Exam (elaborations)
NURS 0419 repaso final II 2023
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NURS 0419 repaso final II 2023
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1. Which interventions utilized by the nurse will indicate the ability to recognize alocalized inflammatory response?
a. passive range-of-motion exercises
b. Turn, cough, and deep breathe
c. Orient to date, time, and place
d. Rest, ice, and elevation
ans: D
2. The nurse is providing an education session to an adult community group
about the effects of smoking on infection. Which information is most important for
the nurse to include in the educational session?
a. Smoke from tobacco products clings to your clothing and hair.
b. Smoking affects the cilia lining the upper airways in the lungs.
c. Smoking can affect the color of the patient’s fingernails.
d. Smoking tobacco products can be very expensive.
ANS: B
3. A female adult patient presents to the clinic with reports of a white discharge
and itching in the vaginal area. A nurse is taking a health history. Which
question is the priority?
a. “When was the last time you visited your primary health care provider?”
b. Has this condition affected your eating habits in any way?”
c. “What medications are you currently taking?”
d. “Are you able to sleep at night?”
ANS: C
4. The nurse is caring for a school-aged child who has injured the right leg after a
bicycle accident. Which signs and symptoms will the nurse assess for to
determine if the child is experiencing a localized inflammatory response?
a. fever, Malaise, anorexia, and nausea and vomiting
b. Chest pain, shortness of breath, and nausea and vomiting
c. Dizziness and disorientation to time, date, and place
d. Edema, redness, tenderness, and loss of function
, ANS: D
5. The nurse is caring for a patient with leukemia and is preparing to provide fluids through a
vascular access (IV) device. Which nursing intervention is a priority in this procedure?
a. Review the procedure with the patient.
b. Position the patient comfortably.
c. Maintain surgical aseptic technique.
d. Gather available supplies.
ANS: C
6. The nurse is caring for a patient who is susceptible to infection. Which
instruction will the nurse include in an educational session to decrease the risk
of infection?
a. Teaching the patient about fall prevention
b. Teaching the patient to take a temperature
c. Teaching the patient to select nutritious foods
d. Teaching the patient about the effects of alcohol
ANS: C
7. A diabetic patient presents to the clinic for a dressing change. The wound is
located on the right foot and has purulent yellow drainage. Which action will the
nurse take to prevent the spread of infection?
a. Position the patient comfortably on the stretcher.
b. Explain the procedure for dressing change to the patient.
c. Review the medication list that the patient brought from home.
d. Don gloves and other appropriate personal protective equipment.
ANS: D
8. which of these interventions would take priority and should be included in a plan of care for
a patient who presents with pneumonia?
, a. Observe the patient for decreased activity tolerance.
b. Assume the patient is in pain and treat accordingly
c. Provide the patient ice chips as requested
d. Maintain the room temperature at 65° F.
ANS: A
9. Alcohol- base hand gels and foams are only appropriate when hands are visibly
soiled.
a) true
b) false
ANS: FALSE
10.which of the following best describes multidrug Resistant Organism (MDROs)
a) Infectious agents that may require two medications typically used to treat
infection.
b) Infectious bacteria that have developed resistance to medications typically
used to treat infection
c) microorganisms that have the capacity to infect many people rapidly
d) innocuous bacteria that commonly reside in hospital settings
ANS: B
11.What is an example of an illness that requires airborne precautions?
a) HIV
b) Common cold
c) tuberculosis
d) H1N1 Virus
ANS: C
12. Types of microorganisms that causes infection include
a) Macrocytes, bacteria, and parasites
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