NURS 3106 Final Exam Study Guide, Exams of Nursing

Download NURS 3106 Final Exam Study Guide and more Exams Nursing in PDF only on Docsity! NURS 3106 Final Exam Study Guide Latest Updated Exam Study Guide 2024/2025 Which Catholic Social Teaching Principle includes the belief that we are one human family that should embrace all backgrounds and promote peace in the world? A) Care for God's creation B) Solidarity C) Dignity of work D) Life and dignity of the human person - ansB) Solidarity One of the 2022 National Patient Safety Goals is to use alarms safely. Which action by the nurse best aligns with this goal? A) Modulate the alarm based on the patient's current situation B) Turn down the alarm so it does not cause interruption C) Allow the patient to silence the alarm periodically D) Turn off alarms that are unecessary - ansA) Modulate the alarm based on the patient's current situation What should be included in the "A" of the SBAR communication tool? A) A brief synopsis of the patient's current situation B) Suggestions for interventions C) An overview of the patient's medical history D) Current details such as vital signs and lab values - ansD) Current details such as vital signs and lab values A nurse realizes a medication error has occurred. What is the immediate action by the nurse? A) Tell the charge nurse about the error B) Ask a colleague if the error is significant NURS 3106 Final Exam Study Guide Latest Updated Exam Study Guide 2024/2025 C) Assess the patient for adverse reactions D) Call the doctor to report the error - ansC) Assess the patient for adverse reactions A patient who is confused is continually attempting to get out of bed. Which action by the nurse best represents assessing the situation? A) Determining if the patient's needs are met B) Asking the family to stay with the patient C) Instructing the patient to use the call light D) Turning on a bed alarm - ansA) Determining if the patient's needs are met Using critical thinking and clinical judgment, which patient should be assessed first? A) A patient with a blood pressure of 101/47 B) A patient with an oxygen saturation of 86% C) A patient with a pain level of 8/10 D) A patient who is having an anxiety attack - ansB) A patient with an oxygen saturation of 86% (Think Maslow) Which patient is at the highest risk for pressure injuries? A) 35-year old quadriplegic who needs frequent wheelchair repositioning B) 75-year old who has been in the hospital for 5 days C) 55-year old with decreased sensation in the hands and feet NURS 3106 Final Exam Study Guide Latest Updated Exam Study Guide 2024/2025 A nurse is administering time-sensitive oral medications to a client and discovers the client has difficulty swallowing. What should the nurse do next? A) Crush the oral medications and place in applesauce B) Contact the provider to change the route of administration C) Give the medications one at a time D) Raise the head of bed to 30 degrees and try again - ansB) Contact the provider A nurse reviews the serum potassium level and considers whether to give the medication through the oral or intravenous route (IV). What phase of the nursing process is this? A) Nursing Diagnosis B) Planning C) Implementation D) Evaluation - ansB) Planning Which statement by a parent indicates correct understanding of the nutrition needs of a 7-year-old child? A) "I will make sure to provide snacks high in fat." B) "I will watch out for eating disorders." C) "I will make sure to provide breakfast with protein." D) "I will provide small, frequent meals." - ansC) I will make sure to provide breakfast with protein The nurse is caring for a patient with excessive vomiting and diarrhea. Which of the following findings would the nurse expect? NURS 3106 Final Exam Study Guide Latest Updated Exam Study Guide 2024/2025 a) Extracellular Fluid Volume Deficit b) Extracellular Fluid Volume Excess c) Intracellular Fluid Volume Deficit d) Intracellular Fluid Volume Excess - ansa) extracelular fluid volume deficit A nurse is caring for a patient with an obstructive pulmonary disorder who is becoming lightheaded, dizzy, and is losing consciousness. Which ABGs would the nurse anticipate? A. pH 7.40, PaCO2 40, HCO3 30 B. pH 7.47, PaCO2 33, HCO3 22 C. pH 7.23, PaCO2 30, HCO3 18 D. pH 7.25, PaCO2 55, HCO3 32 - ansD) Respiratory acidosis What is the term for decreasing circulating blood volume that could be caused by shock or severe dehydration? A) Hypoxia B) Dyspnea C) Respiration D) Hypovolemia - ansD) hypovolemia A nursing is caring for a client who is dyspneic and hypoxic. The nurse applied oxygen and prompted the client to use the incentive spirometer. Which assessment finding best indicates these interventions have been successful? A) Client is able to walk to the bathroom B) Oxygen level of 95% C) Increased volume achieved on the incentive spirometer D) Restlessness - ansB) Oxygen level of 95% NURS 3106 Final Exam Study Guide Latest Updated Exam