Exam 1: NR224/ NR 224 (Latest 2023/ 2024 Update) Fundamentals Skills Exam| Graded A| Questions and Verified Answers - Chamberlain
QUESTION
A nurse
... [Show More] uses a head-to-toe approach to conduct a physical assessment of a client who will undergo surgery the following week. Which of the following critical thinking attitudes did the nurse demonstrate?
A. Confidence
B. Perseverance
C. Integrity
D. Discipline
Answer:
D. Discipline
Discipline is developing a systemic approach to thinking.
QUESTION
By the second postoperative day, a client has not achieved satisfactory pain relief. Based on this evaluation, which of the following actions should the nurse take, according to the nursing process?
A. Reassess the client to determine the reasons for inadequate pain relief.
B. Wait to see whether the pain lessens during the next 24 hours.
C. Change the plan of care to provide different pain relief interventions.
D. Teach the client about the plan of care for managing his pain.
Answer:
A. Reassess the client to determine the reasons for inadequate pain relief.
QUESTION
A newly licensed nurse is reporting to the charge nurse about the care she gave to a client. She states, "The client said his leg pain was back, so I checked his medical record, and he last received his pain medication 6 hours ago. The prescription reads every 4 hours PRN for pain, so I decided he needs it. I asked the unit nurse to observe me preparing and administering it. I checked with the client 40 minutes later, and he said his pain is going away." The charge nurse should inform the newly licensed nurse that she left out which of the following steps of the nursing process?
A. assessment
B. planning
c. intervention
d. evaluation
Answer:
A. assessment
QUESTION
A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of the following data should the charge nurse identify as objective data? (Select all that apply.)
A. Respiratory rate is 22/min with even, unlabored respirations.
B. The client's partner states, "He said he hurts after walking about 10 minutes."
C. Pain rating is 3 on a scale of 0 to 10
D. Skin is pink, warm, and dry.
E. The assistive personnel reports the client walked with a limp.
Answer:
A, D, and E.
Per Trolinger, pain is also objective (vitals).
QUESTION
A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that do not require a provider's prescription. Which of the following interventions should the charge nurse include? (Select all that apply.)
A. writing a prescription for morphine sulfate as needed for pain.
B. inserting a nasogastric tube to relieve gastric distention.
C. Showing a client how to use progressive muscle relaxation.
D. Performing a daily bath after the evening meal.
E. Repositioning a client every 2 hours to reduce pressure ulcer risk.
Answer:
C, D, E
QUESTION
A nurse is discussing the nursing process with a newly hired nurse. Which of the following statements by the newly hired nurse should the nurse identify as appropriate for the planning step of the nursing process?
A. "I will determine the most important client problems that we should address."
B. "I will review the past medical history on the client's record to get more information."
C. "I will go carry out the new prescriptions from the provider."
D. "I will ask the client if his nausea is resolved."
Answer:
A. Determining the most important client problems.
QUESTION
A nurse is preparing information for the change-of-shift report. Which of the following information should the nurse include in the report?
A. input and output for the shift.
B. blood pressure from the previous day.
C. Bone scan scheduled for today.
D. Medication routine from the medication administration record.
Answer:
C. Bone scan scheduled for today
QUESTION
A nurse is discussing the HIPAA Privacy Rule with nurses during new employee orientation. Which of the following information should the nurse include? (Select all that apply)
A. A single electronic records password is provided for nurses on the same unit.
B. Family members should provide a code prior to receiving client health information.
C. Communication of client information can occur at the nurses' station.
D. A client can request a copy of her medical record.
E. A nurse may photocopy a client's medical record for transfer to another facility.
Answer:
B, C, D, E
QUESTION
A nurse is reviewing documentation with a group of newly licensed nurses. Which of the following legal guidelines should be followed when documenting in a client's record? (Select all that apply)
A. cover errors with correction fluid, and write in the correct information.
B. Put the date and time on all entries.
C. Document objective data, leaving out opinions.
D. Use as many abbreviations as possible.
E. Wait until the end of the shift to document. [Show Less]