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Nurse 326 Exam 1 Application Questions And
Correct Answers!!
The following is the scenario where the nurse received the change of shift report on these four patients and begins rounding. Which of these patients would this nurse need to prioritize their care for?
a. The patient who had abdominal surgery 2 days ago who now requests pain medication
b. A patient was admitted yesterday with arterial fibrillation who has now developed a decreased level of consciousness
c. A patient who has a wound drain and needs teaching before being discharged in early afternoon d. A patient who is scheduled to go to surgery to have a mastectomy in three hours and who have questions about the surgery. - Answer b
Medications While preparing medications, the nurse discovers that the client did not receive a dose of ordered medication. The nurse acts by completing an incident report and notifying the patient's health care provider. Which of the following does the nurse conduct?
a. authority b. responsibility c. accountability d. decision making - Answer c
which best represents a registered nurse using the nursing process skill of evaluation?
a. The nurse educates a patient about the side effects of the new blood pressure medication ordered.
b. The nurse asks a patient to rate pain on a scale of 0-10 before a pain medication is given
c. At the end of teaching session, the nurse observes a patient drawing up and giving himself an insulin injection
d. The nurse changes a dressing on a patient's leg ulcer using aseptic technique - Answer c
When caring for an older adult client who is hard of hearing, which of the following techniques would enhance communication? (Select all that apply.)
- Check for necessary adaptive equipment.
- Exaggerate lip movements to assist the client in lip reading.
- Allow time for the patient to respond to questions.
- Keep communication short and concise.
- Communicate entirely in writing. - Answer 1, 3, 4
Which of the following are reasons why nurses must communicate effectively with the health care team? (Select all that apply.)
- Improve the nurse's status with the health team members
- Reduce the risk of errors to the patient
- Provide optimum level of patient care
- Improve patient outcomes
- Prevent issues that need to be reported to outside agencies - Answer 2, 3, 4
- The health care team should select a strategy that honours the principle of justice with regard to resource distribution in healthcare.
- The patient should be enrolled in a clinical trial testing a new technology, a device able to do for the liver what dialysis does for the kidney.
- The social worker should explore the possibility of admitting the patient into Medicaid, as most states have expanded their coverage
- A family meeting is conducted in which all details of the poor prognosis of the patient are clarified to the patient's family for a palliative approach - Answer 1
The following steps in the process to help solve an ethical problem. Which of the following is the best order of these steps to achieve resolution?
- List all the possible actions that could be taken to resolve the problem.
- Articulate a statement of the problem or dilemma that you are trying to resolve
- Develop and implement a plan to address the problem
- Gather all information related to the problem pertinent to the client's clinical presentation, social situation, and spiritual aspect.
- Take time to identify and clarify values, identify the ethical components present like principles and key relationships involved.
- Recognize that a problem exists that involves ethics - ANS 6, 4, 5, 2, 1, For an older adult with an hearing impairment what techniques can be used to enhance
communication? (Select all that apply.)
- Check for needed adaptive equipment.
- Exaggerate lip movements to help the patient lip read.
- Give the patient time to respond to questions.
- Keep communication short and to the point.
- Communicate only through written information. - Answer 1, 3, 4
Nurses communicate effectively with the healthcare team for which of the following reasons? Select all that apply
- To improve the status with the health care team
- to reduce the risk of patient error
- To provide optimal patient care
- To improve patient outcomes
- To prevent issues that need to be escalated to external agencies - Answers 2, 3, 4
A nurse is preparing to contact a patients physician about a change in the patient's condition. In proper order, use SBAR communication for the following statements
- "She is a 53-year-old female who was admitted 2 days ago with pneumonia and was started on levofloxacin at 5pm yesterday. She states she has a poor appetite; her weight has remained stable over the past 2 days".
- "The patient reported felling very nauseated after her dosage of levofloxacin an hour ago
- "It is possible to make a change in antibiotics, or could we give her a nutritional supplement before her medication"
- Standard precautions
- Contact precautions - Answer 2
A patient is place on Airborne Precautions for pulmonary TB. The nurse notes that the patient seems to be angry, but he knows that this a normal response to isolation. Which is the best intervention?
- Offer a quiet, dark room to decrease the stimulation for the patient
- Decrease the level of precautions to prevent anger from occurring with the patient
- Explain the rationale for isolation procedures and offer purposeful stimulation.
- Restrict family and other caregivers visitation to prevent risk of infection dissemination - Answer 3
What type of PPE would the nurse wear to care for a patient in Airborne precautions? Select all that apply
- Disposable gown
- N95 respiratory mask
- face shield or goggles
- disposable mask
- gloves - Answer 1,2,
Which of the following actions by the nurse demonstrate the practice of core principles of surgical asepsis? select all that apply
- the front and sides of the sterile gown are considered from waist up
- keep the sterile field in view at all times
- Only HCP within the sterile field must wear PPE
- Consider outer 2.5 cm of sterile field contaminated
- After antiseptic rub of hands, don clean disposable gloves - Response 2, 4
The LPN provides you with the change of shift vital signs on four of your patients. Which patient must the nurse see first
- An 84 year-old gentleman who was admitted earlier with pneumonia, RR 28, SpO 89%
- 54 yr female, post surgery, repair of fractured arm, BP 160/86 mmhg, HR 72
- 63 yr male, diabetic, venous ulcers, Temperature 37.3, HR 84
- 77- yr-old women, left mastectomy 2 days ago, RR 22, BP 148/62 - Answer 1
A patient has been hospitalized for the past 48 hours with a fever of unknown origin. His medical record indicates tympanic temperature of 101.6 at 0400, 97.9 at 0800, 98.4 at 1200, 99.6 at 1600, and 100.9 at 2000. How would describe this pattern of temperature measurements
- Usual range of circadian rhythm measurements
- Sustained fever pattern
- intermittent fever pattern
- resolving fever pattern - Answer 3
