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CASAL II - Chapter Reviews: Questions With Solutions
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CASAL II - Chapter Reviews: Questions With Solutions
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CASAL II - Chapter Reviews: Questions With SolutionsA nurse has recently been assigned to a medical-surgical clinical rotation.
According to the scope of medical-surgical nursing, what type of client
assignments does the nurse expect to see?
A. Hospitalized children with acute and chronic illnesses
B. Hospitalized adults with acute and chronic illnesses
C. Older adults in a nursing home
D. Working adults in a corporate setting Right Ans - B
Which principal nursing actions best support a focus on client safety? Select
all that apply.
A. Client restraints
B. Handwashing
C. Preoperative checklists
D. Respect for others
E. Five rights of drug administration Right Ans - B, C, E
A nursing student has been assigned to the hospital's Rapid Response Team
(RRT). Which statement by the student indicates a correct understanding of
the RRT member's purpose?
A. "I will be caring for clients in the hospital."
B. "I will be riding along in the hospital's ambulance."
C. "I will be admitting clients to the hospital."
D. "I will be observing code 'blue' resuscitations." Right Ans - A
A nurse is working in the intensive care unit. When does the nurse call the
Rapid Response Team (RRT)?
A. An 87-year-old client awakens mildly confused, then reorients quickly.
B. A newly admitted client requests pain medication.
C. A postoperative client's dressing has mild bloody drainage.
D. A postoperative client's blood pressure suddenly drops. Right Ans - D
Which role of the medical-surgical nurse is demonstrated by writing a care
plan for the client who is newly admitted to the hospital?
,A. Advocate
B. Caregiver
C. Communicator
D. Educator Right Ans - B
A nurse supports the client and family in deciding on a "Do Not Resuscitate"
order. Which ethical principle that guides nursing clinical decision making is
demonstrated in this situation?
A. Beneficence
B. Justice
C. Legality
D. Self-determination Right Ans - D
Which important aspect of coordinating care within the interdisciplinary team
is facilitated by use of the "SBAR" and "PACE" procedures?
A. Communication
B. Implementation
C. Policy making
D. Protocol development Right Ans - A
A 78-year-old Mexican American client is admitted to the hospital for
hypertension. His wife passed away 6 months ago, and his only child still lives
in Mexico. Which intervention does the nurse use in dealing with this client
following his admission?
A. Assess the client for his use of folk medicine.
B. Call the client's child and explain why his father needs him.
C. Present all information on hypertension to the client in one teaching
session.
D. Provide a pamphlet on hypertension for initial education. Right Ans - A
A nursing student is following a medical-surgical nurse and identifies a way to
improve a procedure used for client care. What does the student nurse do
next?
A. Asks the nurse about the rationale for doing the procedure that way
,B. Corrects the medical-surgical nurse about the way the procedure should be
done
C. Goes to the charge nurse with the idea
D. Places a note in the suggestion box Right Ans - A
Bedside computers are an example of informatics used in health care
primarily for which purpose?
A. Documenting interdisciplinary care
B. Enhancing collaboration and coordination of care
C. Offering clients access to e-mail and the Internet
D. Retrieving data for the evidence-based practice Right Ans - A
Which nursing action demonstrates use of the principle of justice?
A. A 32-year-old client is prevented from falling during the initial
postoperative period following her hysterectomy.
B. A 67-year-old client with dementia is shown the same respect as his 47-
year-old roommate with prostate cancer.
C. An 82-year-old client is provided access to the hospital Patient Advocate for
processing of a complaint.
D. The parents of a 13-year-old are included in discussions about the course of
their teen's treatment and care. Right Ans - B
A nurse is asked to collaborate with others to implement an interdisciplinary
(ID) plan of care for a client. Which health care team members are essential
for the client's daily care regimen? Select all that apply.
A. Anesthesiologist
B. Case Manager
C. Health Care Provider
D. Occupational therapist Right Ans - B, C
A nurse is appointed to a hospital committee whose goal is to "improve
nursing practice." Which areas of practice are included in the committee's
task? Select all that apply.
A. Attentiveness/surveillance of clients
B. Mandatory reporting
, C. Medication administration
D. Participation in professional organizations
E. Prevention of errors or complications
F. Teaching clients about their care regimens Right Ans - A, B, C, E
When developing a standardized plan of care for clients with a diagnosis of
pneumonia, how does the nurse find the best information about providing
optimal nursing care?
A. Access a website that reports on randomized controlled studies on nursing
care for clients with pneumonia.
B. Research the most recent articles in nursing magazines that discuss care for
clients with pneumonia.
C. Review the chart to determine what physician prescriptions are frequently
written for clients with pneumonia.
D. Survey experienced RNs about which nursing actions are effective when
caring for clients with pneumonia. Right Ans - A
Which of these hospital staff members will the nurse manager assign to
coordinate the discharge of a client who will need community-based
rehabilitation services after a traumatic injury?
A. The nurse who is responsible for the client's case management
B. The physical therapist who developed the client's exercise program
C. The physician who is assigned as the client's medical resident
D. The unit-based RN who has cared for the client during the hospital stay
Right Ans - A
Which nursing activity is best for the charge nurse on the medical-surgical
unit to delegate to unlicensed assistive personnel (UAP) staff members?
A. Feeding a client whose hands are affected by rheumatoid arthritis
B. Increasing the oxygen flow rate for a client who has wheezes
C. Positioning a client who has just returned after hip surgery
D. Taking vital signs for a client who is having acute chest pain Right Ans -
A
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