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PNR208 Exam 2 Quiz Challenge - April 2025 Flashcards | StudBud
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PNR208 Exam 2 Quiz Challenge - April 2025
PNR208 Exam 2 Quiz Challenge - April 2025
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1
A patient has a racing heart rate, agitation, and over-excited speech. Which drug are they most likely using?
Amphetamines
Psychedelics
Tobacco
Sedatives
2
A patient tells the nurse, "I can't seem to check my pulse correctly." How should the nurse respond?
"What makes you feel that you aren't checking your pulse correctly?"
"Then you'll have to have it checked daily at the clinic."
"Most people don't check their pulse the right way."
"Only trained healthcare providers should monitor your pulse."
3
Which signs of alcohol withdrawal would the nurse expect in the mid-to-late stages? Select all that apply.
High fever
Delirium
Seizure activity
Irritability
4
A nurse is opening a clinic for adults in the LGBTQ community. What is the first step he should take?
Address staff stereotypes about the LGBTQ community
Invite all new patients to come in and meet him
Lead a support group for the patients at the clinic
Identify his personal feelings about LGBTQ patients
5
A patient has started taking lithium to stabilize his moods. The nurse knows he needs
further teaching
when he says:
"I should stop drinking caffeinated soda."
"I need to cut out all salt from my diet."
"I should try to drink at least 8 glasses of water a day."
"I should call my doctor if I feel shaky or sick to my stomach."
6
The nurse is admitting a patient to an alcohol detox unit. Which of these interventions would NOT be in the care plan?
Monitor for seizure acivity
Monitor vital signs
Keep all food and drinks out of the patient's room
Attempt to reorient patient to reality
7
A teenage mom says she plans to go back to school to finish her education. What is the nurse's best response?
"Why don't you take a parenting class instead?"
"Finishing school will give you and your baby a more stable future."
"Your baby needs you. You should stay home till he's grown."
"It's too late to go back. Most teenage moms end up dropping out."
8
A patient has an ethical conflict with his family over his final wishes. What should the nurse do
first
?
Tell the patient that the family's wishes aren't important
Consult a medical ethics committee
Ask the doctor to step in and resolve the argument
Find out what the ethical issue is in this situation
9
A culturally competent nurse uses which of the following interventions when caring for patients? Select all that apply.
Learn a foreign language to prepare for a vacation
Treats each patient as a unique person
Approach all patients exactly the same way
Work with the patient to understand their expectations and beliefs
10
Which meal would be appropriate for a Jewish patient who follows a kosher diet?
Roast chicken with green beans
Crab salad with chopped lettuce
Breaded shrimp with french fries
Pork chops with mashed potatoes
11
Which of the following best describes cultural competence?
Seeing the world through the eyes of a patient from another culture
Knowing a little bit about many different cultures
Having access to online resources about different world cultures
Being able to identify a patient's culture by their accent
12
A teen who identifies as LGBTQ tells the nurse she feels isolated at school. What is the nurse's best response?
"Have you heard about the new support group for LGBTQ teens?"
"You'll feel less lonely once you've graduated from high school."
"Why don't you try harder to fit in with the other students?"
"You should make an appointment to see the school counselor."
13
A dying patient is taking shallow breaths, followed by periods when breathing stops (apnea). What is this called?
Terminal wheezing
Purse-lipped breathing
Tachypnic pattern
Cheyne-Stokes respiration
14
Which of the patients below is displaying signs of Generalized Anxiety Disorder?
The patient who has an irrational fear of spiders
The patient who has been worried and restless for the past 6 months
The patient who states that she feels hopeless, sad, and guilty
The patient who experiences extreme mood swings
15
A nurse finds out that a co-worker has been falsifying her charting. What is the nurse's legal and ethical obligation?
Ignore the false charting, since the agency is so understaffed
Tell the supervisor about the falsification
Tell the other nurse that her charting isn't accurate
Offer to help the other nurse chart correctly
16
The priorities for patient care in hospice nursing include all of the following EXCEPT:
Seeking a cure for the patient's terminal condition
Managing pain and keeping the patient comfortable
Supporting the patient's self-esteem
Respecting the patient's dignity and autonomy
17
The public health nurse knows that vulnerable populations have which of these risks in common? Select all that apply
Higher rates of substance abuse
Higher incidence of poverty and homelessness
More exposure to crime and domestic violence
Higher risk of acute and chronic illness
18
Which of the following pregnant teenagers has the highest risk of postpartum depression after her baby is born?
A teen who is enrolled in a substance abuse treatment program
A teen whose family made her move out of the house
A teen from a low-income household
A teen who is in an unstable relationship with the baby's father
19
What changes would the nurse expect in a dying patient's skin?
Skin has elastic turgor
Extremities feel warm to the touch
Brisk capillary refill in fingertips and toes
Cool, clammy skin
20
A nurse caring for a Native American patient notices that the patient avoids eye contact. The nurse knows that:
Direct eye contact may be considered disrespectful among Native Americans
Avoiding eye contact means the patient doesn't trust the nurse
The patient is visually impaired
The patient would be more comfortable with another nurse
21
The nurse knows that the liver can metabolize how much alcohol per hour?
Two mixed drinks
A six-pack of beer
4 ounces of wine
5 ounces of distilled liquor
22
A nurse teaches a class about poisoning hazards in children. Which products should be discussed? Select all that apply.
Pesticides
Household cleaning products
Lead paint
E-cigarettes
23
Which group has the highest risk of harm from exposure to environmental toxins?
Post-menopausal women
Middle-aged men
Children
Young adults
24
The nurse is assessing a patient for barriers to learning. Which statement suggests that the patient has low literacy?
"I don't like looking at printed pages. I'd rather watch videos."
"I enjoy doing my own research on the internet."
"My favorite way to learn is by reading books or magazines."
"I can learn from a lot of different teaching methods."
25
The ethical principle of beneficence is important in nursing because:
It enforces compliance with national regulations
It ensures that nurses will have good employee benefits
It guarantees a high income for healthcare workers
It guides nurses to provide the best care for their patients
26
The duties of an occupational health nurse may include which of the following? Select all that apply.
Overseeing the company's safety compliance program
Monitoring the work environment for hazards
Administering vaccines to staff
Teaching staff how to avoid injury when performing their jobs
27
All of the following factors contribute to a patient's blood alcohol concentration (BAC) EXCEPT:
The patient's exposure to heat or cold
How quickly the alcohol was consumed
Amount of alcohol consumed
The patient's body weight
28
Which of the following interventions represents
secondary
prevention
for teenage mothers?
A pamphlet about normal infant development
A program to encourage teen moms to stay in school
A class about breast-feeding
A screening tool for postpartum depression
29
The nurse is visiting a teenage patient who is pregnant. Which statement by the teen is
most
concerning?
"What's the difference between breast-feeding and bottle-feeding?"
"I don't know how to change diapers."
"I can't afford to go to my prenatal appointments."
"My mom thinks I should consider adoption."