BIG EAQ RANDOM QUESTIONS TERM 1 (2)

The nurse teaches a client about wearing thigh-high antiembolism elastic stockings. Which instruction would be correct to include?

"You will need to apply them in the morning before you lower your legs from the bed to the floor."

A client is to receive a transfusion of packed red blood cells (PRBCs). Which solution would the nurse use to prime the blood intravenous (IV) tubing?

0.9% normal saline

Which is the first sign that would assist the nurse in suspecting malignant hyperthermia in a client?

Increased expired carbon dioxide

Which skill in critical thinking requires the nurse to be orderly in data collection?

Interpretation

During a home visit, the nurse finds that a healthy older adult person is actively practicing laughing therapy to maintain good health without pressure or insistence from family members. Which inference about the client would the nurse make from these findings?

Intrinsically motivated

A client with cystic fibrosis asks why the percussion procedure is being performed. Which rationale would the nurse give to the client?

It loosens pulmonary secretions.

The nurse would expect to find an increase of which substance in the urine of a client following a low-carbohydrate diet?

Ketones

Which action would the nurse take to decrease the risk of transmission of vancomycin-resistant enterococci (VRE)?

Move the client to a private room

The nurse is caring for a surgical client who develops a wound infection during hospitalization. Which classification would this infection belong to?

Nosocomial

Which concept refers to respecting the rights of others?

Open-mindedness

A client is dying. Hesitatingly, his wife says to the nurse, "I'd like to tell him how much I love him, but I don't want to upset him." Which is the correct response by the nurse?

"You should share your feelings with him while you can."

The nurse realizes that a double dose of insulin was administered to the client by mistake and informs the primary health care provider. Which element of the decision-making process is reflected in the nurse's action?

Accountability

After a below-the-knee amputation, a client is refusing to eat, talk, or perform any rehabilitative activities. Which approach would the nurse take when interacting with this client?

Acknowledge that the client's withdrawal is an expected and necessary part of initial grieving.

Which is the most important nursing action involved in caring for a client receiving medications?

Administering the medications

Which nursing intervention is classified under complex physiological domain according to the Nursing Interventions Classification (NIC) taxonomy?

All of these

Which critical thinking skill will help a student nurse avoid making assumptions about clients?

Analysis

Which activity demonstrates fine motor skills in infants aged 2 to 4 months?

Bringing objects from hand to mouth

A client with a diagnosis of malabsorption syndrome exhibits a symptom of spastic muscle spasms. Which electrolyte is responsible for this symptom?

Calcium

The nurse is helping a client and the family to set and meet goals. Which professional role is the nurse displaying?

Caregiver

Which procedure is used to verify placement of a newly inserted central venous access device (CVAD)?

Chest x-ray

The nurse is changing the soiled bed linens of a client with a wound that is draining serosanguinous exudate. Which personal protective equipment (PPE) would the nurse wear?

Clean gloves

Which category of isolation would the nurse implement for a client who is positive for Clostridium difficile?

Contact precautions

Which nursing intervention is correct for a client with venous insufficiency?

Elevate the client's legs above heart level.

When caring for a client who is receiving enteral feedings, the nurse would take which measure to prevent aspiration?

Elevate the head of the bed between 30 and 45 degrees

Which action would the nurse take to decrease abdominal distention after a client's surgery?

Encourage ambulation.

A client with chronic renal failure stops responding to the treatment. On examination, the primary health care provider determines that the client is terminally ill. Which is the correct nursing intervention in this situation?

Encourage the family members to provide palliative care to the client

Which would the nurse consider to be the center of decision-making when providing client care?

Ethics

Which critical thinking skill refers to the use of knowledge and experience to choose effective strategies for client care?

Explanation

Which critical thinking skill in nursing practice requires the nurse to possess knowledge and experience for choosing care strategies for clients?

Expln

Which therapeutic communication technique is used when the nurse and a client have a conversation and the client begins to repeat the conversation to self?

Focusing

The registered nurse (RN) is teaching a nursing student to use self disclosure appropriately to promote a therapeutic alliance with the client. Which carative factor is involved in this situation?

Forming a human-altruistic value system

The nurse is caring for a postoperative client who had general anesthesia. Which independent nursing intervention would prevent an accumulation of secretions?

Frequent changes of position

A client experiences a muscle sprain of the ankle. When assessing the injury, the nurse discovers that a hematoma is developing, and the client reports tenderness when the ankle is palpated. The nurse anticipates that the plan of care will include the application of which?

Ice bag

Which nursing process involves delegation and verbal discussion with the health care team?

Implementation

When monitoring a client 24 to 48 hours after abdominal surgery, the nurse would assess for which problem associated with anesthetic agents?

Paralytic ileus

Which key factor would the nurse consider when assessing how a client will cope with body image changes?

Perception of the change

Which cation regulates intracellular osmolarity?

Potassium

Which stage of Piaget's theory of cognitive development would the nurse observe in a preschooler?

Preoperational

According to Kohlberg's development of moral reasoning, at which phase of life would a child develop a premoral orientation?

Preschool

The nurse is caring for a child who has an external fixation device on the leg. Which is the nurse's priority goal when providing pin care?

Preventing infection

Which term describes a disease outbreak that spreads gradually from person to person over more than one incubation period and for which a common source cannot be determined?

Propagated outbreak

Which carative factor is involved in creating a healing environment at all levels, physical and nonphysical, according to Watson's theory of transpersonal caring?

Providing for a supportive, protective, and/or spiritual environment

Which nursing practice is associated with a self-regulation skill?

Reflecting on one's experience

Which caring intervention helps provide comfort, dignity, respect, and peace to a client?

Relieving pain and suffering

Which right of delegation refers to the giving of clear, concise descriptions of a task to the delegatee?

Right Communication

Which therapeutic communication technique is a coping strategy to help the nurse and client adjust to stress?

Sharing humor

The home health care nurse visits a client who lives with two grandchildren. Which term would the nurse use to define this family form?

Skip-generation family

Which definition is involved in the caring process called knowing, according to Swanson's theory of caring?

Striving to understand an event as it has meaning in the life of the other

Which nurse is using complex critical thinking skills when caring for a client?

Talks to the client to identify reasons for their behavior

A client has been placing used insulin needles in a container sealed with heavy-duty tape. Where would the nurse tell the client to dispose of the container?

The local hazardous waste collection site

A client who wakes up after a surgery spits out the oral airway placed during the recovery from anesthesia. What would this behavior indicate to the nurse?

Their gag reflex has returned.

Which is the role of a case manager in a health care organization?

To follow up with the client after discharge

At which site would the nurse obtain a sterile urinalysis from a client with an indwelling catheter?

Tubing injection port