Fundamentals Practice quiz questions 2
A nurse is caring for an adult client who communicates an unmet spiritual need. Which of the following client statements should indicate to the nurse that the client is experiencing spiritual distress?
"God is punishing me for something."
A nurse is caring for a client who has a terminal illness. The family wants to care for the client at home. Which of the following statements indicates that the nurse understands family centered care?
"Let's set up a meeting time with the doctor to discuss your options for home care."
A nurse is providing discharge teaching for a client who has type 2 diabetes mellitus and will be caring for herself at home. The client expresses concerns about preparing an appropriate diet for her diabetes due to her cultural beliefs and preferences. Which of the following responses should the nurse offer?
"The dietitian will help you choose foods you are used to that also meet your health needs"
A nurse is performing a spiritual assessment of a client. which of the following questions should the nurse ask?
"What's your source of S strength and hope?"
A nurse is pertorming an admission assessment for a client. Which of the following responses by the nurse reflects the communication technique of claritying:
"it sounds like your pain is intermittent"
A nurse is caring for a client who is receiving mechanical ventilation via a tracheotomy tube and has a gastrostomy tube for enteral feedings. Which pieces of information are critical to communicate to the next nurse who will be caring for this client? -Room temp. -New prescriptionsC. Number of visitors -ABG results -Tracheal secretion
-New prescriptionsD. -ABG results -Tracheal secretion characteristics
A nurse is planning care for a group of clients receiving oxygen therapy. Which of the following clients should the nurse plan to see first?
A client who has heart failure and is receiving 100% oxygen via partial rebreather mask
A nurse in an emergency department is caring tor a client who reports developing severe right eye pain with a gritty sensation while sawing wood.Which of the following actions should the nurse take first?
Ask the client about first aid performed at the scene
A nurse is performing an admission assessment for a client who has asthma and reports several food allergies. Which of the following actions should the nurse take first?
Ask the client to identify the specific food allergies
A nurse in a provider's clinic is taking a client's age, height, weight, and vital signs. The nurse should identify this action as part of which of the following components of the nursing process?
Assessment
A nurse on a medical-surgical unit is admitting a client. Which of the following information should the nurse document in the client's record first?
Assessment
A nurse is caring for a client who has a stage Ill pressure ulcer on the heel. When preparing to irrigate the wound, which of the following actions should the nurse take first?
Check the clients pain level
A nurse is caring for a client who was transferred to the surgical unit by stretcher From the PAC. Which of the following actions should the nurse perform immediately following the transfer?
Check the clients vital signs
A nurse is planning care for a young adult client who has a terminal illness. Which of the following consider for this client?
Death is viewed as an interruption of what might have been
A nurse is teaching a middle-aged adult client about health promoting and disease prevention. The nurse should inform the client that which of the following changes could occur?
Decreased estrogen and testosterone product.
A nurse is assisting a client who is eating at mealtime. The client grabs her neck with both hands and appears frightened. Which of the following actions should the nurse take first?
Determine whether the client is able to breathe
A nurse is admitting a client who is experiencing an exacerbation of heart failure. At which of the following times should the nurse initiates discharge planning?
During the admission process
A nurse is caring for a client who has a terminal illness. The client asks several questions about the nurse's religious beliefs related to death and dying. which of the following actions should the nurse take?
Encourage the client to express thoughts about death and dying
A nurse is admitting a client who will undergo a craniotomy. During the planning phase of the nursing process, which of the following actions should the nurse take?
Establish client outcomes
A nurse is discussing fire safety with newly hired nurses. The nurse should identify which of the following actions as the priority if a fire occurs in the health care facility?
Evacuate clients from the unit.
A nurse is teaching a client how to self-administer insulin. Which of the following actions should the nurse take to evaluate the client's understanding of the process within the psychomotor domain of learning.A. Ask the client if he want to self-administer his insulin.
Have the client demonstrates the procedure.
A client who reports shortness of breath requests her nurse's help in changing positions. After repositioning the client, which of the following actions should the nurse take next?
Observe the rate, depth, and character of the client's respirations.
A nurse on a medical-surgical unit is caring for a client. Which of the following actions should the nurse take first when using the nursing process?
Obtain client information
A hospice nurse is reviewing religious practices of a group of clients with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding otfthe teaching?
People who practice Judaism stay with the body of the deceased until burial.
A nurse is caring tor a client who has major fecal incontinence and reports irritation in the perianal area. Which of the following actions should the nurse take first?
check the client's perineum
A home health nurse is planning to provide health promotion activities for a group of clients in the community. Which of the following activities oF primary prevention?
Educating clients about the recommended immunization schedule for adults
A nurses caring tor a postoperative client who has an indwelling urinary catheter nor gravity drainage. The nurse notes no urine output in the past 2 hr. Which of the following actions should the nurse take first?
Check to determine if the catheter tubing is kinked
A nurse is reviewing adult cardiopulmonary resuscitation (CPR) with a newly licensed nurse. Which of the following steps should the nurse identify as the first response when performing CPR?
Confirm unresponsiveness.
A nurse on a rehabilitation unit is preparing to transfer a client who is unable to walk from a bed to a wheelchair. Which of the following techniques should the nurse use?
Place the wheelchair at a 45 degree angle to the bed.
A nurse is teaching a group of unit nurses about the experiences of clients who are having surgery. In which phase of care is the client transferred to the surgical suite table before being transferred to the PACU?
Intraoperative
A nurse in a rehabilitation facility is observing an assistive personnel (AP) help a client transfer from a bed to a wheelchair. Which of the following actions indicates to the nurse that the AP understands how to perform this task?
Locking the brakes on the bed and the wheelchair before moving the client
A community health nurse is preparing a campaign about seasonal influenza. Which of the following plans should the nurse include as as secondary prevention?
Screening groups of older adults in nursing care facilities for early influenza manifestations.
A nurse is caring for a client who was admitted to a long term care facility for rehab after a hip replacement. At which of the following times should a nurse begin discharge planning?
Upon the client's admission to the care facility
A nurse is conducting an admission interview with a client. Which of the following pieces of assessment information should the nurse collect during the introductory phase of the interview?
Clients level of comfort and ability to participate in the interview
A nurse is teaching a client about lifestyle changes to manage a chronic illness. Which of the following strategies should the nurse use first to help the client make a commitment to these lifestyle changes?
Help the client identify ways that these changes will result in positive personal outcomes
nurse is developing a plan of care for a client. Which of the following pieces of information should the nurse consider when planning care that is culturally congruent?
The meaning of disease can vary widely across cultures.
