NUR 240 Exam 1 Questions With Complete Solutions
A client is brought to the emergency department by emergency
medical services (EMS) after being hit by a car. The name of the
client is unknown, and the client has sustained a severe head
injury and multiple fractures and is unconscious. An emergency
craniotomy is required. Regarding informed consent for the
surgical procedure, which is the best action? Correct Answers
Transport the victim to the operating room for surgery.
A client who has had abdominal surgery complains of feeling as
though "something gave way" in the incisional site. The nurse
removes the dressing and notes the presence of a loop of bowel
protruding through the incision. Which interventions would the
nurse take? Select all that apply. Correct Answers Contact the
surgeon.
Instruct the client to remain quiet.
Prepare the client for wound closure.
Document the findings and actions taken.
A client who has undergone preadmission testing has had blood
drawn for serum laboratory stud-ies, including a complete blood
count, coagulation studies, and electrolytes and creatinine levels.
Which laboratory result would be reported to the surgeon's
office by the nurse, knowing that it could cause surgery to be
postponed? Correct Answers Hemoglobin, 8.0 g/dL (80
mmol/L)
, A client with a gastric ulcer is scheduled for sur-gery. The client
cannot sign the operative consent form because of sedation from
opioid analgesics that have been administered. The nurse would
take which most appropriate action in the care of this client?
Correct Answers Obtain a telephone consent from a family
member, following agency policy.
A hospitalized client tells the nurse that an instructional
directive is being prepared and that the lawyer will be bringing
the document to the hospital today for witness signatures. The
client asks the nurse for assistance in obtaining a witness to the
will. The nurse plans to make which most appropriate response
to the client? Correct Answers "I will call the nursing
supervisor to seek assistance regarding your request."
A nursing graduate is attending an agency orientation regarding
the nursing model of practice implemented in the health care
facility. The nurse is told that the nursing model is a team
nursing approach.
The nurse determines that which scenario is characteristic of the
team-based model of nursing practice? Correct Answers An RN
leads two licensed practical nurses (LPNs) and three APs in
providing care to a group of 12 clients.
A nursing instructor delivers a lecture to nursing students
regarding the issue of clients' rights and asks a nursing student to
identify a situation that represents an example of invasion of
client privacy.
Which situation, if identified by the student, indicates an
understanding of a violation of this client right? Correct
A client is brought to the emergency department by emergency
medical services (EMS) after being hit by a car. The name of the
client is unknown, and the client has sustained a severe head
injury and multiple fractures and is unconscious. An emergency
craniotomy is required. Regarding informed consent for the
surgical procedure, which is the best action? Correct Answers
Transport the victim to the operating room for surgery.
A client who has had abdominal surgery complains of feeling as
though "something gave way" in the incisional site. The nurse
removes the dressing and notes the presence of a loop of bowel
protruding through the incision. Which interventions would the
nurse take? Select all that apply. Correct Answers Contact the
surgeon.
Instruct the client to remain quiet.
Prepare the client for wound closure.
Document the findings and actions taken.
A client who has undergone preadmission testing has had blood
drawn for serum laboratory stud-ies, including a complete blood
count, coagulation studies, and electrolytes and creatinine levels.
Which laboratory result would be reported to the surgeon's
office by the nurse, knowing that it could cause surgery to be
postponed? Correct Answers Hemoglobin, 8.0 g/dL (80
mmol/L)
, A client with a gastric ulcer is scheduled for sur-gery. The client
cannot sign the operative consent form because of sedation from
opioid analgesics that have been administered. The nurse would
take which most appropriate action in the care of this client?
Correct Answers Obtain a telephone consent from a family
member, following agency policy.
A hospitalized client tells the nurse that an instructional
directive is being prepared and that the lawyer will be bringing
the document to the hospital today for witness signatures. The
client asks the nurse for assistance in obtaining a witness to the
will. The nurse plans to make which most appropriate response
to the client? Correct Answers "I will call the nursing
supervisor to seek assistance regarding your request."
A nursing graduate is attending an agency orientation regarding
the nursing model of practice implemented in the health care
facility. The nurse is told that the nursing model is a team
nursing approach.
The nurse determines that which scenario is characteristic of the
team-based model of nursing practice? Correct Answers An RN
leads two licensed practical nurses (LPNs) and three APs in
providing care to a group of 12 clients.
A nursing instructor delivers a lecture to nursing students
regarding the issue of clients' rights and asks a nursing student to
identify a situation that represents an example of invasion of
client privacy.
Which situation, if identified by the student, indicates an
understanding of a violation of this client right? Correct
