NR224 Week 1

Question 1

A nurse received report from the ER that a pt with tuberculosis is coming to the unit. Which items will the nurse need?

Accepted Answer

Communication signs for airborne precautions, Private room, Negative-pressure airflow in room, N95 respirator, gown, gloves, eyewear

Question 2

A nurse has already set the agenda during a patient-centered interview. What will the nurse do next?

Accepted Answer

Ask about the chief concerns or problems.

Question 3

A nurse is pulled from med surg to work on oncology. Which action by the nurse displays humility and responsibility?

Accepted Answer

Asking for an orientation to the unit

Question 4

A nurse is inserting a urinary cath. She is using open gloving to apply sterile gloves. Which steps will the nurse take?

Accepted Answer

Lay glove package on clean flat surface above waistline., Glove the dominant hand of the nurse first., With gloved dominant hand, slip fingers underneath second glove cuff., After second glove is on, interlock hands

Question 5

After providing care, a nurse charts in the patient’s record. Which entry will the nurse document?

Accepted Answer

Skin pale and cool

Question 6

Which interventions utilized by the nurse will indicate the ability to recognize a localized inflammatory response?

Accepted Answer

Rest, ice, and elevation

Question 7

A nurse is assessing a home health pt. Which questions will be most appropriate to ask to determine risk of infection?

Accepted Answer

“What are the signs and symptoms of infection?”, “Can you explain the risk for infection in your home?”, “Will you demonstrate how to wash your hands?”, “Have you traveled outside of the United States?”

Question 8

Which patient scenario of a surgical patient in pain is most indicative of critical thinking?

Accepted Answer

Identify pharmacological and nonpharm pain-relief methods that have worked.

Question 9

The nurse is caring for a group of patients. Which patient will the nurse question the form of precautions being used?

Accepted Answer

A patient with Clostridium difficile in droplet precautions

Question 10

A pt in the hospital has a urinary tract infection. Which will most likely increase the risk of a pt contracting a UTI?

Accepted Answer

Allowing the drainage bag port to touch the graduated receptacle

Question 11

A patient is being discharged home. Which information should the nurse include?

Accepted Answer

Community resources

Question 12

A preceptor is working with a student nurse. Which behavior by the student will require the preceptor to intervene?

Accepted Answer

Sharing patient information with another student

Question 13

A nurse is completing an assessment. Which findings will the nurse report as subjective data? (Select all that apply.)

Accepted Answer

Patient's complaint of nausea, Patient’s expression of fear regarding upcoming surgery, Patient describing excitement about discharge

Question 14

A pt expresses fear of going home & being alone V/S are stable, and the incision is nearly healed. What can be inferred?

Accepted Answer

The patient is fearful of being discharged.

Question 15

A nurse is using critical thinking during the 1st phase of the nursing process. Which action indicates the first phase?

Accepted Answer

Completes a comprehensive database.

Question 16

Which findings will alert the nurse that stress is present when making a clinical decision? (Select all that apply.)

Accepted Answer

Tense muscles, Trouble concentrating, Feeling very tired, Reactive responses

Question 17

A female patient complains of a white discharge and itching in the vaginal area. Which question is the priority?

Accepted Answer

“What medications are you currently taking?”

Question 18

A nurse is describing the purposes of a health care record to nursing students. Which purposes will the nurse include?

Accepted Answer

Legal Document, Communication, Education, Reimbursement, Research

Question 19

Which action indicates a registered nurse is being responsible for making clinical decisions?

Accepted Answer

Takes immediate action when a patient’s condition worsens.

Question 20

The nurse is gathering data on a patient. Which data will the nurse report as objective data?

Accepted Answer

Respirations 16

Question 21

A nurse has a patient on contact precautions. Which action will be most appropriate to prevent the spread of disease?

Accepted Answer

Use a blood pressure cuff that stays in the room & is used for that pt only

NR224 Week 1

Questions 21

NR224 Week 1

Questions 21