RNSG 1341 - Exam 3 - NCLEX Questions
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The student nurse is teaching a family member the importance of foot care for
their mother, who has diabetes. Which safety precautions are important for the
family member to know to prevent infection? (Select all that apply.) - correct
answer ✔✔Assess skin for redness, abrasions, and open areas daily. Apply lotion
to feet daily. & Clean between toes after bathing.
A nurse uses long firm, strokes distal to proximal while bathing a patient's legs
because: It promotes venous circulation. - correct answer ✔✔.
A nurse is assigned to care for the following patients. Which of the patients is
most at risk for developing skin problems and thus requiring thorough bathing and
skin care? - correct answer ✔✔A 70-year-old patient who has diabetes and
dementia and has been incontinent of stool
While planning morning care, which of the following patients would have the
highest priority to receive their bath first? - correct answer ✔✔A patient who is
experiencing frequent incontinent diarrheal stools and urine
The nurse delegates needed hygiene care for an elderly stroke patient. Which
intervention would be appropriate for the nursing assistive personnel to
accomplish during the bath? - correct answer ✔✔Providing range-of-motion
(ROM) exercises to extremities
,The nurse observes an adult Middle Eastern patient attempting to bathe himself
with only his left hand. The nurse recognizes that this behavior likely relates to:
The patient's cultural norm. - correct answer ✔✔.
When a nurse delegates hygiene care for a male patient to a P.C.T., the P.C.T. must
use an electric razor to shave the patient with the following diagnosis:
Thrombocytopenia - correct answer ✔✔.
A patient receiving chemotherapy experiences stomatitis. The nurse advises the
patient to use: Normal saline rinses. - correct answer ✔✔.
The nurse prepares to conduct a general survey on an adult patient. Which
assessment is performed first while the nurse initiates the nurse-patient
relationship? - correct answer ✔✔Appearance and behavior
The nurse is performing an abdominal assessment on a patient. In what order
does the nurse perform the steps? - correct answer ✔✔Inspection. Auscultation.
Palpation. & Percussion
While auscultating the adult patient's lungs, the nurse hears loud, bubbly sounds
during inspiration that did not disappear after the patient coughed. Which finding
should the nurse document from the lung assessment? - correct answer
✔✔Coarse crackles
During assessment of the skin, the nurse assesses a lesion on the arm of the
patient. The lesion is irregularly shaped, elevated with edema, and about 3 cm.
What type of lesion does the patient have? - correct answer ✔✔Wheal
,The nurse is assessing a patient who returned 1 hour ago from surgery for an
abdominal hysterectomy. Which assessment finding would require immediate
follow-up? - correct answer ✔✔Respiratory rate of 8 breaths per minute
Which statement made by the patient indicates an understanding about teaching
related to early detection of colorectal cancer? - correct answer ✔✔"I'll make sure
to have a fecal occult blood test annually once I turn 50."
The nurse is teaching a patient to prevent heart disease. Which information
should the nurse include? (Select all that apply.) - correct answer ✔✔Talk with
your healthcare provider about taking a daily low dose of aspirin. Work with your
healthcare provider to develop a regular exercise program. Limit daily intake of
fats to less than 25% to 35% of total calories. & Review strategies to encourage
the patient to quit smoking.
How should the patient be positioned to best palpate for lumps or tumors during
an examination of the right breast? - correct answer ✔✔Supine with the right arm
abducted and hand under the head and neck
The nurse is teaching a patient how to perform a testicular self-examination.
Which statement made by the patient indicates a need for further teaching? -
correct answer ✔✔"I'll recognize abnormal lumps because they are very painful."
The nurse is observing the student nurse perform a respiratory assessment on a
patient. Which action by the student nurse requires the nurse to intervene? -
correct answer ✔✔The student places the bell of the stethoscope on the anterior
chest wall to auscultate breath sounds.
, A patient has undergone surgery for a femoral artery bypass. The surgeon's orders
include assessment of dorsalis pedis pulses. The nurse will use which of the
following techniques to assess the pulses? (Select all that apply.) - correct answer
✔✔Have the patient relax the foot while lying supine. & Palpate along the top of
the foot in a line with the groove between extensor tendons of great and first
toes.
The faith community nurse is teaching the community center women's group
about breast cancer risk factors. Which factors does the nurse include? (Select all
that apply.) - correct answer ✔✔Family history with BRCA1 inherited gene
mutation. Age over 40 years. Onset of menses before the age of 12. & Recent use
of oral contraceptives
You are preparing a presentation for your classmates regarding the clinical care
coordination conference for a patient with terminal cancer. As part of the
preparation you have your classmates read the Nursing Code of Ethics for
Professional Registered Nurses. - correct answer ✔✔Your instructor asks the class
why this document is important. Which of the following statements best describes
this code?
It Defines the principles of right and wrong to provide patient care - correct
answer ✔✔.
An 18-year-old woman is in the emergency department with fever & cough. The
nurse obtains her vital signs, listens to her lung & heart sounds, determines her
level of comfort, & collects blood & sputum samples for analysis. Which standard
of practice is performed? - correct answer ✔✔Assessment
A patient in the emergency department has developed wheezing & shortness of
breath. The nurse gives the ordered medicated nebulizer treatment now & in 4
with 100% complete solutions passed
The student nurse is teaching a family member the importance of foot care for
their mother, who has diabetes. Which safety precautions are important for the
family member to know to prevent infection? (Select all that apply.) - correct
answer ✔✔Assess skin for redness, abrasions, and open areas daily. Apply lotion
to feet daily. & Clean between toes after bathing.
