Nur 2101 Final Exam Questions and Answers 100% Pass 2024

Nur 2101 Final Exam Questions and Answers 100% Pass 2024 A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask about a client's potential allergies during which phase of the nursing process? A. Planning B. Evaluation C. Assessment D. Implementation - Answer-C. Assessment A nurse is caring for an older adult patient who states, "I am afraid that I may fall while walking to the bathroom during the night." Which of the following actions should the nurse take? A. Limit the patient's fluid intake in the evening B. Obtain a bedside commode for the patient's use C. Leave a nightlight on in the patient's room D. Put the side rails up and tell the patient to call the nurse before voiding - Answer-C. Leave a nightlight on in the patient's room A nurse is caring for a client who is at risk for falls. Which of the following actions should the nurse take? (Select All That Apply.) A. Keep the clients room dark at night B. Teach the client to use the call light C. Keep the clients bed in the lowest position D. Place a fall risk identification band on the client's wrist E. Assess the client every 4 hours - Answer-B. Teach the client to use the call light C. Keep the clients bed in the lowest position D. Place a fall risk identification band on the clients wrist A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider subjective data? A. Blood pressure B. Cyanosis C. Nausea D. Petechiae - Answer-C. Nausea A nurse is reviewing information about the health insurance portability and accountability act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? A. Information about a patient can be disclosed to a family member at any time B. HIPAA established regulations of individually identifiable health information in verbal, electronic, or written form C. A patients address would be an example of personally identifiable information D. HIPAA is a federal law not a state law - Answer-A. Information about a patient can be disclosed to a family member at any time A nurse is giving a presentation about patient confidentiality to a group of newly licensed nurses. Which of the following actions is an example of a violation of confidentiality? A. Discussing a patients surgical procedure with the nurse manager B. Notifying the provider of physical examination findings C. Identifying the patient by name when making a referral for home health services D. Reporting laboratory findings to a member of the patient's family - Answer-D. Reporting laboratory findings to a member of the patient's family A nurse is receiving change of shift report for a group of assigned patients. The nurse anticipates which of the following activities first in delivering patient care using the nursing process? A. Critically analyze patient data to determine priorities B. Collect and organize patient data C. Set patient centered measurable and realistic goals D. Determine effectiveness of interventions - Answer-B. Collect and organize patient data A nurse is caring for a group of patients on a medical surgical unit. Which of the following situations requires that the nurse wear gloves (Select All That Apply.) A. Emptying urine from an indwelling urine collection bag B. Providing oral care C. Changing an ostomy pouch D. Delivering a food tray to a patient who has AIDS E. Placing oral medication tablets into a patient's hand - Answer-A. Emptying urine from an indwelling urine collection bag B. Providing oral care C. Changing an ostomy pouch A nurse is caring for a patient who has an infection. The nurse should use which of the following strategies to prevent the transmission of the patients infection? A. Changing the patients bed lines each day B. Encouraging the patient to consume a high protein diet C. Performing hand hygiene before, during and after direct contact with the patient D. Placing the patient in a room with positive pressure airflow - Answer-C. Performing hand hygiene before, during, and after direct contact with he patient A nurse is instructing a young adult patient about helpful sleep habits. Which of the following statements should the nurse identify as an indication that the patient needs further teaching? A. I dont take naps throughout the day B. I go to bed and get up routinely at the same time each day C. I have a small snack and take a bath before going to bed each day D. I watch television until i fall asleep at night - Answer-D. I watch television until I fall asleep at night A nurse is teaching a patient who has constipation. Which of the following should the nurse discuss as causes of constipation? (Select All That Apply) A. Excessive laxative use B. Ignoring the urge to defecate C. Inadequate fluid intake D. Increased fiber in the diet E. Increased activity - Answer-A. Excessive laxative use B. Ignoring the urge to defecate C. Inadequate fluid intake A nurse is caring for a patient who is postoperative following a n appendectomy. The surgeon initially prescribes a clear liquid diet. Which of the following items should the nurse offer the patient? (Select All That Apply) A. Broth B. Grape Juice C. Nonfat milk D. Custard E. Lemon Gelatin - Answer-A. Broth B. Grape Juice E. Lemon Gelatin A nurse is caring for a patient who is 1 day postoperative following gynecologic surgery and reports incisional pain. Which of the following action should the nurse take first? A. Determine the time the patient last received pain medication B. Measure the patients vital signs, including temperature C. Ask the patient to rate her pain on a scale from 0-10 D. Reposition the patient and offer her a back rub - Answer-C. Ask the patient to rate her pain on a scale from 0-10 A nurse is developing the plan of care for a patient that does not speak the same language as the nurse. Which of the following interventions should the nurse include? A. Make sure a family member is present to interpret for the staff B. Determine the patient's level of fluency in his primary language C. Speak directly to the interpreter when teaching the patient D. Encourage the patient to nod to indicate understanding - Answer-C. Speak directly to the interpreter when teaching the patient A nurse is planning care for a patient who has anorexia nervosa. The nurse should make which of the following patient goals a priority? A. Attain a weight that is greater than the 75th percentile for age and height B. Make positive statements about improvements in body image C. Feel in control of her behavior D. Identify changes within the family unit that promote the patients autonomy - Answer- B. Make positive statements about improvements in body image Which is an example of Tertiary Care? A. The patient has annual mammograms to screen for breast cancer B. The patient sees the podiatrist monthly to precent diabetic foot ulcers C. The patient is seen at an urgent care clinic to treat a badly sprained wrist D. The patient is referred to a Cardiac rehab program following a myocardial infarction - Answer-D. The patient is referred to a cardiac rehab program following a myocardial infarction Which patients needs constitutes the highest priority for the nurse? A. The patient who is waiting for discharge teaching in order to go home B. The constipated patient that has not had a bowel movement in 3 days C. The patient with sudden onset of slurred speech and right-sided weakness D. The patient who requires linen changes after being incontinent of urine and stool - Answer-C. The patient with sudden onset of slurred speech and right sided weakness Which is the best tool that the nurse can use to make sense of the patient's multiple medical diagnoses, assessment findings and medications? A. Plan of care B. Concept map C. Reflective journal D. Intellectual standards - Answer-B. Concept map