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1. What factors impact the nurse's ability to
recognize and cluster clinical cues? Understanding of
patho- logical changes
within the body
Knowledge of normal
hu- man anatomy
Experience in the clinical
setting
Ability to identify a
single, significant cue
and follow up
2. Complete the nursing diagnosis statements below by Anxiety - Related to
Hospi-
dragging the diagnosis words/phrases to the corre- talization
sponding etiology.
Inettective airway clear-
ance - Related to
Bronchi- tis
Risk for imbalanced body
temperature - Related
to Hypothalamic dysfunc- tion
Decreased cardiac output
Related to Hypovolemia
3. Patient Name: Gladys Smith Age: 58 Gender: Constipation - Related to
Low-fiber diet
Female Ms. Smith lives alone. Up until four
Nutritional status
weeks ago, she
,Chamberlain University NR 224 Fundamentals Skills Final
Comprehensive Exam Review with All Correct & 100% Verified
Answers |Updated to Pass
was healthy and not taking any medication.
Although Mrs. Smith has been tiring easily, she
attributes that to a project at work that is behind
schedule.
no known allergies
recent medical history: cerebral vascular
accident (CVA, stroke) 4 weeks prior to
admission
non-ambulatory
being admitted to a rehabilitation facility from the
hospital
"I am so weak I cannot feed myself or brush my
teeth."
"All I want to do is sleep."
"The doctor says I may never live by myself
again." "My clothes are too big since I've lost
so much weight."
weight 100 lb (down from 115 lb when admitted
to hospital)
limited range of motion bilateral shoulders
non-ambulatory, can transfer from chair to bed
using a walker
thick, oral
secretions sores in Whether the fever is
mouth halitosis
gone
speaks slowly and quietly
Number of bowel move-
4. After treatment with intravenous fluids and
medica- tion to lessen the cramps, Jim is
discharged from ur- gent care and told to follow
up with his primary care
provider within two days. A nurse from the urgent care ments
,Chamberlain University NR 224 Fundamentals Skills Final
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center called Jim the next day to check on his recovery. Presence of
abdominal
What cues will the nurse ask about to determine pain
if Jim's status is improving?
Select all that apply.
5. A longitudinal record of an individual's
interactions with the healthcare system. Electronic Health Record
6. The legal record documenting a single encounter (EHR)
be- tween an individual and a healthcare
professional. Electronic Medical
Record (EMR)
7. What are the advantages to clients that are realized by Continuity of care
using an electronic health record (EHR)? Increased safety
Select all that apply.
8. Information shared by the patient, family member, or Subjective Data
another individual; cannot be verified by the nurse.
9. Information that can be assessed and verified by
the nurse using their senses. Objective Data
10. After a year of planning and saving, Davon (pre-
ferred pronouns: she, her) and her partner are Electronically by
tak- ing a well-deserved beach vacation. During
their bi- cycle tour, one of the other sight-seers Davon's partner
stops sud- denly, causing Davon to swerve and accessing a copy of
crash. Despite wearing a helmet, Davon loses her EHR
consciousness. When paramedics arrive, they ask
Davon's partner about her health history.
What is the best way to provide this information?
, Chamberlain University NR 224 Fundamentals Skills Final
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11. Two hours into the shift, the current nurse
receives a call from the colleague who cared for "You'll be back
Mr. Hilliard the previous shift. The colleague tonight, just add it as a
shares that they forgot to document a call to Mr. late entry."
Hilliard's healthcare provider about a potential
surgical wound infection and asks the current
nurse to document that information.
What is the best response by the current nurse?
12. The nurse is using soap and water to clean
hands prior to client care. Proper hand hygiene is
a nursing
Portal of exit
Portal of entry
intervention that can break which links in the chain of Mode of
transmission
infection? Reservoir
Select all that apply.
13. A client recovering from hip replacement asks
what they should eat to help heal faster. How "You should make
should the nurse reply? sure you increase your
protein intake."
14. Today, Maria woke up with a sore throat and a cough. Incubation Stage
15. Maria waited a couple of days hoping it was just a cold, Prodromal Stage
but a fever developed.
16. Maria tested positive for COVID-19 and her symptoms Illness Stage
worsened.
17. Maria was hospitalized for a few days and then
went home to recover. Convalescence Stage