Nur 125 Exam 4 Actual Questions and
Correct Verified Answers| Nursing Study
Guide | Guarantee Pass ,Well Revised and
Reviewed| Brand new Version!!!
The nurse takes into consideration factors that affect sensory
stimulation in hospitalized clients when planning care. Which
statement is true?
CORRECT ANSWER:
An individual's culture may dictate the amount of sensory stimulation
considered normal.
The healthcare provider prescribes 1000 mL of normal saline (0.9 %
of NaCl). The nurse is to infuse the solution over 8 hours. How many
mL/hr will the nurse administer? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing
zero.)
CORRECT ANSWER:
125
A home care client has both visual and hearing deficits. Although all
of the following are important, what would be a high priority concern
when planning and implementing care?
CORRECT ANSWER:
Safety
A client has been admitted to the hospital. The client is visually
impaired and can only see huge objects as shadows. Which
,interventions can the nurse employ to keep the client independent
during the hospitalization?
CORRECT ANSWER:
Inform the client of location of foods on the meal tray.
Knock on the client's door before entering the room.
Keep the call light in a consistent place within the client's reach.
A nurse is caring for clients with sensory alterations. Which client is
most likely susceptible to the effects of disturbed sensory
perception?
CORRECT ANSWER:
A client who is receiving care in the intensive care unit for the
treatment of septic shock
A client has expressed great relief at the improvement in their
hearing after irrigation of the ear canal yielded a large amount of
impacted cerumen. What type of sensory alteration was the client
experiencing secondary to the impacted cerumen?
CORRECT ANSWER:
Sensory reception
Which situation demonstrates sensory adaptation?
CORRECT ANSWER:
A client has learned to sleep through the frequent beeping of the
intravenous pump.
The nurse is caring for a 73-year-old client with diabetes mellitus.
What consideration should the nurse include in planning to educate
the client about insulin administration?
CORRECT ANSWER:
,Allowing more time for the processing of the information
Older adult clients easily become confused when admitted to the
hospital. The nurse understands that there are various reasons for
this. Which reason further supports this phenomenon
CORRECT ANSWER:
Hospital procedures and its environment may trigger sensory
overstimulation.
A client returning from the operating room is unconscious. What
guidelines should the nurse consider when communicating with this
client?
CORRECT ANSWER:
Talk to the client in a normal tone of voice.
In which situation would the situation, background, assessment, and
recommendation (SBAR) framework of communication be most
appropriate?
CORRECT ANSWER:
A nurse is calling a healthcare provider to report a client's new onset
of chest pain.
The nurse calls the healthcare provider due to changes in the
client's status. Using the situation, background, assessment, and
recommendation (SBAR) framework, the nurse is about to address
the recommendation component. Which statement appropriately
supports this part of the SBAR?
CORRECT ANSWER:
"Will you prescribe a complete blood cell (CBC) count to check the
white blood cell count and a culture?"
The healthcare provider prescribes 2000 mL of D5W. The nurse is to
infuse the solution over 20 hours. How many mL/hr will the nurse
, administer? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.)
CORRECT ANSWER:
100
A 61-year-old client has been admitted to a medical unit with a
diagnosis of pancreatitis secondary to alcohol use. Which statement
by the client suggests that the nurse's teaching has resulted in
effective learning?
CORRECT ANSWER:
"I'm starting to see how my lifestyle has caused me to end up here."
The nurse is providing education to a client. What is the most critical
element to document regarding client education?
CORRECT ANSWER:
Evidence that learning has occurred
When caring for a client, the nurse gives day-to-day examples to
explain certain points of the health education. The nurse also notes
the client's concentration level and educates when the client is
active. Which aspect related to learning is the nurse targeting in this
approach to teaching the client?
CORRECT ANSWER:
Attention and concentration
When engaging in motivational interviewing with a client about a
health concern, which statement by the nurse is appropriate to
initiate the process?
CORRECT ANSWER:
"What things are most important to you and your health?"
