NRSG 347 Exam 3 Practice Questions and Correct Answers
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Course
NUR 347
Institution
NUR 347
The nurse is on an Alzheimer's unit. A client is agitated and pulling at things. Which of the following should the nurse do? A) provide the client with therapeutic sensory devices B) cohort the client with another client who is agitated, because they will calm each other C) place the client in a ro...
NRSG 347 Exam 3 Practice Questions
and Correct Answers
The nurse is on an Alzheimer's unit. A client is agitated and pulling at things. Which of
the following should the nurse do?
A) provide the client with therapeutic sensory devices
B) cohort the client with another client who is agitated, because they will calm each
other
C) place the client in a room with several other clients
D) leave the client alone for a period of time to reduce stimulation ✅A) provide the
client with therapeutic sensory devices
Rationale:
A) correct. Alzheimer's patients often pick at items, such as buttons on clothing or
medical devices, which poses a danger to them. Providing them with safely designed
sensory devices serves the need of stimulating the senses as well as their urge to pick.
B) Cohorting the client with another agitated client can worsen the problem due to
increased stimulation.
C) Placing the client in a room with several other clients can worsen the problem due to
increased stimulation.
D) Leaving the client alone could lead to injuries related to the agitation, picking.
The nurse is caring for a male client. The client has exhibited some signs of anxiety and
hostility. The nurse is aware the client is a recently returned combat veteran. The nurse
should assess the client for which of the following conditions?
A) post-traumatic stress disorder (PTSD)
B) bipolar disorder
C) schizophrenia
D) borderline personality disorder (BPD) ✅A) post-traumatic stress disorder (PTSD)
Rationale:
A)Correct PTSD is a known disorder from which veterans of war can suffer. Any
thorough evaluation of symptoms would include one for PTSD.
B) Although veterans can potentially suffer from bipolar disorder, PTSD is the best
answer choice because of the common link. Anxiety and hostility doesn't fit bipolar
disorder.
C) although veterans can potentially suffer from schizophrenia, PTSD is the best
answer choice because of the link. Eliminate schizophrenia because it doesnt say he's
having any hallucinations
D) although veterans can potentially suffer from borderline personality disorder, PTSD is
the best answer.
,The nurse is caring for a terminally ill client who has agreed to enter hospice care.
Which of the following statements indicates a need for further client teaching by the
nurse?
A) "you will help to make my wife as comfortable as possible while in hospice care"
B) "you will help my wife get better so we can get back to our old life"
C) "the goal is to make the end of my wife's life as comfortable as possible"
D) "you will provide me with support during this difficult time" ✅B) "you will help my
wife get better so we can get back to our old life"
Rationale:
A)This is an accurate statement. The goal of hospice is to make clients as comfortable
as possible during the remainder of their life.
B) Correct answer. This is an in accurate statement. The philosophy of hospice care is
not to help a client recover, but to promote comfort and peace during the end of life. The
presumption is that the client will not improve.
C) This is an accurate statement. The goal of hospice is to make the end of life as
comfortable as possible
D) This is an accurate statement. Hospice care involves the family as well as the client
For questions that are asking for "a need for further teaching", they are asking you to
find the _____ statement ✅wrong
In these questions, a wrong statement indicates a need for further teaching, which
means it is the correct answer
A client has a medical history of alcohol abuse and had a drink yesterday. The nurse
notes tremors, diaphoresis, and an elevated heart rate. The nurse should perform which
of the following actions first?
A) call the physician to report the symptoms and administer hydromorphone (Dilaudid)
per the alcohol withdrawal protocol
B) Assess the client every hour to monitor symptoms
C) Call the family and administer mederidine (Demerol) per the alcohol withdrawal
protocol
D) administer lorazepam (Ativan) per the alcohol withdrawal protocol ✅D) administer
lorazepam (Ativan) per the alcohol withdrawal protocol
Rationale:
A) You might call the physician to report unmanageable symptoms, Dilaudid is for pain
and not for the management of alcohol withdrawal.
B) The nurse might assess the client every hour but it is not the first thing the nurse
would do. The nurse needs to intervene to prevent acute withdrawal
C) The nurse would not call the family unless the nurse had permission of the client.
