NUR 3306 FINAL STUDY GUIDE: QUIZZES 1-
4 (SOLVED) 100% CORRECT!
1 of 72
Definition
CorrectA.
Consider visits by a home health nurse to assess the environment for safety
and comfort
B.
Teach parents to discipline the infant
C.
Teach parents to stimulate the infant as needed
D.
,Consider a visit by a home health nurse to assess parenting skills
Response Feedback:
The most appropriate intervention for risk for delayed child
development related to recent adoption is to consider a home
health nurse visit to assess the environment for safety and
comfort. Infants are too young for discipline, and this has no
connection to the nursing diagnosis. All children need stimulation.
Nothing in the scenario indicates that the couple's parenting skills
are in question.
Give this one a try later!
While assessing a new client, the nurse asks about a family history of genetic
illnesses The client states that her mother has diabetes. For which of the
following is the patient at increased risk?
An older adult client is admitted to the hospital with pneumonia. While
performing the admission assessment, the nurse finds a reddened area on the
client's coccyx. What would the nurse include about this finding in notes? (Mark
all that apply.)
A couple adopts an 8-month-old infant. The clinic nurse writes a care plan
that includes the diagnosis of risk for delayed child development related to
recent adoption. What would be an appropriate nursing intervention
for this infant/family?
A clinical instructor is discussing with a clinical group how to take a history of the
client's present illness. A student asks how to best guide the interview. What
would be the instructor's most appropriate answer?
Don't know?
, 2 of 72
Definition
A.
Strain
B.
Vertebral injury
C.
Lymph node enlargement
CorrectD.
Limitations in movement
Response Feedback:
During inspection of the neck, the nurse observes for lesions and
limitations in movement. The nurse cannot assess strain, vertebral
injury, or lymph node enlargement by inspection. Therefore, the
other options are incorrect.
Give this one a try later!
When caring for clients in any health care environment, what is the most
important technique for preventing infection?
When conducting a generalized assessment of a new client, for what would
the nurse inspect the neck?
, A normal assessment of the neck would include palpation of the thyroid isthmus.
Where would the nurse find the isthmus?
A client presents at the emergency room reporting "the worst headache I have
ever had." What are critical nursing behaviors for this client? (Select all that
apply.)
Don't know?
3 of 72
Term
What tool does the nurse use to auscultate the client's abdomen?
Give this one a try later!
A. Stays level throughout the day
CorrectB. Follows a diurnal rhythm
C. Rises with the early morning fall of blood glucose
D. Follows the same cycle as the sun
Response Feedback:
A daily, circadian (diurnal) cycle of blood pressure occurs, with it increasing late
in the afternoon and decreasing in the early morning. Blood pressure does not
stay level throughout the day. Blood pressure does not rise with the early
morning fall of blood glucose. Blood pressure does not follow the same cycle as
the sun.
4 (SOLVED) 100% CORRECT!
1 of 72
Definition
CorrectA.
Consider visits by a home health nurse to assess the environment for safety
and comfort
B.
Teach parents to discipline the infant
C.
Teach parents to stimulate the infant as needed
D.
,Consider a visit by a home health nurse to assess parenting skills
Response Feedback:
The most appropriate intervention for risk for delayed child
development related to recent adoption is to consider a home
health nurse visit to assess the environment for safety and
comfort. Infants are too young for discipline, and this has no
connection to the nursing diagnosis. All children need stimulation.
Nothing in the scenario indicates that the couple's parenting skills
are in question.
Give this one a try later!
While assessing a new client, the nurse asks about a family history of genetic
illnesses The client states that her mother has diabetes. For which of the
following is the patient at increased risk?
An older adult client is admitted to the hospital with pneumonia. While
performing the admission assessment, the nurse finds a reddened area on the
client's coccyx. What would the nurse include about this finding in notes? (Mark
all that apply.)
A couple adopts an 8-month-old infant. The clinic nurse writes a care plan
that includes the diagnosis of risk for delayed child development related to
recent adoption. What would be an appropriate nursing intervention
for this infant/family?
A clinical instructor is discussing with a clinical group how to take a history of the
client's present illness. A student asks how to best guide the interview. What
would be the instructor's most appropriate answer?
Don't know?
, 2 of 72
Definition
A.
Strain
B.
Vertebral injury
C.
Lymph node enlargement
CorrectD.
Limitations in movement
Response Feedback:
During inspection of the neck, the nurse observes for lesions and
limitations in movement. The nurse cannot assess strain, vertebral
injury, or lymph node enlargement by inspection. Therefore, the
other options are incorrect.
Give this one a try later!
When caring for clients in any health care environment, what is the most
important technique for preventing infection?
When conducting a generalized assessment of a new client, for what would
the nurse inspect the neck?
, A normal assessment of the neck would include palpation of the thyroid isthmus.
Where would the nurse find the isthmus?
A client presents at the emergency room reporting "the worst headache I have
ever had." What are critical nursing behaviors for this client? (Select all that
apply.)
Don't know?
3 of 72
Term
What tool does the nurse use to auscultate the client's abdomen?
Give this one a try later!
A. Stays level throughout the day
CorrectB. Follows a diurnal rhythm
C. Rises with the early morning fall of blood glucose
D. Follows the same cycle as the sun
Response Feedback:
A daily, circadian (diurnal) cycle of blood pressure occurs, with it increasing late
in the afternoon and decreasing in the early morning. Blood pressure does not
stay level throughout the day. Blood pressure does not rise with the early
morning fall of blood glucose. Blood pressure does not follow the same cycle as
the sun.
