New Zealand Nursing State Finals WITH 100% CORRECT
ANSWERS
Terms in this set (61)
The nurse observes that Josie's right eye d) Tape the eyelid down to keep it closed between cares
does not close totally. Based on this ?
finding, which of the following nursing
interventions would be most appropriate
a) Making sure josie wears dark glasses to
avoid photosensitivity
b) Irrigate her right eye with saline each
duty to avoid dryness
c) Instilling neomycin eye drops to prevent
conjunctivitis
d) Tape the eyelid down to keep it closed
between cares
• The nursing goal for performing passive d) Maintain joint mobility
range of motion exercises for an
unconscious client such as josie would be
to
a) Preserve muscle mass
b) Prevent bone demineralisation
c) Increase muscle tone
d) Maintain joint mobility
• When the nurse performs oral hygiene for d) Wear sterile gloves?
josie, whilst she is still unconscious, which
of the following actions would be most
a) Use manual instead of mechanical
ventilation
b) Keep suction apparatus available
c) Place josie in a prone position
d) Wear sterile gloves
1/14
, • When assessing josies respiratory status, a) Cyanosis
which of the following symptoms may be
an early indicator of hypoxia
a) Cyanosis
b) Decreased respirations
c) Restlessness
d) Hypotension
A 34 year old Japanese tourist, takayuki b) Discuss her behaviour with her after you leave the room?
hamadi, is admitted to the hospital after
experiencing multiple trauma as a result of
an automobile accident. He has three
fractured ribs, a hairline fracture of the
pelvis, a compound fracture of his right
tibia and fibula, and soft tissue injuries. He
is in severe pain when he arrives on the unit
after emergency surgery
• Takayuki reports severe pain and requests
frequent medication. A nursing assistant
expresses her surprise, saying, 'i thought
asian people were very stoic about pain. '
your initial course of action should be
a) Reprimand her immediately and
apologise to takayuk's family
b) Discuss her behaviour with her after you
leave the room
c) Do nothing as takayuk's understanding of
English is poor
d) Report her to the charge nurse
• Mental status assessment using the b) Details about an individual's feeling state and cognitive functioning?
'batomi' formation is a useful nursing (perhaps from old exam, don't think Batomi Function exists anymore)
assessment tool because it tells you
a) Whether or not a client has a mental
illness
b) Details about an individual's feeling state
and cognitive functioning
c) Whether a mental illness is organic or
functional in origin
d) The history of a clients symptoms and his
response to stress
Persons with an acute psychotic c) Distinguishing between reality and unreality
illness have most difficulty in
a) Meeting dependency needs
b) Maintaining grooming and personal
hygiene
c) Distinguishing between reality and
unreality
d) Displaying personal feelings
2/14
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