NURS 203 Midterm Exam - Questions and Answers

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NURS 203 Midterm Exam - Questions and Answers A nurse is caring for a client who reports sneezing, productive cough, muscle aches, headache, and fever that has progressed over the last 4 days. Which... of the following stages of infection is the client likely experiencing? Acute illness Client is admitted with a 3-day history of abdominal cramps and diarrhea. Client reports 4 to 5 liquid stools/day. Client was taking amoxicillin/clavulanate for a respiratory tract infection, 500 mg PO q 12 hr for 10 days. Antibiotics completed 7 days ago. Abdomen soft, nondistended with hyperactive bowel sounds audible in 4 quadrants. Stool contains mucous and is foul-smelling. Stool sent for culture Laboratory Results 1400: Stool culture positive for Clostridium difficile (negative) A nurse is caring for the client. Which of the following actions should the nurse take? Select all that apply. 1.Place the client in a private room. 2. Wear a protective gown while caring for the client. 3.Place a mask on the client when they leave their room. 4.Place the client in a negative pressure room. 5. Wear an N-95 respirator while caring for the client. A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Which of the following actions should the nurse include as a primary health care strategy? Collaborating with providers to perform obesity screenings during routine office visits A nurse is providing discharge instructions to a client who lives in subsidized housing and is concerned about being able to afford their medications. Which of the following factors should the nurse identify is affecting the client's health? Socioeconomic A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all that apply) Home health care Skilled nursing facilities Rehabilitation facilities A nurse is obtaining informed consent from a client who is scheduled for a procedure. Which of the following roles is the nurse demonstrating? Advocate A nurse is instructing a client who has heart disease about ways to improve their health such as eating a heart healthy diet. Which of the following concepts is the nurse demonstrating to the client? Health promotion A nurse is preparing to complete an occurrence report for a client who fell at the facility. Which of the following actions should the nurse take? Use objective terminology when documenting A nurse is reviewing ethical principles with a nursing colleague. Which of the following statements by the nursing colleague indicates an understanding of ethical principles? "Nonmaleficence is our nursing obligation to do no harm to our clients." A nurse is describing to another nurse how to use social media in client care. Which of the following examples should the nurse include as an acceptable social media? Reviewing the use of a fitness application with a client is an acceptable use of social media. This can lead to an improvement in client outcomes and a healthier lifestyle. A nurse is preparing an in-service about motivational interviewing for a group of staff nurses. Which of the following statements should the nurse make when discussing the OARS mnemonic? O = Open ended questions should be utilized A nurse is caring for a client who has severe acute respiratory syndrome (SARS). The nurse knows that health care professionals are required to report communicable and infectious diseases. Which of the following illustrate the rationale for reporting? (Select all that apply) 1. Planning and evaluating control and prevention strategies 2. Determining public health priorities 3. Identifying impact on local grocery stores 4. Monitoring for common-source outbreaks 5. Ensuring proper medical treatment A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as a modifiable risk factor for developing a disease? Sunbathing A nurse is providing change-of-shift report to another nurse for a client using the Introduction, Situation, Background, Assessment and Recommendation (ISBARR) communication tool. Which of the following information should the nurse include as part of the situation component of this communication tool? Medical condition A nurse is performing a blood pressure screening for a client who has a family history of hypertension. Which of the following concepts is the nurse demonstrating? Disease prevention A charge nurse is reviewing with a newly hired nurse the difference in manifestations of a localized versus a systemic infection. Which of the following are manifestations of a systemic infection? (Select all that apply) 1. Increase in pulse and respiratory rate 2. Fever 3. Edema 4. Pain or tenderness 5. Malaise A nurse is reviewing the five levels of communication. Which of the following statements should the nurse identify as describing emotional communication? It refers to the speaker's state of emotions when sending a message. A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the nurse identify as the responsibility of state licensing boards? Ensuring that health care providers comply with regulations When reviewing the role of a change agent, which of the following examples should a nurse identify as part of this role? (Select all that apply) 1. Maintain client privacy. 