Which of the following nursing interventions is considered the most effective form of universal precautions in regards to sharps?
a. Discard all uncapped needles and syringes in a puncture-resistant protective container
b. Report a needle stick to an instructor if there is an onset of abnormal sy...
NURS 221 Final Exam Study Guide
Questions and Answers 2024 Top
Graded
Which of the following nursing interventions is considered the most effective form of
universal precautions in regards to sharps?
a. Discard all uncapped needles and syringes in a puncture-resistant protective
container
b. Report a needle stick to an instructor if there is an onset of abnormal symptoms
c. Follow the hospital's enteric precautions
d. Recap the dirty needle after giving the injection and then place it in the sharps
container -Answer- ✔A
Which religion attempts to remove illness by means of stories, rituals, prayers, symbols
and sand painting?
A. Hinduism
B. Judaism
C. Navajos
D. Islam -Answer- ✔C
When restraining a patient you must remember that
A) You must have a good reason
B) You need a physicians order
C) You can restrain an arm on a combative patient needing an IV
D) Once a patient is restrained, they stay restrained until discharge -Answer- ✔B
Which of the following changes occur during the alarm stage of GAS?
a. decrease in blood volume
b. increase in blood glucose
c. increase in digestion
d. decrease in oxygen intake -Answer- ✔B
A nurse goes in to assess a patient's wound. She finds that the wound has been
intentionally left open as ordered by the physician. This patient's wound is ________.
A. Secondary intention
B. Quaternary intention
C. Primary intention
D. Tertiary intention -Answer- ✔D
During the assessment of the preoperative surgical phase, the nurse would assess for
all of the following except:
a. support sources
b. preoperative pain assessment
NURS 221 Final Exam
,NURS 221 Final Exam
c. review of emotional health
d. skin integrity and condition of wound -Answer- ✔D
Which of the following actions requested of the NAP is inappropriate by the nurse?
A. Take the pt's vital signs and tell me if his pneumonia is worsening
B. Help me assist this patient in moving from the bed to the chair
C. Document the pt's input and ouput
D. Answer the pt's call light while I'm busy -Answer- ✔A
Your patient has just received a terminal cancer diagnosis and is expected to live for
less than six months. He is visibly upset, so you provide a nursing presence for comfort.
He states, "I will go to church every time the doors open, tithe my whole paycheck,
anything, if God will just take this cancer away." According to Kubler Ross' stages of
dying theory, what stage is this patient in?
A. depression
B. denial
C. bargaining
D. anger -Answer- ✔C
The nurse can delegate with the unlicensed assistive personnel (UAP) about:
a. performing glucose monitoring every 6 hours on a patient.
b. hanging a bag of enteral feeding
c. inserting the nasogastric tube
d. assessing a patient's risk for aspiration -Answer- ✔A
In the event of an ischemic stroke on the left side of the brain, these problems occur.
Select all that apply.
a. Altered balance
b. Problems with speech
c. Visual-spatial problems
d. Altered coordination
e. Loss of sensation and coordination in extremities on the left side of the body -
Answer- ✔A,B,D
What actions help create a nonthreatening physical environment during an interview?
Select all that apply.
A. Placing chairs at a 90-degree angle or side by side
B. Talk loudly with a stern voice
C. Arrange the interview environment so that you can maintain or avoid eye contact
comfortably
D. Let the patient talk and do not say anything -Answer- ✔A,C
A woman was driving in her car when out of nowhere she was hit from behind. Up until
this point in her life, the woman had never experienced chronic stress. After the
accident, she has been struggling with flashbacks and getting into another car. What is
the woman suffering from?
NURS 221 Final Exam
, NURS 221 Final Exam
a. Dissociation
b. Situational factors
c. Post-traumatic stress disorder
d. Regression -Answer- ✔C
Which of the following can be delegated to the UAP? Select all that apply.
a. Oropharyngeal suctioning
b. Tracheostomy suctioning
c. Oral suctioning
d. Nasopharyngeal suctioning
e. Nasotracheal suctioning -Answer- ✔A,C
How can the nurse best communicate with a patient with a hearing impairment? SATA:
A) Gestures
B) Sign Language
C) Exaggerate mouth movements
D) Face patient directly
E) Shout -Answer- ✔A,B,D
A patient is admitted through the emergency department following a motorcycle crash
with multiple orthopedic injuries. He goes to surgery for repair of fractures. He is
postoperative day 3 from an open-reduction internal fixation of bilateral femur fractures
and external to his unstable pelvic fracture. Interventions that are necessary for the
prevention of venous thromboembolism in this patient include: SELECT ALL THAT
APPLY
1. Intermittent pneumatic compression stockings
2. Vitamin K therapy
3. Passive range of motion exercises every 4 hours
4. Subcutaneous heparin or enoxaparin (Lovenox)
5. Continuous heparin drip with a goal of an international normalized ratio (INR) 5 times
higher than baseline -Answer- ✔1,4
The nurse is treating a 38-year-old male patient with recurrent insomnia and
headaches. The patient tells the nurse, "I lost my job last month, I can't find a new one,
and I have a wife and three kids at home. My dad died two weeks ago and it just seems
like bad things keep happening to us." Which of the following ego-defense mechanisms
does the nurse recognize that the patient is displaying?
A. Compensation
B. Denial
C. Dissociation
D. Conversion -Answer- ✔D
A nursing student on the cardiac intermediate care unit is asked by a nurse to get a
pillow from the supply room for a patient who just recieved CABG surgery. The nursing
student understands that the pillow's purpose during deep breathing and coughing is
(select all that apply):
NURS 221 Final Exam
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller PossibleA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