Study Guide 2024/2025 A nurse plans care for a client with a urinary catheter. They had surgery 2 days ago, have no activity restrictions, oral intake has been 1500mL/day, and urine output has been 200 mL every four hours. What nursing action is the highest priority? A) Encourage the client to increase water intake B) Encourage the client to increase ambulation C) Contact the provide for a catheter removal order D) Contact the provide for concerns of fluid overload - ans Which statement adequately represents the function of the stomach? A) Produces mucus to protect from acid and enzymes B) Produces saliva to aid in swallowing C) Produces intrinsic factor to aid in Vitamin K absorption D) Produces hydrochloric acid for carbohydrate digestion - ansA) Produces mucus to protect from acid and enzymes A nurse preceptor educations a student on Clostridium Difficile (C. Diff.) infections. What statement by the student nurse indicates further teaching is needed? A) "C. Diff. infections are more common in older adults." B) "C. Diff. infections are caused by an overgrowth of skin flora." C) "The nucleic acid amplification test is preferred for C. Diff." D) "Clients should take antibiotics as prescribed to prevent C. Diff." - ansB) "C. Diff. infections are caused by an overgrowth of skin flora." A nurse is providing teaching to a client with a new colostomy. What would be essential information to include? NURS 3106 Final Exam Study Guide Latest Updated Exam Study Guide 2024/2025 What should be included in the "A" of the SBAR communication tool? A) A brief synopsis of the patient's current situation B) Suggestions for interventions C) An overview of the patient's medical history D) Current details such as vital signs and lab values - ansD) Current details such as vital signs and lab values A nurse realizes a medication error has occurred, assesses the client, and determines there are no immediate adverse effects. What is the next best action by the nurse? A) Notify the unit manager of the error B) Ask a colleague if the error is significant C) Inform the pharmacist what occurred D) Call the provider to report the error - ansA) Notify the unit manager of the error A nurse is starting their shift and reviewing the lab values of 4 different patients. Which lab value requires further action? A) Magnesium of 1.4 mEq/L B) Total Calcium of 9.9 mg/dl C) Sodium level of 131 mEq/L D) Potassium level of 4.8 mEq/L - ansC) Sodium level of 131 mEq/L What is the process of the cardiovascular system delivering oxygenated blood to the tissues and returning de-oxygenated blood to the lungs? A) Diffusion B) Ventilation NURS 3106 Final Exam Study Guide Latest Updated Exam Study Guide 2024/2025 C) Oxygenation D) Perfusion - ansD) Perfusion Which nursing interventions can help optimize the patient's use of the incentive spirometer to improve lung function? Select all that apply. A) Deep breathing B) Coughing C) Instructing the patient to blow into the device D) Administering pain medication prior to use E) Raising the head of bed to 30 degrees - ansA, B, D, E The nurse prepares a patient with type 2 diabetes for a surgical procedure. The patient weighs 112.7 kg (248 lb) and is 5 feet, 2 inches in height. Which factors increase this patient's risk for surgical complications? (Select all that apply.) 1. Obesity 2. Prolonged bleeding time 3. Delayed wound healing 4. Ineffective vital capacity 5. Immobility secondary to height - ans1,3 Which assessment questions should the nurse ask a preoperative patient preparing for surgery? (Select all that apply.) 1. "Are you experiencing any pain?" 2. "Do you exercise on a daily basis?" 3. "When do you regularly take your medications?" 4. "Do you have any medication allergies?" 5. "Do you use drugs and/or tobacco products?" - ans1, 4, 5 NURS 3106 Final Exam Study Guide Latest Updated Exam Study Guide 2024/2025 Communication between a nurse caring for a patient in the preoperative holding area and the circulating nurse in the operating room (OR) can best be enhanced by which of the following? (Select all that apply.) 1. Documenting assessment findings in the medical record 2. Using a standardized SBAR tool 3. Being responsive in using nonverbal communication techniques 4. Giving specific information to a transport technician 5. Listening to the OR nurse's questions - ans2, 3, 5 Which postoperative intervention best prevents atelectasis? 1. Use of intermittent compression stockings 2. Heel-toe flexion 3. Use of the incentive spirometer 4. Abdominal splinting when coughing - ans3 An 85-year-old patient returns to the inpatient surgical unit after leaving the PACU. Which of the following place the patient at risk during surgery? (Select all that apply.) 1. Stiffened lung tissue 2. Reduced diaphragmatic excursion 3. Increased laryngeal reflexes 4. Reduced blood flow to kidneys 5. Increased cholinergic transmission - ans1,2,4 A postoperative patient experiences tachypnea during the first hour of recovery. Which nursing intervention is a priority? 