And would not give Demerol for withdrawal, it is for pain
D) Correct answer. Benzodiazepines such as Ativan are often given as part of an
alcohol withdrawal protocol. You want to do this first to help their withdrawal symptoms,
and then you may assess the client every hour to monitor them
,A client with bipolar disorder makes a sexually inappropriate comment to the nurse. The
nurse should take which of the following actions?
A) ignore the comment because the client has a mental health disorder and cannot help
it
B) report the comment to the nurse manager
C) ignore the comment, but tell the incoming nurse to be aware of the client's propensity
to make inappropriate comments
D) tell the client that it is inappropriate for clients to speak to any nurse that way. ✅D)
tell the client that it is inappropriate for clients to speak to any nurse that way
Rationale:
A) Clients have to be accountable for their own behavior even if they do have bipolar
disorder. It is important to correct inappropriate behavior, and to encourage clients to
interact socially in an acceptable way
B) The nurses priority is to first communicate with the client, the nurse might want to
report the incident to the nurse manager later
C) the nurse should not ignore the comment
D) Correct answer. The nurse should notify the client that this is inappropriate behavior
and set up appropriate boundaries
An elderly client asks the nurse to kill the bugs that are crawling on the floor of her
room. The nurse does not see any bugs and suspects the client is hallucinating. Which
of the following statements by the nurse would be most appropriate?
A) "it may seem to you that there are bugs crawling on the floor, but I do not see any
bugs"
B) "I see them too. How should I kill them?"
C) "can you tell me more about these bugs?"
D) "what do the bugs look like?" ✅A) "it may seem to you that there are bugs crawling
on the floor, but I do not see any bugs"
Rationale:
A) Correct answer. This response validates what the client is seeing. To the client, a
hallucination is real. However, the nurse must reorient the client to the appropriate
reality and tur to restore the clients feelings of safety. You should not go with the
hallucination and you should try to re-orient the patient to reality
B) The nurse should not reinforce the hallucination
C) The nurse should not encourage verbalize feeling during an active hallucination
D) it is not helpful to question or imply that the client is not seeing real bugs
A client requires a lifesaving blood transfusion per hospital guidelines. The client
refuses based on religious beliefs. It would be most appropriate for the nurse to take
which of the following actions?
A) Confirm with the client that the client understands the potential risks for not having
the blood transfusion
B) Tell the client that, regardless of personal beliefs, the client has to have the lifesaving
transfusion.
, C) Call the Legal Department of the hospital immediately
D) Try to gently encourage the client to change his or her mind ✅A) Confirm with the
client that the client understands the potential risks of not having the blood transfusion
Rationale:
A) Correct answer. The nurse must be sure the client understands the potential risks of
not receiving the transfusion. Document that you went through the information and that
the patient was still refusing treatment despite all the information was given
B) Clients do have the right to refuse care on religious grounds
C) Although the nurse may call the Legal Department at some future time, this would
not be the first course of action
D) The nurse must be sure that the client comprehends the choice he is making
including risks and benefits. However the nurse does not want to coerce the client into
changing his mind
The nurse on the inpatient psychiatric ward is caring for a client with known suicidal
ideation. The 24 hour observer calls the nurse to report the client took off down the hall.
The nurse is unable to immediately locate the client. Arrange the following actions in the
order that is most appropriate
A) notify security that the client has eloped, and provide a description of the client
B) notify the nurse manager
C) notify other staff on the unit
D) ask the observer in what direction the client headed ✅D, C, A, B
Rationale
D) asking the observer in which direction the client is headed is the first step. This
enables the nurse to give accurate information to staff, and if necessary security to help
locate the client.
C) Notifying other staff is the second step because they know the client and are readily
available to search locally
A) Security is the third step because, although they are not immediately on hand, they
can have multiple people searching from different directions
B) notifying the nurse manager is the last step, because the manager may not be
readily available. Your priority is locating the client
The nurse discovers a hospice client has expired. The family members are regrouping
in the facility's waiting room. Which of the following actions by the nurse would be most
appropriate?
A) tell the family it would not be in their best interests to see their loved one
B) Encourage the family to view the body to help accept the situation
C) Provide condolences to the family and offer them viewing time
D) Tell the family, "I will give you some time to spend with your loved one. Let me know
if you need anything" ✅C) provide condolences to the family and offer them viewing
time
Rationale
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