NURS 3105 FPCC - Sample Test Qs For
Exam 1 Questions And Answers With
Verified Solutions Latest Updated 2024
By the second postoperative day, a client has not achieved satisfactory pain relief.
Based on
this evaluation, what should the nurse do next according to the nursing process?
A.) Reassess the client to determine the reasons for unsatisfactory pain relief.
B.) See whether the pain lessens during the next 24 hr.
C.) Change the plan to ensure that the client achieves adequate pain relief.
D.) Teach the client about the plan of care for managing his pain. - ANSWER✔✔ A
REASON: The nurse should reassess the client to determine why he has not
achieved satisfactory pain relief. Various factors may be influencing the lack of
pain relief.
A nursing student is reporting to the clinical instructor about the care she gave to
a client. She states: "The client said his leg pain was back, so I checked his medical
record, and he last received his pain medication 6 hr ago. The prescription reads
every 4 hr PRN for pain, so I decided he needs it. I asked the unit nurse to observe
me preparing and administering it. I checked with the client 40 min later, and he
said his pain is going away." The instructor should inform the student that she left
out which of the following steps of the nursing process?
A.) Evaluation
B.) Planning
C.) Intervention
D.) Assessment - ANSWER✔✔ D
, REASON: The nursing student should have used the assessment step of the
nursing process by asking the client to evaluate the severity of his pain on a 0 to
10 scale. She also should have asked about the characteristics of his pain and
assessed for any changes that might have contributed to worsening of the pain.
A nurse has prepared a sterile field for assisting a provider with a chest tube
insertion. Which of the following events should the nurse recognize as
contaminating the sterile field? (Select all that apply.)
A.) The provider drops a sterile instrument onto the near side of the sterile field.
B.) The nurse moistens a cotton ball with sterile normal saline and places it on the
sterile field.
C.) The procedure is delayed 1 hr because the provider receives an emergency
call.
D.) The nurse turns to speak to someone who enters through the door behind the
nurse.
E.) The client's hand brushes against the outer edge of the sterile field. -
ANSWER✔✔ B, C, D
REASON:
B.) Fluid permeation of the sterile drape or barrier contaminates the field.
C.) Prolonged exposure to air contaminates a sterile field.
D.) Turning away from a sterile field contaminates the field because the nurse
cannot see if a piece of clothing or hair made contact with the field.
A nurse is contributing to the plan of care for a client who is being placed on
droplet precautions with a suspected diagnosis of pertussis. Which of the
following should the nurse include in the plan of care? (Select all that apply.)
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