NURS 403 MIDTERM EXAM 2020 / NURS403 MIDTERM EXAM 2020|Verified and 100% Correct Q & A.

NURS 403 MIDTERM EXAM 2020 / NURS403 MIDTERM EXAM 2020|Verified and 100% Correct Q & A. 1.A community health nurse in a pediatric clinic is reviewing the history of a 12-year-old client. Which of the following immunizations should the nurse expect to administer? 2. Nurse is preparing a community health program for adults at risk for cardiovascular disease. Which of the following should the nurse include as a modifiable risk factor? 3. An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy? 4. A school nurse receives a call that some children and teachers report being exposed to an undetermined noxious gas odor presenting in the classrooms and are experiencing dizziness. Which of the following actions should the nurse take? 5. The nurse is participating in a biological disaster simulation where citizens are exposed to pneumonic plague. Which of the following interventions should the nurse plan to use while caring for these clients? 6. A nurse is among the first responders to a mass-casualty incident and does not know what type of personal protection equipment (PPE) is needed. Which of the following actions should the nurse take? 7. A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client? 8. A nurse is performing triage for a group of clients following a mass casualty incident (MCI). Which of the following clients should the nurse plan to care for first? 9. a nurse is helping to triage a group of clients at a mass casualty incident who were involved in an explosion at a local factory. Which of the following clients should the nurse tag to be the priority for care? 10. A nurse is triaging victims of a multiple motor-vehicle crash. The nurse assesses a client trapped under a car who is apneic and has a weak pulse at 120/min. After repositioning his upper airway, the client remains apneic. Which of the following actions should the nurse take? 11. A nurse is reviewing the guidelines for reporting nationally notifiable infectious diseases. Which of the following diseases should the nurse plan to report to the Centers for Disease Control and Prevention (CDC)? 12. A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention? 13. A charge nurse is discussing staff nurses’ responsibilities in preplanning for response to a disaster. Which of the following responsibilities should the nurse include in the discussion? 14. A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which of the following agents should the nurse plan to administer a vaccine following exposure? 15. A nurse is providing staff education about smallpox as a bioterrorism threat. Which of the following statements indicates an understanding of this agent? (Select all that apply) 16. A nurse is preparing to care for a client who has suspected exposure to plague as a result of bites from infected fleas. Which of the following actions should the nurse plan to take first? 17. A nurse is reinforcing teaching with a group of adolescent females who are pregnant about expected changes related to pregnancy. Which of the following client statements indicates understanding of the teaching? 18. A nurse is preparing to administer ciprofloxacin to a client. The nurse identify that the medication is treated for exposure to which of the following agents? 19. A nurse is caring for a client who suspects recent exposure to inhalation anthrax. Which of the following findings indicate possible exposure? 20. A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? 21. A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take? 22. A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feeding. Which of the following actions should the nurse take? 23.- a nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take? 24.- A nurse is performing tracheostomy care for a client and suctioning to remove copious secretions. Which of the following actions should the nurse take? 25.- The newly licensed nurse is applying prescribed wrist restraints on a client. Which of the following action should the nurse take? 26.- A nurse is preparing a client for outpatient surgery. After the nurse inserts the IV catheter, the client reports pain in the insertion area. Which of the following actions should the nurse take? 27.- A client smoking in his bathroom has dropped a cigarette butt into a wastepaper basket, which begins to smolder. Which of the following actions is the nurse`s priority? 28. A nurse is caring for a client who refuses treatment and asks to be discharged from the hospital against medical advice. The nurse notifies the client’s provider, who tells the nurse to restrain the client. If necessary, to keep her from leaving the hospital. The nurse understands that restraining this client would be considered which type of civil action by the nurse? 29.- A nurse is inserting an IV catheter for an older client in preparation for an outpatient procedure. Which of the following veins should the nurse select? 30. A nurse is providing oral care for a client who is immobile. Which of the following actions should the nurse take? 31. A nurse is caring for a client who has a prescription for a stool test for guaiac. The nurse understands the purpose of the test is to check the stool for which of the following substances? 32.- A nurse is instructing a client who has a new diagnosis of Raynaud`s disease about preventing the onset of manifestations. Which of the following client statements should indicate to the nurse the need for additional teaching? 33.- A nurse is caring for a client who experienced a lacerated spleen and has been on bedrest for several days. The nurse auscultates decreased breath sounds in the lower lobes of both lungs. The nurse should realice that this finding is most likely an indication of which of the following conditions? 34. The nurse is assessing a client and discovers the infusion pump with the client’s total parenteral nutrition (TPN) solution is infusing. The nurse should monitor the client for which of the following conditions? 35. A nurse is caring for four clients who have drainage tubes. Which of the following clients should the nurse recognize as being at risk for hypokalemia? 36.- A nurse is caring for a client who has an indwelling unitary catheter and notes blood-tinged urine in the catheter bag. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations? 37.- A nurse is assessing a client`s cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve III? 38.- A nurse is caring for a client who has had an allogeneic hematopoietic stem-cell transplant. Which of the following infection-control precautions should the nurse use while caring for this client? 39.- An assistive personnel (AP) reports a client`s vital signs as tympanic Temperature 37.1º C (98.8º F), pulse 92/min, respiratory rate 18/min, and BP 98/58 mm Hg. Which of the following vital signs should the nurse re-measure? 40. A nurse accidentally administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client’s hospitalization. The client could rightfully sue the nurse for which of the following? 41. A nurse is caring for an older adult client who states, “I am afraid that I may fall white walking to the bathroom during the night.” Which of the following actions should the nurse take? 42.- A nurse is working with a licensed practical nurse (LPN) to care for a client who is receiving a continuous IV infusion. Which of the following findings reported by the LPN indicated to the nurse the client has phlebitis at the IV insertion side? 43.- A nurse in the emergency department is caring for a client who collapsed after playing football on a hot day. After reviewing the admission laboratory findings, the nurse recognizes are consistent with which of the following conditions? Sodium 152 mEq/L Potassium 3.6 mEq/L Chloride 105 mEq/L Glucose 102 mg/dL BUN 18 mg/dL Creatinine 0.7mg/dL 44.- A nurse at an extended- care facility is instructing a class assistive personnel (AP) about client use of assistive devises during ambulation. Which of the following instruction should the nurse give the AP about the clients` use of a cane? 45. The nurse is caring for a client who has active pulmonary tuberculosis (TB). The client requires airborne precautions and is receiving multidrug therapy. Which of the following precautions should the nurse take to transport the client safety to the radiology department for a chest x-ray? 46. A nurse is assisting with transferring a client from the bed to wheelchair. Which of the following actions should the nurse take?