NURS226 MIDTERM (nursing process, hygiene, infection
prevention and control, oxygenation) Questions With
Complete Solutions
4 indicators for comprehensive evaluation Correct Answer 1.
examine the results
2. compare achieved effect with goals and outcomes
3. recognize errors
4. understand the patient situation, self-reflect, and correct error
A confused client becomes distressed and agitated when the
nursing assistant attempts to give the morning bath. The nurse
instructs the nursing assistant to complete a:
A. Bed bath
B. Complete bath
C. Help bath
D. Partial bath Correct Answer D. Partial bath
A nurse is assessing the vital signs of several patients. Which
signs of respiratory distress should the nurse report to the
primary health-care provider?
A. Respiratory rate of 26 breaths per minute with an irregular
rhythm
B. Respiratory rate of 16 breaths per minute with an irregular
rhythm
C. Respiratory rate of 18 breaths per minute with an irregular
rhythm
D. Respiratory rate of 20 breaths per minute with an irregular
rhythm Correct Answer A. Respiratory rate of 26 breaths per
minute with an irregular rhythm
,A nurse is caring for a patient who is experiencing respiratory
difficulty. Which most accurately measures the adequacy of
tissue oxygenation that the nurse should monitor?
A. Hematocrit values
B. Hemoglobin levels
C. Arterial blood gases
D. Pulmonary function tests Correct Answer C. Arterial blood
gases
A nurse is caring for an 80-year-old patient of Chinese heritage.
When planning outcomes for this patient, which actions by the
nurse would meet the American Nurses Association standards
for outcomes identification? Select all that apply.
A. Developing culturally appropriate outcomes
B. Using the standardized outcomes on the clinical pathway
C. Choosing the best outcome for the patient regardless of the
cost
D. Involving the patient and family in formulating the outcomes
Correct Answer A, D
A nurse is completing an assessment of a client who is a first
generation immigrant to the U.S. Which of the following
questions should the nurse consider asking to understand the
client's culture-based nutrition habits?
A. "What type of afternoon snacks do you consume?"
B. "What type of meal do you prepare for a holiday?"
C. "What time of day do you eat breakfast?"
D. "What cooking utensils are used in food preparation?"
Correct Answer B. "What type of meal do you prepare for a
holiday?"
,A nurse is planning to delegate patient care to a Nursing
Assistant. Which are appropriate activities for the Nursing
Assistant ? Select all that apply.
A. Evaluating vital signs
B. Making occupied beds
C. Monitoring tube feedings
D. Providing patients with physical hygiene
E. Assisting post operative patients with their first ambulation
Correct Answer B, D
A nurse is teaching a group of clients about influenza. Which of
the following statements by a client requires clarification?
A. "I should wash my hands after blowing my nose to prevent
spreading the virus"
B. "I need to avoid drinking fluids if I develop symptoms"
C. "I need a flu shot every year because of the different flu
strains"
D. " I should sneeze into my elbow rather than my hands"
Correct Answer B. "I need to avoid drinking fluids if I develop
symptoms"
A nurse is teaching a patient about ways to prevent infection.
Which best increases a patient's defense against
microorganisms?
A. Covering a cough
B. Maintaining intact skin
C. Changing bed linen daily
D. Using an antiseptic mouthwash Correct Answer B.
Maintaining intact skin
, A nurse makes a nursing diagnosis of Acute Pain related to the
postoperative abdominal incision. She writes a nursing order to
reposition the client in a comfortable position using pillows to
splint or support the painful areas. What type of nursing
intervention did the nurse write?
A. Collaborative
B. Interdependent
C. Dependent
D. Independent Correct Answer D. Independent
A patient on contact precautions needs a blood pressure reading
taken every shift. Which is the most practical intervention by the
nurse to keep the sphygmomanometer from spreading
microorganisms?
A. Place it in a protective bag
B. Keep it in the patient's room
C. Soak it in a germicidal solution
D. Store it in the dirty utility room Correct Answer B. Keep it
in the patient's room
A patient states that the elastic straps of the oxygen face mask
feel too tight. How should the nurse respond?
A. Explain the face mask must always stay firmly in place
B. Replace the face mask with a nasal cannula
C. Pad the straps with gauze
D. Adjust the straps Correct Answer D. Adjust the straps
abnormal findings during hygiene care: hands and feet Correct
Answer -impaired coordination
-ingrown nails, plantar warts, athlete's foot (fungal infection)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