1. Elevate the head of the patient's bed. 2. Give ordered oxygen through a mask at 4 L/min. 3. Ask the patient to use an incentive spirometer. 4. Position the patient on one side with the face down and the neck slightly extended so that the tongue falls forward. - ans1 NURS 3106 Final Exam Study Guide Latest Updated Exam Study Guide 2024/2025 a. Tell me if you have a higher power or authority that helps you act on your beliefs b. Describe which activities give you comfort spiritually c. To whom do you go for support in times of difficulty? d. Your illness has kept you from attending church. Is that a problem for you? - ans1a, 2d, 3c, 4b Which statement made by a patient who is recovering after recently experiencing third-degree burns shows connectedness? 1. "My pain medicine helps me feel better." 2. "I know I will get better if I just keep trying." 738 3. "I see God's grace and become relaxed when I watch the sun set at night." 4. "I feel so much closer to God after I read my Bible and pray." - ans4 A 44-year-old male patient has just been told that his wife and child were killed in an auto accident while coming to visit him in the hospital. Which of the following statements are assessment findings that support a nursing diagnosis of Spiritual Distress related to loss of family members? (Select all that apply.) 1. "I need to call my sister for support." 2. "I have nothing to live for now." 3. "Why would my God do this to me?" 4. "I need to pray for a miracle." 5. "I want to be more involved in my church." - ans2,3 A patient has just learned she has been diagnosed with a malignant brain tumor. She is alone; her family will not be arriving from out of town for an hour. The nurse has been caring for her for only 2 hours but has a good relationship with her. What is the most appropriate intervention for support of her spiritual well-being at this time? 1. Make a referral to a professional spiritual care adviser. 2. Sit down and talk with the patient; have her discuss her feelings and listen attentively. 3. Move the patient's Bible from her bedside cabinet drawer to the top of the over-bed table. 4. Ask the patient whether she would like to learn more about the implications of having this type of tumor. - ans2 A nurse is preparing to teach an older adult who has chronic arthritis how to practice meditation. Which of the following strategies are appropriate? (Select all that apply.) 1. Encourage family members to participate in the exercise. 2. Have patient identify a quiet room in the home that has minimal interruptions. 3. Suggest the use of a quiet fan running in the room. 4. Explain that it is best to meditate about 5 minutes 4 times a day. 5. Show the patient how to sit comfortably with the limitation of his arthritis and focus on a prayer. - ans2,3,5 NURS 3106 Final Exam Study Guide Latest Updated Exam Study Guide 2024/2025 A nursing student is developing a plan of care for a 74-year-old-female patient who has spiritual distress over losing a spouse. As the nurse develops appropriate interventions, which characteristics of older adults should be considered? (Select all that apply.) 1. Older adults do not routinely use complementary medicine to cope with illness. 2. Older adults dislike discussing the afterlife and what might have happened to people who have passed on. 3. Older adults achieve spiritual resilience through frequent expressions of gratitude. 4. Have the patient determine whether her husband left a legacy behind. 5. Offer the patient her choice of rituals or participation in exercise. - ans3,4,5 A nurse used spiritual rituals as an intervention in a patient's care. Which of the following questions is most appropriate to evaluate its efficacy? 1. Do you feel the need to forgive your wife over your loss? 2. What can I do to help you feel more at peace? 3. Did either prayer or meditation prove helpful to you? 4. Should we plan on having your family try to visit you more often in the hospital? - ans3 The nurse is caring for a 50-year-old woman visiting the outpatient medicine clinic. The patient has had type 1 diabetes since age 13. She has numerous complications from her disease, including reduced vision, heart disease, and severe numbness and tingling of the extremities. Knowing that spirituality helps patients cope with chronic illness, which of the following principles should the nurse apply in practice? (Select all that apply.) 1. Pay attention to the patient's spiritual identity throughout the course of her illness. 2. Select interventions that you know scientifically support spiritual well-being. 3. Listen to the patient's story each visit to the clinic, and offer a compassionate presence. 4. When the patient questions the reason for her long-time suffering, try to provide answers. 5. Consult with a spiritual care adviser, and have the adviser recommend useful interventions. - ans1,3