NUR 3306 Final Exam And Study Guide: Quizzes 1-4 (100%)

The nursing instructor is explaining SBAR documentation to students before taking them into the clinical area. The instructor explains that SBAR charting is based on? A. The client's background B. Information that the nurse obtains from the family C. Complete and accurate assessment findings D. Data in old medical recordsANSWERS-C What does the nurse knows about normal blood pressure? A. Stays level throughout the day B. Follows a diurnal rhythm C. Rises with the early morning fall of blood glucose D. Follows the same cycle as the sunANSWERS-B Response Feedback: A daily, circadian (diurnal) cycle of blood pressure occurs, with it increasing late in the afternoon and decreasing in the early morning. Blood pressure does not stay level throughout the day. Blood pressure does not rise with the early morning fall of blood glucose. Blood pressure does not follow the same cycle as the sun. What tool does the nurse use to auscultate the client's abdomen?ANSWERS-A. None B. Fetoscope CorrectC. Stethoscope D. Sonoscope A nursing instructor is discussing the purposes of health assessment. What is one purpose of health assessment? A. To establish rapport with the client and family. B. To gather information for specialists to whom the client might be referred. C. To establish a database against which subsequent assessments can be measured. D. To quantify the degree of pain a client may be experiencing.ANSWERS-C A nurse, who suffers from a respiratory infection is preparing to perform a shift assessment on a client when she feels the urge to cough. What is the nurse's best action? A. Perform hand hygiene before coughing into hands B. Cover the mouth and nose with her hands while coughing C. Cough into the air away from the client toward the hallway D. Cough into the inner aspect of the elbowANSWERS-D As part of the general survey, the nurse should shake hands with the client when first meeting him or her as long as doing so in culturally appropriate. Why is this action so important? A. The handshake portrays caring B. The handshake shows how professional the nurse is C. The handshake allows the nurse to get physically close to the client in a nonthreatening way D. The handshake allows the nurse to assess how nervous the client isANSWERS-A To make a legal entry into the medical record, the nurse must document what? A. Laboratory tests ordered B. Attending physician C. Time of the assessment D. Nature of the assessment Response Feedback: The nurse must record normal assessment data, abnormal assessment data, and the time of the assessment. The nurse does not have to document laboratory tests ordered, the attending physician, or the nature of the assessment.ANSWERS-C While assessing a new client, the nurse asks about a family history of genetic illnesses The client states that her mother has diabetes. For which of the following is the patient at increased risk? A. Diabetes B. Hypertension C. Cancer D. SeizuresANSWERS-A