NUR 2300L EXAM REVIEW

Parents of a toddler tell the nurse that their child eats little at mealtime, sits at the table with the family only briefly, and wants snacks all the time. What recommendation should the nurse provide? A) Give the toddler nutritious snacks. Feedback: CORRECT B) Offer rewards for eating at mealtimes. Feedback: INCORRECT C) Avoid snacks so the child is hungry at mealtimes. Feedback: INCORRECT D) Explain to the child in a firm manner what is expected. Feedback: INCORRECT Feedback: CORRECT At approximately 18 months of age, most toddlers manifest lower nutritional need and decreased appetite, a phenomenon known as physiologic anorexia which is often manifested as a picky, fussy eater with strong taste preferences, and erratic eating patterns. Toddlers are learning to differentiate self and social boundaries and may be disruptive while sitting at the table, so offering nutritious finger foods (A) is a good way to ensure proper nutrition during this stage. Although rewards (B) act as reinforcers, children may eat for nonnutritive reasons, which may affect subsequent eating habits. (C) does not ensure that the toddler will eat at mealtime. Explanations about expectations (D) are ineffective at this age. Category: Pediatrics Points Earned: 1.0/1.0 Correct Answer(s): A 2. The nurse is informed that a client is returning to the unit from the post-anesthesia care unit following abdominal surgery. Which task is best to delegate to the unlicensed assistive personnel (UAP)? A) Assess breathing pattern after transport is completed. Feedback: INCORRECT B) Notify the family that the client is returning from surgery. Feedback: INCORRECT C) Report to the charge nurse the appearance of the dressing. Feedback: INCORRECT D) Assist the transport team with transferring the client to the bed. Feedback: CORRECT Feedback: CORRECT The UAP can be assigned to assist with transferring the client from the gurney to the bed (D) since repositioning following abdominal surgery is not a high-risk intervention and does not require nursing judgment. (A) requires judgment and should be performed by a licensed person. (B) should be done by the nurse who may provide additional information if requested. The nurse should directly observe the dressing (C) and should not rely on the UAP's assessment of the dressing's appearance. Category: Management Points Earned: 1.0/1.0 Correct Answer(s): D 3. A nurse who adheres to the belief that life is sacred should be able to establish a therapeutic relationship most effectively with which client? A) A terminally ill and depressed client with cancer. Feedback: CORRECT B) A client who is planning to have an elective abortion. Feedback: INCORRECT C) A suicidal client who has made a highly-lethal attempt. Feedback: INCORRECT D) A client who refuses a blood transfusion due to religious beliefs. Feedback: INCORRECT Feedback: INCORRECT A nurse who believes in the sanctity of life may find it difficult to relate to individuals who do not place the same high level of value on life. Clients with cancer, who have not made a conscious decision to end their lives, are most likely to be easily understood by this nurse (A). The clients in (B, C, and D) have exhibited behaviors contrary to the nurse's beliefs, and it may be more difficult for this nurse to empathize with their situation. Category: Psychiatric Mental Health Points Earned: 0.0/1.0 Correct Answer(s): A 4. A staff member tells the charge nurse that a float nurse assigned to work on the unit has made several medication errors in the past, but is currently working with the education department to improve this skill. What action is best for the charge nurse to take? A) Dismiss the staff nurse's report about the float nurse because it may be just gossip. Feedback: INCORRECT B) Call the nursing supervisor and request a different employee be sent to the unit. Feedback: INCORRECT C) Assign the float nurse to function as a UAP for the day. Feedback: INCORRECT D) Arrange for someone to be available to assess and assist the float nurse. Feedback: CORRECT Feedback: CORRECT The float nurse is receiving education, but careful assessment of her/his skills and assistance, as needed, is still warranted, so (D) is the best choice. Though the staff member's report may indeed be gossip, failure to pay attention to the information could constitute negligence on the part of the charge nurse (A). (B) is not the best way to manage the unit. (C) is not the best use of a licensed person, and would also eliminate the float nurse's opportunity to improve medication administration skills. Category: Management Points Earned: 1.0/1.0 Correct Answer(s): D 5. An older adult client begins wearing binaural hearing aids due to presbycusis. Which instruction should the nurse provide to assist the client in adapting to the new hearing aids? A) Begin wearing the aids in quiet environments to experiment with adjustments. Feedback: CORRECT B) Wear the hearing aids for an hour a day at first, gradually increasing the time. Feedback: INCORRECT C) Keep the volume on low until the conditions with noises are audible. Feedback: INCORRECT D) Use one hearing aid until comfortable, then add the second aid. Feedback: INCORRECT Feedback: INCORRECT Initially, the use of hearing aids should be restricted to quiet situations in the home (A). As adjustments occur, the client should gradually be exposed to conditions with background noise and the outdoors. Time restriction (B) is not necessary. (C and D) do not help the client adjust as well as gradually introducing various sound conditions. Category: Medical-Surgical Points Earned: 0.0/1.0 Correct Answer(s): A