NU211/NUR2115 FUNDAMENTALS EXAM 2 QUESTIONS WITH ANSWERS

NU211/NUR2115 FUNDAMENTALS EXAM 2 QUESTIONS WITH ANSWERS• Question 1 1 out of 1 points Which characteristics of the stages of infection indicate the full stage of infection? a. It is the interval between the pathogen’s invasion of the body and the appearance of symptoms of infection. b. Specific signs and symptoms are present. c. The organisms are growing and multiplying. d. Early signs and symptoms of disease are present, but these are often vague and nonspecific. • Question 2 1 out of 1 points While assessing the client, the nurse hears diminished lung sounds on auscultation, counts a respiratory rate of 22 and regular, and obtains an oxygen saturation of 89% on room air. What nursing diagnosis is best supported by this assessment data? a. Impaired gas exchange ?? b. Ineffective airway clearance ?? c. Anxiety d. Tachypnea • Question 3 1 out of 1 points A nurse accidentally sticks her hand with a needle after administering an injection to a client. What action should the nurse take first? a. Report the incident to the charge nurse. b. Wash the area of the puncture thoroughly with soap and warm water. c. Complete an incident report. d. Go to employee health services. • Question 4 1 out of 1 points A client is having difficulty climbing stairs and reports shortness of breath. The nurse notes that the client is breathing heavy, having nasal flaring and mouth is wide open. How will the nurse document this client's response to activity? a. Wheezing with activity. b. Tachypnea. c. Dyspnea on exertion (DOE). d. Apnea. • Question 5 1 out of 1 points A home care client was recently prescribed continuous oxygen. What client statement indicates further education is needed? a. I will be able to tell how much oxygen I’m getting by looking at the flowmeter. b. I should call my doctor if I find it harder to concentrate. c. I will make sure my visitors smoke outside. d. I will wear synthetic clothing and woolen socks when using my oxygen • Question 6 0 out of 1 points A nurse is interviewing a client who will undergo a cardiac coronary catheterization (angiography). The nurse inquires if the client has someone with her that will be able to drive her home after the procedure. What phase of the nursing process involves questioning and gathering data? a. Planning b. Evaluation c. Assessment d. Diagnosis • Question 7 1 out of 1 points Following shift-to-shift report, what nursing process activity is performed first? a. Critically analyze assessment data to determine priorities. b. Collect and organize client data through physical assessment. c. Set client-centered, measurable and realistic goals. d. Determine effectiveness of intervention. • Question 8 0 out of 1 points A nurse working on an orthopedic unit is caring for four clients. What client is at greatest risk for skin breakdown? a. An adolescent who has a cervical fracture and is in a halo brace. b. A young adult who has a femur fracture and is in a cast. c. A middle adult who has a fractured radius and an arm cast. d. An older adult who has a hip fracture and is in an immobilizer • Question 9 1 out of 1 points The nurse is assigned to care for a middle-ages adult woman who recently had abreast removed due to cancer. While preparing to clean the incision, the patient tells the nurse, "I just can't look at myself like this." What is the best therapeutic response? a. It could be worse. b. Let me finish preparing the supplies, then we can talk. c. I see this is a difficult change for you. Tell me more about how you’re feeling. d. Don’t worry, everything will be alright.