NUR 417 Exam 3 Questions With Correct
Answers
A patient describes his involvement in a situation that the nurse suspects
| | | | | | | | | | | |
demonstrates the sexual abuse of a child. What is the nurse's initial response?
| | | | | | | | | | | |
A. Verify that the event actually occurred.
| | | | | |
B. Consider the negative effects of breeching patient trust.
| | | | | | | |
C. Report the suspected abuse to the appropriate agency.
| | | | | | | |
D. Notify the health care provider of the statemen
| | | | | | | |
Report the suspected abuse to the appropriate agency. Correct
| | | | | | | |
The nurse is legally obligated to report suspected and actual sexual abuse of
| | | | | | | | | | | | |
children to police or appropriate agencies. All states have mandatory child abuse
| | | | | | | | | | | |
reporting statutes. It is not the nurse’s responsibility to verify the event. The
| | | | | | | | | | | | |
primary concern is for the child, even if that means compromising confidentiality.
| | | | | | | | | | |
The nurse caring for an older adult suspects elder abuse. Which action is
| | | | | | | | | | | | |
appropriate?
A. Collect proof of abuse before notifying the authorities.
| | | | | | | |
B. Confront the caretakers about the suspicion of abuse.
| | | | | | | |
,C. Notify the authorities of the suspected elder abuse.
| | | | | | | |
D. Report the abuse if the older adult gives permission.
| | | | | | | | |
C. The nurse is a mandatory reporter of elder abuse and should notify the
| | | | | | | | | | | | | |
authorities of suspected elder abuse.The nurse does not need proof of abuse
| | | | | | | | | | | |
before calling the authorities.The nurse should not confront the caretakers if
| | | | | | | | | | |
elder abuse is suspected.The nurse does not need permission from the elder
| | | | | | | | | | | |
before calling the authorities.
| | |
You are working with a child and suspect physical abuse. What is your primary
| | | | | | | | | | | | | |
legal responsibility?
|
A. Document your assessment thoroughly and accurately.
| | | | | |
B. Report the abuse to local authorities.
| | | | | |
C. Refer the family to support groups.
| | | | | |
D. Assist the family in identifying resources and support systems.
| | | | | | | | |
Answer: B - The nurse should report her suspicions to the local authorities so
| | | | | | | | | | | | | |
they can investigate. The law makes it mandatory to report any suspected child
| | | | | | | | | | | | |
abuse. All other options are important in dealing with patient and the family, but
| | | | | | | | | | | | | |
they would not be the priority of the nurse.
| | | | | | | |
,Which action should the nurse plan to prevent aspiration in a high-risk patient?
| | | | | | | | | | | |
a. Turn and reposition an immobile patient at least every 2 hours.
| | | | | | | | | | |
b. Place a patient with altered consciousness in a side-lying position.
| | | | | | | | | |
c. Insert a nasogastric tube for feeding a patient with high calorie needs.
| | | | | | | | | | | |
d. Monitor respiratory symptoms in a patient who is immunosuppressed.
| | | | | | | | |
b. Place a patient with altered consciousness in a side-lying position.
| | | | | | | | | |
With loss of consciousness, the gag and cough reflexes are depressed, and
| | | | | | | | | | | |
aspiration is more likely to occur. The risk for aspiration is decreased when
| | | | | | | | | | | | |
patients with a decreased level of consciousness are placed in a side-lying or
| | | | | | | | | | | | |
upright position. |
An occupational health nurse works at a manufacturing plant where there is
| | | | | | | | | | | |
potential exposure to inhaled dust. Which action recommended by the nurse is
| | | | | | | | | | | |
intended to prevent lung disease?
| | | |
a. Treat workers with pulmonary fibrosis.
| | | | |
b. Teach about symptoms of lung disease.
| | | | | |
c. Require the use of protective equipment.
| | | | | |
d. Monitor workers for coughing and wheezing.
| | | | | |
c. Require the use of protective equipment.
| | | | | |
, The nurse monitors a patient in the emergency department after chest tube
| | | | | | | | | | | |
placement for a hemopneumothorax. The nurse is most concerned if which
| | | | | | | | | | |
assessment finding is observed? | | |
a. A large air leak in the water-seal chamber
| | | | | | | |
b. 400 mL of blood in the collection chamber
| | | | | | | |
c. Complaint of pain with each deep inspiration
| | | | | | |
d. Subcutaneous emphysema at the insertion site
| | | | | |
b. 400 mL of blood in the collection chamber
| | | | | | | |
The large amount of blood may indicate that the patient is in danger of
| | | | | | | | | | | | | |
developing hypovolemic shock. An air leak would be expected immediately after
| | | | | | | | | | |
chest tube placement for a pneumothorax
| | | | |
A patient experiences a chest wall contusion as a result of being struck in the
| | | | | | | | | | | | | | |
chest with a baseball bat. The emergency department nurse would be most
| | | | | | | | | | | |
concerned if which finding is observed during the initial assessment?
| | | | | | | | |
a. Paradoxical chest movement c. Heart rate of 110 beats/minute
| | | | | | | | |
b. Complaint of chest wall pain d. Large bruised area on the chest
| | | | | | | | | | | |
a. Paradoxical chest movement
| | |
Paradoxical chest movement indicates that the patient may have flail chest, which
| | | | | | | | | | |
can severely compromise gas exchange and can rapidly lead to hypoxemia. When
| | | | | | | | | | | |
a person has a flail chest, the nurse should stabilize the chest with positive
| | | | | | | | | | | | | | |
pressure and call a surgeon for surgery.
