UBC NURS 300 Midterm Exam with Questions and Answers
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Course
NURS 300
Institution
NURS 300
UBC NURS 300 Midterm Exam with Questions and Answers
Mr. Richard runs into the emergency department. He screams, "My wife is bleeding in the car! She is going to die! Quick, do something! We are losing our baby!" What should the nurse do as a priority?
a. Ask Mr. Richard to say where the car ...
UBC NURS 300 Midterm Exam with Questions and Answers
Mr. Richard runs into the emergency department. He screams, "My wife is bleeding in the car! She is going to die! Quick, do something! We are losing our baby!" What should the nurse do as a priority?
a. Ask Mr. Richard to say where the car is and then conduct a summary assessment of the situation
b. Tell a colleague to perform a vaginal examination as quickly as possible
c. Inform the physician of the urgency of the situation and suggest that the operating room be prepared
d. Tell Mr. Richard that he must calm down because his screaming is only making the situation worse and his cooperation is required ANSWER a. Ask Mr. Richard to say where the car is, and then conduct a summary assessment of the situation.
A client with diarrhea has a physician's order for a bulk lax- ative daily. The nurse, not realizing that bulk laxatives can help solidify certain types of diarrhea, concludes that the physician does not know the client has diarrhea. What is the most accurate way to characterize the nurse's thinking?
a. A fact
b. An inference
c. A judgment d. An opinion ANSWER d. An opinion
3. A client reports feeling hungry but does not eat when food is served. What should the nurse do?
a. Assess why the client is not eating the food provided b. Leave the food at the bedside until the client is hun-
gry enough to eat
c. Notify the health care provider that tube feeding may be needed soon
d. Believe the client is not really hungry ANSWER a. Assess why the client is not eating the food provided
A client who is short of breath benefits from the head of the bed being elevated. Because this position can result in skin breakdown in the sacral area, the nurse decides to learn more about
the amount of sacral pressure occurring in other positions. What type of decision making is the nurse demonstrating in this scenario?
a. The scientific method
b. The trial and error method c. Intuition
d. The nursing process ANSWER d. The nursing process
A nurse is engaged in the planning phase of the decision-making process and has set criteria, weighed the priorities, and examined the alternatives. What is the next step the nurse should take before implementing the plan?
a. Re-examine the purpose for making the decision
b. Consult the client and family members to determine
their view of the criteria
c. Identify and consider various means for reaching the outcomes
d. Determine the logical course of action should inter- vening problems arise ANSWER d. Determine the logical course of action should inter- vening problems arise
A client had hip replacement surgery 2 weeks ago and is now on the rehabilitation unit. Today is the first day the nurse is caring for this client. The nurse returns the client to his room and helps him into bed for the night. The client had a difficult time at physiotherapy this afternoon, and the nurse has just spent an hour with him, listening to his concerns about regaining his independence and mobility. What should the nurse do before leaving the client's
room?
a. Inform the client about continued care the next day and wish him goodnight
b. Tell the client that the lights are being turned out and leave the door ajar while leaving
c. Ensure the client's call bell is within reach and the bedside rails are in the upright position
d. Knowing the client has an as-needed (prn) order for a sleeping pill, ask if he feels he will need a pill tonight ANSWER c. Ensure the client's call bell is within reach and the bedside rails are in the upright position
A client had a myocardial infarction 3 weeks ago. This client has been started on one acetylsalicylic acid (Aspirin) a day, a new anticoagulant, and a different blood pressure medication. He continues to receive oxy- gen via nasal prongs. The nurse enters his room to do his morning assessment, including vital signs. The client tells the nurse he is having trouble catching his breath. The nurse notes his pulse is above the normal range, and his respirations seem laboured. The nurse interprets the situation, draws a conclusion about the client's needs and decides to take action. What is the best description of this process?
a. Clinical reasoning b. Clinical judgment c. Priority setting
d. Critical thinking ANSWER b. Clinical judgment
A nurse is about to interview a new resident as part
of the admission process to the long-term care facility. The admission process includes taking
complete his- tory from the resident. Which of the following should the nurse do?
a. Ensure proper health history forms are on hand, enter the room, pull up a chair and sit down, intro- duce self, and begin the history
b. Ensure proper health history forms are on hand, knock, enter the room, introduce self, and explain what needs to be done
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