100% SOLVED ANSWERS20
Which statement is an appropriately written short-term goal?
A) Patient will walk to the bathroom independently without falling within 2 days after the
surgery
B) Nurse will watch patient demonstrate proper insulin injection technique each morning
C) Patient's spouse will express satisfaction with patient's progress before discharge
D) Patient's incision will be well approximated each time it is assessed by the nurse - ANSWERS -
A
What should be the primary focus of nursing interventions?
A) Patient needs
B) Nurse concerns
C) Physician priorities
D) Patient's family request - ANSWERS -A
Which nursing action is critical before delegating interventions to another member of the health
care team?
A) Locate all members of the health care team
B) Notify the physician of potential complications
C) Know the scope of practice for the other team member
D) Call a meeting of the health care team to determine the need - ANSWERS -C
A patient reports feeling tired and complains of not sleeping at night. What action should the
nurse perform first?
,A) Identify reasons the patient is unable to sleep
B) Request medication to help the patient
C) Tell the patient that sleep will come with relaxation
D) Notify the physician that the patient is restless and anxious - ANSWERS -A
The nurse works in a hospital. What precautions are necessary to help prevent healthcare-
associated infections? Select all that apply.
A) Frequently irrigate urinary catheters
B) Insert drug additives to IV fluids
C) Ensure a closed urinary catheter drainage system
D) Change the IV access site if inflamed
E) Use aseptic technique when suctioning the airway - ANSWERS -C, D, E
A patient admitted to the hospital for fever, diarrhea, and vomiting receives the lab reports. The
neutrophils are 20%. The patient becomes worried and asks a nurse about it. What probable
reason for reduced neutrophil count should the nurse tell the patient?
A) Sepsis
B) Allergy
C) Viral Infection
D) Mild food poisoning - ANSWERS -A
Which practice should the nurse follow while preparing an individually wrapped sterile drape?
A) Avoid holding the drape above the waist and away
B) Avoid using thumb and index finger to lift the drape out of its cover
C) Avoid touching the other 1-inch margin on the outside covering
D) Avoid placing the lower section of the drape on the designated work surface farthest away -
ANSWERS -C
, During a health fair a nurse examines a family of four people. The 66-year-old father is healthy
with no history of respiratory problems. The 60-year-old mother has a family history of chronic
respiratory problems. Their 26-year-old son and 20-year-old daughter have been on medication
for asthma since birth. Who should be given the pneumonia vaccine in this case? Select all that
apply
A) Father
B) Mother
C) Son
D) Daughter
E) None of the family members - ANSWERS -A, B, C, D
A patient is diagnosed with methicillin-resistant Staphylococcus aureus (MRSA) infection of the
respiratory system and has a productive cough. A nurse auscultates the lungs and finds that the
breath sounds are clear. The disposable thermometer used by the nurse indicates fever. The
nurse collects a urine specimen of the patient as ordered. What interventions should the nurse
perform to prevent spread of infection? Select all that apply
A) Confirm the fever using an electronic thermometer
B) Clean the bell and diaphragm of the stethoscope with soap and water
C) Place specimen containers on a clean paper towel in the patient's bathroom
D) Label the specimen in the bathroom where samples of patient's are collected
E) Review agency policies and precautions necessary for the specific isolation system -
ANSWERS -A, C, E
A hospital employee fails to properly dispose of a syringe used on a patient, and sustains a
needle stick injury. A nurse in the emergency department assesses the hospital employee
knowing that the employee is at risk for contracting numerous illnesses from the needle stick
injury. Which types of infections could be contracted from the needle stick? Select all that apply
A) Hepatitis A
B) Hepatitis B