NU 136 EXAM 1 LATEST EXAM | QUESTIONS AND
CORRECT ANSWERS | GRADED A+ | LATEST
VERSION (JUST RELEASED) | VERIFIED ANSWERS
The nurse assesses that her 83-year-old client has a temperature of 96.9.
What should the nurse do next? ---------CORRECT ANSWER-----------------
document the findings
The nurse preceptor should step in and correct the nursing student if the
preceptor observes which of the following ? ---------CORRECT ANSWER----
-------------1. The student returns unused linens to the linen cart
2. the student log rolls the client without any assistance
When caring for a client diagnosed with C. Diff what. should the nurse
implement ( select all that apply) ---------CORRECT ANSWER-----------------
1. Wash hands with soap and water before and after care of the client
2. place the client on contact precaution isolation
The nurse understands that reasons for not taking blood pressure readings
in the arm includes ---------CORRECT ANSWER-----------------1. intravenous
(IV)access in the arm
2. a mastectomy that was previously performed
3. Hemodialysis shunt that is present
Which of the following clients are at a higher risk of injury while admitted to
the hospital ? (select all that apply) ---------CORRECT ANSWER---------------
--1. The client diagnosed with dementia
2. the client using mobility aids
3. the use of ventilators to maintain proper airways
,Taking the client's temperature from the site requires extreme caution so as
to not injure the client ---------CORRECT ANSWER-----------------Rectal
Place these in order of the client you would see first to the client that you
would see last (from top to bottom) ---------CORRECT ANSWER---------------
--1. The client complaining that they have to take more than usual of
albuterol.
2. The 56 yr client that weights 95 pounds asking for a 2nd breakfast tray
3. the client complaining of new pain in their bilateral lower extremities
4. the 67 yr client with questions about their discharge orders
Based on Meslow's hierarchy of needs, which client should the nurse assist
first> ---------CORRECT ANSWER-----------------The client who is visually
impaired and needs help cleaning their glasses
The client who ensures they eat a proper diet and exercises regularly is
engaging in which type of prevention ---------CORRECT ANSWER------------
-----Primary prevention
A suspected rape victim is brought into the ER, but they don't remember
anything that happened. This defense mechanism is ---------CORRECT
ANSWER-----------------Repression
, The student nurse asks her preceptor what terminal illness means. The
preceptor correctly states ---------CORRECT ANSWER-----------------This
occurs when there is no longer a cure available
Which of the following may occur due to the prolongation of the general
adaptation syndrome (GAS)? ---------CORRECT ANSWER-----------------
Fatigue, loss of appetite, and malaise
When preparing to reposition a client the nurse should ---------CORRECT
ANSWER-----------------Slowly reposition the patient by first allowing them to
dangle their legs
The nurse has assisted with the development of care plan for a newly
admitted client. Which of the following nursing diagnoses should the nurse
suggest as the priority? ---------CORRECT ANSWER-----------------Fluid
volume deficit related to vomiting
The nurse is participating in the nursing and care planning process. Which
of the following steps in the process does the nurse recognize as the sole
responsibility of the registered nurse (RN) ---------CORRECT ANSWER------
-----------Diagnosis
The nurse is assisting with development of nursing intervention on
assigned client's plan of care. The nurse understands that the interventions
are? ---------CORRECT ANSWER-----------------Focused on what the nurse
will do to assist with reaching client goals
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