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Nursing 101 Exam 2 Practice Questions And Answers 2024 Latest Solutions
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Nursing 101 Exam 2 Practice Questions And Answers 2024 Latest Solutions
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Nursing 101 Exam 2 Practice Questions And Answers2024 Latest Solutions
The nurse auscultates a client with soft, high-pitched popping breath sounds on inspiration. The nurse documents the
breath sounds heard as: ANS crackles
Which medication is administered in the home or the hospital to relieve inflammation in the lung tissue? ANS
corticosteroids
When a nurse observes that an older client's skin is dry and shiny and his nails are thickened, the nurse determines
that the client is most likely experiencing ANS poor tissue perfusion
The nurse is caring for a client who has a compromised cardiopulmonary system and needs to assess the client's
tissue oxygenation. The nurse would use which appropriate method to assess this client's oxygenation? ANS
arterial blood gas
The nurse is caring for a client with metabolic acidosis whose breathing rate is 28 breaths per minute. Which arterial
blood gas data does the nurse anticipate finding? ANS pH less than 7.35; HCO3 low; PaCO2 low
The plan of care for a client exhibiting signs of sensory deprivation includes incorporating tactile stimulation. Which
nursing intervention will provide tactile stimulation? ANS providing a backrub with morning and evening care
During the nurse's morning assessment of a client with a diagnosis of dementia, the client states that the year is 1949
and she believes she is in a hotel. How should the nurse best respond to this client's disorientation? ANS
Reorient the client to place and time.
The physician tells the nurse that the elderly client has presbycusis. Which of the following interventions will the
nurse place in the client's care plan? ANS Decrease background noises, as much as possible, before speaking
The nurse assesses that her client has olfactory disturbances. Which of the following health topics would be
important to teach the client? ANS Eliminating disturbing odors with adequate ventilation
The community health nurse wants to identify clients who have lifestyle factors that may place them at risk for
sensory disturbances. Which of the following questions should she ask? ANS Do you work around loud noises
at work?"
, Which example indicates the use of an internal sensory receptor? ANS spitting out of hot coffee
A client reports to a health care facility with reporting abdominal pain and vomiting. The client's wife informs the
nurse that the client had gone out for dinner the previous night. Which of the following would be the primary source
of assessment data? ANS client himself
During morning report, the night nurse tells the day nurse that the client refused to allow the technician to draw
blood for laboratory testing. What step would be essential for the day nurse to complete before selecting a nursing
diagnosis to address this issue? ANS The nurse should determine the reason for the client's refusal.
The client, who is 8 weeks pregnant as the result of a rape, tells the nurse, "I do not want to have this baby, but I
have always believed that abortion is a sin. I don't know what to do." What nursing diagnosis would be most
appropriate for the nurse to formulate? ANS Decisional Conflict related to conflict with moral beliefs as
evidenced by the client's statement
A 50-year-old female client is admitted to a hospital unit with the diagnosis of scleroderma. The nurse is unfamiliar
with this condition. What is the nurse's best source of information? ANS Consult nursing and medical literature.
A nurse has a two-way video communication with the specialist involved in the care of a client in a long-term care
facility. This is an example of what nursing informatics technology? ANS Telemedicine and mobile technology
HIPAA allows incidental disclosures of client health information as long as it cannot reasonably be prevented, is
limited in nature, and occurs as a byproduct of an otherwise permitted use or disclosure of client health information.
What are examples of this type of client health information disclosure? Select all that apply. ANS A visitor hears
a confidential conversation between two nurses in surroundings that are appropriate and with voices that are kept
low.
The nurse uses x-ray light boards that can be seen by passersby; however, client x-rays are not left unattended on
them.
The nurse calls out names in the waiting room, but does not disclose the reason for the client visit.
The nurse is caring for a client whose spouse wishes to see the electronic health record. What is the appropriate
nursing response? ANS "Only authorized persons are allowed to access client records."
which of the following is a s/sx of late hypoxia? ANS cyanosis
which of the following would lead to an increase in o2 demand?
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