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LATEST FINAL EXAM [NEW
VERSION]
A nurse is providing discharge instructions to a Chinese client regarding prescribed
dietary modifications. During the teaching session the client continually turns away
from the nurse. Which of the following nursing actions is most appropriate?
1.
Continue with the instructions, verifying client understanding.
2.
Identify the importance of the instructions for the maintenance of health care.
3.
Walk around the client so that the nurse continually faces the client.
4.
Give the client a dietary booklet and return later to continue with the instructions. -
ANSWER- 1
A nurse is assisting in preparing a plan of care for a client who is a Jehovah's
Witness. The client has been told that surgery is necessary. Considering the client's
,religious preferences, the nurse documents that:
1.
Surgery is prohibited in this religious group.
2.
The administration of blood and blood products is forbidden.
3.
Medication administration is not allowed.
4.
Faith healing is primarily practiced. - ANSWER- 2
A nurse is preparing to deliver a food tray to a client whose religion is Judaism.
The nurse checks the food on the tray and notes that the client has received a roast
beef dinner with whole milk as a beverage. Which of the following actions will the
nurse take?
1.
Deliver the food tray to the client.
2.
Call the dietary department and ask for a new meal tray.
3.
Replace the whole milk with fat-free milk.
4.
Ask the dietary department to replace the roast beef with pork. - ANSWER- 2
A nurse educator is describing the yin and yang theory of the ancient Chinese
philosophy of Tao to a group of nursing students. The nurse explains that foods are
classified as hot and cold in this theory and are transformed into yin and yang
energy when metabolized by the body. The nursing student understands this theory
when the student verbalizes that a client who practices this belief:
1.
Consumes cold foods when a "hot" illness is present
2.
Consumes hot foods when a "hot" illness is present
3.
Believes that yin foods are hot foods
4.
Believes that yang foods are cold foods - ANSWER- 1
A nurse is planning to instruct the Hispanic-American client about nutrition and
dietary restrictions. When developing the plan for the instructions, the nurse is
aware that this ethnic group:
1.
Enjoys foods that lack color, flavor, and texture
2.
,Primarily eats raw fish
3.
Enjoys eating red meat
4.
Views food as a primary form of socialization - ANSWER- 4
A nurse is caring for a client with severe cardiac disease. While the nurse is caring
for the client, the client states, "If anything should happen to me, please make sure
that the doctors do not try to push on my chest and revive me." The appropriate
nursing action is to:
1.
Tell the client that this procedure cannot legally be refused by a client if the
physician feels that it is necessary to save the client's life.
2.
Tell the client that it is necessary to notify the physician of the client's request.
3.
Tell the client that the family must agree with the request.
4.
Plan a client conference with the nursing staff to share the client's request. -
ANSWER- 2
An adult client is brought to the emergency department by the emergency medical
services team after being hit by a car. The name of the client is not known. The
client has sustained a severe head injury and multiple fractures and is unconscious.
An emergency craniotomy is required. In regard to informed consent for the
surgical procedure, which of the following is the best initial action?
1.
Call the police to identify the client and locate the family.
2.
Obtain a court order for the surgical procedure.
3.
, Ask the emergency medical services team to sign the informed consent.
4.
Transport the victim to the operating room for surgery. - ANSWER- 4
A client brought to the emergency department is dead on arrival (DOA). The
family of the client tells the physician that the client had terminal cancer. The
emergency department physician examines the client and asks the nurse to contact
the medical examiner regarding an autopsy. The family of the client tells the nurse
that they do not want an autopsy performed. Which response to the family is
appropriate?
1.
"It is required by federal law. Why don't we talk about it, and why don't you tell
me how you feel?"
2.
"The decision is made by the medical examiner."
3.
"I will contact the medical examiner regarding your request."
4.
"An autopsy is mandatory for any client who is DOA." - ANSWER- 3
A nurse witnesses an accident on a highway and stops to provide assistance to the
victim. The nurse notes that the client sustained a head injury and a compound
fracture to the left leg. The nurse provides the appropriate care prior to transport of
the victim to the hospital by ambulance. The client develops a severe bone
infection at the site of the fracture that requires amputation of the leg and files suit
against the nurse who provided care at the scene of the accident. Which of the
following is accurate regarding the nurse's immunity from this suit?
1.
A Good Samaritan law will protect the nurse.
2.
A Good Samaritan law will not protect the nurse.
3.
A Good Samaritan law will provide immunity from suit even if the nurse accepted
compensation for the care provided.
4.
A Good Samaritan law protects laypersons and not professional health care
providers. - ANSWER- 1
A licensed practical nurse (LPN) has been assigned to assist a community nurse,
who is the leader of a task force, to identify interventions for teenagers from a local