EAQ PRACTICE TEST EXAM 1

Which nursing action during a Focus urinary assessment with the nurse used to collect subjective client data (select all) Inquire about painful urination Ask the client about changes and characteristics of urination Assess the levels of blood urea nitrogen and creatinine Palpate the abdomen for bladder distention or masses Inspect the urinary meet us for inflammation or discharge

Inquire about painful urination Ask the client about changes and characteristics of urination

An older client with shortness of breath is admitted to the hospital. The medical history reveals And a diagnosis of pneumonia three days ago. Which vital sign assessment would be seen as a sign that the client needs immediate medical attention? Oxygen saturation 89% Body temperature 101°F Blood pressure 130/80 MM Hg Respiratory rate 26 bpm

Oxygen saturation 89%

After assessing the vital signs the medical history of a client admitted to the hospital experiencing chills and fever, the nurse concludes the fever pattern is remittent. Which assessment finding led to this conclusion

The clients fever spikes and falls without a return to normal temperature levels

When delegating a task the delegator says "please tell me how you are going to perform this procedure, and I will share my expectations regarding how you need to communicate with each other" which explanation can be inferred about the delegatee

The delegatee has willingness and ability but the relationship is new

Which action would the nurse take after identifying that a clients urinary output is less than 40 mL/h over the past 3 hours

Assess breath sounds and obtain vital signs

Which action is important to include when teaching a client prescribed tolterodine for an overactive bladder

Avoid activities requiring alertness until the response to medication is known

Which communication method with the nurse leader anticipate using one speaking to a group of clients about personal hygiene ( select all)

Being sensitive to nonverbal communication Providing the opportunity for dialogue and feedback Presenting information that addresses the listeners self interest

Which client with the nurse care for first based on vital signs Client (A): respiration 16 breaths per minute blood pressure 128/62 MM Hg Client (B): respirations 28 breaths per minute SPO2 70% Client (C): respirations 14 breaths per minute blood pressure 140/86 MMHG Client (D): respirations 20 breaths per minute SPO2 90%

Client B

Which of the nurses statements are true regarding delegation? (Select all) Delegation is a complex process Delegation involves a single individual to achieve goals Delegation involves transfer of responsibility and accountability Delegation improves client care outcomes when used effectively Delegation includes delegatee who allocate a portion of work to others

Delegation is a complex process Delegation improves client care outcomes when used effectively

Which action would the nurse Take first one of client reports pain after abdominal surgery

Determine the characteristics of pain

A client is scheduled for a kidney ultrasound. Which instructions would be given by the nurse(select all) •Drink plenty of fluids •Eat foods rich in fiber •Do not urinate before the examination • Lie flat and perfectly still during the test • A urinary catheter may be needed temporarily for the test

Drink plenty of fluids Do not urinate before the examination Lie flat and perfectly still during the test

The registered nurse is communicating with the Health Care team regarding the delegation of task which factors can determine the quality of communication between the RN and the healthcare team (select all) Accuracy Effectiveness Responsiveness Meaningfulness Understandability

Effectiveness Meaningfulness Understandability

Which psychophysiological factors and influence communication between the nurse and the client (Select all) Privacy level Emotional status Information exchange Level of caring expressed Growth and development

Emotional status Growth and development

Which strategy would improve safety when the nurse manager institute strategies to decrease the omission of important information during communication between staff nurses in healthcare providers

Employ SBAR (situation, background, assessment, and recommendation) Communication

Which clinical manifestation with the nurse identify as an indicator suggesting a client has urinary retention and overflow after sustaining a cerebrovascular accident (CVA, also known as a "brain attack") (select all) Edema Polyuria Frequent voiding Suprapubic distention Continual incontinence

Frequent voiding Suprapubic distention

Which scenario is an internal disaster that might delay a specialist from providing on time treatment to a client

Lack of communication because of a damaged telephone system in the Hospital

Which statements are true regarding delegation (select all) The delegatees are accountable for effective client care Open lines of communication must occur between delegator and delegatee Delegation occurs only when at least two people are involved in a mutual work situation The Delegation potential's are significantly lower when caregivers such as unlicensed assistive personnel are partnered Delegation involves sharing activities with other health team members who have the authority to accomplish the work

Open lines of communication must occur between delegator and delegatee Delegation occurs only when at least two people are involved in a mutual work situation Delegation involves sharing activities with other health team members who have the authority to accomplish the work

Which client assessment findings with the nurse document as subjective data

Pain rating of 5

Which action by the nurse manager take to reduce moral distress among the nursing staff (select all) Limiting the affected nurses interactions with clients temporarily Providing additional staff whenever needed Providing additional counselors for solving clients family issues Facilitating education for better communication among all levels of healthcare practitioners Providing short breaks from work to nurses who show signs of moral distress

Providing additional staff whenever needed Providing additional counselors for solving clients family issues Facilitating education for better communication among all levels of healthcare practitioners

Which intervention with the nurse implement when providing care for an older adult male client who is immobile and incontinent of urine

Regularly offer the client a urinal

The nurse listens to and validates the feelings expressed by a confused older adult which element with the nurse convey in the situation (select all)

Respecting Reassuring Understanding

Diagnosed with chronic obstructive pulmonary disease(COPD), A 50 year-old client's clinical data after treatment is: heart rate of 100 bpm, blood pressure of 138/82 MM Hg, respiratory rate of 32 breaths per minute, tympanic temperature 98.2°F ( 36.8°C), And an oxygen saturation of 80%. Which vital sign obtained by the nurse indicates a positive outcome(select all) Radial pulse 70 bpm Temperature 98.6°F Respiratory rate 14 breaths per minute Blood pressure 110/70 MM Hg Oxygen saturation 92%

Respiratory rate 14 breaths per minute Blood pressure 110/70 MM Hg Oxygen saturation 92%

Which statement reflects understanding of sepsis screening requirements by the nurse

Sepsis morality is affected greatly by treatments performed in the first 6 hours

After the nurse receives a report from the unlicensed assistive personnel who completed routine vital signs which client condition or situation with the nurse address first

Slurred speech

Which condition with the nurse suspect the client reports passing urine involuntarily while coughing

Stress incontinence

Which intervention with the nurse perform first for a client reporting a productive cough with copious yellow sputum, fever, and chills for the past 2 days

Take the temperature

A client with dementia is admitted with a fractured hip after a fall at home four hours after admission the clients blood pressure increases to a moderately severe hypertensive level in the client pulls on the bed close continuously which inference with the nurse make at the basis for an intervention

The client may have pain and being able to verbalize it

Which approach is a comforting approach that communicates concern and support

Touch

Which problem is the nurse trying to prevent by encouraging a client with a spinal cord injury to increase oral fluid intake

Urinary tract infections

Which manifestation with the nurse assessed for a client with the blood pressure of 190/94 Who reports minimal urinary output despite adequate fluid intake

Weight gain