Nurs 2362 hesi concepts - Study guides, Class notes & Summaries

NURS 2362 Module 3 Exam – 2020 Chamberlain School of Nursing Questions 1. ID: 8The mother of a 3-year-old child tells the nurse that her child hit her doll after the mother scolded her for picking the neighbors’ flowers. Which defense mechanism used by the child does the nurse identify in the mother’s report? Projection Sublimation Displacement Correct Identification Rationale: The defense mechanism of displacement involves the discharge of intense feelings for one person onto a subs...

NURS 2362 Module 6 Exam – 2020 Chamberlain School of Nursing Questions 1. ID: 9Which event would require a nurse to complete and file an incident report? A client has a seizure. The nurse determines that a client would benefit from the use of a walker to ambulate. The nurse, preparing an intravenous infusion, notes that the battery of an intravenous infusion pump is not working. When a visitor suddenly becomes weak and dizzy, the nurse checks the visitor’s blood pressure and takes ...

⦁ Questions ⦁ 1. ID: 0 A nurse notes that the site of a client’s peripheral intravenous (IV) catheter is reddened, warm, painful, and slightly edematous near the insertion point of the catheter. On the basis of this assessment, the nurse first: ⦁ Removes the IV catheter Correct ⦁ Slows the rate of infusion ⦁ Notifies the healthcare provider ⦁ Checks for loose catheter connections ⦁ Rationale: Phlebitis is an inflammatory process in the vein. Phlebitis at an I...

Questions ⦁ 1. ID: 0 A nurse is providing information to a group of pregnant clients and their partners about the psychosocial development of an infant. Using Erikson's theory of psychosocial development, what should the nurse tell the group about the infants? ⦁ Rely on the fact that their needs will be met Correct ⦁ Need to tolerate a great deal of frustration and discomfort to develop a healthy personality ⦁ Must have needs ignored for short periods to develop a healthy pers...

Module 4 1.ID: 5 A schizophrenic client says, “I’m away for the day ... but don’t think we should play or do we have feet of clay?” Which alteration in the client’s speech does the nurse document? • Word salad • Associative looseness • Clang association Correct • Neologism Rationale: Clang association is the meaningless rhyming of words in which the rhyming is more important than the context of the words. A neologism is a made-up word that has meaning only to the c...

Questions 1. ID: 5 A client who has undergone abdominal surgery calls the nurse and reports that she just felt “something give way” in the abdominal incision. The nurse checks the incision and notes the presence of wound dehiscence. The nurse immediately: Contacts the physician Documents the findings Places the client in a supine position with the legs flat Covers the abdominal wound with a sterile dressing moistened with sterile saline solution Correct Rationale: Wound ...

Questions ⦁ 1. ID: 3 A nurse performing a physical assessment of a client gathers both subjective and objective data. Which finding would the nurse document as subjective data? ⦁ The client appears anxious. ⦁ Blood pressure is 170/80 mm Hg. ⦁ The client states that he has a rash. Correct ⦁ The client has diminished reflexes in the legs. ⦁ Rationale: The purpose of a physical assessment is to collect both subjective and objective data. Subjective data, collected d...

Questions 1. ID: 4 A nurse is assigned to care for four clients on the medical-surgical unit. Which client should the nurse see first on the shift assessment? A client admitted with pneumonia with a fever of 100° F and some diaphoresis A client with congestive heart failure with clear lung sounds on the previous shift A client with new-onset of shortness of breath (SOB) and a history of pulmonary edema Correct A client undergoing long-term corticosteroid therapy with mild bruising o...

Questions 1. ID: 1 A client with leukemia is being considered for a bone marrow transplant. The healthcare team is discussing the risks and benefits of this treatment and other possible treatments with the goal of inflicting the least possible harm on the client. Which principle of healthcare ethics is the team practicing? Justice Fidelity Autonomy Nonmaleficence Correct Rationale: Nonmaleficence is the avoidance of hurt or harm. Remember that in healthcare ethics, ethical p...

Questions 1. ID: 9 Which event would require a nurse to complete and file an incident report? A client has a seizure. The nurse determines that a client would benefit from the use of a walker to ambulate. The nurse, preparing an intravenous infusion, notes that the battery of an intravenous infusion pump is not working. When a visitor suddenly becomes weak and dizzy, the nurse checks the visitor’s blood pressure and takes the visitor to the emergency department for treatment. Corre...