Question 1. A hospice nurse is caring for an adolescent child with acquired immune deficiency syndrome (AIDS). The parents are divorced and the father has sole custody. The mother has come to visit for the first time and is asking many personal healthcare related questions. How should the nurse bes...
NUR 443- Assignment 1 Exam Questions
and Answers
Question 1. A hospice nurse is caring for an adolescent child with acquired immune
deficiency syndrome (AIDS). The parents are divorced and the father has sole custody.
The mother has come to visit for the first time and is asking many personal healthcare
related questions. How should the nurse best handle this situation?
1. Tell the mother whatever she wants to know.
2. Tell the mother they cannot disclose that information.
3. Tell the mother she must talk to the father of the child.
4. Consult the chart prior to giving out any information. - Answer-4. Consult the chart
prior to giving out any information.
Question 2. The nurse in the hospital is caring for an adolescent patient with end-stage
renal disease (ESRD) who is on hospice care. The nurse notes a heart rate of 40,
shallow agonal breaths at 10, and lower limbs that are bluish in color. Which action
should the nurse take initially?
1. Contact the patient's primary care provider (PCP).
2. Contact the patient's hospice nurse.
3. Contact the pharmacist.
4. Contact the social worker. - Answer-2. Contact the patient's hospice nurse.
Question 3. The nurse is caring for a school-age child in need of a blood transfusion to
improve his rare condition. The family are Jehovah's Witnesses and will not allow it due
to their religious beliefs. What action should the nurse take?
1. Examine personal beliefs and how they differ from the patient's. Provide non-
judgmental care.
2. Refuse to care for the patient.
3. Tell the patient's family that they are killing their child with their decision.
4. Say nothing and ignore the internal conflict. - Answer-1. Examine personal beliefs
and how they differ from the patient's. Provide non-judgmental care.
Question 4. The nurse is making a home visit on a school-age child with newly
diagnosed diabetes mellitus Type 1. The nurse notes the home is dirty, cluttered, and
several kids are running around. The mother states, "I don't know if I can handle one
more thing around here. This place is like a zoo as it is." What is an appropriate action
for the nurse?
1. Contact social services to get assistance to help and make a referral to the diabetes
educator.
2. Call the Children's Administration hotline to report the family for abuse or neglect.
, 3. Tell the mother, "Don't worry, it will all work out."
4. Explain how the mother needs to start putting the child's needs first now. - Answer-1.
Contact social services to get assistance to help and make a referral to the diabetes
educator.
Question 5. A nurse is caring for a pre-school child who has recently undergone
chemotherapy. The patient's appetite has been poor and the family asks, "May we bring
in some chicken noodle soup? It is what he is asking for and all he will eat when he is
sick. How should the nurse respond?
1. "No, it is not appropriate to bring in outside food."
2. "Yes, anything that is special to him that he will eat and that is not restricted is
allowed."
3. "Yes, but it must be sent through the hospitals dietary department to be approved."
4. "No, he is on a very strict diet and we must monitor everything that goes into his
food." - Answer-2. "Yes, anything that is special to him that he will eat and that is not
restricted is allowed."
Question 6. After administering the Denver Development Screening Test (DDST), the
nurse noted that the child had more than two cautions. What questions should be asked
to complete the health assessment and guide nursing care. Select all that apply.
1. Do you have lead-based paint in your house?
2. What is your source of drinking water?
3. Do you have access to safe parks?
4. Do you have a history of allergies?
5. Were you exposed to any viral illnesses during pregnancy? - Answer-1. Do you have
lead-based paint in your house?
2. What is your source of drinking water?
3. Do you have access to safe parks?
5. Were you exposed to any viral illnesses during pregnancy?
Question 7. The most important strategy to support cultural competence and equity in
healthcare environments would require the nurse to do which of the following action?
1. Encourage unrestricted visitation.
2. Encourage good hand hygiene practices for all visitors.
3. Investigate policies concerning these practices prior to applying for a job at the
facility.
4. Ensure active patient and family involvement in care delivery. - Answer-3. Investigate
policies concerning these practices prior to applying for a job at the facility.
Question 8. A nurse is providing education on using a patient-controlled analgesia
(PCA) pump for pain control to a school age child who is recovering from surgery. The
patient's parent states, "We don't believe in using narcotic medications for pain, it is
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