NADN 1110 Final Exam Part 1

A nurse assists a client with leg exercises. What condition does this intervention help to prevent?

While assessing a pt in the PACU, increased drainage, restlessness, a decreasing BP, and an increase in HR is noted.

The patient states, "I can't believe I am going to die. Why me?". What is the nurse's best response?

Rapid onset of symptoms, lasts for a limited, relatively brief period of time.

Which desired outcome written by the nurse is correctly written and measurable?

The client with glaucoma asks the nurse is complete vision will return. The most appropriate response is:

Which nursing statement is a good example of the therapeutic communication technique of offering self?

Donald is a 61 y.o. man with diverticulitis. Diverticulitis is characterized by:

During patient teaching regarding self-administration of ophthalmic drops, with statement by the nurse is correct?

Which of the following symptoms is associated with ulcerative colitis?

Radiation therapy is used to treat colon cancer before surgery for which of the following reasons?

The nurse teaches a pt about reducing the inflammation of psoriasis. Which factor should the nurse encourage to​ avoid?

An older Pt is diagnosed with osteoporosis. The nurse teaches the Pt about self-care measures, knowing the Pt is at risk

A nurse is teaching a pt colostomy care in relation to the affective domain. Which teaching method is most effective?

A nurse is explaining the rationale for performing leg exercises after surgery. Which reason would the nurse include?

A 73-year-old patient with diverticulosis has a large bowel obstruction. The nurse will monitor for

The nurse discusses the value of leg exercises in the prevention of postop thrombophlebitis. When should the nurse teach

The nurse is developing a teaching plan for a pt with glaucoma. Which instruction should be include in the plan of care?

A Pt complains of noticing halos around the eyes. The nurse recognizes this as a symptom of which of these conditions?

Which of the nursing interventions should be implemented to manage appendicitis?

Which client is at greater risk for the development of skin cancer?

A nurse is interviewing a client. Which of these behaviors by the nurse would create a communication barrier?

A pt tells the nurse, "I feel bad because my mother does not want me to return home after I leave the hospital."

A pt is diagnosed with Meniere's disease. Which statement indicates the pt understands the management for this disease?

Which nursing response is an example of the nontherapeutic communication block of requesting an explanation?

The nurse identifies the postop pt as being at risk for impaired oxygenation. Which is the best nursing intervention?

The nurse knows that the main purpose of the working phase of the therapeutic relationship is to:

Which of the following position should the client with appendicitis assume to relieve pain ?

When teaching an elderly pt how to prevent constipation, which of the following instructions should the nurse include?

A pt with Meniere's disease is experiencing vertigo. Which instruction should the nurse give to the pt?

The pt is scheduled for cataract removal surgery in 5 days. Which prep instruction should be discussed with the client?

The nurse is admitting a pt with a leg fracture and had a plaster cast applied.Which position would be best?

A pt presents to the clinic for a history of severe persistent pain. What would the nurse most likely expect to assess?

The assessment step of the nursing process includes which of the following?

The nurse is caring for a pt diagnosed with psoriasis. The nurse should prepare the pt for which collaborative​ intevent

The nurse is caring for a hearing-impaired client. Which approach will facilitate communication?

The nurse is interviewing a newly admitted psychiatric pt. Which nursing statement is an example of elaboration?

Which assessment data would indicate to the nurse that the client's gastric ulcer has perforated?

Which of the following would indicate that Bobby's appendix has ruptured?

Fall prevention is done on multiple levels by nurses in the hospital. Which would not be an example of fall prevention?

A pt is having cataract surgery. The nurse concludes that the pt needs further understanding about the teaching when:

When the nurse administers pain medication to a postoperative pt, the phase of the nursing process that is occurring is:

A 75-year-old male pt has a history of macular degeneration. While he is in the hospital, the priority nursing goal is:

A nurse is caring for an obese pt who has had surgery. The nurse monitors this pt for what postoperative complication?

A nurse states to a pt, "Things will look better tomorrow after a good night's sleep." This is an example of:

The nurse knows that injuries in hospitalized patients are caused most commonly by:

Which of the following types of diets is implicated in the development of diverticulosis?

Therapeutic communication is evaluated as being congruent when:

A nurse orients an older patient to the safety features in her hospital room. What is a priority component?

