Nur 2101 Final Exam Questions with answers

Nur 2101 Final Exam Questions with
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answers

A nurse in a clinic is interviewing a client who will undergo
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diagnostic testing. The nurse should ask about a client's
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potential allergies during which phase of the nursing
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process? |\




A. Planning
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B. Evaluation
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C. Assessment
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D. Implementation - CORRECT ANSWERS ✔✔C.
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Assessment


A nurse is caring for an older adult patient who states, "I
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am afraid that I may fall while walking to the bathroom
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during the night." Which of the following actions should
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the nurse take?|\ |\ |\




A. Limit the patient's fluid intake in the evening
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B. Obtain a bedside commode for the patient's use
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C. Leave a nightlight on in the patient's room
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,D. Put the side rails up and tell the patient to call the
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nurse before voiding - CORRECT ANSWERS ✔✔C. Leave a
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nightlight on in the patient's room |\ |\ |\ |\ |\




A nurse is caring for a client who is at risk for falls. Which
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of the following actions should the nurse take? (Select All
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That Apply.) |\ |\




A. Keep the clients room dark at night
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B. Teach the client to use the call light
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C. Keep the clients bed in the lowest position
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D. Place a fall risk identification band on the client's wrist
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E. Assess the client every 4 hours - CORRECT ANSWERS
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✔✔B. Teach the client to use the call light
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C. Keep the clients bed in the lowest position
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D. Place a fall risk identification band on the clients wrist
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A nurse is completing a client's history and physical
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examination. Which of the following information should |\ |\ |\ |\ |\ |\ |\



the nurse consider subjective data?
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A. Blood pressure
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B. Cyanosis
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C. Nausea
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,D. Petechiae - CORRECT ANSWERS ✔✔C. Nausea
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A nurse is reviewing information about the health
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insurance portability and accountability act (HIPAA) with a
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newly licensed nurse. Which of the following statements
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by the newly licensed nurse indicates a need for further
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teaching? |\




A. Information about a patient can be disclosed to a
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family member at any time |\ |\ |\ |\




B. HIPAA established regulations of individually
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identifiable health information in verbal, electronic, or |\ |\ |\ |\ |\ |\ |\



written form |\




C. A patients address would be an example of personally
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identifiable information |\ |\




D. HIPAA is a federal law not a state law - CORRECT
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ANSWERS ✔✔A. Information about a patient can be |\ |\ |\ |\ |\ |\ |\ |\



disclosed to a family member at any time |\ |\ |\ |\ |\ |\ |\




A nurse is giving a presentation about patient
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confidentiality to a group of newly licensed nurses. Which |\ |\ |\ |\ |\ |\ |\ |\ |\



of the following actions is an example of a violation of
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confidentiality? |\




A. Discussing a patients surgical procedure with the nurse
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manager
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, B. Notifying the provider of physical examination findings
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C. Identifying the patient by name when making a referral
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for home health services
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D. Reporting laboratory findings to a member of the
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patient's family - CORRECT ANSWERS ✔✔D. Reporting
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laboratory findings to a member of the patient's family
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A nurse is receiving change of shift report for a group of
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assigned patients. The nurse anticipates which of the
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following activities first in delivering patient care using
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the nursing process?
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A. Critically analyze patient data to determine priorities
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B. Collect and organize patient data
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C. Set patient centered measurable and realistic goals
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D. Determine effectiveness of interventions - CORRECT
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ANSWERS ✔✔B. Collect and organize patient data |\ |\ |\ |\ |\ |\




A nurse is caring for a group of patients on a medical
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surgical unit. Which of the following situations requires
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that the nurse wear gloves (Select All That Apply.)
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A. Emptying urine from an indwelling urine collection bag
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B. Providing oral care
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