IMS Final Exam Review Part 1

A nurse is reviewing restraint orders for several clients. The nurse understands that restraints should only be used when absolutely necessary, and it would be inappropriate to use restraints for (a)   .

• agitation

• non-compliance

• confusion

• discomfort

The nurse is caring for a patient diagnosed with pneumonia due to Streptococcus pneumoniae. Which of the following would be an example of a goal set during the planning phase of the nursing process?

• Maintain respiratory rate below 24 breaths per minute

• Monitor temperature every 4 hours

• Encourage deep breathing exercises hourly

• Provide rest periods between activities

A nurse is caring for a 22-year-old client who is 28 weeks pregnant. The client refuses a recommended genetic screening test, but the provider insists that the test be performed despite the client's objections. Which ethical principle is the provider disregarding?

• A. Justice

• B. Fidelity

• C. Autonomy

• D. Nonmaleficence

During a care planning meeting, Charlotte, a nurse, discusses with the healthcare team how to decide which client needs should be addressed first. She emphasizes the importance of a systematic approach to prioritization. Which framework should Charlotte use to guide the prioritization of client care?

• A. Physician's preferences

• B. Client's financial status

• C. Maslow hierarchy of needs

• D. Hospital policies

Michael, a registered nurse, strives to uphold the ethical principle of beneficence in his nursing care. Which of the following actions by Michael would best demonstrate this principle?

• Ignoring a client's request for assistance

• Administering medication as prescribed to relieve pain

• Withholding information about a treatment from a client

• Refusing to help a colleague with a difficult procedure

At a health seminar, Nurse Aria discusses the impact of stress on physical health. She asks attendees to choose which of the following health issues can be influenced or worsened by stress. Which options should they select? Select all that apply.

• A. Autoimmune diseases

• B. Viral infections

• C. Accidental fractures

• D. Hypertension

• E. Chromosomal abnormalities

Michael, a 22-year-old recently diagnosed with type 1 diabetes, is preparing to begin insulin therapy. When developing a teaching plan for Michael, which factor should the nurse consider most important in order to facilitate effective learning?

• Client's educational background

• Client's marital status

• Client's physical activity level

• Client's culture

A client is receiving hydromorphone via a patient-controlled analgesia (PCA) device after surgery. What is the nurse's most important assessment following administration of the initial loading dose?

• Assessment for decreased urine output

• Assessment for respiratory depression

• Assessment for increased heart rate

• Assessment for gastrointestinal bleeding

A client with a long history of osteoarthritis in the knee complains of persistent, dull pain that worsens with movement and occasionally radiates down the leg at rest. What type of pain is the client most likely experiencing?

• Acute pain

• Breakthrough pain

• Chronic pain

• Neuropathic pain

Olivia, a nurse, is caring for a client with a long-standing history of chronic pain who is now experiencing an acute episode of cellulitis. Which consideration is most important for Olivia when assessing this client's pain?

• A. Clients with chronic pain may underreport new pain due to their pain history

• B. Clients with chronic pain are unlikely to experience acute pain episodes

• C. Clients with chronic pain always require higher doses of pain medication

• D. Clients with chronic pain do not need frequent pain assessments