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ASSESSMENT 1 PRE PROCTORIO FUNDAMENTALS (NURS 100) questions and answers graded A+ 2024/2025
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ASSESSMENT 1 PRE PROCTORIO FUNDAMENTALS (NURS 100) questions and answers graded A+ 2024/2025
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ASSESSMENT 1 PRE PROCTORIOFUNDAMENTALS (NURS 100)
A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the
following statements should the nurse identify as an indication that the client understands the
preoperative teaching she received about pain management? - ANS-"It might help me to listen
to music while I'm lying in bed."
(Listening to music is an effective nonpharmacological intervention for the management of mild
pain.)
A nurse in a long-term care facility is caring for a client who dies during the nurse's shift. Identify
the sequence in which the nurse should perform the following steps. (Move the steps into the
box on the right, placing them in the order of performance. Use all the steps.) - ANS--obtain the
death pronouncement from the provider
-remove tubes and indwelling lines
-wash the client's body
-ask the family members if they wish to view the body
place a name tag on the body
A nurse in a provider's clinic is caring for a client who has diarrhea.
-Exhibit 1
Vital Signs
Temperature 36.2° C (97.2° F)
Pulse rate 116/min
Respiratory rate 24/min
BP 102/68 mm Hg
Oxygen saturation 95%
Weight 52.2 kg (115 lb)
-Exhibit 2
Nurses' Notes
1000:
Client reports diarrhea for the past 5 days with approximately 8 liquid stools a day. Woke up this
morning feeling dizzy. States, "I felt like I was going to pass out."
Client was seen 7 days ago for sinus infection and was prescribed amoxicillin.
Weight at previous visit was 56.2 kg (124 lb).
Denies bloody or black stools.
1030:
Blood collected for CBC, basic metabolic profile (BMP); stool collected for C. difficile; urine
collected for urinalysis.
1100:
, Informed client that the office will call with results of laboratory findings; prescription for
loperamide provided, instructed to discontinue amoxicillin; instructed to drink electrolyte
solution; teaching pr - ANS-The nurse is providing teaching for the client who has diarrhea.
Select the 4 instructions that the nurse should include in the teaching.
-Eat probiotic foods, such as yogurt.
-Avoid alcohol while experiencing diarrhea.
-Avoid caffeine while experiencing diarrhea.
-Follow a low-fiber diet.
A nurse in a provider's clinic is caring for a client who has heart failure.
-Exhibit 1
Nurses' Notes
*First Clinic Visit:
Client arrives to clinic with report of increasing shortness of breath, fatigue, and weakness.
States they get short of breath with minimal activity.
Client is alert and oriented to person, place, and time. Moves all extremities well, follows simple
commands.
Sinus tachycardia. Pulses to lower extremities weak with +2 dependent edema present.
Slightly labored respirations at rest. Chest with wheezes and crackles in the bases. Reports
productive cough, especially during the overnight hours.
Bowel sounds all present. Abdomen distended. Reports bowel movement this a.m.
States voiding without difficulty, clear yellow urine.
Teaching provided on nutrition therapy and adhering to a low-sodium diet, monitoring fluid
intake, and lifestyle changes for heart failure. Provided medication teaching following - ANS-A
nurse is evaluating teaching for a client who has heart failure. Which of the following 3
statements by the client indicates an understanding of the teaching?
-"I am limiting my sodium intake to 2 grams daily."
-"I am eating fewer potato chips and more fruit for snacks."
-"I know to call my doctor if I gain 3 pounds or more in 2 days."
A nurse in a provider's office is assessing the deep tendon reflexes of a client. Which of the
following images should the nurse identify as indicating the correct technique for eliciting the
client's patellar reflex? - ANS-** IMAGE OF NURSE HITTING THE KNEE**
The nurse should identify this image as assessing the client's patellar reflex. To elicit the
expected response of lower leg extension, the nurse should allow the client's legs to hang freely
over the side of the examination table while seated and quickly tap the patellar tendon just
below the kneecap using a reflex hammer.
A nurse in an emergency department is caring for a client.
-Exhibit 1
Physical Examination
1200:
Influenza with nausea, vomiting, and diarrhea for 3 days.Client is tachycardic, hypotensive, and
tachypneic, with weak pulses, dry mucous membranes, poor turgor, and oliguria.Plan: Admit for
IV fluids.
-Exhibit 2
Vital Signs
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