Exam 4-Nur 111 Questions With Complete Solutions
5 rights to delegation Correct Answers 1. Right task
2. Right circumstance
3. Right person
4. Right direction/communication
5. Right supervision/evaluation
teaching and assessment can bot be delegated
A client has received a temporary colostomy bag during her
treatment for colon cancer. The nurse would know which theory
would most want the patient to demonstrate the skill?
A.)Multiple intelligences theory
B.)Social learning theory
C.)Constructivist theory
D.)Pedagogy Correct Answers B
A client has specific cultural needs with regard to the plan of
care. Where would this information be found?
A.)Database
B.)Problem list
C.)Plan of care
D.)Progress notes Correct Answers B
A client is going to have a sleep study done and wants to know
what type of tests to anticipate. Which test should the nurse state
in the response?
,A.)Electrocardiography
B.)Electroencephalography
C.)Electromyelography
D.)electrolysis exam Correct Answers B
A client is in the emergency department after experiencing
trauma from an automobile accident. The client lost
consciousness at the scene of the accident but is now awake and
alert. The nurse anticipates that the client will make which
request?
A.)Request food or water.
B.)Request that the nurse notify the client's family.
C.)Request the doctor's name from the nurse.
D.)Request that the nurse notify the insurance company.
Correct Answers B
A client who is NPO, comatose, and receiving oxygen has
cracked lips, dry mucous membranes, swollen gums, and caked
mucus on the tongue and teeth. Which is the most appropriate
nursing intervention for this client?
A.)Clean the teeth and tongue with a swab soaked with saline as
needed.
B.)Clean the mouth every half hour with lemon-glycerin swabs.
C.)Moisten the lips and mucous membranes with mineral oil.
D.)Rinse the oral cavity with hydrogen peroxide, followed with
water. Correct Answers A
, A client who reports shortness of breath requests the nurse's help
in changing positions. After repositioning the client, which of
the following actions should the nurse take next?
A.)Encourage the client to take deep breaths
B.)Observe the rate, depth, and character of the client's
respirations
C.)Prepare to administer oxygen
D.)Give the client a back rub to promote relaxation Correct
Answers B
A graduate nurse is caring for clients and does not want to
delegate tasks to the LPN/LVN because the nurse feels that the
responsibility for care belongs to the RN. As a result, what may
the newly licensed nurse experience?
A.)Increased client satisfaction
B.)Lack of trust from coworkers
C.)Confidence that tasks will be done
D.)Pride that clients are cared for appropriately Correct
Answers B
A home health client has a complicated case involving
occupational therapy, respiratory therapy, a dietitian, the nurse,
and a nurse's aide who provides assistance with bathing,
housekeeping, and grocery shopping. Who is responsible for
coordinating the client's care?
A.)Physician
B.)Occupational therapist
C.)Case manager
5 rights to delegation Correct Answers 1. Right task
2. Right circumstance
3. Right person
4. Right direction/communication
5. Right supervision/evaluation
teaching and assessment can bot be delegated
A client has received a temporary colostomy bag during her
treatment for colon cancer. The nurse would know which theory
would most want the patient to demonstrate the skill?
A.)Multiple intelligences theory
B.)Social learning theory
C.)Constructivist theory
D.)Pedagogy Correct Answers B
A client has specific cultural needs with regard to the plan of
care. Where would this information be found?
A.)Database
B.)Problem list
C.)Plan of care
D.)Progress notes Correct Answers B
A client is going to have a sleep study done and wants to know
what type of tests to anticipate. Which test should the nurse state
in the response?
,A.)Electrocardiography
B.)Electroencephalography
C.)Electromyelography
D.)electrolysis exam Correct Answers B
A client is in the emergency department after experiencing
trauma from an automobile accident. The client lost
consciousness at the scene of the accident but is now awake and
alert. The nurse anticipates that the client will make which
request?
A.)Request food or water.
B.)Request that the nurse notify the client's family.
C.)Request the doctor's name from the nurse.
D.)Request that the nurse notify the insurance company.
Correct Answers B
A client who is NPO, comatose, and receiving oxygen has
cracked lips, dry mucous membranes, swollen gums, and caked
mucus on the tongue and teeth. Which is the most appropriate
nursing intervention for this client?
A.)Clean the teeth and tongue with a swab soaked with saline as
needed.
B.)Clean the mouth every half hour with lemon-glycerin swabs.
C.)Moisten the lips and mucous membranes with mineral oil.
D.)Rinse the oral cavity with hydrogen peroxide, followed with
water. Correct Answers A
, A client who reports shortness of breath requests the nurse's help
in changing positions. After repositioning the client, which of
the following actions should the nurse take next?
A.)Encourage the client to take deep breaths
B.)Observe the rate, depth, and character of the client's
respirations
C.)Prepare to administer oxygen
D.)Give the client a back rub to promote relaxation Correct
Answers B
A graduate nurse is caring for clients and does not want to
delegate tasks to the LPN/LVN because the nurse feels that the
responsibility for care belongs to the RN. As a result, what may
the newly licensed nurse experience?
A.)Increased client satisfaction
B.)Lack of trust from coworkers
C.)Confidence that tasks will be done
D.)Pride that clients are cared for appropriately Correct
Answers B
A home health client has a complicated case involving
occupational therapy, respiratory therapy, a dietitian, the nurse,
and a nurse's aide who provides assistance with bathing,
housekeeping, and grocery shopping. Who is responsible for
coordinating the client's care?
A.)Physician
B.)Occupational therapist
C.)Case manager
