NURS 2310 exam 3 Questions With Complete Solutions
"I know it seems strange, but I feel guilty being pregnant after
the death of my son last year," said a woman during her routine
obstetrical examination. The nurse spends extra time with this
woman, helping her to better bond with her unborn child. This
demonstrates which nursing technique?
a.
Facilitating mourning
b.
Providing curative therapy
c.
Promoting spirituality
d.
Eradicating grief Correct Answers ANS: A
The nurse facilitates mourning in family members who are still
surviving. By acknowledging the pregnant woman's emotions,
the nurse helps the mother bond with her fetus and recognize the
emotions that still exist for the deceased child. The nurse is not
attempting to help the patient eradicate grief, which would be
unrealistic. Curative therapy and spiritual promotion are not
addressed by the nurse's statement.
A 20-year-old patient who sustained a T2 spinal cord injury 10
days ago angrily tells the nurse "I want to be transferred to a
hospital where the nurses know what they are doing!" Which
action by the nurse is best?
a.
Clarify that abusive language will not be tolerated.
b.
Request that the patient provide input for the plan of care.
,c.
Perform care without responding to the patient's comments.
d.
Reassure the patient about the competence of the nursing staff.
Correct Answers ANS: B
The patient is demonstrating behaviors consistent with the anger
phase of the grief process, and the nurse should allow expression
of anger and seek the patient's input into care. Expression of
anger is appropriate at this stage, and should be accepted by the
nurse. Reassurance about the competency of the staff will not be
helpful in responding to the patient's anger. Ignoring the
patient's comments will increase the patient's anger and sense of
helplessness.
A 22-year-old tennis player has an arthroscopic repair of a
rotator cuff injury performed in same-day surgery. When the
nurse plans postoperative teaching for the patient, which
information will be included?
a.
"You will not be able to serve a tennis ball again."
b.
"You will work with a physical therapist tomorrow."
c.
"The doctor will use the drop-arm test to determine the success
of surgery."
d.
"Leave the shoulder immobilizer on for the first 4 days to
minimize pain." Correct Answers ANS: B
Physical therapy after a rotator cuff repair begins on the first
postoperative day to prevent "frozen shoulder." A shoulder
immobilizer is used immediately after the surgery, but leaving
,the arm immobilized for several days would lead to loss of range
of motion (ROM). The drop-arm test is used to test for rotator
cuff injury, but not after surgery. The patient may be able to
return to pitching after rehabilitation.
A 27-year-old patient is hospitalized with new onset of Guillain-
Barré syndrome. The most essential assessment for the nurse to
carry out is
a.
determining level of consciousness.
b.
checking strength of the extremities.
c.
observing respiratory rate and effort.
d.
monitoring the cardiac rate and rhythm. Correct Answers
ANS: C
The most serious complication of Guillain-Barré syndrome is
respiratory failure, and the nurse should monitor respiratory
function continuously. The other assessments will also be
included in nursing care, but they are not as important as
respiratory assessment.
A 32-year-old patient who has had an open reduction and
internal fixation (ORIF) of left lower leg fractures continues to
complain of severe pain in the leg 15 minutes after receiving the
prescribed IV morphine. Pulses are faintly palpable and the foot
is cool. Which action should the nurse take next?
a.
Notify the health care provider.
b.
, Assess the incision for redness.
c.
Reposition the left leg on pillows.
d.
Check the patient's blood pressure. Correct Answers ANS: A
The patient's clinical manifestations suggest compartment
syndrome and delay in diagnosis and treatment may lead to
severe functional impairment. The data do not suggest problems
with blood pressure or infection. Elevation of the leg will
decrease arterial flow and further reduce perfusion.
A 32-year-old pregnant patient with Bell's palsy refuses to eat
while others are present because of embarrassment about
drooling. The best response by the nurse is to
a.
respect the patient's feelings and arrange for privacy at
mealtimes.
b.
teach the patient to chew food on the unaffected side of the
mouth.
c.
offer the patient liquid nutritional supplements at frequent
intervals.
d.
discuss the patient's concerns with visitors who arrive at
mealtimes. Correct Answers ANS: A
The patient's desire for privacy should be respected to encourage
adequate nutrition and reduce patient embarrassment. Liquid
supplements will reduce the patient's enjoyment of the taste of
food. It would be inappropriate for the nurse to discuss the
patient's embarrassment with visitors unless the patient wishes
"I know it seems strange, but I feel guilty being pregnant after
the death of my son last year," said a woman during her routine
obstetrical examination. The nurse spends extra time with this
woman, helping her to better bond with her unborn child. This
demonstrates which nursing technique?
a.
