Nursing Fundamentals - Exam 1 Remediation Assignment

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?

"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

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 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

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 each corresponding component on the Glasgow Coma Scale for this client. Eye opening: 1-4 Verbal response: 2-5 Motor response: 3-6

Eye opening: 3 Verbal response: 3 Motor response: 4

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

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?

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.

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 Precautions

When the client who has been diagnosed with hepatitis B has been hospitalized, the type of isolation the nursing staff should observe is:

Standard Precautions

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 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?

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 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?

basic respect for human dignity

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 airborne precautions

A nurse shows client advocacy by:

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