A nurse uses long firm, strokes distal to proximal while bathing a patient's legs
because: It promotes venous circulation. - correct answer ✔✔.
A nurse is assigned to care for the following patients. Which of the patients is
most at risk for developing skin problems and thus requiring thorough bathing and
skin care? - correct answer ✔✔A 70-year-old patient who has diabetes and
dementia and has been incontinent of stool
While planning morning care, which of the following patients would have the
highest priority to receive their bath first? - correct answer ✔✔A patient who is
experiencing frequent incontinent diarrheal stools and urine
The nurse delegates needed hygiene care for an elderly stroke patient. Which
intervention would be appropriate for the nursing assistive personnel to
accomplish during the bath? - correct answer ✔✔Providing range-of-motion
(ROM) exercises to extremities
,The nurse observes an adult Middle Eastern patient attempting to bathe himself
with only his left hand. The nurse recognizes that this behavior likely relates to:
The patient's cultural norm. - correct answer ✔✔.
When a nurse delegates hygiene care for a male patient to a P.C.T., the P.C.T. must
use an electric razor to shave the patient with the following diagnosis:
Thrombocytopenia - correct answer ✔✔.
A patient receiving chemotherapy experiences stomatitis. The nurse advises the
patient to use: Normal saline rinses. - correct answer ✔✔.
The nurse prepares to conduct a general survey on an adult patient. Which
assessment is performed first while the nurse initiates the nurse-patient
relationship? - correct answer ✔✔Appearance and behavior
The nurse is performing an abdominal assessment on a patient. In what order
does the nurse perform the steps? - correct answer ✔✔Inspection. Auscultation.
Palpation. & Percussion
While auscultating the adult patient's lungs, the nurse hears loud, bubbly sounds
during inspiration that did not disappear after the patient coughed. Which finding
should the nurse document from the lung assessment? - correct answer
✔✔Coarse crackles
During assessment of the skin, the nurse assesses a lesion on the arm of the
patient. The lesion is irregularly shaped, elevated with edema, and about 3 cm.
What type of lesion does the patient have? - correct answer ✔✔Wheal
,The nurse is assessing a patient who returned 1 hour ago from surgery for an
abdominal hysterectomy. Which assessment finding would require immediate
follow-up? - correct answer ✔✔Respiratory rate of 8 breaths per minute
Which statement made by the patient indicates an understanding about teaching
related to early detection of colorectal cancer? - correct answer ✔✔"I'll make sure
to have a fecal occult blood test annually once I turn 50."
The nurse is teaching a patient to prevent heart disease. Which information
should the nurse include? (Select all that apply.) - correct answer ✔✔Talk with
your healthcare provider about taking a daily low dose of aspirin. Work with your
healthcare provider to develop a regular exercise program. Limit daily intake of
fats to less than 25% to 35% of total calories. & Review strategies to encourage
the patient to quit smoking.
How should the patient be positioned to best palpate for lumps or tumors during
an examination of the right breast? - correct answer ✔✔Supine with the right arm
abducted and hand under the head and neck
The nurse is teaching a patient how to perform a testicular self-examination.
Which statement made by the patient indicates a need for further teaching? -
correct answer ✔✔"I'll recognize abnormal lumps because they are very painful."
The nurse is observing the student nurse perform a respiratory assessment on a
patient. Which action by the student nurse requires the nurse to intervene? -
correct answer ✔✔The student places the bell of the stethoscope on the anterior
chest wall to auscultate breath sounds.
, A patient has undergone surgery for a femoral artery bypass. The surgeon's orders
include assessment of dorsalis pedis pulses. The nurse will use which of the
following techniques to assess the pulses? (Select all that apply.) - correct answer
✔✔Have the patient relax the foot while lying supine. & Palpate along the top of
the foot in a line with the groove between extensor tendons of great and first
toes.
The faith community nurse is teaching the community center women's group
about breast cancer risk factors. Which factors does the nurse include? (Select all
that apply.) - correct answer ✔✔Family history with BRCA1 inherited gene
mutation. Age over 40 years. Onset of menses before the age of 12. & Recent use
of oral contraceptives
You are preparing a presentation for your classmates regarding the clinical care
coordination conference for a patient with terminal cancer. As part of the
preparation you have your classmates read the Nursing Code of Ethics for
Professional Registered Nurses. - correct answer ✔✔Your instructor asks the class
why this document is important. Which of the following statements best describes
this code?
It Defines the principles of right and wrong to provide patient care - correct
answer ✔✔.
An 18-year-old woman is in the emergency department with fever & cough. The
nurse obtains her vital signs, listens to her lung & heart sounds, determines her
level of comfort, & collects blood & sputum samples for analysis. Which standard
of practice is performed? - correct answer ✔✔Assessment
A patient in the emergency department has developed wheezing & shortness of
breath. The nurse gives the ordered medicated nebulizer treatment now & in 4
