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NUR 436 Final Exam Questions and Answers Complete Solutions
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NUR 436 Final Exam Questions and Answers Complete Solutions
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NUR 436 Final Exam Questions andAnswers Complete Solutions
After receiving report on three different patients, you see that you need to provide
patient education on self-care of a foley catheter before the patient can be discharged
later today. One of the other patients was recently in pain and the third needs to get out
of bed for the first time after surgery. How would you prioritize the foley catheter
teaching?
A. high priority
B. intermediate priority
C. low priority - Answer-C.
Victoria Gonzalez is now positive for Respiratory Syncytial Virus
True or false? - Answer-True
After Isabelle Capstone's seizure on Thursday she was sent to have an MRI of the
head. What were the results of the MRI?
A. increased fluid in the ventricles from baseline
B. MRI within normal limits, shunting visualized
C. shunt dislocation outside of the ventricle
D. possible shunt occlusion or obstruction - Answer-B.
The five rights of delegation include all of the following except:
A. right supervision
B. right patient
C. right task
D. right person - Answer-B.
A blood culture can come back with a false positive result when the venipuncture site is
not adequately cleaned. True or false? - Answer-True
All of the following statements about potassium are true, except:
A. this electrolyte has profound effects on cardiac function
B. the body can reabsorb potassium from the kidneys, when needed to compensate for
low serum levels
C. serum potassium levels are affected by acid-base balance
D. hemolysis of the blood sample during venipuncture can show as an abnormally high
level - Answer-B.
After having a seizure on Thursday, Isabelle is now on what an epileptic medication?
A. Levetiracetam
B. Dilantin
C. Diazepam
D. Phenobarbital - Answer-D.
,A blood culture and sensitivity is ordered for a patient. The primary purpose for this test
is to detect:
A. Hemoglobin
B. Blood type
C. Bacteria in the urine
D. Bacteremia - Answer-D.
For an infant the normal range for a blood potassium level is:
A. 200,000 - 475, 000/mm3
B. 3.5 - 5.0 mEq/L
C. 4.1 - 5.3 mEq/L
D. 41,000 - 53,000/mm3 - Answer-C.
The drug Phenobarbital can best be described as:
A. An alpha-1 adrenergic receptor agonist
B. A CNS depressant
C. A smooth muscle relaxer
D. A synthetic broad spectrum antimicrobial agent - Answer-B.
At 1200 the registered nurse says to the NAP, "You did a good job walking Mrs. Taylor
by 0930. I saw that you recorded her pulse before and after the walk. I saw that Mrs.
Taylor walked in the hallway barefoot. For safety, the next time you walk with a patient,
you need to make sure that the patient wears slippers or shoes. Please walk Mrs.
Taylor again by 1500." Which characteristics of positive feedback did the RN use when
talking to the NAP? (select all that apply)
A. feedback is given immediately
B. feedback focuses on one issue
C. feedback offers concrete details
D. feedback identifies ways to improve
E. feedback focuses on changeable things
F. feedback is specific about what is done incorrectly only - Answer-B, C, D, E
As a nurse, you are assigned to four patients. Which patient do you need to see first?
A. the patient who had abdominal surgery 2 days ago who is requesting pain medication
B. a patient admitted yesterday with atrial fibrillation with decrease level of
consciousness
C. a patient with a wound drain who needs teaching before discharge in the early
afternoon
D. a patient going to surgery for a mastectomy in 3 hours who has a question about the
surgery - Answer-B.
A nurse asks an NAP to help the patient in room 418 walk to the bathroom right now.
The nurse tells the NAP that the patient needs the assistance of one person and the
use of a walker. The nurse also tells the NAP that the patient's oxygen can be removed
as he goes to the bathroom, but to make sure that it is put back on at 2L. The nurse
, also instructs the NAP to make sure that the siderails are up and the bed alarm is reset
after the patient gets back in bed. Which of the following components of the five rights of
delegation were used by the nurse? (select all that apply)
A. right task
B. right circumstances
C. right person
D. right direction/communication
E. right supervision/evaluation - Answer-A, B, C, D
The staff on the nursing unit are discussing implementing interprofessional rounding.
Which of the following statements correctly describe interprofessional rounding? (select
all that apply)
A. allows team members to share information about patients to improve care
B. provides an opportunity for early patient discharge planning
C. improves communication among health care team members
D. allows each of the health care team members to identify separate patient goals
E. allows each health care provider an opportunity to delegate a task - Answer-A, B, C
After a nurse received a change of shift report on his/her assigned patients, he
prioritizes the tasks that need to be completed. This is an example of a nurse displaying
which practice?
A. organization skills
B. use of resources
C. time management
D. evaluation - Answer-C.
A nurse is teaching a patient about wound care that will need to be done daily at home
after the patient is discharged. This is which priority nursing need for this patient?
A. low priority
B, high priority
C. intermediate priority
D. nonemergency priority - Answer-C.
An RN is providing care to a patient who has abdominal surgery 2 days ago. Which task
is appropriate to delegate to the NAP?
A. helping the patient ambulate in the hall
B. changing surgical wound dressing
C. irrigating the nasogastric tube
D. providing brochures to the patient on health diet - Answer-A.
Which task is appropriate for an RN to delegate to an NAP?
A. explaining to the patient the preoperative preparation before the surgery in the
morning
B. administering the ordered antibiotic to the patient before surgery
C. obtaining the patient's signature on the surgical informed consent
D. helping the patient to the bathroom before leaving for the operating room - Answer-D.
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