NR 545 Exam 2 Questions with Latest
Update
When caring for a client who has a draining abdominal wound that has become
infected, what should the nurse implement?
1) Contact Precautions
2) Droplet Precautions
3) Standard Precautions
4) Airborne Precautions - Answer-Contact Precautions
A client living with AIDS develops oral hairy leukoplakia an infection caused by the
Epstein-Barr virus. How would the student nurse explains the client's leukoplakia
1) It's a systemic infection
2) It's a primary infection
3) It's a nosocomial infection
4) It's a secondary infection - Answer-Nosocomial infection
Which factor would be most likely to influence the hygiene practice of a client who is
homeless?
1) The client's degree of mental illness
2) The client's living environment
3) The client's cultural beliefs
4) The client's knowledge level - Answer-The client's living environment
How should the nurse provide oral care for the unconscious client?
1) Place the client in an upright position and brush their teeth with a sponge brush
2) Skip brushing the teeth as the client could aspirate
3) Swab the client's lips and oral cavity with lemon glycerin swabs at least hourly
4) Place the client on their side with the head of the bed in a lowered position - Answer-
Place the client on their side with the head of the bed of the bed in a lowered position
A confused client becomes distressed and agitated when the UAP attempts to give the
morning bath. What should the nurse instruct the UAP to complete?
1) Partial Bath
2) Help Bath
3) Bed Bath
4) Complete Bath - Answer-Partial Bath
, Why is the role of teaching clients and families and ensuring their proper education
important in healthcare? Select all that apply.
1) Empowers autonomy
2) Allows client/family to perform self-care
3) Allows for informed decisions regarding healthcare
4) Empowers family to make decisions for clients
5) Allows for evaluation of client's cognition and readiness to be discharged - Answer-
Empowers autonomy
*Rationale: Clients who are educated about wellness, self-care, health promotion, etc.
are more empowered to make self-directed decisions about their own health.
Allows client/family to perform self-care
*Rationale: When a client fully understands their healthcare needs and what is needed
for optimal recovery, it facilitates the ability for self-care at home.
Allows for informed decisions regarding healthcare
*Rationale: Education of healthcare matters allows clients to make informed decisions
regarding their health and the care they receive.
When educating a client, which are important factors to consider regarding the client's
ability to learn and retain information? Select all that apply.
1) Literacy level of client
2) Desire and motivation
3) Developmental and physical limitations
4) Barriers to communication
5) Culture and religious practices
6) Family dynamics - Answer-Literacy level of client
*Rationale: The cognitive and literacy level of the client has a direct effect on their ability
to learn and retain information. Clients with lower literacy levels may not be able to read
and follow written instructions.
Desire and motivation
*Rationale: Desire and motivation to learn and improve one's health are direct factors
that determine optimal learning and outcomes.
Developmental and physical limitations
*Rationale: Nurses must consider any developmental disabilities as well as physical
limitations when educating clients to inform the self-care plan.
Barriers to communication
*Rationale: Barriers to communication, such as hearing impairment, language, and
extraneous noise, can interrupt the thought process of both the client and nurses, thus
inhibiting complete understanding.
Update
When caring for a client who has a draining abdominal wound that has become
infected, what should the nurse implement?
1) Contact Precautions
2) Droplet Precautions
3) Standard Precautions
4) Airborne Precautions - Answer-Contact Precautions
A client living with AIDS develops oral hairy leukoplakia an infection caused by the
Epstein-Barr virus. How would the student nurse explains the client's leukoplakia
1) It's a systemic infection
2) It's a primary infection
3) It's a nosocomial infection
4) It's a secondary infection - Answer-Nosocomial infection
Which factor would be most likely to influence the hygiene practice of a client who is
homeless?
1) The client's degree of mental illness
2) The client's living environment
3) The client's cultural beliefs
4) The client's knowledge level - Answer-The client's living environment
How should the nurse provide oral care for the unconscious client?
1) Place the client in an upright position and brush their teeth with a sponge brush
2) Skip brushing the teeth as the client could aspirate
3) Swab the client's lips and oral cavity with lemon glycerin swabs at least hourly
4) Place the client on their side with the head of the bed in a lowered position - Answer-
Place the client on their side with the head of the bed of the bed in a lowered position
A confused client becomes distressed and agitated when the UAP attempts to give the
morning bath. What should the nurse instruct the UAP to complete?
1) Partial Bath
2) Help Bath
3) Bed Bath
4) Complete Bath - Answer-Partial Bath
, Why is the role of teaching clients and families and ensuring their proper education
important in healthcare? Select all that apply.
1) Empowers autonomy
2) Allows client/family to perform self-care
3) Allows for informed decisions regarding healthcare
4) Empowers family to make decisions for clients
5) Allows for evaluation of client's cognition and readiness to be discharged - Answer-
Empowers autonomy
*Rationale: Clients who are educated about wellness, self-care, health promotion, etc.
are more empowered to make self-directed decisions about their own health.
Allows client/family to perform self-care
*Rationale: When a client fully understands their healthcare needs and what is needed
for optimal recovery, it facilitates the ability for self-care at home.
Allows for informed decisions regarding healthcare
*Rationale: Education of healthcare matters allows clients to make informed decisions
regarding their health and the care they receive.
When educating a client, which are important factors to consider regarding the client's
ability to learn and retain information? Select all that apply.
1) Literacy level of client
2) Desire and motivation
3) Developmental and physical limitations
4) Barriers to communication
5) Culture and religious practices
6) Family dynamics - Answer-Literacy level of client
*Rationale: The cognitive and literacy level of the client has a direct effect on their ability
to learn and retain information. Clients with lower literacy levels may not be able to read
and follow written instructions.
Desire and motivation
*Rationale: Desire and motivation to learn and improve one's health are direct factors
that determine optimal learning and outcomes.
Developmental and physical limitations
*Rationale: Nurses must consider any developmental disabilities as well as physical
limitations when educating clients to inform the self-care plan.
Barriers to communication
*Rationale: Barriers to communication, such as hearing impairment, language, and
extraneous noise, can interrupt the thought process of both the client and nurses, thus
inhibiting complete understanding.
