NSG 300 Final Exam with !| !| !| !| !|
verified detailed solutions !| !|
A patient discharged a week ago following a stroke is currently
!| !| !| !| !| !| !| !| !| !| !|
participating in rehabilitation sessions provided by nurses, !| !| !| !| !| !| !|
physical therapists, and registered dietitians in an outpatient
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setting. In what level of prevention is the patient participating?
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a. Primary prevention
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b. Secondary prevention
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c. Tertiary prevention
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d. Transtheoretical prevention - Correct answer ✔Answer: C
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* Tertiary prevention minimizes the effects of disease or
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disability through restoration and rehabilitation
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A nurse is conducting a home visit with a new mom and her
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three children. While in the home the nurse weighs each family
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member and reviews their 3-day food diary. She checks the
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mom's blood pressure and encourages the mom to take the
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children for a 15- to 30-minute walk every day. The nurse is
!| !| !| !| !| !| !| !| !| !| !| !|
addressing which level of need, according to Maslow? !| !| !| !| !| !| !|
a. Physiological
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b. Safety and security
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c. Love and belonging
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,d. Self-actualization - Correct answer ✔Answer: a
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* Physiological needs include air, food, drink, shelter, warthm,
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sex, sleep !|
The licensed practical nurse (LPN) provides you with the change-
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of-shift vital signs on four of your patients. Which patient does
!| !| !| !| !| !| !| !| !| !| !|
the nurse need to assess first?
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a. 84-year-old man recently admitted with pneumonia, RR 28,
!| !| !| !| !| !| !| !| !|
SpO2 89% !|
b. 54-year-old woman admitted after surgery for repair of a
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fractured arm, BP 160/86 mm Hg, HR 72 !| !| !| !| !| !| !|
c. 63-year-old man with venous ulcers from diabetes,
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temperature 37.3° C (99.1° F), HR 84 !| !| !| !| !| !|
d. 77-year-old woman with left mastectomy 2 days ago, RR 22,
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BP 148/62 - Correct answer ✔Answer: a
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* Respirations above normal (12-20 bpm)
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* SpO2 percentage is below normal (>/= 95%)
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Which type of personal protective equipment should the nurse
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wear when caring for a patient who is placed on Airborne
!| !| !| !| !| !| !| !| !| !| !|
Precautions for confirmed chickenpox/herpes zoster? (Select all !| !| !| !| !| !| !|
that apply) !|
a. Disposable gown
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b. N95 respirator mask
!| !| !|
c. Face shield or goggles
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, d. Disposable mask
!| !|
e. Gloves - Correct answer ✔Answer: a, b, & e
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* Airborne - measles, chickenpox, disse inated varicella zoster
!| !| !| !| !| !| !| !| !|
(shingles), pulmonary TB !| !|
* Droplet - rubella, mumps, strep throat, meningitis
!| !| !| !| !| !| !| !|
* Contact - MRSA, c. diff, herpes simplex, scabies,
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A patient is diagnosed with meningitis. Which type of isolation
!| !| !| !| !| !| !| !| !| !|
precaution is most appropriate for this patient?
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a. Reverse isolation
!| !|
b. Droplet Precautions
!| !|
c. Standard Precautions
!| !|
d. Contact Precautions - Correct answer ✔Answer: b
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Before transferring a patient from the bed to a stretcher, which
!| !| !| !| !| !| !| !| !| !| !|
assessment data does the nurse need to gather? (Select all that
!| !| !| !| !| !| !| !| !| !| !|
apply)
a. Patient's weight
!| !|
b. Patient's activity tolerance
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c. Patient's level of mobility
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d. Recent laboratory values
!| !| !|
e. Nutritional intake - Correct answer ✔Answer: a, b, & c
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verified detailed solutions !| !|
A patient discharged a week ago following a stroke is currently
!| !| !| !| !| !| !| !| !| !| !|
participating in rehabilitation sessions provided by nurses, !| !| !| !| !| !| !|
physical therapists, and registered dietitians in an outpatient
!| !| !| !| !| !| !| !|
setting. In what level of prevention is the patient participating?