Facilitating mourning
b.
Providing curative therapy
c.
Promoting spirituality
d.
Eradicating grief Correct Answers ANS: A
The nurse facilitates mourning in family members who are still
surviving. By acknowledging the pregnant woman's emotions,
the nurse helps the mother bond with her fetus and recognize the
emotions that still exist for the deceased child. The nurse is not
attempting to help the patient eradicate grief, which would be
unrealistic. Curative therapy and spiritual promotion are not
addressed by the nurse's statement.
A 20-year-old patient who sustained a T2 spinal cord injury 10
days ago angrily tells the nurse "I want to be transferred to a
hospital where the nurses know what they are doing!" Which
action by the nurse is best?
a.
Clarify that abusive language will not be tolerated.
b.
Request that the patient provide input for the plan of care.
,c.
Perform care without responding to the patient's comments.
d.
Reassure the patient about the competence of the nursing staff.
Correct Answers ANS: B
The patient is demonstrating behaviors consistent with the anger
phase of the grief process, and the nurse should allow expression
of anger and seek the patient's input into care. Expression of
anger is appropriate at this stage, and should be accepted by the
nurse. Reassurance about the competency of the staff will not be
helpful in responding to the patient's anger. Ignoring the
patient's comments will increase the patient's anger and sense of
helplessness.
A 22-year-old tennis player has an arthroscopic repair of a
rotator cuff injury performed in same-day surgery. When the
nurse plans postoperative teaching for the patient, which
information will be included?
a.
"You will not be able to serve a tennis ball again."
b.
"You will work with a physical therapist tomorrow."
c.
"The doctor will use the drop-arm test to determine the success
of surgery."
d.
"Leave the shoulder immobilizer on for the first 4 days to
minimize pain." Correct Answers ANS: B
Physical therapy after a rotator cuff repair begins on the first
postoperative day to prevent "frozen shoulder." A shoulder
immobilizer is used immediately after the surgery, but leaving
,the arm immobilized for several days would lead to loss of range
of motion (ROM). The drop-arm test is used to test for rotator
cuff injury, but not after surgery. The patient may be able to
return to pitching after rehabilitation.
A 27-year-old patient is hospitalized with new onset of Guillain-
Barré syndrome. The most essential assessment for the nurse to
carry out is
a.
determining level of consciousness.
b.
checking strength of the extremities.
c.
observing respiratory rate and effort.
d.
monitoring the cardiac rate and rhythm. Correct Answers
ANS: C
The most serious complication of Guillain-Barré syndrome is
respiratory failure, and the nurse should monitor respiratory
function continuously. The other assessments will also be
included in nursing care, but they are not as important as
respiratory assessment.
A 32-year-old patient who has had an open reduction and
internal fixation (ORIF) of left lower leg fractures continues to
complain of severe pain in the leg 15 minutes after receiving the
prescribed IV morphine. Pulses are faintly palpable and the foot
is cool. Which action should the nurse take next?
a.
Notify the health care provider.
b.
, Assess the incision for redness.
c.
Reposition the left leg on pillows.
d.
Check the patient's blood pressure. Correct Answers ANS: A
The patient's clinical manifestations suggest compartment
syndrome and delay in diagnosis and treatment may lead to
severe functional impairment. The data do not suggest problems
with blood pressure or infection. Elevation of the leg will
decrease arterial flow and further reduce perfusion.
A 32-year-old pregnant patient with Bell's palsy refuses to eat
while others are present because of embarrassment about
drooling. The best response by the nurse is to
a.
respect the patient's feelings and arrange for privacy at
mealtimes.
b.
teach the patient to chew food on the unaffected side of the
mouth.
c.
offer the patient liquid nutritional supplements at frequent
intervals.
d.
discuss the patient's concerns with visitors who arrive at
mealtimes. Correct Answers ANS: A
The patient's desire for privacy should be respected to encourage
adequate nutrition and reduce patient embarrassment. Liquid
supplements will reduce the patient's enjoyment of the taste of
food. It would be inappropriate for the nurse to discuss the
patient's embarrassment with visitors unless the patient wishes
