NUR 380 Proctored Exam 4 2024
A nurse is discussing with a client who has a sudden onset of severe back pain from unknown
origin. What question should the nurse ask to encourage discussion with the client? - "What do
you think caused the onset of your pain?"
A nurse is caring for a client who has a history of dysrhythmias. Upon entering the room, the
nurse discovers that the patient is unresponsive to verbal or painful stimuli, has no respirations,
and is pulseless. What action should the nurse take first? - start chest compressions
A nurse is admitting a client who has measles. What type of transmission-based precautions
should be taken? - Airborne
A nurse is providing teaching about crutches for a client with a fracture of the right foot. What
instruction should the nurse include? - keep the rubber crutch tips securely in place
A nurse manager is providing training to a group of newly licensed nurses about ways that
clients acquire healthcare-related infections. Which route of infection should the nurse as
iatrogenic? - infection acquired from a diagnostic procedure
A nurse is performing a straight catheterization of a female client who has urinary retention.
Which action indicates the nurse is following sterile technique? - wiping the labia minora in an
anteroposterior direction
A nurse is caring for a client who is set to receive transcutaneous electrical nerve stimulation
(TENS) for pain management. The client asks how the TENS unit helps relieve pain. How
should the nurse respond? - it modulates the transmission of the pain impulse
A nurse is administering medication to a client that asks the nurse to leave the medication at the
bedside to be taken at a later time. How should the nurse respond? - "Call me when you are
ready, and I will return with the medication."
A nurse is caring for a client who has a C-diff infection and is in contact isolation. What action
should the nurse take? - Wear gloved when changing the client's gown
A nurse is assessing a client who has deep, rapid respirations. Arterial blood gas values: ph- 7.25,
PaCO2- 40, HCO3- 18. Which acid-base imbalance should the nurse identify and report to the
provider? - Metabolic acidosis
A nurse is caring for a client who has Type 1 Diabetes Mellites and is resistant to learning how
to self-inject insulin. Which statement should the nurse make? - "Tell me how I can help you
overcome your fear of self-injections"
A nurse is caring for a client who is immobile. The nurse should recognize that immobility puts
the client at risk for what health alteration? - decreased cardiac output
A nurse is discussing with a client who has a sudden onset of severe back pain from unknown
origin. What question should the nurse ask to encourage discussion with the client? - "What do
you think caused the onset of your pain?"
A nurse is caring for a client who has a history of dysrhythmias. Upon entering the room, the
nurse discovers that the patient is unresponsive to verbal or painful stimuli, has no respirations,
and is pulseless. What action should the nurse take first? - start chest compressions
A nurse is admitting a client who has measles. What type of transmission-based precautions
should be taken? - Airborne
A nurse is providing teaching about crutches for a client with a fracture of the right foot. What
instruction should the nurse include? - keep the rubber crutch tips securely in place
A nurse manager is providing training to a group of newly licensed nurses about ways that
clients acquire healthcare-related infections. Which route of infection should the nurse as
iatrogenic? - infection acquired from a diagnostic procedure
A nurse is performing a straight catheterization of a female client who has urinary retention.
Which action indicates the nurse is following sterile technique? - wiping the labia minora in an
anteroposterior direction
A nurse is caring for a client who is set to receive transcutaneous electrical nerve stimulation
(TENS) for pain management. The client asks how the TENS unit helps relieve pain. How
should the nurse respond? - it modulates the transmission of the pain impulse
A nurse is administering medication to a client that asks the nurse to leave the medication at the
bedside to be taken at a later time. How should the nurse respond? - "Call me when you are
ready, and I will return with the medication."
A nurse is caring for a client who has a C-diff infection and is in contact isolation. What action
should the nurse take? - Wear gloved when changing the client's gown
A nurse is assessing a client who has deep, rapid respirations. Arterial blood gas values: ph- 7.25,
PaCO2- 40, HCO3- 18. Which acid-base imbalance should the nurse identify and report to the
provider? - Metabolic acidosis
A nurse is caring for a client who has Type 1 Diabetes Mellites and is resistant to learning how
to self-inject insulin. Which statement should the nurse make? - "Tell me how I can help you
overcome your fear of self-injections"
A nurse is caring for a client who is immobile. The nurse should recognize that immobility puts
the client at risk for what health alteration? - decreased cardiac output
