155 exam 4 reinforcement

Question 1

The appropriate and preferred muscle to select for a child needing an IM injection is the

Accepted Answer

vastus lateralis

Question 2

When mastering the use of an IS the client will demonstrate learning in which of Blooms domains?

Accepted Answer

Psychomotor

Question 3

When an interpreter arrives to explain a procedure the nurse provides the best support when:

Accepted Answer

Requesting that the interpreter translate the same words used by the RN

Question 4

Which of the following food items would be appropriate to serve a Jewish client who observes kosher customs?

Accepted Answer

Fish, vegetables, and hot tea

Question 5

At which point of preparing medication from an ampule does the nurse anticipate using a filter needle?

Accepted Answer

When drawing the medication from the ampule

Question 6

The nurse assesses a client as experiencing severe pain. What should the nurse do?

Accepted Answer

Provide opioid analgesic as prescribed.

Question 7

The nurse knows that medication that is enclosed in a cylindrical gelatin coating comes in the form of a

Accepted Answer

capsule

Question 8

The RN is teaching a client on self-administration of insulin. Which statement will be most beneficial to the client?

Accepted Answer

Next time, dart the needle in your skin, instead of pushing it in.

Question 9

Traditional Western medicine, in contrast to alternative therapy, uses which of the following?

Accepted Answer

Prescribed medications

Question 10

The RN is admitting a client to the ER with complaints of severe abdominal pain. What is the nurses first action?

Accepted Answer

Assess pain using a scale of 1 to 10.

Question 11

What can the nurse suggest to decrease the risk of constipation associated with opioids?

Accepted Answer

Drink 6 to 8 glasses of water per day.

Question 12

When organizing the teaching/learning experience, the nurse should:

Accepted Answer

Discover what the learner knows before proceeding with further teaching.

Question 13

The RN has limited experience with the various cultural groups in his hospital. This nurse is at greatest risk for

Accepted Answer

Culture shock

Question 14

In order to show appropriate cultural sensitivity to the client, the nurse will:

Accepted Answer

Explain the procedure, then wait for permission to continue.

Question 15

The RN should keep in mind that content presented to adolescents must include all of the following EXCEPT?

Accepted Answer

Based on sources available within the school system

Question 16

Utilizing an understanding of health literacy of senior citizens, the nurse will make sure that:

Accepted Answer

There is ample time for teaching.

Question 17

Which of the following is the primary concern of the nurse for providing care to a dying patient?

Accepted Answer

Promoting dignity and self-esteem

Question 18

Rx: 6 mg morphine sulfate every 4 hours prn pain. Available: 15 mg in 1 mL. How many mL should the RN give?

Accepted Answer

0.4 mL

Question 19

MD prescribes morphine 40 mg IM q2h prn for pain. This is much higher than the usual dose. The RN should

Accepted Answer

call the prescriber to clarify the order.

Question 20

RN administers the IM iron by the Z-track method. The medication was administered by this method to

Accepted Answer

prevent the drug from irritating sensitive tissue.

Question 21

A client rates pain as being 7 on a scale from 0 to 10. What will the nurse document as this client’s pain intensity?

Accepted Answer

Moderate pain

Question 22

Which of the following is a medication order that is to be administered immediately?

Accepted Answer

Diazepam 10 mg IV stat

Question 23

The RN is to administer Tylenol prn. The client has been vomiting all day. Which of the following routes should be used?

Accepted Answer

Rectal

Question 24

While conducting a pain assessment, the nurse knows to assess all of the following EXCEPT?

Accepted Answer

Neurology

Question 25

The nurse is evaluating the integrity of the ventrogluteal injection site. The nurse finds the site by locating the

Accepted Answer

greater trochanter, anterior iliac spine, and iliac crest.

Question 26

Which of the following is an example of formal education?

Accepted Answer

A goal-directed program is presented by the nurse to a community group

Question 27

Which of the following objective data will the RN obtain before giving a prescribed opioid medication to a client?

Accepted Answer

Respiratory rate

Question 28

How should the patient be positioned after the administration of eardrops to the left ear?

Accepted Answer

Right lateral

Question 29

A client with chronic pain is not getting relief with pain medication. What should the nurse do to help this client?

Accepted Answer

Reassess the pain and consider another pain relief measure.

Question 30

Which of the following situations would illustrate cultural prejudice on the nurse’s part?

Accepted Answer

Bringing previous negative information and experiences into the situation

Question 31

When preparing the D/C instructions for a client, the RN needs to do all EXCEPT

Accepted Answer

Call the clients prescriptions into the client’s local pharmacy.

Question 32

A home health RN is working with a COPD client. Which teaching point has the highest priority?

Accepted Answer

Client will be able to set up & admin. neb treatment by end of day.

Question 33

During the admission interview, the client averts her eyes. The culturally sensitive nurse will:

Accepted Answer

Understand that this may be completely appropriate & take cues accordingly.

Question 34

A client tells the RN he has no questions since he did a search on the Internet. What should the nurse do?

Accepted Answer

Ask the client to share the information obtained from the Internet search.

Question 35

The RN has provided an otic medication to a client. The RN documents all EXCEPT

Accepted Answer

The appetite of the client.

Question 36

A client has a sprained ankle. The type of pain the client is most likely experiencing would be:

Accepted Answer

Somatic pain

Question 37

Which one of the following actions perform by the new nurse requires additional instruction?

Accepted Answer

Applying a topical medicated cream without gloves.

Question 38

A client recovering from a left BKA is experiencing left foot pain. This type of pain is called

Accepted Answer

Phantom limb pain

Question 39

The MD orders Seconal 100 mg. The label on the bottle reads Seconal 50 mg. How many tablets should the RN administer?

Accepted Answer

2

Question 40

The client is to receive heparin by injection. The preferred site for this injection is in which location?

Accepted Answer

Abdomen

Question 41

The nurse recognizes that anticipatory grieving can be most beneficial to a patient or family because it can

Accepted Answer

help a person or family start to develop coping skills.

Question 42

The patient is to receive a medication via the buccal route. The RN plans to implement which of the following actions?

Accepted Answer

Place the medication inside the cheek.

Question 43

Which of the following statements by the client best illustrates medication compliance?

Accepted Answer

I’m glad to know about my medications. It makes taking them a lot easier.

Question 44

In striving to be culturally sensitive, the nurse will:

Accepted Answer

Try to learn about the traditions of the different cultures in his area

Question 45

A client diagnosed with an MI has no chest pain but does have L shoulder pain. This type of pain is

Accepted Answer

referred

Question 46

The patient is ordered to have eye drops administered daily to both eyes. Eye drops should be instilled on the

Accepted Answer

lower conjunctival sac.

155 exam 4 reinforcement

Questions 46

155 exam 4 reinforcement

Questions 46