2
NURS 3632 Exam 1 with precise detailed answers || || || || || || ||
Nurse enters the room of a female client and ask how she is doing, client states "I'm a little
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nervous this morning". What would be the nurses best reply? - ✔✔"Can you tell me more
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about how you are feeling?"
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A nurse observes a client pacing the halls, and it appears as if the client has been crying.
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What is the appropriate action? - ✔✔Validate perceptions with the client
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The nurse is assessing the client who has an onset of severe back pain of an unknown
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origin. Which would the nurse ask to encourage discussion? - ✔✔What do you think
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caused the onset of your back pain?
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In which of the following situations would the nurse be more justified in implementing
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trial-and-error problem solving? - ✔✔The nurse is attempting to landmark an obese clients || || || || || || || || || || || || ||
apical pulse ||
A client comes to the ED complaining of severe chest pain. The nurse ask the client
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questions and takes VS. Which step in the nursing process is this? - ✔✔Assesing
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A nurse is examining a child 2 years old. Asked on her findings, she initiates a care plan for
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a potential problem with normal growth and development. Which step of the nursing
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process identifies actual and potential problems? - ✔✔Diagnosing
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Self evaluation is a method that nurses use to promote their own development and to grow
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in confidence in their nursing roles. The process is refereed to as what? - ✔✔Reflective
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practice
Profuse smoke is coming out of the heating unit in a patient's room. What should
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, 2
the nurse do first? - ✔✔Move the patient out of the room
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The nurse is providing instructions to the unlicensed assistive personnel (UAP) who will be
|| || || || || || || || || || || || || ||
caring for a client with hand restraints. The nurse asks the UAP to repeat the instructions to
|| || || || || || || || || || || || || || || ||
ensure that the UAP understands the care. Which statement, if made by the UAP, indicated
|| || || || || || || || || || || || || || || ||
an understanding of the care for this client? - ✔✔"I need to remove the restraints at least
|| || || || || || || || || || || || || || || || ||
every 2 hours to perform range-of-motion exercises"
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Client is hospitalized for the first time. Which of the following actions would the nurse take
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to ensure the safety of the client? - ✔✔Keep unnecessary furniture out of the way
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After correctly positioning a client for a urinary catheterization procedure, the nurse sets up
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a sterile field and places the kit supplies on the area. The nurse hears a page to respond to
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another client who has fallen in the hallway. Which of the following would be the most
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appropriate nursing actions? - ✔✔Ensure the clients safety, discard the sterile equipment,
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and resound to the other client.
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A patient's stool specimen is positive for Clostridium difficile. Which isolation precautions
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should the nurse institute for this patient? - ✔✔Contact
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A nurse is following the principles of medical asepsis when performing patient care in a
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hospital setting. Which nursing action performed by the nurse follows these recommended
|| || || || || || || || || || || ||
guidelines? - ✔✔The nurse moves the patient table away from the nurse's body when || || || || || || || || || || || || || ||
wiping it off after a meal || || || || ||
The nurse has opened the sterile supplies and put on two sterile gloves to complete a sterile
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dressing change, a procedure that requires surgical asepsis. Which action by the nurse is
|| || || || || || || || || || || || || ||
appropriate? - ✔✔Consider the outer 1 in of the sterile field as contaminated. || || || || || || || || || || || ||
NURS 3632 Exam 1 with precise detailed answers || || || || || || ||
Nurse enters the room of a female client and ask how she is doing, client states "I'm a little
|| || || || || || || || || || || || || || || || || || ||
nervous this morning". What would be the nurses best reply? - ✔✔"Can you tell me more
|| || || || || || || || || || || || || || || ||
about how you are feeling?"
|| || || ||
A nurse observes a client pacing the halls, and it appears as if the client has been crying.
|| || || || || || || || || || || || || || || || || ||
What is the appropriate action? - ✔✔Validate perceptions with the client
|| || || || || || || || || ||
The nurse is assessing the client who has an onset of severe back pain of an unknown
|| || || || || || || || || || || || || || || || ||
origin. Which would the nurse ask to encourage discussion? - ✔✔What do you think
|| || || || || || || || || || || || || ||
caused the onset of your back pain?
|| || || || || ||
In which of the following situations would the nurse be more justified in implementing
|| || || || || || || || || || || || || ||
trial-and-error problem solving? - ✔✔The nurse is attempting to landmark an obese clients || || || || || || || || || || || || ||
apical pulse ||
A client comes to the ED complaining of severe chest pain. The nurse ask the client
|| || || || || || || || || || || || || || || ||
questions and takes VS. Which step in the nursing process is this? - ✔✔Assesing
|| || || || || || || || || || || || ||
A nurse is examining a child 2 years old. Asked on her findings, she initiates a care plan for
|| || || || || || || || || || || || || || || || || || ||
a potential problem with normal growth and development. Which step of the nursing
|| || || || || || || || || || || || ||
process identifies actual and potential problems? - ✔✔Diagnosing
|| || || || || || ||
Self evaluation is a method that nurses use to promote their own development and to grow
|| || || || || || || || || || || || || || || ||
in confidence in their nursing roles. The process is refereed to as what? - ✔✔Reflective
|| || || || || || || || || || || || || || ||
practice
Profuse smoke is coming out of the heating unit in a patient's room. What should
|| || || || || || || || || || || || || ||
, 2
the nurse do first? - ✔✔Move the patient out of the room
|| || || || || || || || || || ||
The nurse is providing instructions to the unlicensed assistive personnel (UAP) who will be
|| || || || || || || || || || || || || ||
caring for a client with hand restraints. The nurse asks the UAP to repeat the instructions to
|| || || || || || || || || || || || || || || ||
ensure that the UAP understands the care. Which statement, if made by the UAP, indicated
|| || || || || || || || || || || || || || || ||
an understanding of the care for this client? - ✔✔"I need to remove the restraints at least
|| || || || || || || || || || || || || || || || ||
every 2 hours to perform range-of-motion exercises"
|| || || || || ||
Client is hospitalized for the first time. Which of the following actions would the nurse take
|| || || || || || || || || || || || || || || ||
to ensure the safety of the client? - ✔✔Keep unnecessary furniture out of the way
|| || || || || || || || || || || || || ||
After correctly positioning a client for a urinary catheterization procedure, the nurse sets up
|| || || || || || || || || || || || ||
a sterile field and places the kit supplies on the area. The nurse hears a page to respond to
|| || || || || || || || || || || || || || || || || || || ||
another client who has fallen in the hallway. Which of the following would be the most
|| || || || || || || || || || || || || || || ||
appropriate nursing actions? - ✔✔Ensure the clients safety, discard the sterile equipment,
|| || || || || || || || || || || ||
and resound to the other client.
|| || || || ||
A patient's stool specimen is positive for Clostridium difficile. Which isolation precautions
|| || || || || || || || || || || ||
should the nurse institute for this patient? - ✔✔Contact
|| || || || || || || ||
A nurse is following the principles of medical asepsis when performing patient care in a
|| || || || || || || || || || || || || || ||
hospital setting. Which nursing action performed by the nurse follows these recommended
|| || || || || || || || || || || ||
guidelines? - ✔✔The nurse moves the patient table away from the nurse's body when || || || || || || || || || || || || || ||
wiping it off after a meal || || || || ||
The nurse has opened the sterile supplies and put on two sterile gloves to complete a sterile
|| || || || || || || || || || || || || || || || ||
dressing change, a procedure that requires surgical asepsis. Which action by the nurse is
|| || || || || || || || || || || || || ||
appropriate? - ✔✔Consider the outer 1 in of the sterile field as contaminated. || || || || || || || || || || || ||
