NUR 3028 FINAL EXAM 2024/2025 WITH 100%
ACCURATE SOLUTIONS
Clients in healthcare settings are at increased risks for infections due to:
(mark ALL that apply)
A. More disease causing microorganisms
B. Invasive procedures
C. Lower resistance to microorganisms
D. Longer hospital stays
E. Open visiting hours
F. Nurses' increased resistance - Precise Answer ✔✔A. More disease
causing microorganisms
B. Invasive procedures
C. Lower resistance to microorganisms
D. Longer hospital stays
The nurse can best minimize the risk for infection when initiating an
intravenous site by:
A. Proper vein selection
B. Hand hygiene prior to procedure
C. Appropriate site dressing
D. Gloving for procedure - Precise Answer ✔✔B. Hand hygiene prior to
procedure
,A nurse must display understanding of the mental implications of a
client on isolation precautions when planning to control the risk of:
A. Denial
B. Aggression
C. Regression
D. Isolation - Precise Answer ✔✔D. Isolation
You are caring for a patient who underwent surgery 48 hours ago. The
patient's WBC are elevated. You should:
A. Start antibiotics
B. Assess wound
C. Document the findings and reassess in 2 hours
D. Place the patient on isolation precautions - Precise Answer ✔✔B.
Assess wound
Which of the following clients who is experiencing the heat of mid-
August is at greatest risk for heatstroke heat exhaustion?
A. 65 year old diagnosed with COPD
B. 34 year old novice marathon runner
C. 15 year old playing in an outdoor tennis tournament
D. 9 month old whose bedroom is cooled with a mechanical fan -
Precise Answer ✔✔A. 65 year old diagnosed with COPD
While caring for a child, you identify that additional safety teaching is
needed when a young and inexperienced mother states that:
,A. Teenagers need to practice safe sex
B. A 3 year old can safely sit in the front seat of the car
C. Children need to wear safety equipment when bike riding
D. Children need to learn to swim even if they do not have a pool -
Precise Answer ✔✔B. A 3 year old can safely sit in the front seat of the
car
The nurse is conducting an admission interview and assessment on a
cognitively impaired, uncooperative client for the risk of injury. Which
of the following options will most likely provide the information to
confirm the diagnosis?
A. Base degree of risk on observable data at the time of the client's
current hospital admission
B. Closely monitor the client's behavior and habits until risk for injury
can be
reasonable determined
C. Make certain critically sound assumptions are based on the client's
developmental stage and current cognitive status
D. Interview the client's family, friends and/or caregivers regarding
prehospitalization risk factors - Precise Answer ✔✔D. Interview the
client's family, friends and/or caregivers regarding prehospitalization
risk factors
A nurse floats to a busy surgical unit and administers a wrong
medication to a patient. This error can be classified as:
A. A poisoning accident
, B. An equipment-related accident
C. A procedure-related accident
D. An accident relates to time management - Precise Answer ✔✔C. A
procedure-related accident
A newly admitted client was found wandering the hallways for the past
two nights. The most appropriate nursing interventions to prevent a fall
for this client would include:
A. Raise all four side rails when darkness falls
B. Use an electronic bed-monitoring device
C. Place the client in a room close to the nursing station
D. Use a loose-fitting vest-type jacket restraint - Precise Answer ✔✔B.
Use an electronic bed-monitoring device
A confused client on a ventilator was restrained to prevent him from
pulling out his endotracheal tube. Which of the following could be a
possible alternative measure that the nurse could use to avoid the use of
the restraints?
A. Orient client to the environment and explain the need to the
endotracheal tube
B. Provide a trained sitter to continuously supervise client
C. Camouflage the endotracheal tube with tockinette dressing
D. Promote relaxation techniques - Precise Answer ✔✔B. Provide a
trained sitter to continuously supervise client
ACCURATE SOLUTIONS
Clients in healthcare settings are at increased risks for infections due to:
(mark ALL that apply)
A. More disease causing microorganisms
B. Invasive procedures
C. Lower resistance to microorganisms
D. Longer hospital stays
E. Open visiting hours
F. Nurses' increased resistance - Precise Answer ✔✔A. More disease
causing microorganisms
B. Invasive procedures
C. Lower resistance to microorganisms
D. Longer hospital stays
The nurse can best minimize the risk for infection when initiating an
intravenous site by:
A. Proper vein selection
B. Hand hygiene prior to procedure
C. Appropriate site dressing
D. Gloving for procedure - Precise Answer ✔✔B. Hand hygiene prior to
procedure
,A nurse must display understanding of the mental implications of a
client on isolation precautions when planning to control the risk of:
A. Denial
B. Aggression
C. Regression
D. Isolation - Precise Answer ✔✔D. Isolation
You are caring for a patient who underwent surgery 48 hours ago. The
patient's WBC are elevated. You should:
A. Start antibiotics
B. Assess wound
C. Document the findings and reassess in 2 hours
D. Place the patient on isolation precautions - Precise Answer ✔✔B.
Assess wound
Which of the following clients who is experiencing the heat of mid-
August is at greatest risk for heatstroke heat exhaustion?
A. 65 year old diagnosed with COPD
B. 34 year old novice marathon runner
C. 15 year old playing in an outdoor tennis tournament
D. 9 month old whose bedroom is cooled with a mechanical fan -
Precise Answer ✔✔A. 65 year old diagnosed with COPD
While caring for a child, you identify that additional safety teaching is
needed when a young and inexperienced mother states that:
,A. Teenagers need to practice safe sex
B. A 3 year old can safely sit in the front seat of the car
C. Children need to wear safety equipment when bike riding
D. Children need to learn to swim even if they do not have a pool -
Precise Answer ✔✔B. A 3 year old can safely sit in the front seat of the
car
The nurse is conducting an admission interview and assessment on a
cognitively impaired, uncooperative client for the risk of injury. Which
of the following options will most likely provide the information to
confirm the diagnosis?
A. Base degree of risk on observable data at the time of the client's
current hospital admission
B. Closely monitor the client's behavior and habits until risk for injury
can be
reasonable determined
C. Make certain critically sound assumptions are based on the client's
developmental stage and current cognitive status
D. Interview the client's family, friends and/or caregivers regarding
prehospitalization risk factors - Precise Answer ✔✔D. Interview the
client's family, friends and/or caregivers regarding prehospitalization
risk factors
A nurse floats to a busy surgical unit and administers a wrong
medication to a patient. This error can be classified as:
A. A poisoning accident
, B. An equipment-related accident
C. A procedure-related accident
D. An accident relates to time management - Precise Answer ✔✔C. A
procedure-related accident
A newly admitted client was found wandering the hallways for the past
two nights. The most appropriate nursing interventions to prevent a fall
for this client would include:
A. Raise all four side rails when darkness falls
B. Use an electronic bed-monitoring device
C. Place the client in a room close to the nursing station
D. Use a loose-fitting vest-type jacket restraint - Precise Answer ✔✔B.
Use an electronic bed-monitoring device
A confused client on a ventilator was restrained to prevent him from
pulling out his endotracheal tube. Which of the following could be a
possible alternative measure that the nurse could use to avoid the use of
the restraints?
A. Orient client to the environment and explain the need to the
endotracheal tube
B. Provide a trained sitter to continuously supervise client
C. Camouflage the endotracheal tube with tockinette dressing
D. Promote relaxation techniques - Precise Answer ✔✔B. Provide a
trained sitter to continuously supervise client
