Medical surgical Nursing in Canada, 4th edition 100% exam questions and correct answers 2024/2025 real final exam UPDATED

The nurse is caring for a client who has heart failure and encourages the client to alternate rest and activity periods to reduce cardiac workload. Which phase of the nursing process is the nurse demonstrating? a. Planning b. Diagnosis c. Evaluation d. Implementation - answers d. Implementation The nurse is planning care for a client and uses a visual diagram of client problems and interventions to illustrate the relationships among pertinent clinical data. Which format is the nurse using to plan care? a. Concept map b. Critical pathway c. Clinical pathway d. Nursing care plan - answers a. Concept map Which of the following statements represents the "O" component of the SOAP process for documentation? a. More pain at present b. Temperature 39.4°C (102.9°F) c. Risk for infection d. Notify surgeon - answers b. Temperature 39.4°C (102.9°F) The nurse caring for postoperative clients developed the following clinical question: In adult postoperative clients, how does guided imagery compared with music therapy affect analgesia use within the first 24 hours after surgery? Applying the PICOT framework, which of the following would be the "I" element in this question? a. Guided imagery b. Music therapy c. Analgesia use d. Adult postoperative clients - answers a. Guided imagery The nurse is investigating ways in which to improve interprofessional team communication and has chosen the SBAR model. Which of the following reflects the meaning of the "R" in the SBAR model? a. Risk assessment b. Recommendation c. Responsibility of action d. Roles of health team members Incorrect - answers b. Recommendation A team of nurses have a vision to implement evidence-informed practice (EIP) for care of clients with pressure ulcers. Which of the following sources of evidence would this change in practice encompass? (Select all that apply.) a. Consulting with the wound care and ostomy nurse b. The preferences of clients and their particular circumstances c. Nurses' expertise and their bodies of experience and knowledge d. The traditions that surround pressure ulcer practises on the unit e. Journal articles that address the care of clients with pressure ulcers - answers a. Consulting with the wound care and ostomy nurse b. The preferences of clients and their particular circumstances c. Nurses' expertise and their bodies of experience and knowledge e. Journal articles that address the care of clients with pressure ulcers Which of the following clients is most likely to experience health care disparities? a. A 65-year-old upper class Chinese male living in the city b. A 78-year-old Indigenous male living on a reservation c. A 50-year-old middle class white female living in a rural area d. A 72-year-old professional Caribbean female living in a condo - answers b. A 78- year-old Indigenous male living on a reservation Which of the following is the first step towards cultural competence in clinical care? a. Acquire knowledge specific to populations and aspects of care. b. Develop an understanding of one's own culture through reflection and self- assessment. c. Establish a trusting therapeutic relationship and develop common goals. d. Use open-ended questions to understand clients' priorities and perceptions. - answers b. Develop an understanding of one's own culture through reflection and self- assessment. Which of the following demonstrates a shift in the composition of Canada's immigrant population? a. Increased number of three-generation families b. Increased proportion of European-born immigrants c. Over half of immigrants are from the US d. Decreased immigrant age when entering Canada - answers d. Decreased immigrant age when entering Canada Which of the following nursing actions is most indicative of stereotyping? a. The nurse advocates for bronchodilators to be prescribed for all newly admitted Black clients. b. The nurse helps a recent immigrant to explore ways to pay for her newly prescribed antihypertensive medications.