NU211/NUR2115 Section 02 Fundamentals of Professional nursing

NUR2115 Section 02 Fundamentals of Professional Nursing - Online - 2017 Fall Quarter Test Nur 2115 Exam 2 Started 11/20/17 9:00 AM Submitted 11/20/17 9:20 AM Status Completed Attempt Score 39 out of 50 points Time Elapsed 19 minutes out of 1 hour and 30 minutes • Question 1 Which characteristics of the stages of infection indicate the full stage of infection? 1 out of 1 points 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 While assessing the client, the nurse hears diminished lung sounds on 1 out of 1 points 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 A client is having difficulty climbing stairs and reports shortness of breath. The nurse notes that the client is breathing heavy, having nasal 1 out of 1 points 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 A home care client was recently prescribed continuous oxygen. What client statement indicates further education is needed? 1 out of 1 points 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 A nurse is interviewing a client who will undergo a cardiac coronary catheterization (angiography). The nurse inquires if the client has 0 out of 1 points 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 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. 0 out of 1 points 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 The nurse is assigned to care for a middle-ages adult woman who 1 out of 1 points 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. • Question 10 While performing an assessment, the nurse hears crackles in bilateral lower lung lobes. The nurse adds a nursing diagnosis of impaired gas 0 out of 1 points exchange. What purpose does a nursing diagnoses serve? (Select all that apply.) a. Nursing diagnoses allow for greater autonomy in the nursing field. b. Nursing diagnoses allow for greater accountability to the nursing profession. c. Nursing diagnoses provide clear identification of the body of nursing knowledge. d. Nursing diagnoses identify problems other non-nursing team members are expected to resolve. • Question 11 1 out of 1 points A nurse identifies a client as having a risk for impaired skin integrity. The clients position is changed every two hours as directed in the care plan interventions. How should the nurse evaluate the effectiveness of the intervention? a. Examine the condition of the client’s skin using inspection and palpation. b. Ask the unlicensed assistive personnel (UAP) if the patient’s position has been changed every two hours. c. Ask the client how the interventions is working. d. Delegate skin assessment to a licensed practical nurse. • Question 12