Remediation Assignment 1

The nurse educator is reminding a group of new nurses about precautions. Which statement by a new nurse requires further teaching by the nurse educator? "I will always wash my hands thoroughly and often." "It is important to refrain from recapping needles." "Masks, gloves, and gowns should be used to protect from infectious agents." "Wearing an N95 respirator is critical when I care for clients in droplet precautions."

"Wearing an N95 respirator is critical when I care for clients in droplet precautions."

The nurse is asking questions about the client's pain experience during the interview. Which questions are important to address when assessing pain? Select all that apply. "What seems to make the pain worse?" "Why do you have the pain?" "How long does the pain last?" "Where is the pain located and does it move anywhere else?" "Have you taken acetaminophen for the pain?" Intensity

"What seems to make the pain worse?" "How long does the pain last?" "Where is the pain located and does it move anywhere else?" Intensity

A 17-year-old client is brought into the emergency department following a sporting accident. The client's eyes open upon hearing the nurse's voice, but the client does not answer appropriately upon questioning. When assessing the motor response of the client, the client withdraws from painful stimuli. Select the appropriate score for eye opening on the Glasgow Coma Scale for this client. 1 4 3 2

3

A 17-year-old client is brought into the emergency department following a sporting accident. The client's eyes open upon hearing the nurse's voice, but the client does not answer appropriately upon questioning. When assessing the motor response of the client, the client withdraws from painful stimuli. Select the appropriate score for verbal response on the Glasgow Coma Scale for this client. 4 5 3 2

3

A 17-year-old client is brought into the emergency department following a sporting accident. The client's eyes open upon hearing the nurse's voice, but the client does not answer appropriately upon questioning. When assessing the motor response of the client, the client withdraws from painful stimuli. Select the appropriate score for motor response on the Glasgow Coma Scale for this client.

4

Based on its jurisdiction, which actions may a state licensing board of nursing take? Select all that apply. Allow graduates of approved schools of nursing to take the NCLEX Authorize nurses to practice nursing in any state License nurses during the lifetime of the holder Deny licensing due to criminal actions Protect nurses from being suspended for professional misconduct Issue special licenses to nurses practicing in long-term care facilities as a priority

Allow graduates of approved schools of nursing to take the NCLEX License nurses during the lifetime of the holder Deny licensing due to criminal actions

A client rings the call bell to request pain medication. On performing the pain assessment, the nurse informs the client that the nurse will return with the pain medication. After a few moments, the nurse returns with the pain medication. The nurse's returning with the pain medication is an example of which principle of bioethics? Fidelity Autonomy Nonmaleficence Justice

Fidelity

A nurse is administering a client's prescribed insulin subcutaneously. To reduce the risk of a needlestick injury after administration, which action should the nurse perform? Securely place the uncapped needle on a tray and carry it to the medicine room for safe disposal Immediately deposit the uncapped needle into a puncture-proof plastic container. Carefully recap the needle using only one hand and deposit it in a plastic container. Slide the needle into the cap and deposit it in a puncture-proof plastic container.

Immediately deposit the uncapped needle into a puncture-proof plastic container.

The nurse is preparing to assess a client's abdomen. Arrange the steps of the assessment in the correct order. Auscultation Inspection Palpation Percussion

Inspection Auscultation Percussion Palpation

An older adult client is admitted into the hospital due to pneumonia. Which transmission-based precautions should the nurse initiate? Standard Airborne Droplet Contact

Standard

A client is admitted with Clostridioides difficile with frequent loose stool and fever. Which action should the nurse implement for this client? Select all that apply. Initiate the first dose of antiviral medication quickly. Start contact precaution protocol and place a sign by the door. Instruct the unlicensed assistive personnel (UAP) to strictly use hand sanitizer when entering the room. Request for stool softener to prevent constipation. Allocate a vital signs machine for the client's room.

Start contact precaution protocol and place a sign by the door. Allocate a vital signs machine for the client's room.

What is the best example(s) of the role of the nurse as a communicator? Select all that apply. Telling a client one's blood pressure Calling a health care provider about a client's blood pressure Informing the physical therapist that the client's therapy was discontinued Telling a friend about something that happened to a client that day Discussing laboratory values with a client

Telling a client one's blood pressure Discussing laboratory values with a client

The principle of autonomy by a client is applied in which situation? The family of a client is discussing care with the health care provider. An order for an antibiotic is being written in the chart. The client has decided to stop chemotherapy treatments. A hospice consult is ordered by the nurse.

The client has decided to stop chemotherapy treatments.

A health care facility determined that a nurse employed on a medical unit was documenting care that was not being given, and subsequently reported the action to the State Board of Nursing. How might this affect the nurse's license to practice nursing? It will have no effect on the nurse's ability to practice nursing. The nurse can practice nursing at a lower-skilled level. The nurse's license may be revoked or suspended. The nurse's license will permanently carry a felony conviction.

The nurse's license may be revoked or suspended.

A health care provider tells the nurse that nursing is a discipline, but not a profession. Which criteria should the nurse utilize to demonstrate that nursing is increasingly recognized as a profession? Select all that apply. Well-defined body of knowledge Code of ethics Ongoing research Regulation by the medical profession Sets standards

Well-defined body of knowledge Code of ethics Ongoing research Sets standards

Surgical asepsis is defined as: absence of all virulent microorganisms. absence of all microorganisms. slowed growth of microorganisms. use of hand washing, gowning, and gloving.

absence of all microorganisms.

While at lunch, a nurse sitting alone heard other nurses at a nearby table talking about a client they did not like. When the group asked the solo nurse for their thought, the solo nurse politely refused to join in the conversation. What value was the solo nurse demonstrating? the importance of food in meeting a basic human need basic respect for human dignity that gossip with the group of peers has a role in society a low value on collegiality and friendship

basic respect for human dignity

A nurse is auscultating the lungs of a client. During the auscultation, the nurse hears high-pitched, harsh, blowing sounds over the larynx and trachea. The nurse identifies these sounds as which type? bronchial breath sounds bronchovesicular breath sounds vesicular breath sounds adventitious breath sounds

bronchial breath sounds

The nurse is caring for a client with tuberculosis. The prior shift's nurse has placed the client in droplet precautions. Which is the appropriate nursing action? change to contact precautions change to airborne precautions change to standard precautions continue with droplet precautions

change to airborne precautions

A nurse shows client advocacy by: insisting that a medication be taken. offering a hospice consultation to a client who is terminally ill. sending a client home with verbal discharge instructions. refusing to allow a spouse to stay by the bedside.

offering a hospice consultation to a client who is terminally ill.

The nurse is preparing a client in airborne precautions for severe acute respiratory syndrome (SARS) to be transported to radiology. Which intervention will the nurse select to transport the client? Select all that apply. place a mask on the client refuse to transport the client cover the client with a sheet during transport communicate about precautions with the health care team prepare the transport stretcher with a clean sheet

place a mask on the client cover the client with a sheet during transport communicate about precautions with the health care team prepare the transport stretcher with a clean sheet

When the client who has been diagnosed with hepatitis B has been hospitalized, the type of isolation the nursing staff should observe is: droplet precautions. standard precautions. contact precautions. airborne precautions.

standard precautions.