When dealing with private medical information, the nurse knows that:

The nurse administers an incorrect medication to a client and realizes the error. Which action should the nurse​ perform

The nurse assesses a postoperative patient who is receiving morphine through PCA pump. Which information needs reported?

A pt is admitted with a diagnosis of appendicitis. The nurse would expect to find rebound tenderness at which location?

A pt has had surgery to repair a fractured left hip. When repositioning the pt in the bed, what should the nurse use?

What term refers to a skin lesion that runs along a nerve route?

A nurse is applying a pneumatic compression device to a client. What is the purpose of a pneumatic compression device?

Which requires the nurse to protect the privacy and confidentiality of a​ client's protected health​ information?

Which statement by the nurse describes a comminuted fracture to the​ client?

The nurse is most likely to report which finding to the primary care provider for a pt who has an established colostomy?

A nurse performs an assessment of a pt with a diagnosis of macular degeneration of the eye. The nurse would expect

Which may indicate a malignant melanoma in a nevus on a patient's arm?

When correcting narrative nurses note the nurse would do which of the following

Which therapeutic comm. tech. is being used?pt: My father spanked me oftenNurse: Your father was a harsh disciplinarian

Care for the postoperative client after gastric resection should focus on which of the following problems?

Which sign/symptoms should the nurse expect to find in a client diagnosed with ulcerative colitis?

The phase of the nursing process when the nurse gathers data about the client to establish a plan of care is the:

When interviewing a client, which nonverbal behavior should a nurse employ?

An adult client reports a skin lesion on the lower back that ranges in color from black to​ red, and is asymetrical.

Obtaining informed consent is the responsibility of

Which statement indicates to the nurse the client is experiencing some hearing loss?

A client is diagnosed with a disorder involving the inner ear. Which is the most common client complaint?

A pt with glaucoma is being assessed. Which symptom indicates a high priority need for reassessment?

The nurse is assessing the casted extremity of a client. Which sign is indicative of infection?

Risk for impaired skin integrity related to immobility and pressure secondary to pain and presence of a cast. Outcome?

Which nursing statement is a good example of the therapeutic communication technique of focusing?

A nurse enters a pt's room to complete an admission history. The nurse will convey interest in the pt if the nurse:

The nurse assessing a​ pt's skin observes circular plaques with silvery scales. Which disorder should the nurse suspect?

Which of the following nursing interventions is most likely to prevent complications such as pneumonia and atelectasis:

The nurse's second action after discovering an electrical fire in a patient's room is to:

The client is admitted to the surgery center for removal of a malignant melanoma. Which assessment data indicates this?

When developing a teaching session on glaucoma, which of the following statements would the nurse stress?

A 29 yr old pt has an acute episode of ulcerative colitis . What diagnostic test confirms this diagnosis?

The nurse notices that the patient has been crying. Which of the following is the most therapeutic?

Youre developing the plan of care for a pt experincing dumping syndrome. Dietary instructions

Which of the following items of subjective client data would be documented in the medical record by the nurse?

The nurse is caring for a client diagnosed with rule-out peptic ulcer disease. Which test confirms this diagnosis?

A nurse is educating the family caregiver of an older adult client about measures to promote client safety in the home.

The assessment on a 78-year-old pt reveals shuffling gait, decreased balance, and instability. Priority diagnosis?

During a nurse-client interaction, which nursing statement may belittle the client's feelings and concerns?

The nurse is performing an assessment on a client with a suspected diagnosis of cataract. The nurse expects:

Which of the following statements made by a pt preparing for abd. surgery, would indicate that the pt needs teaching?

Surgical management of ulcerative colitis may be performed to treat which of the following complications?

Which nursing intervention is the highest in priority for a client at risk for falls in a hospital setting?

Which class of medication should the nurse expect to be prescribed for a client with herpes​ zoster?

Which specific data should the nurse obtain from the client who is suspected of having peptic ulcer disease?

The nurse is caring for a client experiencing pain related to a UTI. Which intervention should the nurse initiate?

Which learning domain is used to teach a new mother about the breast and its role in milk production for feeding newborn

During the postop period, a pt who has undergone a cataract surgey complains of nausea and severe eye pain over the site

The nurse instructs the ileostomy client to do which of the following as a part of essential care of the stoma?

A pt returning to the unit after knee surgery is verbalizing pain at the surgical site. The nurse's first action is to: