N206 Exam 1 BSN 206 Nightingale College Question and answers 100% correct An unconscious client is brought to the emergency department. Which assessment should be implemented first? - correct answer The client's airway should be assessed.
When the nurse inspects a postoperative incision site ...
N206 Exam 1
An unconscious client is brought to the emergency department. Which
assessment should be implemented first? - correct answer ✔The client's
airway should be assessed.
When the nurse inspects a postoperative incision site for infection, which one
of the following types of assessments is being performed? - correct answer
✔focus
Which cultural group may interpret touch by another as an invasion of
privacy? - correct answer ✔chinese
When assessing the client's pulse, the nurse should use which assessment
technique - correct answer ✔palpation
A client is receiving home care due to an unstable blood pressure. Which
nursing intervention is a priority? - correct answer ✔Assess the client's blood
pressure.
The nurse working at a local community hospital understands the importance
of having a client database for continuous data collection. What does the
nurse identify as the the primary reason for collecting data continuously? -
correct answer ✔It is because the client's health status can change quickly
Which statement made by the nurse indicates data that would be documented
as part of an objective assessment? - correct answer ✔"The client's right leg
is cold to the touch, from the knee to the foot."
,The nurse is interviewing a client and is focusing on avoiding comments and
questions that will impede communication. Which sentence demonstrates the
appropriate use of communication techniques? - correct answer ✔when did
you first notice the rash on your leg
A nurse is assessing a client with chronic back pain and asking specific
questions to obtain a focus assessment. Which of the following are features of
a focus assessment? - correct answer ✔adds depth to existing information
Which client situation most likely warrants a time-lapse nursing assessment? -
correct answer ✔An older adult resident of an extended-care facility is being
assessed by a nurse practitioner during the nurse's scheduled monthly visit.
A 50-year-old male is admitted for removal of a cancerous tumor of his lung.
He tells the RN he is worried about how the cancer and the treatment will
affect his family. He explains his wife has never worked outside the home and
he is concerned their financial situation will be compromised by his illness.
Which of following would be the best nursing diagnosis for this patient? -
correct answer ✔Interrupted Family Processes
The purpose of obtaining a nursing history is to: - correct answer ✔identify
actual and potential nursing diagnoses
A client with a hip fracture is returning to the orthopedic unit, and the orders
indicate that the client should be turned by logrolling. Which statement is
correct regarding logrolling? - correct answer ✔Use a drawsheet or a friction-
reducing sheet to facilitate smooth movement.
When logrolling a client, the nurse should use supportive devices in turning
the client in order to: - correct answer ✔maintain the natural alignment of the
client's body.
, The nurse adjusts a client's bed to a comfortable working height in order to
turn a patient. What would be the nurse's next action? - correct answer
✔Move the client to edge of the bed opposite the side that client will be
turning.
Two nurses are moving a client up in bed. What motion would the nurses use
to counteract the client's weight? - correct answer ✔Shift their weight back
and forth, from back leg to front leg.
The nurse is assessing a client who is bedridden. For which condition would
the nurse consider this client to be at risk? - correct answer ✔predisposition
to renal calculi
Which structures are primarily responsible for voluntary movement? Select all
that apply - correct answer ✔cerebellum, cerebral cortex, pyramidal tract
The nurse is caring for a client with rectal bleeding. The nurse will place the
client into which position to facilitate rectal examination? - correct answer
✔Sims (semi prone)
The nurse is teaching the client and the family safe methods to increase
activity tolerance. Which teaching should the nurse include? Select all that
apply. - correct answer ✔-Allow adequate time for performing activities.
-Remove objects that are safety hazards from the environment.
-Develop hobbies or recreational interests.
-Promote independence by contacting services such as Meals on Wheels.
When caring for a client, the nurse identifies and analyzes data to identify
nursing diagnoses and collaborative problems. Which action is a priority role
of the nurse when caring for a client with collaborative problems? - correct
answer ✔reporting trends that suggest development of complications
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