QUESTIONS AND CORRECT ANSWERS |
NEWEST EXAM | ALREADY GRADED A+ |
VERIFIED ANSWERS
A nurse is caring for a client who reports severe sore throat, pain when
swallowing, & swollen lymph nodes. The client is experiencing which of the
following stages of infection?
A. Prodromal
B. Incubation
C. Convalescence
D. Illness ---------CORRECT ANSWER-----------------D. Illness
specific s/s present is the illness stage
A nurse educator is reviewing w/a newly hired nurse the difference in
clinical manifestations of a localized vs. a systemic infection. The nurse
indicates understanding when she states that which of the following are
clinical manifestations of a systemic infection? Select all.
A. Fever
B. Malaise
C. Edema
D. Pain or tenderness
E. Increase in pulse & respiratory rate ---------CORRECT ANSWER-----------
------A, B, E
Edema and pain and tenderness is localized
A nurse is teaching a young adult client about health promotion & illness
prevention. Which of the following statements by the client indicates an
understanding of the teaching?
,A. "I already had my immunizations as a child, so I'm protected in that
area."
B. "It is important to schedule routine health care visits even if I'm feeling
well."
C. "If I'm having any discomfort, I'll just got to an urgent care center."
D. "If I am felling stressed, I will remind myself that this is something I sh ---
------CORRECT ANSWER-----------------B.
routine health screenings are important at any age
A nursing instructor is explaining the various stages of the lifespan to a
group of nursing students. The nurse should offer which of the following
behaviors by a young adult as an example of appropriate psychosocial
development?
A. Becoming actively involved in providing guidance to the next generation
B. Adjusting to major changes in roles and relationships due to losses
C. Devoting a great deal of time to establishing an occupation
D. Finding oneself "sandwiched" in between & being responsi ---------
CORRECT ANSWER-----------------C.
Exploring and establishing career options & establishing oneself is
important developmental task in a young adult
A nurse is counseling a young adult who describes having difficulty dealing
w/several issues. Which of the following problems the client verbalized
should the nurse identify as the priority for further assessment &
intervention?
A. "I have my own apartment now, but it's not easy living away from my
parents."
B. "It's been so stressful for me to even think about having my own family."
C. "I don't even know who I am yet, & now I'm supposed to know what to
do."
D. "My girlfriend is pregnant, & I ---------CORRECT ANSWER-----------------
C.
,Applying Erikson stages of development, knowing oneself is done in
adolescence, and this requires the most urgent help
A nurse is reviewing safety precautions w/a group of young adults at a
community health fair. Which of the following recommendations should the
nurse include specifically for this age group? Select all.
A. Install bath rails & grab bars in bathrooms
B. Wear a helmet while skiing
C. Install a carbon monoxide detector
D. Secure firearms in a safe location
E. Remove throw rugs from the home ---------CORRECT ANSWER-----------
------B, C, D
A is recommended for older adults and E as well for risk of falls
A nurse is reviewing the CDC's immunization recommendations w/a young
adult client. Which of the following recommendations should the nurse
include in this discussion? Select all.
A. Human papillomavirus
B. Measles, mumps, rubella
C. Varicella
D. Haemophilus influenzae type b
E. Polio ---------CORRECT ANSWER-----------------A, B, C
D is not for after 18 months of age and polio is also given as a child
and not usually beyond 18 yrs old
A nurse is caring for an 82-yr-old client in the ER who has an oral body
temp of 38.3 C (101 F), a pulse rate of 114/min, & a RR of 22/min. He is
restless & his skin is warm. Which of the following are appropriate nursing
interventions for this client? Select all.
, A. Obtain culture specimens before initiating antimicrobials
B. Restrict the client's oral fluid intake
C. Encourage the client to limit activity & rest
D. Allow the client to shiver to dispel excess heat
E. Assist the client w/oral ---------CORRECT ANSWER-----------------A, C, E
The nurse should prevent shivering & encourage the client to
increase fluids.
Why E-Oral hygiene helps prevent cracking of dry mucous
membranes of the mouth & lips.
A nurse is instructing an AP in caring for a client who has a low platelet
count as a result of chemo. Which of the following is the nurse's priority
instruction for measuring vital signs for this client?
A. "Don't measure the client's temp rectally."
B. "Count the client's radial pulse for 30 sec & multiply by 2."
C. "Don't let the client know you are counting her respirations."
D. "Let the client rest for 5 mins before you measure her BP." ---------
CORRECT ANSWER-----------------A. "Don't measure the client's temp
rectally."
The greatest risk to a client w/a low platelet count is injury that results
in bleeding, obtaining a temp this way increases the risk for bleeding.
A nurse is instructing a group of nursing students in measuring a client's
RR. Which of the following guidelines should the nurse include? Select all.
A. Place the client in semi-Fowler's position
B. Have the client rest an arm across the abdomen
C. Observe 1 full respiratory cycle before counting the rate
D. Count the rate for 1 min if it is regular
E. Count & report any signs the client demonstrates ---------CORRECT
ANSWER-----------------A, B, C