Nur-139 final exam study

A nurse is caring for a patient that is experiencing a high fever, nausea, vomiting, and diarrhea. Which of the following stages of infection is the patient currently in? A. Incubation period B. Prodromal stage C. Convalescent period D. Full stage of illness

A

A nurse is collecting data for a client who has completed chemotherapy for an osteosarcoma. What is the primary purpose for this step of the nursing process? a. The nurse collects data to measure outcome achievement b. The nurse collects data to justify terminating the care plan c. The nurse collects data to identify client strengths d. The nurse collects data to identify health problems

A

Upon entering a patients room, a nurse discovers that the patient has become injured and there is blood spurting out of a leg wound. Which combination of PPE should the nurse select? A. Gown, gloves, goggles, mask B. Goggles, shoes protectors C. Face shield, gloves D. Gown, mask, gloves

A

What is ethnocentrism? a. the belief that one's own culture or group is superior and most preferred to those of other cultures b. accepting the culture

A

Which stage of illness indicates when COVID-19 is most infectious? a. prodromal stage b. Convalescent stage c. Incubation stage d. Full stage of illness

A

Prioritize based on Maslow: A.___Constipation B.___Imbalanced Nutrition C.___Powerlessness D.___Risk for Falls E.___Bathing:Self-care Deficit F.___Social Isolation

A. Physiological, B. Physiological, C. Self-Esteem, D. Safety, E. Physiological, F. Love & Belonging

Who established the Code of Ethics?

ANA

A nurse is caring for a client who weighs 176 lbs. and is 5 ft. 3 in. tall. This client's BMI is: A. 29.7 B. 31.2 C. 28.6 D. 32.4

B

The outpatient nurse is completing an assessment interview with a client Elena Rodriguez. The client describes her family situation as "terrible" because recently the family has been evicted from their apartment.What component of family function is not being met for this client's family? A. Reproductive B. Physical C. Socialization D. Economic

B

A nurse is developing interventions while creating a client's plan of care. Which of the following interventions are considered nurse-initiated interventions? (Select all that apply) A. Apply prescription barrier cream to buttocks daily B. Assess peripheral pulses every 4 hours C. Administer pain medication as needed D. Perform ROM exercises every 2 hours E. Encourage increased fluid intake

B, D, E

A nurse has donned gloves and is preparing to change a bandage on a patients arm, this is an example of what type of aseptic technique? A. Surgical asepsis B. Bacterial asepsis C. Medical asepsis D. Antimicrobial asepsis

C

A nurse is receiving change of shift report on a patient that has been experiencing productive cough, fever, chills, SOB, and wheezing for three days. The patient is on a regular diet and is scheduled for blood tests daily for 4 days. The last vital signs taken 15 minutes ago were within normal limits with the exception of a temperature 101.2. What pertinent information is missing from the report the nurse has just received? A. Most recent lab values B. Patients food preferences C. Tier 2 Precaution status D. Home medication list

C

A nurse is working with an 89 year old male client who is hard of hearing, alone and in need of a serious medical procedure. The nurse sits directly in front of the client and makes sure that the client clearly understands the medical procedure, it's benefits and risks, and then allows the client to make the decision for himself. The nurse is demonstrating which of the ethical principles? a. beneficence b. nonmaleficence c. autonomy d. justice

C

During the cellular stage of the inflammatory response, which white blood cells move quickly, into the area? A. Erythrocytes B. Lymphocytes C. Leukocytes D. Monocytes

C

The nurse is performing an assessment and asks the client to describe how his mental health affects his daily life. The nurse is assessing which of the following? A. The client's perception of time and space. B. The client's ability and willingness to communicate. C. The client's meaning of health and illness D. The client's present socioeconomic status

C

This protects the public, enforces rules and regulations, define important terms and activities in nursing, and establish criteria for the education and licensure of nurses: A. NLN B. ANA C. Nurse Practice Acts D. Greenville Tech

C

Which of the following body positions is NOT considered to a patient protective position? a. Prone position b. Supine position c. Sitting dangling feet position d. Fowler's position

C

Which of the following is NOT recommend when assisting in a patient transfer? a. Transfer the patient to their strong side b. Have a broad base of support before transfer c. Bending over to facilitate a patient transfer d. Work close to your body during a transfer

C

You're a recent licensed RN orienting to a nursing unit that's currently understaffed. You're told that the UAPs have been trained to obtain the initial nursing assessment. What is the best response? A. allow the UAPs to do the admission assessment and report the findings to you B. Do your own admission assessment but don't interfere with the practice if other professional RNs seem comfortable with the practice C. Tell the charge nurse that you are choosing not to delegate the admission assessment at this time until you can get further clarification form nursing administration D. Contact your labor representative and report the short staffing issue

C

nurse is preparing a presentation about basic nutrients for a group of high school athletes. The nurse should explain that which of the following nutrients provides the body with the most energy? A. Protein B. Fats (Lipids) C. Carbohydrates D. Glycogen

C

Graduates from an RN nursing program are required to pass the NCLEX exam to establish: a. standards of care for nursing practice b. legal guidelines for nursing practice c. standards of practice in all 50 states d. minimum competency for nursing practice

D

The nurse is working with an interpreter to provide teaching for a client. The most important guideline for the nurse to follow would be to A. use simple language and short sentences. B. remain in control of the interaction. C. maintain eye contact with the client. D. use a qualified interpreter.

D

One's race is typically defined by one's unique cultural and social beliefs and behavior patterns. True or false

False

Twisting while performing a patient transfer provides for a more smoother and safer transfer. True or False?

False

When performing a routine procedure such as medication administration a nurse is always required to wear gloves. True or False?

False

what should you wear for airborne precautions?

N95 Mask

Nutrition: less than body requirements for a client with anorexia and weight loss. What level of Maslow hierarchy?

Physiological

A sling lift is an excellent choice for non-combative and non-weight bearing patients. True or False?

True

Using hand sanitizer instead of handwashing with soap and water is approved for hand hygiene in most situations. True or False?

True

________ bacteria that require oxygen to live and grow

aerobic

Why do we not use clichés?

blocks therapeutic communication

What precaution is rubella?

droplet

the term for a hospital acquired infection?

nosocomial infection

What is the purpose of reflective questioning?

supports therapeutic communication

what should you wear for droplet precautions?

surgical mask

What is the primary purpose for collecting data during the nursing process?

to measure outcome achievement