NUR 120 EXAM 1
A charge nurse is observing a newly licensed nurse care for a client
who reports pain. The nurse checked the clients MAR and noted the
last dose of pain medication was six hours ago. The prescription reads
every four hours PRN for pain. The nurse administered the
medication and checked with the client 40 minutes later, when the
client reported improvement. The newly licensed nurse left out which
of the following steps of the nursing process?
A. Assessment
B. Planning
C. Intervention
D. Evaluation - ANSWERS-A
A nurse is discussing the nursing process with a newly licensed nurse.
Which of the following statements by the newly licensed nurse should
the nurse identify as appropriate for the planning step of the nursing
process?
A. "I will determine the most important client problems that we
should address."
B. "I will review the past medical history on the clients records to get
more information."
C. "I will carry out the new prescriptions from the provider."
,D. "I will ask the client if they are nausea has resolved." -
ANSWERS-A.
Rationale: Prioritize the clients problems during the planning step of
the nursing process.
Roles of the Home Health Nurse - ANSWERS--Direct care provider
-Client/family educator
-Client advocate
-Care coordinator
Subjective and objective information obtained directly from the pt in
what the pt says or what you observe - ANSWERS-Primary data
What is the drug class for metoprolol, what are the therapeutic uses,
side effects and contraindications? - ANSWERS-Drug class: Beta
Blocker (Beta 1)
Therapeutic uses:
-decreases BP and HR.
Side effects:
-ED
-hypoglycemia (pt cannot tell bc HR is decreased from beta 1)
-fatigue
,-weakness
-bradycardia
-pulmonary edema
-HF
Contraindications:
-bradycardia
-uncompensated HF
-pulmonary edema
-cardiogenic shock
-heart block
Use cautiously in:
-renal/ hepatic impairment
-people with asthma
-Diabetes (may mask signs of hypoglycemia)
*start medication at low dosage
furosemide - ANSWERS-Side effects:
-hypokalemia
-hyponatremia
-ototoxicty
, You are making a home visit to a family of 5 children. The youngest,
aged 5, has a temp of 101.1 F, is lethargic, and has a poor appetite.
This assessment leads you to the diagnosis of influenza. Based on
your knowledge that influenza is an airborne communicable disease,
all of the following patient teachings regarding infection are
appropriate for the mother and family except:
a. Keep children home from day care and school while symptoms are
present
b. Remind family that they only need to wash their hands if they are
visibly dirty
c. Do not share tissues, dishes, or personal care items to reduce the
risk of transmission
d. Encourage the family to receive their annual influenza vaccine -
ANSWERS-B
What is Civil Law? - ANSWERS-Governs unjust acts against
individuals rather than federal or state crimes
When caring for a pt with rubella, in addition to standard precautions,
which precautions would be used?
a. Droplet precautions
b. Airborne precautions
c. Contact precautions
d. Universal precautions . - ANSWERS-A.
A charge nurse is observing a newly licensed nurse care for a client
who reports pain. The nurse checked the clients MAR and noted the
last dose of pain medication was six hours ago. The prescription reads
every four hours PRN for pain. The nurse administered the
medication and checked with the client 40 minutes later, when the
client reported improvement. The newly licensed nurse left out which
of the following steps of the nursing process?
A. Assessment
B. Planning
C. Intervention
D. Evaluation - ANSWERS-A
A nurse is discussing the nursing process with a newly licensed nurse.
Which of the following statements by the newly licensed nurse should
the nurse identify as appropriate for the planning step of the nursing
process?
A. "I will determine the most important client problems that we
should address."
B. "I will review the past medical history on the clients records to get
more information."
C. "I will carry out the new prescriptions from the provider."
,D. "I will ask the client if they are nausea has resolved." -
ANSWERS-A.
Rationale: Prioritize the clients problems during the planning step of
the nursing process.
Roles of the Home Health Nurse - ANSWERS--Direct care provider
-Client/family educator
-Client advocate
-Care coordinator
Subjective and objective information obtained directly from the pt in
what the pt says or what you observe - ANSWERS-Primary data
What is the drug class for metoprolol, what are the therapeutic uses,
side effects and contraindications? - ANSWERS-Drug class: Beta
Blocker (Beta 1)
Therapeutic uses:
-decreases BP and HR.
Side effects:
-ED
-hypoglycemia (pt cannot tell bc HR is decreased from beta 1)
-fatigue
,-weakness
-bradycardia
-pulmonary edema
-HF
Contraindications:
-bradycardia
-uncompensated HF
-pulmonary edema
-cardiogenic shock
-heart block
Use cautiously in:
-renal/ hepatic impairment
-people with asthma
-Diabetes (may mask signs of hypoglycemia)
*start medication at low dosage
furosemide - ANSWERS-Side effects:
-hypokalemia
-hyponatremia
-ototoxicty
, You are making a home visit to a family of 5 children. The youngest,
aged 5, has a temp of 101.1 F, is lethargic, and has a poor appetite.
This assessment leads you to the diagnosis of influenza. Based on
your knowledge that influenza is an airborne communicable disease,
all of the following patient teachings regarding infection are
appropriate for the mother and family except:
a. Keep children home from day care and school while symptoms are
present
b. Remind family that they only need to wash their hands if they are
visibly dirty
c. Do not share tissues, dishes, or personal care items to reduce the
risk of transmission
d. Encourage the family to receive their annual influenza vaccine -
ANSWERS-B
What is Civil Law? - ANSWERS-Governs unjust acts against
individuals rather than federal or state crimes
When caring for a pt with rubella, in addition to standard precautions,
which precautions would be used?
a. Droplet precautions
b. Airborne precautions
c. Contact precautions
d. Universal precautions . - ANSWERS-A.
