NUR 337 final 2025 latest uploads exam with correct solutions (detailed)answers!!!.

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NUR 337 final 2025 latest uploads exam with
correct solutions (detailed)answers!!!




During a mental status examination, a hospitalized client states that she cannot remember if she is married or if she has
b b b b b b b b b b b b b b b b b b b b




children.
b




The nurse would document this as an example of what aspect of the mental status examination?
b b b b b b b b b b b b b b b




Decreased judgment b




Decreased level of knowledge b b b




Poor insightb




Poor remote memory - CORRECT ANSWER✔✔poor remote memory
b b b b b b b




Which of the following are examples of subjective assessment data? (Select all that apply)
b b b b b b b b b b b b b




Client states he has "no reason to live."
b b b b b b b




Client's speech is slow and soft.
b b b b b




Client has jaundiced skin color.
b b b b




Client can recall three numbers.
b b b b




Client "meditates for relaxation." - CORRECT ANSWER✔✔Client states he has "no reason to live"
b b b b b b b b b b b b b




Client "meditates for relaxation"
b b b




While performing a mental status examination on a client, the nurse notices that the client has a slouched posture.
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This information should be documented as part of the client's ______________?
b b b b b b b b b b




Appearance
Behavior
Thought Process b




Judgment - CORRECT ANSWER✔✔appearance b b b




Why is it important to label the dressing covering the site of an intravenous access device with the date, time, and
b b b b b b b b b b b b b b b b b b b b




nurse's initials?
b b

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Reminds the nurse when to change the infusion tubing. b b b b b b b b




Informs the nurse and other staff when the next dressing change is due.
b b b b b b b b b b b b




Reminds the nurse to document the insertion of the device. b b b b b b b b b




Proves that the access site was assessed. - CORRECT ANSWER✔✔Informs the nurse and other staff when the next
b b b b b b b b b b b b b b b b b




dressing change is due
b b b b




The nurse is performing an IV insertion procedure on a client.
b b b b b b b b b b




Which of the following actions puts the client at risk?
b b b b b b b b b




Select All That Apply.
b b b




Verify client's name and birthdate.
b b b b




Place tape for anchoring the IV on the hospital bed railing or tray table so that it is handy
b b b b b b b b b b b b b b b b b b




Touch the open hub of the IV catheter after removing the needle
b b b b b b b b b b b




Touch the area that has already been cleansed / prepared for the IV insertion
b b b b b b b b b b b b b




Perform hand hygiene - CORRECT ANSWER✔✔Place tape for anchoring the IV on the hospital bed railing or tray
b b b b b b b b b b b b b b b b b




table so that it is handy
b b b b b b




Touch the open hub of the IV catheter after removing the needle
b b b b b b b b b b b




Touch the area that has already been cleansed / prepared for the IV insertion
b b b b b b b b b b b b b




Which action would the nurse take first if an intravenous (IV) insertion site appeared red, warm, and swollen?
b b b b b b b b b b b b b b b b b




Apply a heat pack. b b b




Elevate the extremity the IV site is on.b b b b b b b




Change the dressing. b b




Discontinue the infusion. - CORRECT ANSWER✔✔Discontinue the infusion. b b b b b b b




What is the primary - and potentially most serious - danger related to a broken IV catheter tip?
b b b b b b b b b b b b b b b b b




Pain
Phlebitis
Embolus
Infection - CORRECT ANSWER✔✔Embolus b b b




What would the nurse do to assess a patient's risk for embolus when removing a venous access device?
b b b b b b b b b b b b b b b b b




Ask the patient to rate any pain at the site.
b b b b b b b b b




Palpate the site for possible edema. b b b b b




Visualize the tip of the IV catheter. b b b b b b




Inspect for redness. - CORRECT ANSWER✔✔Visualize the tip of the catheter
b b b b b b b b b b




When should the tourniquet be released a second time during the procedure for insertion of a peripheral intravenous
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device?
b




After flushing the newly-placed IV with sterile saline to verify patency.
b b b b b b b b b b




Immediately after observing a "flashback" of blood in the catheter. b b b b b b b b b




After a "flashback" of blood is observed and the catheter has been advanced off the stylet.
b b b b b b b b b b b b b b b




Immediately after the catheter punctures the skin. - CORRECT ANSWER✔✔After a "flashback" of blood is b b b b b b b b b b b b b b




observed and the catheter has been advanced off the stylet.
b b b b b b b b b b




A client states, "The voices keep telling me that my hands are dirty." What is the best response by the nurse?
b b b b b b b b b b b b b b b b b b b b




"I don't hear anything; you must be imagining it."
b b b b b b b b




"Maybe you should wash your hands." b b b b b




"I believe you are hearing the voices but I think it is a part of your illness because I cannot hear them."
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"Yes, I hear that, too. Don't worry, the voices say that to all of us." - CORRECT ANSWER✔✔"I believe you are
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