NSG 401 Final Exam: Questions With Proper Solutions
A nurse on duty in the pediatric ward notices an unidentified person carrying
a baby in her arms. The baby is dressed in hospital garb. What action should
the nurse take IMMEDIATELY? Right Ans - alert the supervisor and call
"Code Pink."
What type of assessment should be completed by the first trained healthcare
professional to arrive at a scene of an accident when life-threatening
problems or injuries are identified? Right Ans - primary.
A client in the healthcare facility asks the nurse what IMMEDIATE action is
taken by nursing staff in case of a fire. Which response should the nurse
provide the client? Right Ans - the clients in immediate danger are moved
away from the fire.
The nurse is caring for a client who has built up a tolerance to alcohol. Which
nursing consideration is appropriate for this client? Right Ans - the use of
aspirin enhances the absorption of alcohol.
What type of assessment involves taking and recording the victim's vital signs
and performing a head-to-toe assessment? Right Ans - secondary.
What interventions should the nurse implement when providing care to a
client during the rewarming process for severe hypothermia? (SATA) Right
Ans - A) Remove and replace all wet clothing
C) Provide warm oral fluids, if client is alert
D) Monitor for cardiac dysrhythmias
A heroin dependent client is enrolled in a methadone maintenance program.
What interventions should the nurse implement when caring for this client?
SATA) Right Ans - A) Supervise the collection of required urine specimens.
B) Mix the methadone powder with 120 mL of orange juice.
E) Reinforce the importance of participating in group therapy.
What statements present accurate information about the concepts of triage?
(SATA) Right Ans - B) Contains disaster plan initiated when an accident
involves multiple victims.
C) Process of sorting and classifying to determine priority of needs.
, D) Process of victim identification so next of kin can be notified.
The nurse is reviewing with the client the use of the emergency signal in the
client's bathroom. What instructions should the nurse review with the client
about the use of the emergency signal?
1. Causes a light to flash or a buzzer to sound at a central station
2. Use when experiencing difficulty while in the bathroom
3. Staff will respond to the signal within 5 minutes
4. Used by staff to request immediate assistance Right Ans - 1,2,4.
A nurse is caring for a client with a history of methamphetamine abuse. The
nurse observes rapid eye movement and jerky body movements in the client.
How should the nurse document this condition of the client? Right Ans -
tweaking.
A nurse in a local health care facility is caring for a client suspected of bleeding
internally. Which observation should the nurse report to a physician
immediately? Right Ans - breathing that is becoming shallow and rapid.
Which class are you in at this time? Right Ans - NSG 401.
A nurse is gathering data from a client suspected of abusing alcohol. Which
question will provide the most accurate information for predicting
withdrawal? Right Ans - ask when the client had their last drink.
A client who is undergoing chemotherapy has received a bouquet of flowers.
What should the nurse do to assure the client's safety? Right Ans - explain
to the client why the flowers will not be allowed in the room.
The nurse is assisting the healthcare team to provide dialectical behavioral
therapy for a client who is an alcoholic. Which of the following is the focus of
this type of therapy? Right Ans - the "wise mind", a midway point between
being totally rational and totally emotional.
What safety measures should all healthcare workers practice when using and
storing hazardous substances? (SATA) Right Ans - B) Always wear
protective equipment when working with such liquids.
C) Be aware of proper spill cleanup procedures.
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