Term 1 Nursing Review for the Exam Question and answers rated A+
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Course
NURS 3632
Institution
NURS 3632
Term 1 Nursing Review for the Exam Question and answers rated A+ Term 1 Nursing Review for the Exam
A group of students are discussing the impact of non-nursing theories in clinical practice. The students would be correct if they chose which theory to prioritize patient care? - correct answe...
Term 1 Nursing Review for the Exam
A group of students are discussing the impact of non-nursing theories in
clinical practice. The students would be correct if they chose which theory to
prioritize patient care? - correct answer ✔Maslow's Hierarchy of Needs
A newly licensed registered nurse is curious about the scope of care that she
has in caring for patients undergoing conscious sedation. Which would be the
best source of information? - correct answer ✔Nurse Practice Act
A nurse is told in the hand-off report that a patient is afebrile. What
assessment finding correlates with this statement?
Temperature 98.4° F (36.8° C)
Pulse 82 beats/min
Blood pressure 152/98 mm Hg
Respirations 16 breaths/min - correct answer ✔Temperature 98.4° F (36.8°
C)
In recording the childhood illnesses of a patient who denies having had any,
which note by the nurse would be most accurate?
Patient states he was a "very healthy" child.
Patient states his sister had measles, but he didn't.
Correct!
Patient denies measles, mumps, rubella, chickenpox, pertussis, and strep
throat.
Patient denies usual childhood illnesses. - correct answer ✔Patient denies
measles, mumps, rubella, chickenpox, pertussis, and strep throat.
,The nurse is conducting a presurgical screening interview with a patient at a
local surgical center. When performing a health assessment, the primary
source of information should be: - correct answer ✔the patient
The nurse is preparing to conduct a health history. Which of these statements
best describes the purpose of a health history? - correct answer ✔To provide
a database of subjective information about the patient's past and current
health
The nursery nurse should identify which newborn at significant risk for
hypothermic alteration in thermoregulation? - correct answer ✔Low birth
weight
The review of systems provides the nurse with: - correct answer
✔Information regarding health promotion practices
The nurse is caring for an adult patient with a recent below-the-knee
amputation. During shift report, the nurse reports that the patient has urinated
in the bed multiple times since the surgery. The nurse knows which defense
mechanism best describes this behavior? - correct answer ✔regression
A patient with an inoperable brain tumor says to the nurse, "I just want to die
now. It's going to happen soon anyway." Which would be the most appropriate
response? - correct answer ✔"Tell me why you are saying that."
A nurse is caring for a patient who has orthopnea. What action by the nurse is
most appropriate? - correct answer ✔Keep the head of the bed elevated.
The nurse is assessing a patient for the adequacy of ventilation. What
assessment findings would indicate the patient has good ventilation? (Select
all that apply.)
,Oxygen saturation level is 98%.
There is presence of quiet, effortless breath sounds at lung base bilaterally.
The right side of the thorax expands slightly more than the left.
Trachea is just to the left of the sternal notch.
Nail beds are pink with good capillary refill.
Respiratory rate is 24 breaths/min. - correct answer ✔Oxygen saturation
level is 98%.
There is presence of quiet, effortless breath sounds at lung base bilaterally.
Nail beds are pink with good capillary refill.
The nurse is conducting a patient assessment. The patient tells the nurse that
he has smoked two packs of cigarettes per day for 27 years. The nurse may
find which data upon assessment? - correct answer ✔Elevated blood
pressure
The nurse is explaining to a student nurse about impaired central perfusion.
The nurse knows the student understands this problem when the student
makes which statement? - correct answer ✔Central perfusion involves the
entire body."
The nurse requests that a mother give permission for a hearing test in a
newborn infant. The mother questions the importance of such a test. The
nurse correctly responds with which of the following statements? - correct
answer ✔"Imitation of sounds is the first step in language development, and it
is important to identify alterations early."
The nursing faculty member is observing a student taking a patient's carotid
pulse. What action by the student requires intervention by the faculty
member? - correct answer ✔Compares pulses in both carotid arteries at the
same time.
, The patient asks the nurse to explain the function of the sinoatrial node in the
heart. What is the nurse's best response? - correct answer ✔The sinoatrial
node stimulates the heart to beat in a normal rhythm."
The patient is brought to the emergency department after a motor vehicle
accident. The patient is diagnosed with internal bleeding. What is the priority
of care for this patient? - correct answer ✔Perfusion
The patient who had a hip replacement yesterday has a visual acuity of
20/200 after correction. What is the nurse's best action to provide recreational
activities during the rehabilitation phase? - correct answer ✔Suggest use of
talking books.
The student nurse is assessing a patient's pulses. What action by the student
requires the nurse to intervene? - correct answer ✔Assessing the doralis
pedis pulse by palpating behind the patient's knee
A nurse is conducting a health interview on a newly admitted patient. To
establish a trusting relationship with the patient, the nurse:
speaks in a slow rate of speech and low tone.
demonstrates professionalism by not smiling.
sits close and leans in slightly toward the patient.
avoids eye contact to appear less threatening. - correct answer ✔sits close
and leans in slightly toward the patient.
A nursing instructor is talking about care coordination with nursing students.
The instructor stresses which of the following to the students concerning care
coordination?
"Collaboration is a significant part of care coordination."
"The nurse does most of the work in care coordination."
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