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Exam 2 Questions

Authored by Julie Vandergrifft

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Exam 2 Questions
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12 questions

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1.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

A nurse is preparing to communicate with an older client who is hearing impaired. Which intervention would be implemented initially?

Exaggerate lip movements

Stand in front of the client

Obtain a sign-language interpreter

Pantomime and write the client notes

2.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

The nurse inspects a pressure injury on a client's sacrum and notes that the site has partial-thickness skin loss and the formation of a blister. The nurse would document the pressure injury as which category?

Stage I

Stage II

Stage III

Stage IV

3.

MULTIPLE SELECT QUESTION

1 min • 1 pt

The nurse on a behavioral health unit is having a therapeutic discussion with a client and recognizes that which communication techniques would be non-therapeutic? Select all that apply.

Giving recognition

Minimizing feelings

Changing the subject

Asking "why" questions

4.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

Using the SOAP method of documentation, which nursing note belongs in the subjective portion of the patient's chart?

Patient's blood pressure is 145/90

Patient currently taking Metoprolol 20 mg/daily

Patient reports pain of 7 out of 10

Patient's past surgical history includes hernia repair

5.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

A Spanish-speaking client arrives at the triage desk in the emergency department and states to the nurse, "No English, only Spanish." Which action should the nurse take?

Have one of the client's family members interpret

Have the Spanish-speaking triage receptionist interpret

Seek an interpreter from the hospital's interpreter services

Obtain a Spanish-English dictionary and attempt to triage the client

6.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

The nurse is reviewing dental care with a client who is edentulous (lacking teeth) and wears dentures. Which of the following client statements indicated an understanding of proper dental care?

"Since I have no teeth, I do not need to brush my mouth."

"I need to use hot water when cleaning my dentures to kill bacteria."

"I will remove my dentures before bed and keep them in my labeled denture cup covered with water."

"When I am not wearing my dentures during the day, I can keep them in the denture cup with no water, as they should only be in water at night."

7.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

The nurse checks a client's skin turgor and documents that the client exhibits normal fluid balance. Which statement correctly describes what the nurse has documented?

The skin when pinched remained elevated when released.

The skin when pinched failed to return to normal when released

The skin when pinched immediately fell back to normal when released

The skin when pinched remained tented for several seconds when released.

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