!| !| !| !| !| !| !| !| !|
a. Primary prevention
!| !|
b. Secondary prevention
!| !|
c. Tertiary prevention
!| !|
d. Transtheoretical prevention - Correct answer ✔Answer: C
!| !| !| !| !| !| !| !|
* Tertiary prevention minimizes the effects of disease or
!| !| !| !| !| !| !| !| !|
disability through restoration and rehabilitation
!| !| !| !|
A nurse is conducting a home visit with a new mom and her
!| !| !| !| !| !| !| !| !| !| !| !| !|
three children. While in the home the nurse weighs each family
!| !| !| !| !| !| !| !| !| !| !|
member and reviews their 3-day food diary. She checks the
!| !| !| !| !| !| !| !| !| !|
mom's blood pressure and encourages the mom to take the
!| !| !| !| !| !| !| !| !| !|
children for a 15- to 30-minute walk every day. The nurse is
!| !| !| !| !| !| !| !| !| !| !| !|
addressing which level of need, according to Maslow? !| !| !| !| !| !| !|
a. Physiological
!|
b. Safety and security
!| !| !|
c. Love and belonging
!| !| !|
,d. Self-actualization - Correct answer ✔Answer: a
!| !| !| !| !| !|
* Physiological needs include air, food, drink, shelter, warthm,
!| !| !| !| !| !| !| !| !|
sex, sleep !|
The licensed practical nurse (LPN) provides you with the change-
!| !| !| !| !| !| !| !| !|
of-shift vital signs on four of your patients. Which patient does
!| !| !| !| !| !| !| !| !| !| !|
the nurse need to assess first?
!| !| !| !| !|
a. 84-year-old man recently admitted with pneumonia, RR 28,
!| !| !| !| !| !| !| !| !|
SpO2 89% !|
b. 54-year-old woman admitted after surgery for repair of a
!| !| !| !| !| !| !| !| !| !|
fractured arm, BP 160/86 mm Hg, HR 72 !| !| !| !| !| !| !|
c. 63-year-old man with venous ulcers from diabetes,
!| !| !| !| !| !| !| !|
temperature 37.3° C (99.1° F), HR 84 !| !| !| !| !| !|
d. 77-year-old woman with left mastectomy 2 days ago, RR 22,
!| !| !| !| !| !| !| !| !| !| !|
BP 148/62 - Correct answer ✔Answer: a
!| !| !| !| !| !|
* Respirations above normal (12-20 bpm)
!| !| !| !| !| !|
* SpO2 percentage is below normal (>/= 95%)
!| !| !| !| !| !| !|
Which type of personal protective equipment should the nurse
!| !| !| !| !| !| !| !| !|
wear when caring for a patient who is placed on Airborne
!| !| !| !| !| !| !| !| !| !| !|
Precautions for confirmed chickenpox/herpes zoster? (Select all !| !| !| !| !| !| !|
that apply) !|
a. Disposable gown
!| !|
b. N95 respirator mask
!| !| !|
c. Face shield or goggles
!| !| !| !|
, d. Disposable mask
!| !|
e. Gloves - Correct answer ✔Answer: a, b, & e
!| !| !| !| !| !| !| !| !|
* Airborne - measles, chickenpox, disse inated varicella zoster
!| !| !| !| !| !| !| !| !|
(shingles), pulmonary TB !| !|
* Droplet - rubella, mumps, strep throat, meningitis
!| !| !| !| !| !| !| !|
* Contact - MRSA, c. diff, herpes simplex, scabies,
!| !| !| !| !| !| !| !|
A patient is diagnosed with meningitis. Which type of isolation
!| !| !| !| !| !| !| !| !| !|
precaution is most appropriate for this patient?
!| !| !| !| !| !|
a. Reverse isolation
!| !|
b. Droplet Precautions
!| !|
c. Standard Precautions
!| !|
d. Contact Precautions - Correct answer ✔Answer: b
!| !| !| !| !| !| !|
Before transferring a patient from the bed to a stretcher, which
!| !| !| !| !| !| !| !| !| !| !|
assessment data does the nurse need to gather? (Select all that
!| !| !| !| !| !| !| !| !| !| !|
apply)
a. Patient's weight
!| !|
b. Patient's activity tolerance
!| !| !|
c. Patient's level of mobility
!| !| !| !|
d. Recent laboratory values
!| !| !|
e. Nutritional intake - Correct answer ✔Answer: a, b, & c
!| !| !| !| !| !| !| !| !| !|
