NUR 2989 CAPSTONE PROCTORED MODULE 7
TEST EXAM|| QUESTIONS AND 100% CORRECT
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A nurse is observing client care provided by assistive personnel (AP). Which of the
following actions should prompt the charge nurse to intervene?
a. The AP puts on clean gloves prior to brushing a client's teeth.
b. The AP attaches a client's urinary drainage bag to the bed frame.
c. The AP instructs a client who needs assistance with turning to place his arms at
his side before the turn.
d. The AP applies moisturizing cream to the feet of a client who has diabetes
mellitus. - ANSWER: c. The AP instructs a client who needs assistance with
turning to place his arms at his side before the turn.
A nurse is assessing an adolescent client who has attention deficit hyperactivity
disorder (ADHD). Which of the following findings should the nurse expect?
a. Elevated mood
b. Anxiety
c. Emotional numbing
d. Impulsivity - ANSWER: d. Impulsivity
A nurse is developing the plan of care for a client who does not speak the same
language as the nurse. Which of the following interventions should the nurse
include?
a. Make sure a family member is present to interpret for the staff
b. Encourage the client to nod to indicates understanding
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c. Determine the client's level of fluency in his primary language
d. Speak directly to the interpreter when teaching the client - ANSWER: b.
Encourage the client to nod to indicates understanding
A nurse has completed care procedures for client who requires airborne
precautions. Which of the following items of personal protective equipment (PPE)
should the nurse remove last?
a. Gloves
b. Gown
c. Mask
d. Goggles - ANSWER: c. Mask
Following a tornado, a nurse is determining which of the clients assigned to her
care can be discharged to free up beds for injured clients. Which of the following
clients should the nurse recommend for discharge?
a. An older adult who was admitted for diabetic ketoacidosis and his most recent
ABGs show
his pH is now 7.32
b. Middle adult who is 36hr postoperative from an open laminectomy
c. An adolescent client who was admitted 24hr ago due to a spontaneous
pneumothorax
d. A young adult client who has Crohn's disease and is 1 day preoperative for an
ileostomy - ANSWER: d. A young adult client who has Crohn's disease and is 1
day preoperative for an ileostomy
A community mental health nurse is assessing client who has schizophrenia.
Which of the following findings indicates the client might be relapsing?
a. The client reports feelings of anger toward her provider
b. The client states have started smoking again
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c. The client is wearing mismatched clothing
d. The client reports difficulties with sleeping and concentrating - ANSWER: d.
The client reports difficulties with sleeping and concentrating
A nurse is caring for a client whose informed consent form has been signed in
preparation for a procedure. The client states, "I have decided not to have the
procedure. "Which of the following actions should the nurse take?
a. Remind the client the consent form has already been signed
b. Discuss alternatives to the procedure
c. Explain why this procedure is necessary
d. Inform the provider that the client is withdrawing consent - ANSWER: d.
Inform the provider that the client is withdrawing consent
A nurse in a mental health facility is caring for a client who is a client who is upset
about the loss of privileges due to repetitive negative behavior. Which of the
following statements by the nurse demonstrates the effective use of assertive
communication?
a. "You need to calm down before discussing this matter any further"
b. "I understand that you are angry. However, I followed the appropriate protocol
c. "You were made aware of the consequences of negative behavior"
d. "Why did you make the choice to behave negatively?" - ANSWER: b. "I
understand that you are angry. However, I followed the appropriate protocol
A nurse is caring for an adolescent client who has a new diagnosis of
schizophrenia. The client's parents are tearful and express feelings of guilt. Which
of the following statements should the nurse make?
a. "You said that you feel guilty about your daughter's diagnosis. Lets talk about
what is causing you to feel this way".