NURS 370 Exam 1 Practice Ques.

A nurse has received change-of-shift report on a group of clients and is preparing her assignment. Which of the following clients should the nurse assess first? A client who had a blood glucose reading at 0650 of 70 mg/dL after receiving 50% dextrose for a hypoglycemic episode. A client who has admitted for chest pain and is reporting a new onset of indigestion. A client who has pneumonia and was treating for a temperature of 38.9ºC (102ºF) at 0400. A client who has pulled out the peripheral IV catheter and is scheduled to receive a dose of famotidine at 0800.

A client who has admitted for chest pain and is reporting a new onset of indigestion.

A nurse is caring for a client who is about to have a colonoscopy. The client states, "I am so nervous about what the doctor might find during the test." The nurse asks the client, "Are you feeling anxious about the results of your colonoscopy?" With this question, the nurse is using which of the following communication techniques? Clarification Summarizing Confrontation Providing information

Clarification

A nurse is developing a therapeutic relationship with a client. The nurse should perform which of the following actions during the working phase of a therapeutic relationship? Determine the reason the client sought care. Instruct the client about methods to achieve goals. Discuss the client's new skills sets. Review the client's demographic information.

Instruct the client about methods to achieve goals.

A nurse is caring for a client who is discussing his post-traumatic stress disorder and states: "Everyone thinks you should be able to put it out of your mind. It happened so long ago - just get over it!" The nurse responds, "It must be very frustrating to encounter this kind of attitude." The nurse is using which of the following therapeutic communication techniques? Clarifying Focusing Paraphrasing Reflection

Reflection

A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve II? Ask the client to read a Snellen chart Listen to the client's speech Ask the client to identify scented aromas Ask the client to clench his teeth

Ask the client to read a Snellen chart

A nurse is caring for a client who has a mental health disorder. The client asks about his medication and their effects. The nurse asks the client why he needs to know this. Which of the following nontherapeutic communication techniques is the nurse using? Changing the subject Asking for an explanation Behaving defensively Arguing

Asking for an explanation

A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask about a client's potential allergies during which phase of the nursing process? Planning Evaluation Assessment Implementation

Assessment

A nurse is giving change-of-shift report using SBAR to the oncoming nurse on a client who has a traumatic brain injury. Which of the following information should the nurse include in the background segment of SBAR? Glasgow results Intracranial pressure readings Code status Plan of care changes for upcoming shift

Code status

A nurse is caring for an older adult client who states, "I am afraid that I may fall while walking to the bathroom during the night." Which of the following actions should the nurse take? Limit the client's fluid intake in the evening Obtain a bedside commode for the client's use Leave a nightlight on in the client's room Put the side rails up and tell the client to call the nurse before voiding

Leave a nightlight on in the client's room

A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider subjective data? Blood pressure Cyanosis Nausea Petechiae

Nausea (subjective: info that only the client can perceive and report) (objective: information the nurse can observe or measure)

A nurse is caring for a client who has a Clostridium difficile infection. Which of the following cleansing agents should the nurse use for hand hygiene? Chlorhexidine Povidone-iodine Nonantimicrobial soap Alcohol-based hand rub

Nonantimicrobial soap

A nurse is assessing a client's bowel sounds. At which of the following points in the assessment should the nurse auscultate the client's abdomen? After palpating the abdomen Prior to percussing the abdomen After assessing for kidney tenderness Prior to inspecting the abdomen

Prior to percussing the abdomen