NS 510: Nursing Process and Skills Week 1-3 Quizzes (Exam 1) A+ Graded Already.
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Course
NS 510: Nursing Process and Skills
Institution
NS 510: Nursing Process And Skills
The patient requires temperatures to be taken every two hours. Which of the following cannot be delegated to nursing assistive personnel?
A. Being aware of the usual values for the patient
B. Obtaining temperature measurement at ordered frequency
C. Assessing changes in body temperature
D. Se...
NS 510: Nursing Process and Skills Week 1-3 Quizzes (Exam
1) A+ Graded Already.
The patient requires temperatures to be taken every two hours. Which of the following cannot be delegated to nursing assistive personnel?
A. Being aware of the usual values for the patient
B. Obtaining temperature measurement at ordered frequency
C. Assessing changes in body temperature
D. Selecting appropriate route and device correct answers C (Assessing changes in body temperature, assessment is the responsibility of the registered nurse)
During a routine physical examination of a 70-year-old patient, a blowing sound is auscultated over the carotid artery. The nurse notifies the medical provider of the unexpected physical finding known as:
A. Murmur
B. Clubbing
C. Phlebitis
D. Bruit correct answers D (Bruit: turbulent blood flow through a vessel)
Murmur correct answers turbulent blood flow through a heart valve
Phlebitis correct answers in inflammation of a vessel
Clubbing correct answers abnormal angle of the nail bed caused by long-standing hypoxia, usually a result of chronic respiratory disease
What is the most appropriate way to assess the pain of a patient who is oriented and has recently had surgery?
A. Ask the patient to describe the effect of pain on the ability to cope.
B. Assess the patient's body language.
C. Ask the patient to rate the level of pain.
D. Observe cardiac monitor for increased heart rate. correct answers C (Ask the patient to rate the level of pain, most important assessment of pain is based on patient report)
The nurse is caring for a Black patient with COPD. The nurse knows that the best location to assess for cyanosis (main sign of hypoxia) is the:
A. Earlobes
B. Lower extremities
C. Abdomen
D. Oral mucosa correct answers D (oral mucosa) In which order will the nurse use the nursing process steps during the clinical decision-making process? 1. Evaluating goals 2. Assessing patient needs 3. Planning priorities of care 4. Determining nursing diagnoses 5. Implementing nursing interventions
A. 1, 2, 4, 5, 3
B. 2, 4, 3, 5, 1
C. 5, 1, 2, 3, 4
D. 4, 3, 2, 1, 5 correct answers B (2, 4, 3, 5, 1)
While completing an admission database, the nurse is interviewing a patient who states "I am allergic to latex." Which action will the nurse take first?
A. Immediately place the patient in isolation
B. Document the latex allergy on the medication administration record
C. Ask the patient to describe the type of reaction
D. Proceed to the termination phase of the interview correct answers C (Ask the patient to describe the type of reaction)
A nurse administers an antihypertensive medication to a patient at the scheduled time of 0900. The nursing assistive personnel (NAP) then reports to the nurse that the patient's blood pressure was low when it was taken at 0830. The NAP states they were busy and did not have a chance to tell the nurse yet. The patient begins to complain of feeling dizzy and light-headed. The blood pressure is rechecked and it has dropped even lower. In which phase of the nursing process did the nurse first make an error?
A. Diagnosis
B. Evaluation
C. Assessment
D. Implementation correct answers C (Assessment)
A nursing assessment for a patient with a spinal cord injury leads to several pertinent nursing diagnoses. Which nursing diagnosis is the highest priority for this patient?
A. Spiritual distress
B. Risk for impaired skin integrity
C. Risk for infection
D. Reflex urinary incontinence correct answers D (Reflex urinary incontinence, Actual nursing diagnoses over risk diagnoses)
An assistive personnel reports a client's vital signs as tympanic temperature 37.1° C (98.8° F), pulse 92/min, respiratory rate 18/min, and BP 98/58 mm Hg. Which of the following vital signs should the nurse re-measure?
A. Respiratory rate
B. Blood pressure
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