Kathleen Jackson
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Kathleen Jackson
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1809NRS Mini Quiz 5

Question 1 of 20

1

An infected patient has chills and begins shivering. The best nursing intervention is to:

Select one of the following:

  • Apply iced alcohol sponges

  • Provide increased cool liquids

  • Provide additional bedclothes

  • Provide increased ventilation

Explanation

Question 2 of 20

1

Clay colored stools indicate:

Select one of the following:

  • Upper GI bleeding

  • Impending constipation

  • An effect of medication

  • Bile obstruction

Explanation

Question 3 of 20

1

In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain?

Select one of the following:

  • Assessment

  • Analysis

  • Planning

  • Evaluation

Explanation

Question 4 of 20

1

Effective skin disinfection before a surgical procedure includes which of the following methods?

Select one of the following:

  • Shaving the site on the day before surgery

  • Applying a topical antiseptic to the skin on the evening before surgery

  • Having the patient take a tub bath on the morning of surgery

  • Having the patient shower with an antiseptic soap on the evening before and the morning of surgery

Explanation

Question 5 of 20

1

In a recumbent, immobilized patient, lung ventilation can become altered, leading to such respiratory complications as:

Select one of the following:

  • Respiratory acidosis, atelectasis, and hypostatic pneumonia

  • Apneustic breathing, atypical pneumonia and respiratory alkalosis

  • Cheyne-Stokes respirations and spontaneous pneumothorax

  • Kussmaul’s respirations and hypoventilation

Explanation

Question 6 of 20

1

Immobility impairs bladder elimination, resulting in such disorders as

Select one of the following:

  • Increased urine acidity and relaxation of the perineal muscles, causing incontinence

  • Urine retention, bladder distention, and infection

  • Diuresis, natriuresis, and decreased urine specific gravity

  • Decreased calcium and phosphate levels in the urine

Explanation

Question 7 of 20

1

Critical thinking and the nursing process have which of the following in common? Both:

Select one of the following:

  • Are important to use in nursing practice

  • Use an ordered series of steps

  • Are patient-specific processes

  • Were developed specifically for nursing

Explanation

Question 8 of 20

1

In which step of the nursing process does the nurse analyze data and identify client problems?

Select one of the following:

  • Assessment

  • Diagnosis

  • Planning outcomes

  • Evaluation

Explanation

Question 9 of 20

1

In which phase of the nursing process does the nurse decide whether her actions have successfully treated the client’s health problem?

Select one of the following:

  • Assessment

  • Diagnosis

  • Planning outcomes

  • Evaluation

Explanation

Question 10 of 20

1

What is the most basic reason that self-knowledge is important for nurses? Because it helps the nurse to:

Select one of the following:

  • Identify personal biases that may affect his thinking and actions

  • Identify the most effective interventions for a patient

  • Communicate more efficiently with colleagues, patients, and families

  • Learn and remember new procedures and techniques

Explanation

Question 11 of 20

1

Arrange the steps of the nursing process in the sequence in which they generally occur. A. Assessment B. Evaluation C. Planning outcomes D. Planning interventions E. Diagnosis

Select one of the following:

  • E, B, A, D, C

  • A, B, C, D, E

  • A, E, C, D, B

  • D, A, B, E, C

Explanation

Question 12 of 20

1

How are critical thinking skills and critical thinking attitudes similar? Both are:

Select one of the following:

  • Influences on the nurse’s problem solving and decision making

  • Like feelings rather than cognitive activities

  • Cognitive activities rather than feelings

  • Applicable in all aspects of a person’s life

Explanation

Question 13 of 20

1

The nurse is preparing to admit a patient from the emergency department. The transferring nurse reports that the patient with chronic lung disease has a 30+ year history of tobacco use. The nurse used to smoke a pack of cigarettes a day at one time and worked very hard to quit smoking. She immediately thinks to herself, “I know I tend to feel negatively about people who use tobacco, especially when they have a serious lung condition; I figure if I can stop smoking, they should be able to. I must remember how physically and psychologically difficult that is, and be very careful not to let be judgmental of this patient.” This best illustrates:

Select one of the following:

  • Theoretical knowledge

  • Self-knowledge

  • Using reliable resources

  • Use of the nursing process

Explanation

Question 14 of 20

1

Which of the following is an example of data that should be validated?

Select one of the following:

  • The urinalysis report indicates there are white blood cells in the urine.

  • The client states she feels feverish; you measure the oral temperature at 36.8°C.

  • The client has clear breath sounds; you count a respiratory rate of 18.

  • The chest x-ray report indicates the client has pneumonia in the right lower lobe.

Explanation

Question 15 of 20

1

For a morbidly obese patient, which intervention should the nurse choose to counteract the pressure created by the skin folds?

Select one of the following:

  • Cover the mattress with a sheepskin.

  • Keep the linens wrinkle free.

  • Separate the skin folds with towels.

  • Apply petrolatum barrier creams.

Explanation

Question 16 of 20

1

A client with a stage 2 pressure ulcer has methicillin-resistant Staphylococcus aureus (MRSA) cultured from the wound. Contact precautions are initiated. Which rule must be observed to follow contact precautions?

Select one of the following:

  • A clean gown and gloves must be worn when in contact with the client.

  • Everyone who enters the room must wear a N-95 respirator mask.

  • All linen and trash must be marked as contaminated and send to biohazard waste.

  • Place the client in a room with a client with an upper respiratory infection.

Explanation

Question 17 of 20

1

The clinical instructor asks her students the rationale for handwashing. The students are correct if they answered that handwashing is expected to remove:

Select one of the following:

  • transient flora from the skin.

  • resident flora from the skin.

  • all microorganisms from the skin.

  • media for bacterial growth.

Explanation

Question 18 of 20

1

A patient’s urine is cloudy, is amber, and has an unpleasant odor. What problem may this information indicate that requires the nurse to make a focused assessment?

Select one of the following:

  • Urinary retention

  • Urinary tract infection

  • Ketone bodies in the urine

  • High urinary calcium level

Explanation

Question 19 of 20

1

Which of the following need is given a higher priority among others?

Select one of the following:

  • The client has attempted suicide and safety precaution is needed

  • The client has disturbance in his body image because of the recent operation

  • The client is depressed because her boyfriend left her all alone

  • The client is thirsty and dehydrated

Explanation

Question 20 of 20

1

Which of the following is a OBJECTIVE data?

Select one of the following:

  • Dizziness

  • Chest pain

  • Anxiety

  • Blue nails

Explanation

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