| | | | | |
Answers
A patient describes his involvement in a situation that the nurse suspects
| | | | | | | | | | | |
demonstrates the sexual abuse of a child. What is the nurse's initial response?
| | | | | | | | | | | |
A. Verify that the event actually occurred.
| | | | | |
B. Consider the negative effects of breeching patient trust.
| | | | | | | |
C. Report the suspected abuse to the appropriate agency.
| | | | | | | |
D. Notify the health care provider of the statemen
| | | | | | | |
Report the suspected abuse to the appropriate agency. Correct
| | | | | | | |
The nurse is legally obligated to report suspected and actual sexual abuse of
| | | | | | | | | | | | |
children to police or appropriate agencies. All states have mandatory child abuse
| | | | | | | | | | | |
reporting statutes. It is not the nurse’s responsibility to verify the event. The
| | | | | | | | | | | | |
primary concern is for the child, even if that means compromising confidentiality.
| | | | | | | | | | |
The nurse caring for an older adult suspects elder abuse. Which action is
| | | | | | | | | | | | |
appropriate?
A. Collect proof of abuse before notifying the authorities.
| | | | | | | |
B. Confront the caretakers about the suspicion of abuse.
| | | | | | | |
,C. Notify the authorities of the suspected elder abuse.
| | | | | | | |
D. Report the abuse if the older adult gives permission.
| | | | | | | | |
C. The nurse is a mandatory reporter of elder abuse and should notify the
| | | | | | | | | | | | | |
authorities of suspected elder abuse.The nurse does not need proof of abuse
| | | | | | | | | | | |
before calling the authorities.The nurse should not confront the caretakers if
| | | | | | | | | | |
elder abuse is suspected.The nurse does not need permission from the elder
| | | | | | | | | | | |
before calling the authorities.
| | |
You are working with a child and suspect physical abuse. What is your primary
| | | | | | | | | | | | | |
legal responsibility?
|
A. Document your assessment thoroughly and accurately.
| | | | | |
B. Report the abuse to local authorities.
| | | | | |
C. Refer the family to support groups.
| | | | | |
D. Assist the family in identifying resources and support systems.
| | | | | | | | |
Answer: B - The nurse should report her suspicions to the local authorities so
| | | | | | | | | | | | | |
they can investigate. The law makes it mandatory to report any suspected child
| | | | | | | | | | | | |
abuse. All other options are important in dealing with patient and the family, but
| | | | | | | | | | | | | |
they would not be the priority of the nurse.
| | | | | | | |
,Which action should the nurse plan to prevent aspiration in a high-risk patient?
| | | | | | | | | | | |
a. Turn and reposition an immobile patient at least every 2 hours.
| | | | | | | | | | |
b. Place a patient with altered consciousness in a side-lying position.
| | | | | | | | | |
c. Insert a nasogastric tube for feeding a patient with high calorie needs.
| | | | | | | | | | | |
d. Monitor respiratory symptoms in a patient who is immunosuppressed.
| | | | | | | | |
b. Place a patient with altered consciousness in a side-lying position.
| | | | | | | | | |
With loss of consciousness, the gag and cough reflexes are depressed, and
| | | | | | | | | | | |
aspiration is more likely to occur. The risk for aspiration is decreased when
| | | | | | | | | | | | |
patients with a decreased level of consciousness are placed in a side-lying or
| | | | | | | | | | | | |
upright position. |
An occupational health nurse works at a manufacturing plant where there is
| | | | | | | | | | | |
potential exposure to inhaled dust. Which action recommended by the nurse is
| | | | | | | | | | | |
intended to prevent lung disease?
| | | |
a. Treat workers with pulmonary fibrosis.
| | | | |
b. Teach about symptoms of lung disease.
| | | | | |
c. Require the use of protective equipment.
| | | | | |
d. Monitor workers for coughing and wheezing.
| | | | | |
c. Require the use of protective equipment.
| | | | | |
, The nurse monitors a patient in the emergency department after chest tube
| | | | | | | | | | | |
placement for a hemopneumothorax. The nurse is most concerned if which
| | | | | | | | | | |
assessment finding is observed? | | |
a. A large air leak in the water-seal chamber
| | | | | | | |
b. 400 mL of blood in the collection chamber
| | | | | | | |
c. Complaint of pain with each deep inspiration
| | | | | | |
d. Subcutaneous emphysema at the insertion site
| | | | | |
b. 400 mL of blood in the collection chamber
| | | | | | | |
The large amount of blood may indicate that the patient is in danger of
| | | | | | | | | | | | | |
developing hypovolemic shock. An air leak would be expected immediately after
| | | | | | | | | | |
chest tube placement for a pneumothorax
| | | | |
A patient experiences a chest wall contusion as a result of being struck in the
| | | | | | | | | | | | | | |
chest with a baseball bat. The emergency department nurse would be most
| | | | | | | | | | | |
concerned if which finding is observed during the initial assessment?
| | | | | | | | |
a. Paradoxical chest movement c. Heart rate of 110 beats/minute
| | | | | | | | |
b. Complaint of chest wall pain d. Large bruised area on the chest
| | | | | | | | | | | |
a. Paradoxical chest movement
| | |
Paradoxical chest movement indicates that the patient may have flail chest, which
| | | | | | | | | | |
can severely compromise gas exchange and can rapidly lead to hypoxemia. When
| | | | | | | | | | | |
a person has a flail chest, the nurse should stabilize the chest with positive
| | | | | | | | | | | | | | |
pressure and call a surgeon for surgery.
| | | | | |
