NURS 1220 Final Exam With Questions And Verified Detailed
Answers A+ Graded (100% Pass)
Which of the following nursing activities can the nurse delegate to a home health aide?
Bathing assistance for a client with chronic rejection of a liver transplant
Which of the following members of the health care team demonstrates the action that
decreases the risk for infection in a client with acquired immunodeficiency syndrome
(AIDS)?
The dietary worker hands the disposable meal trays to the LPN assigned to the client.
The nurse is teaching an unlicensed health care worker about the care of a client with
human immune deficiency virus (HIV) who has active genital herpes. Which of the
following statements by the health care worker identifies that the nurse has provided
effective teaching about Standard Precautions?
"I need to wash my hands and put on a gown and gloves before I begin care.".
Which of the following statements by a health care worker assigned to care for a client
with human immune deficiency virus (HIV), to the nurse, indicates a violation of
confidentiality and the need for further teaching by the nurse? The other health care
worker and I were out in the hallway discussing our concern about getting HIV from our
client.
When discharging a client newly diagnosed with human immune deficiency virus (HIV)
and the significant other, which statement made by the nurse describes correctly how
to use a condom?
The condom is always applied to the tip of an erect penis, leaving room at the tip.
In discharging a client diagnosed with acquired immune deficiency syndrome (AIDS),
which statement made by the nurse describes a non-judgmental approach when
discussing sexual practices and behaviors?
"Have you had sex with men, women, or both?"
The nurse is caring for a client who was newly diagnosed with human immune
deficiency virus (HIV) and is experiencing candidiasis. The nurse would expect to
administer which of the following medications to this client?
Fluconazole (Diflucan)
A client who has been diagnosed with human immune deficiency virus is concerned
,about developing opportunistic infections and asks the nurse how to prevent these. The
nurse suggests which interventions to the client?
Bathe daily with an antimicrobial soap
A client is bleeding due to peptic ulcer disease (PUD). The nurse's priority nursing
intervention is to
Initiate a large-bore IV
A nurse answers a client's call light and finds the client is in the bathroom vomiting large
volumes of frank red blood. What is the nurse's initial action?
Put on a pair of gloves
A nurse is assessing a client who has been diagnosed with cholecystitis. The client
demonstrates which clinical manifestation that indicates the illness is chronic, rather
than acute?
Steatorrhea
A nurse is caring for a client who is receiving PCA postcholecystectomy. The client
states, "When I wake up I am in pain." Which is the appropriate nursing intervention?
Instruct the client to administer PCA after awakening
After the nurse provides a client preparing to undergo laparoscopic cholecystectomy
surgery with discharge instructions regarding home care, the nurse assesses the
client's understanding. Which statement indicates that the client understands the
teaching appropriately?
"I will decrease the consumption of fatty foods"
A nurse is providing care for a client who is post-operative laparoscopic
cholecystectomy. The client states, "My shoulder blades ache". The nurse's most
appropriate response would be
Ambulating in the hallway twice a day will help
The nurse knows that the following interventions will help to enhance sleep during the
hospital stay:
Sleep routine maintenance
Decreasing interruptions
Relaxation measures
Light snack availability
The nurse is admitting a client to the general medical-surgical unit. What does the nurse
,assess about this client regarding a routine sleep assessment?
Usual sleeping and waking times
Bedtime routines
Medications used for sleep
Any current life events
Sleeping environment preferences
The nurse understands dyssomnias is characterized by:
Difficulty initiating sleep
Inability maintaining sleep
Excessive sleepiness
Sleeping during the day
The nurse understands the following sleep pattern changes with the older adult:
Medication can interfere with sleep
The older adult awakens more frequently during the night
The nurse is teaching the patient about the care of sleep pattern disturbances at the
time of discharge. The patient says: "My bedtime routine can include watching TV in bed
until I fall asleep"
The nurse is teaching a patient who has been diagnosed with narcolepsy and is being
discharged from the hospital. Which of the following statements by the patient indicates
the need for further education? "It will be cured by taking the medication." The nurse
considers an appropriate goal, as it relates to the nursing diagnosis Sleep deprivation,
to be: The patient will sleep without interruption for 6 to 7 hours each night for one
week. The nurse is caring for a client who has just had cataract surgery. Which of the
following will the nurse instruct the client? (Select all that apply.)
