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NR 226 Exam 2024 | CJE NR 224 Exam Update Latest 2024 Questions and Correct Answers Rated A+
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NR 226 Exam 2024 | CJE NR 224 Exam Update Latest 2024 Questions and Correct Answers Rated A+
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NR 226 Exam 2024 | CJE NR 224 ExamUpdate Latest 2024 Questions and
Correct Answers Rated A+
Which action by a nurse ensure confidentiality of a client's computer
record?
a. The nurse logs on to the client's file and leaves the computer to
answer the client's call light.
b. The nurse shares her computer password.
c. The nurse closes a client's computer file and logs off.
d. The nurse leaves client computer worksheets at the computer
workstation. -ANSWER-c.
The case management model using critical pathways would be
appropriate for a client with which diagnosis?
a. Myocardial infarction (heart attack)
b. Diabetes, hypertension
c. Myocardial infarction, diabetes, hypertension
d. diabetes, hypertension, an infected foot ulcer, senile dementia -
ANSWER-a.
After making a documentation error, which action should the nurse
take?
a. Use correcting liquid to cover the mistake and make a new entry,
b. Draw a line through it and write error above the entry.
c. Draw a line through it and write mistaken entry above it.
d. Draw a line through the mistake and write mistaken entry with
initials above it. -ANSWER-d.
Which charting entry would be the most defensible in court?
a. Client fell out of bed
,b. Client drunk on admission
c. Large bruise on left thigh
d. Notified Dr. Jones of BP of 90/40 -ANSWER-d.
During the first day a nurse is caring for a client who has been in the
hospital for 2 days, the nurse thinks that the client's blood pressure
seems high. What is the next step?
a. Ask the client about past blood pressure ranges.
b. Review the graphic record on the client's record.
c. Examine the medication record for antihypertensive medications.
d. Review the progress notes included in the client's record. -
ANSWER-b.
A student nurse observes the change-of-shift report. Which
behavior(s) by the reporting nurse represents effective nursing
practice? Select all that apply.
a. Provides the medical diagnosis or reason for admission.
b. States the time the client last received pain medication.
c. Speaks loudly when giving report.
d. States priorities of care that are due shortly after the report.
e. Reports on number of visitors for each client. -ANSWER-a, b, d
Which charting entries are written correctly? Select all that apply.
a. MS 5 gr given IV for c/o abdominal pain
b. Lanoxin 0.25 mg given orally per Dr. Smith's stat order
c. KCI 15 mL given orally for K+ level of 2.9
d. Regular insulin 10.0 u given SQ for capillary blood glucose of 180.
e. Ambien 5 mg given orally at bedtime per request. -ANSWER-b, c, e
The nurse is conducting the diagnosing phase (nursing diagnosis) of
the nursing process for a client with a seizure disorder. Which step
exists between data analysis and formulating the diagnostic
statement?
, a. Assess the client's needs.
b. Delineate the client's problems and strengths.
c. Determine which interventions are most likely to succeed.
d. Estimate the cost of several different approaches. -ANSWER-b.
In the diagnostic statement "Excess fluid volume related to decreased
venous return as manifested by lower extremity edema (swelling)," the
etiology of the problem is which of the following?
a. Excess fluid volume
b. Decreased venous return
c. Edema
d. Unknown -ANSWER-b.
Which of the following nursing diagnosis contains the proper
components?
a. Risk for caregiver role strain related to unpredictable illness course.
b. Risk for falls related to tendency to collapse when having difficulty
breathing.
c. Impaired communication related to stroke.
d. Sleep deprivation secondary to fatigue and a noisy environment. -
ANSWER-a.
One of the primary advantages of using a three-part diagnostic
statement such as the problem-etiology-signs/symptoms (PES) format
includes which of the following?
a. Decreases the cost of health care.
b. Improves communication between nurse and client.
c. Helps the nurse focus on health and wellness elements.
d. Standardizes organization of client data. -ANSWER-d.
A collaborative (multidisciplinary) problem is indicated instead of a
nursing or medical diagnosis.
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