid the prone and hunchback positions, and ask your health care provider for any other needed activity restrictions 8. Which statement best exemplifies a client’s protection from cancer provided by cell-mediated immunity (CMI) after exposure to asbestos? a. Cytotoxic and cytolytic T cells destroy cells that contain the major histocompatibility complex of a processed antigen b. Helper and inducer T cells recognize self-cells versus non- self-cells and secrete lymphokines that can enhance the activity of white blood cells c. Suppressors T cells prevent hypersensitivity when a client is exposed to non-self-cells or to proteins d. Balance elicits protection when helper or inducer T cells outnumber suppressor T cells by a ratio of 2:1 9. Which postoperative kidney transplantation client does the nurse asses first for signs and symptoms of hyperacute rejection? a. Older adult with Parkinson disease receiving a donation from an identical twin b. Grand multipara female with a history of subsequent blood transfusions c. Middle-aged man with a 20-pack-year history d. Young adult with type 1 diabetes NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered 10. A complete blood count with differential is performed on a client with chronic sinusitis. Which finding does the nurse expect? a. Segmented neutrophils, 62% b. Lymphocytes, 28% c. Bands, 5% d. Basophils, 4% 18 Evolve 1. A client diagnosed with exacerbation of systemic sclerosis (SSc) asks the nurse why a foot board and a bed cradle have been placed on the bed. The nurse explains that they are used for what purpose? a. Inspect skin for lesions or changes b. Promote comfort from Raynaud’s phenomenon c. Prevent foot drop and contractures d. Decrease chilling of the extremities 2. The home health nurse conducts a community presentation of Lyme disease for the resident of an assisted living facility. Which statement from the audience indicates to the home health nurse that further instruction is needed? a. I will gently remove the tick with tissue and then burn it to prevent the spread of the disease b. It is best to walk in the center of an outside trial NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered d. Discuss with your health care provider about having your estrogen and progesterone levels checked to see where you are in menopause 6. A client diagnosed with rheumatoid arthritis (RA) is started on methotrexate (Rheumatrex). Which statement made by the client indicates to the nurse that further teaching is needed regarding drug therapy? a. Drinking alcoholic beverages should be avoided b. The health care provider should be notified 3 months before a planned pregnancy c. Any side effects of this drug will be mild d. I will avoid any live vaccines 7. Which factor indicates to the nurse the only similarity between discoid lupus erythematosus (DLE) and systemic lupus erythematosus (SLE)? a. Feeling tired and having a temperature that runs about 100 F (37.8 C) during the day b. Disfiguring and embarrassing rash c. Peripheral neuropathies and cranial nerve palsies d. High right for renal inflammation 8. The nurse is teaching a client about the difference between rheumatoid arthritis (RA) and osteoarthritis (OA). Which NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered statement by the client indicates a need for further teaching? a. RA is inflammatory. OA is degenerative b. The risk factors or causes of RA are probably autoimmune, whereas OA may be caused by age, obesity, trauma, or occupation c. The typical onset of RA is seen between 35 and 45 years of age, whereas the typical onset of OA is seen in client older than 60 years d. The disease pattern of RA is usually unilateral and is seen in a single joint, whereas OA is usually bilateral and symmetric, and is noted in multiple joints 9. Which element is a risk factor for osteoarthritis (OA)? a. Thin build b. Obesity c. Nonsmoker NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered d. Male 10. A client has symptoms of rheumatoid arthritis (RA). Which laboratory finding indicates to the nurse that the client may have RA? a. Total serum complement, 75 units/mL b. Positive total antinuclear antibody (ANA) c. Erythrocyte sedimentation rate (ESR), 20 mm/hr d. Beta-globulin level, 1.0 g/dL (10g/L) 11. The nurse assesses a client diagnosed with Sjogren’s syndrome. The nurse anticipates that the client will also have which common condition? a. Dry eyes b. Abdominal bloating after eating c. Excessive production of saliva in the mouth d. Intermittent episodes of diarrhea 12. Assessment findings reveal that an older adult client with severe osteoarthritis of the left hip can no longer perform activities of daily living (ADLs) and has had several falls in the home over the past month. To which community resource does the nurse refer the client? a. Local senior citizen center b. Citizen for better care NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered a. Glaucoma b. Hypertension c. Hypothyroi dism d. Sulfa allergy 17. Before administering prednisone IV push to middle-aged adult with rheumatoid arthritis (RA), the nurse notes that the client’s random blood glucose level is 139 mg/dl (7.7 mmol/L). which action is most important for the nurse to take? a. Instruct the client to drink diet soda to prevent elevation of blood sugar. b. Administer the prescribed prednisone on schedule c. Notify the health care provider of the random blood glucose result d. Review the client antinuclear antibody (ANA) level 18. Which instructions for joint protection does the nurse recommend for a client with a connective tissue disease? Select all that apply a. Use long-handled device such as a Reacher b. When getting out of bed, use fingers to push off c. Sit in a low back chair d. Bend at the waist while keeping the back straight e. Use adaptive NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered device such as Velcro closures f. Turn a doorknob clockwise 19. The nurse is developing a teaching plan for a client diagnosed with osteoarthritis (OA). The nurse includes which instruction in the teaching plan? a. Begin a running program b. Take up knitting to slow down joint degeneration c. Eat at least 2 cups (17 ounces) of yogurt per day d. Wear supportive shoes 20. The nurse is caring for an older, alert adult client diagnosed with osteoarthritis. Which client statement indicates to the nurse that the client is using effective coping strategies? a. I do not know how long my wife will be able to take care of me at home b. The bus is coming to pick me up from senior center three time a week so I can play cards c. I am helping with the dishes and laundry, but I hurt so badly when I am doing it d. I do not know how much longer my neighbor can continue to help clean my house NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered 19 Evolve 1. The nurse is assigned to care