2. Ensure medications are administered on time. 3. Provide safe care to clients. 4. Introduce the latest form of a medication for cardiac clients. 5. Provide information on a newly developed insulin pump. A nurse manager is providing education to a group of newly licensed nurses about various nursing organizations. Which of the following information should the nurse manager include? The American Nurses Association’s The Code of Ethics for Nurses with Interpretive Statements guides nurses through difficulty decisions A nurse is caring for a client who asks about healthy choices to lose weight. The nurse shares information from Healthy People 2030 to address the client's questions. Which of the following describes the Healthy People initiative? It is a set of objectives for improving the health of American lives. A nurse is caring for a client who reports a severe sore throat, pain when swallowing, and swollen lymph nodes. The client is experiencing which of the following stages of infection? Illness A nurse looks up information in a client's medical record but is not involved in the care of the client. The nurse is violating which of the following standards of professional performance? Code of ethics A nurse in a clinic is caring for a client who is going to require 7 days of IV antibiotics and dressing changes for cellulitis. Which of the following care facilities should the nurse anticipate the client be admitted to? Acute care hospital A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take? Place a towel under the client's head. A nurse is preparing a presentation on heart health at a community center for a group of older adults. Which of the following actions should the nurse take to facilitate learning? Articulate wording at a slow pace. A nurse is providing teaching with a nursing colleague about sentinel events. Which of the following statements by the nursing colleague indicates an understanding? "An example of a sentinel event is administering incompatible blood products to a client with harm noted." A graduate nurse who has been recently hired at a local hospital is completing an application for a nursing license. Which of the following information is a requirement for the nurse during the initial licensure process? Substance misuse within the last 5 years Vital Signs 0800: BP 118/72 mm Hg Heart rate 82/min Respiratory rate 16/min Temperature 36.7° C (98° F) SaO2 98% on room air 1000: BP 128/82 mm Hg Heart rate 94/min Respiratory rate 18/min Temperature 36.7° C (98° F) SaO2 98% on room air Nurses' Notes 0745: Client awake and eating breakfast while watching the news on television. Client has hearing loss, does not wear hearing aid, and TV volume is loud. Rates pain as a 2 on a 0 to 10 pain scale. Incisional dressing dry and intact. 1000: Client ambulated in hallway with physical therapist. Client grimacing, appears upset, and is guarding incisional site. Reports pain a 5 on a 0 to 10 pain scale. Opioid analgesic administered. 1045: Client resting with eyes closed and listening to music with earphones. Reports feeling "very sleepy" after pain medication. Now rates pain as a 3 on a 0 to 10 pain scale. 1300: Ate 75% of lunch. Several visitors at bedside. Which of the following factors could present a barrier to the nurse effectively communicating with the client? (Select all that apply) 1. Family history of hearing loss 2. Numerous visitors in the client's room 3. Client's hearing deficit 4. Volume of the client's television A nurse is observing a newly licensed nurse perform hand hygiene. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure? Holds their hands below their elbows while rinsing off soap A charge nurse is instructing a newly hired nurse about the general guidelines of safety data sheets (SDS) within the facility. Which of the following statements should the charge nurse make? (Select all that apply) 1. “The SDS contains risks for chemical exposure.” 2. “The SDS lists steps to take for chemical exposure.” 3. “The SDS contains every chemical that is listed within the facility.” 4. “The SDS contains the facility contact person if there is a chemical exposure.” A nurse is preparing to renew their nursing license. Which of the following information is required to submit to the Board of Nursing? 1. Substance misuse in last 5 years 2. Travel abroad 3. History of criminal record 4. Disciplinary actions taken against license A nurse is explaining the various types of health care coverage clients might have to a group of nurses. Which of the following health care financing mechanisms should the nurse include as federally funded? (Select all that apply.) 1. Exclusive provider organization (EPO) 2. Preferred provider organization (PPO) 3. Long-term care insurance 4. Medicare [Show More]

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