Call the physician if pain increase
Avoid bending from the waist
Avoid lifting more than 10 pounds
Use stool softener to prevent constipation
A client is receiving timolol (Timoptic) ophthalmic solution. The nurse assesses the
client's pulse rate at 48 beats/minute. Which is the priority action by the nurse?
Withhold the ophthalmic solution and notify the physician
, A client is admitted to the hospital who is near blind. What is the most important action
by the nurse?
Orient the client to the room using a focal point
A client's IOP is 28mm Hg. What is the best action by the nurse?
Plan to teach about drugs for glaucoma
Expert Solution percent(pageWidth - imageWidth)
A client does not understand why loss of vision from glaucoma is irreversible. Which
explanation by the nurse is best?
"Because the pressure in the eye was too high, the tissue died."
A client is in the preoperative holding area waiting for cataract surgery. The client
states "Oh yeah, I forgot to tell you that I take clopidogrel, or Plavix." Which action by
the nurse is most important?
Notify the surgeon immediately
An older adult client has decided to no longer drive due to cataracts. Which is the most
important assessment data to collect?
Feelings related to the loss of driving
How is HIV transmitted?
sex, sharing needles with an infected person, Blood that is infected, mother to Fetus.
Body Fluids.
The statement about HIV/AIDS:
A person with AIDS has HIV, and a person with HIV doesn't have AIDS
Stages of HIV
Stage 1 - 500 cells/mEq/L or greater, 29 or greater CD4. Stage 2- 200-499 cells/mEq/L,
CD4 14-28
Stage 3-less than 200 cell/mEq/L, CD4 less than 14
Medication safety with medications that may be ordered for someone with HIV:
Resistant, often in combination with other antiretroviral medications to lessen
resistance, adverse effects, and dosages. Take medications on a regular schedule and
do not skip doses. Skipping doses can lead to medication resistance.
Safe sex practices/high risk behaviors:
Sex without protection, multiple partners, Occupational exposure, Perinatal exposure,
Answers A+ Graded (100% Pass)
Which of the following nursing activities can the nurse delegate to a home health aide?
Bathing assistance for a client with chronic rejection of a liver transplant
Which of the following members of the health care team demonstrates the action that
decreases the risk for infection in a client with acquired immunodeficiency syndrome
(AIDS)?
The dietary worker hands the disposable meal trays to the LPN assigned to the client.
The nurse is teaching an unlicensed health care worker about the care of a client with
human immune deficiency virus (HIV) who has active genital herpes. Which of the
following statements by the health care worker identifies that the nurse has provided
effective teaching about Standard Precautions?
"I need to wash my hands and put on a gown and gloves before I begin care.".
Which of the following statements by a health care worker assigned to care for a client
with human immune deficiency virus (HIV), to the nurse, indicates a violation of
confidentiality and the need for further teaching by the nurse? The other health care
worker and I were out in the hallway discussing our concern about getting HIV from our
client.
When discharging a client newly diagnosed with human immune deficiency virus (HIV)
and the significant other, which statement made by the nurse describes correctly how
to use a condom?
The condom is always applied to the tip of an erect penis, leaving room at the tip.
In discharging a client diagnosed with acquired immune deficiency syndrome (AIDS),
which statement made by the nurse describes a non-judgmental approach when
discussing sexual practices and behaviors?
"Have you had sex with men, women, or both?"
The nurse is caring for a client who was newly diagnosed with human immune
deficiency virus (HIV) and is experiencing candidiasis. The nurse would expect to
administer which of the following medications to this client?
Fluconazole (Diflucan)
A client who has been diagnosed with human immune deficiency virus is concerned
,about developing opportunistic infections and asks the nurse how to prevent these. The
nurse suggests which interventions to the client?
Bathe daily with an antimicrobial soap
A client is bleeding due to peptic ulcer disease (PUD). The nurse's priority nursing
intervention is to
Initiate a large-bore IV
A nurse answers a client's call light and finds the client is in the bathroom vomiting large
volumes of frank red blood. What is the nurse's initial action?
