Examsrevision

MULTIPLE CHOICE 1. The school-aged child is taken to the school nurse after experiencing a nosebleed during a softball game. The appropriate intervention is for the nurse to: A. Have the child lean backward B. Apply pressure to the anterior nose C. Apply a warm cloth to the area D. Have the child close his mouth and blow his nose ANS: B The nurse should have the child who is experiencing a nosebleed sit up and lean forward to avoid aspiration of blood, apply pressure to the anterior...

MULTIPLE CHOICE 1. There are a variety of teaching methodologies that may be utilized to meet the clients needs. Which teaching method is best applied to a cognitive learning need? A. Modeling of behavior B. Discussion of feelings C. Computer-assisted instruction D. Demonstration of a procedure ANS: C An independent project such as computer-assisted instruction is an appropriate teaching method for cognitive learning. Modeling of behavior is an appropriate teaching method for psycho...

MULTIPLE CHOICE 1. An appropriate isolation procedure for the nurse to implement when working with a client who is found to have methicillin-resistant Staphylococcus aureus (MRSA) is to: A. Leave all linen in the clients room B. Place specimen containers in plastic bags for transport C. Wipe the stethoscope off before removing it from the room D. Remove the mask and goggles first when leaving the clients room ANS: B Specimen containers should be placed in plastic bags for transport ...

MULTIPLE CHOICE 1. A client who is experiencing a generalized clonic-tonic seizure is at greatest risk for injury caused by: A. The physical collapse that occurs at the onset of the seizure B. Muscle strains that result from the severe muscle jerking during the seizure C. The tongue laceration that occurs from jaw clenching during the seizure D. Aspiration resulting from the temporary loss of consciousness after the seizure ANS: A During a fall, or as a result of muscle jerking, mus...

MULTIPLE CHOICE 1. Regarding access to client records, the nursing faculty informs the nursing students to be prepared to: A. Show the unit staff proper student identification B. Sign a confidentiality agreement when on the unit to preplan C. Review the medical record only in the presence of unit staff D. Obtain permission from the client to access his or her medical record ANS: A When nurses and other health care professionals have a legitimate reason to use records for data gather...

MULTIPLE CHOICE 1. The client has been diagnosed with malignant bone cancer and the treatment involves chemotherapy on an outpatient basis. While treating the cancer the client unfortunately becomes very ill, experiences significant side effects from the therapy, and has a severe reduction in the quality of life. The specific ethical principle that is in question in this situation is: A. Veracity B. Fidelity C. Justice D. Nonmaleficence ANS: D Nonmaleficence is the avoidance of harm...

MULTIPLE CHOICE 1. Which of the following is the single most negative factor affecting a nurses credibility? A. Deficient technical skills B. Unethical or illegal behavior C. Lack of caring and empathy D. Poor nurse-client communication ANS: D Breakdown in communication is a top contributor to errors in the workplace and threatens professional credibility. The remaining options affect credibility but not to the extent that poor communication does. DIF: C REF: 340 OBJ: Analysis T...

Chapter 16: Nursing Assessment Chapter 17: Nursing Diagnosis Chapter 18: Planning Nursing Care Chapter 19: Implementing Nursing Care Chapter 20: Evaluation

MULTIPLE CHOICE 1. A nurse stealing narcotics from an acute care nursing unit is guilty of a: A. Civil offense B. Criminal offense C. Common law offense D. Administrative law offense ANS: B Criminal laws prevent harm to society and provide punishment for crimes (often imprisonment). A felony is a crime of a serious nature that has a penalty of imprisonment for greater than 1 year or even death. A misdemeanor is a less serious crime that has a penalty of a fine or imprisonment for le...

MULTIPLE CHOICE 1. Which of the following interventions is the best example of an indirect intervention directed towards client safety? A. Checking on a restrained client every 15 minutes B. Performing hand hygiene between client contacts C. Including the diagnosis at risk for injury related to falls to a clients care plan D. Turning on a night light to illuminate the path to the bathroom ANS: D Indirect care interventions are treatments performed away from the client but on behalf ...