A client, who was recently diagnosed with diabetes, has been
coming to the emergency room every day for hyperglycemia. The
Correct Verified Answers| Nursing Study
Guide | Guarantee Pass ,Well Revised and
Reviewed| Brand new Version!!!
The nurse takes into consideration factors that affect sensory
stimulation in hospitalized clients when planning care. Which
statement is true?
CORRECT ANSWER:
An individual's culture may dictate the amount of sensory stimulation
considered normal.
The healthcare provider prescribes 1000 mL of normal saline (0.9 %
of NaCl). The nurse is to infuse the solution over 8 hours. How many
mL/hr will the nurse administer? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing
zero.)
CORRECT ANSWER:
125
A home care client has both visual and hearing deficits. Although all
of the following are important, what would be a high priority concern
when planning and implementing care?
CORRECT ANSWER:
Safety
A client has been admitted to the hospital. The client is visually
impaired and can only see huge objects as shadows. Which
,interventions can the nurse employ to keep the client independent
during the hospitalization?
CORRECT ANSWER:
Inform the client of location of foods on the meal tray.
Knock on the client's door before entering the room.
Keep the call light in a consistent place within the client's reach.
A nurse is caring for clients with sensory alterations. Which client is
most likely susceptible to the effects of disturbed sensory
perception?
CORRECT ANSWER:
A client who is receiving care in the intensive care unit for the
treatment of septic shock
A client has expressed great relief at the improvement in their
hearing after irrigation of the ear canal yielded a large amount of
impacted cerumen. What type of sensory alteration was the client
experiencing secondary to the impacted cerumen?
CORRECT ANSWER:
Sensory reception
Which situation demonstrates sensory adaptation?
CORRECT ANSWER:
A client has learned to sleep through the frequent beeping of the
intravenous pump.
The nurse is caring for a 73-year-old client with diabetes mellitus.
What consideration should the nurse include in planning to educate
the client about insulin administration?
CORRECT ANSWER:
,Allowing more time for the processing of the information
Older adult clients easily become confused when admitted to the
hospital. The nurse understands that there are various reasons for
this. Which reason further supports this phenomenon
CORRECT ANSWER:
Hospital procedures and its environment may trigger sensory
overstimulation.
A client returning from the operating room is unconscious. What
guidelines should the nurse consider when communicating with this
client?
CORRECT ANSWER:
Talk to the client in a normal tone of voice.
In which situation would the situation, background, assessment, and
recommendation (SBAR) framework of communication be most
appropriate?
CORRECT ANSWER:
A nurse is calling a healthcare provider to report a client's new onset
of chest pain.
The nurse calls the healthcare provider due to changes in the
client's status. Using the situation, background, assessment, and
recommendation (SBAR) framework, the nurse is about to address
the recommendation component. Which statement appropriately
supports this part of the SBAR?
CORRECT ANSWER:
"Will you prescribe a complete blood cell (CBC) count to check the
white blood cell count and a culture?"
The healthcare provider prescribes 2000 mL of D5W. The nurse is to
infuse the solution over 20 hours. How many mL/hr will the nurse
, administer? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.)
CORRECT ANSWER:
100
A 61-year-old client has been admitted to a medical unit with a
diagnosis of pancreatitis secondary to alcohol use. Which statement
by the client suggests that the nurse's teaching has resulted in
effective learning?
CORRECT ANSWER:
"I'm starting to see how my lifestyle has caused me to end up here."
The nurse is providing education to a client. What is the most critical
element to document regarding client education?
CORRECT ANSWER:
Evidence that learning has occurred
When caring for a client, the nurse gives day-to-day examples to
explain certain points of the health education. The nurse also notes
the client's concentration level and educates when the client is
active. Which aspect related to learning is the nurse targeting in this
approach to teaching the client?
CORRECT ANSWER:
Attention and concentration
When engaging in motivational interviewing with a client about a
health concern, which statement by the nurse is appropriate to
initiate the process?
CORRECT ANSWER:
"What things are most important to you and your health?"
A client, who was recently diagnosed with diabetes, has been
coming to the emergency room every day for hyperglycemia. The