Put on a pair of gloves
A nurse is assessing a client who has been diagnosed with cholecystitis. The client
demonstrates which clinical manifestation that indicates the illness is chronic, rather
than acute?
Steatorrhea
A nurse is caring for a client who is receiving PCA postcholecystectomy. The client
states, "When I wake up I am in pain." Which is the appropriate nursing intervention?
Instruct the client to administer PCA after awakening
After the nurse provides a client preparing to undergo laparoscopic cholecystectomy
surgery with discharge instructions regarding home care, the nurse assesses the
client's understanding. Which statement indicates that the client understands the
teaching appropriately?
"I will decrease the consumption of fatty foods"
A nurse is providing care for a client who is post-operative laparoscopic
cholecystectomy. The client states, "My shoulder blades ache". The nurse's most
appropriate response would be
Ambulating in the hallway twice a day will help
The nurse knows that the following interventions will help to enhance sleep during the
hospital stay:
Sleep routine maintenance
Decreasing interruptions
Relaxation measures
Light snack availability
The nurse is admitting a client to the general medical-surgical unit. What does the nurse
,assess about this client regarding a routine sleep assessment?
Usual sleeping and waking times
Bedtime routines
Medications used for sleep
Any current life events
Sleeping environment preferences
The nurse understands dyssomnias is characterized by:
Difficulty initiating sleep
Inability maintaining sleep
Excessive sleepiness
Sleeping during the day
The nurse understands the following sleep pattern changes with the older adult:
Medication can interfere with sleep
The older adult awakens more frequently during the night
The nurse is teaching the patient about the care of sleep pattern disturbances at the
time of discharge. The patient says: "My bedtime routine can include watching TV in bed
until I fall asleep"
The nurse is teaching a patient who has been diagnosed with narcolepsy and is being
discharged from the hospital. Which of the following statements by the patient indicates
the need for further education? "It will be cured by taking the medication." The nurse
considers an appropriate goal, as it relates to the nursing diagnosis Sleep deprivation,
to be: The patient will sleep without interruption for 6 to 7 hours each night for one
week. The nurse is caring for a client who has just had cataract surgery. Which of the
following will the nurse instruct the client? (Select all that apply.)
Call the physician if pain increase
Avoid bending from the waist
Avoid lifting more than 10 pounds
Use stool softener to prevent constipation
A client is receiving timolol (Timoptic) ophthalmic solution. The nurse assesses the
client's pulse rate at 48 beats/minute. Which is the priority action by the nurse?
Withhold the ophthalmic solution and notify the physician
, A client is admitted to the hospital who is near blind. What is the most important action
by the nurse?
Orient the client to the room using a focal point
A client's IOP is 28mm Hg. What is the best action by the nurse?
Plan to teach about drugs for glaucoma
Expert Solution percent(pageWidth - imageWidth)
A client does not understand why loss of vision from glaucoma is irreversible. Which
explanation by the nurse is best?
"Because the pressure in the eye was too high, the tissue died."
A client is in the preoperative holding area waiting for cataract surgery. The client
states "Oh yeah, I forgot to tell you that I take clopidogrel, or Plavix." Which action by
the nurse is most important?
Notify the surgeon immediately
An older adult client has decided to no longer drive due to cataracts. Which is the most
important assessment data to collect?
Feelings related to the loss of driving
How is HIV transmitted?
sex, sharing needles with an infected person, Blood that is infected, mother to Fetus.
Body Fluids.
The statement about HIV/AIDS:
A person with AIDS has HIV, and a person with HIV doesn't have AIDS
Stages of HIV
Stage 1 - 500 cells/mEq/L or greater, 29 or greater CD4. Stage 2- 200-499 cells/mEq/L,
CD4 14-28
Stage 3-less than 200 cell/mEq/L, CD4 less than 14
Medication safety with medications that may be ordered for someone with HIV:
Resistant, often in combination with other antiretroviral medications to lessen
resistance, adverse effects, and dosages. Take medications on a regular schedule and
do not skip doses. Skipping doses can lead to medication resistance.
Safe sex practices/high risk behaviors:
Sex without protection, multiple partners, Occupational exposure, Perinatal exposure,
