Pregunta 1
Pregunta
An infected patient has chills and begins shivering. The best nursing intervention is to:
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Apply iced alcohol sponges
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Provide increased cool liquids
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Provide additional bedclothes
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Provide increased ventilation
Pregunta 2
Pregunta
Clay colored stools indicate:
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Upper GI bleeding
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Impending constipation
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An effect of medication
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Bile obstruction
Pregunta 3
Pregunta
In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain?
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Assessment
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Analysis
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Planning
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Evaluation
Pregunta 4
Pregunta
Effective skin disinfection before a surgical procedure includes which of the following methods?
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Shaving the site on the day before surgery
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Applying a topical antiseptic to the skin on the evening before surgery
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Having the patient take a tub bath on the morning of surgery
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Having the patient shower with an antiseptic soap on the evening before and the morning of surgery
Pregunta 5
Pregunta
In a recumbent, immobilized patient, lung ventilation can become altered, leading to such respiratory complications as:
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Respiratory acidosis, atelectasis, and hypostatic pneumonia
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Apneustic breathing, atypical pneumonia and respiratory alkalosis
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Cheyne-Stokes respirations and spontaneous pneumothorax
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Kussmaul’s respirations and hypoventilation
Pregunta 6
Pregunta
Immobility impairs bladder elimination, resulting in such disorders as
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Increased urine acidity and relaxation of the perineal muscles, causing incontinence
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Urine retention, bladder distention, and infection
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Diuresis, natriuresis, and decreased urine specific gravity
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Decreased calcium and phosphate levels in the urine
Pregunta 7
Pregunta
Critical thinking and the nursing process have which of the following in common? Both:
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Are important to use in nursing practice
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Use an ordered series of steps
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Are patient-specific processes
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Were developed specifically for nursing
Pregunta 8
Pregunta
In which step of the nursing process does the nurse analyze data and identify client problems?
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Assessment
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Diagnosis
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Planning outcomes
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Evaluation
Pregunta 9
Pregunta
In which phase of the nursing process does the nurse decide whether her actions have successfully treated the client’s health problem?
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Assessment
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Diagnosis
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Planning outcomes
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Evaluation
Pregunta 10
Pregunta
What is the most basic reason that self-knowledge is important for nurses? Because it helps the nurse to:
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Identify personal biases that may affect his thinking and actions
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Identify the most effective interventions for a patient
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Communicate more efficiently with colleagues, patients, and families
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Learn and remember new procedures and techniques
Pregunta 11
Pregunta
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
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E, B, A, D, C
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A, B, C, D, E
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A, E, C, D, B
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D, A, B, E, C
Pregunta 12
Pregunta
How are critical thinking skills and critical thinking attitudes similar? Both are:
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Influences on the nurse’s problem solving and decision making
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Like feelings rather than cognitive activities
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Cognitive activities rather than feelings
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Applicable in all aspects of a person’s life
Pregunta 13
Pregunta
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:
Pregunta 14
Pregunta
Which of the following is an example of data that should be validated?
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The urinalysis report indicates there are white blood cells in the urine.
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The client states she feels feverish; you measure the oral temperature at 36.8°C.
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The client has clear breath sounds; you count a respiratory rate of 18.
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The chest x-ray report indicates the client has pneumonia in the right lower lobe.
Pregunta 15
Pregunta
For a morbidly obese patient, which intervention should the nurse choose to counteract the pressure created by the skin folds?
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Cover the mattress with a sheepskin.
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Keep the linens wrinkle free.
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Separate the skin folds with towels.
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Apply petrolatum barrier creams.
Pregunta 16
Pregunta
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?
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A clean gown and gloves must be worn when in contact with the client.
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Everyone who enters the room must wear a N-95 respirator mask.
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All linen and trash must be marked as contaminated and send to biohazard waste.
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Place the client in a room with a client with an upper respiratory infection.
Pregunta 17
Pregunta
The clinical instructor asks her students the rationale for handwashing. The students are correct if they answered that handwashing is expected to remove:
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transient flora from the skin.
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resident flora from the skin.
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all microorganisms from the skin.
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media for bacterial growth.
Pregunta 18
Pregunta
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?
Pregunta 19
Pregunta
Which of the following need is given a higher priority among others?
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The client has attempted suicide and safety precaution is needed
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The client has disturbance in his body image because of the recent operation
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The client is depressed because her boyfriend left her all alone
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The client is thirsty and dehydrated
Pregunta 20
Pregunta
Which of the following is a OBJECTIVE data?
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Dizziness
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Chest pain
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Anxiety
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Blue nails