for four clients. Which client does the nurse assess first? a. Client with human immune deficiency virus (HIV) and Kaposi’s sarcoma who has increased swelling of a sarcoma lesion on the right arm b. Client with a history of liver transplantation who is currently taking cyclosporine (Sandimmune) and has an elevated temperature c. Client who has been admitted receiving a monthly dose of serum immune globulin to treat Bruton’s agammaglobulinemia d. Client who has been receiving radiation to the abdomen and has a decreased total lymphocyte count 2. A client is receiving highly active antiretroviral therapy (HAART). Which statement by the client indicates a need for further teaching by the nurse? a. With this treatment, I probably cannot spread this virus to others NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered acquired secondary immune deficiency c. Potential for infection transmission related to recurring opportunistic infections d. High risk for inadequate nutrition related to acquired secondary immune deficiency and candida albicans 7. The nurse is conducting a health assessment interview with a client diagnosed with human immune deficiency virus (HIV). Which statement by the client does the nurse immediately address? a. When I injected heroin, I was exposed to HIV b. I don’t understand how the antiretroviral drugs work c. I remember to take my antiretroviral drugs almost every day NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered d. My sex drive is weaker than it used to be since I started taking my antiretroviral medications 8. The nurse is instructing an unlicensed health care worker on the care of a client with human immune deficiency herpes. Which statement by the health care worker indicates effective teaching of Standard precautions? a. I need to know my HIV status, so I must get tested before caring for any clients b. Putting a gown and glove will cover up the itchy sores on my elbows c. Washing my hands and putting on a gown and gloves is what I must do before starting care d. I will wash my hands before going into the room, and then will put on a gown and gloves only for direct contact with the client’s genitals 9. A client who is human immune deficiency virus positive is experiencing anorexia and diarrhea. Which nursing actions does the nurse delegate to a nursing assistant? a. Collaborate with the client to select foods that are high in calories b. Provide oral care to the client before meals to enhance appetite NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered c. Assess the perianal area every 8 hours for signs of skin breakdown d. Discuss the need to avoid foods that are spicy or irritating 10. Which factor relates most directly to a diagnosis of primary immune deficiency? a. History of viral infection b. Full-term infant surfactant deficiency c. Contact with anthrax toxin d. Corticosteroid therapy 11. The home health nurse is making an initial home visit to a client currently living with family members after being hospitalized with pneumonia and newly diagnosed with acquired immune deficiency syndrome (AIDS). Which statement by the nurse best acknowledges the client’s fear of discovery of hi AIDS by his family? a. Do you think that I could post a sign on your bedroom door for everything about the need to wash their hands? b. Is there somewhere private in the home where we can go and talk? c. I hope that all of your family members know about your disease and how you need to be protected, because you have been so sick. d. It is your duty to protect your family members from getting AIDS 12. Which statement made to the nurse by a health care worker assigned to care for a client with human immune deficiency virus (HIV) NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered every 8 hours 16. A client who is human immune deficiency virus (HIV) positive and has a CD4+ count of 15 has just been admitted with a fever and abdominal pain. Which health care provider request does the nurse implement first? a. Obtain a 12-lead electrocardiogram (ECG) b. Call for a portable chest x-ray c. Obtain blood culture from two sites d. Give cefazolin (Kefzol) 500 mg IV 17. An HIV positive client with an acquired immune deficiency is seen in the clinic for re-evaluation of the immune system’s response to prescribed medications. Which test result does the nurse convey to the health care provider? a. Therapeutic highly active antiretroviral therapy (HAART) level b. Positive human immune deficiency virus (HIV), enzyme-linked immunosorbent assay (ELISA), western blot c. Positive Papanicolaou (Pap) test d. Improved CD4+ T-cell count and reduced viral load 18. The nurse presents a seminar on human immune deficiency virus (HIV) testing to a group of seniors and their caregiver in an assisted- living facility. Which responses fit the recommendation of the Center NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered for Disease Control and Prevention regarding HIV testing? Select all that apply a. I am 78 years old, and I was treated and cured of syphilis many year ago b. In 1986, I received a transfusion of platelets c. Seven years ago, I was released from a penitentiary d. I used to smoke marijuana 30 years ago, but I have not done any drugs since that time e. At 68, I am going to get married for the fourth time 19. When preparing a client newly diagnosed with human immune deficiency virus (HIV) and the significant other for discharge, which explanation by the nurse accurately describes proper condom use? a. Condoms should be used when lesions are present on the penis b. Always position the condom with a space at the tip of an erect penis NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered c. Make sure it fits loosely to allow for penile erection d. Use adequate lubrication, such as petroleum jelly 20. A client recently diagnosed with human immune deficiency virus (HIV) is being medication does the nurse anticipate the health care provider will prescribe for this client? a. Fluconazole (Diflucan) b. Trimethoprim/Sulfamethoxazole (Bactrim) c. Rifampin (Rifadin) d. Acyclovir (Zovirax) 21. A client diagnosed with human immune deficiency virus is prescribed zidovudine (Retrovir), efavirenz (Sustiva), lamivudine (Epivir), and enfuvirtide (Fuzeon). The client asks the nurse what will happen if the prescription are not refilled on time, or if a few doses of one of the medications are missed/ what is the nurse’s best response? a. This will not make any difference in the viral load b. Blood concentration will be decreased, which will lead to increased viral replication c. If only one dose of medication is missed, this will not make a difference d. This will cause an increase in opportunistic infections 23 NUR 2032C Final Exam-care management-evolve Exam Question and Answers Best Rated A+ Guaranteed Success Latest Update 2022 all chapters covered