NRSG 3420: JUDGEMENT & PRIORITY EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
What is the best rationale for health care providers receiving the influenza
vaccination on a yearly basis?
A. To prevent the emergence of drug-resistant strains of the influenza virus
B. To eventually eradicate the influenza virus in the United States
C. To decrease nurses' susceptibility to healthcare-associated infections
D. To decrease risk of transmission to vulnerable clients
Correct response:
D. To decrease risk of transmission to vulnerable clients
Explanation:
To reduce the chance of transmission to vulnerable clients, health care workers are
advised to obtain influenza vaccinations. The vaccine will not decrease nurses' risks of
developing health care-associated infections, eradicate the influenza virus, or decrease
the risk of developing new strains of the influenza virus.
Reference:
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical
,Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 71: Management of
Patients With Infectious Diseases, Educating About the Infectious Process, p. 2138.
A family member of a client diagnosed with Huntington disease calls you at the
clinic. She is requesting help from the Huntington's Disease Society of America.
What kind of help can this client and family receive from this organization? Select
all that apply.
A. Individual assessments
B. Appraisals of research studies
C. Information about this disease
D. Referrals
E. Public education
Correct response:
C. Information about this disease
D. Referrals
E. Public education
Explanation:
The Huntington's Disease Society of America helps clients and families by providing
information, referrals, family and public education, and support for research. It does not
provide individual assessments or appraisals of individual research studies.
Reference:
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical
, Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 70: Management of
Patients With Oncologic or Degenerative Neurologic Disorders, Continuing and
Transitional Care, p. 2109.
The nurse is preparing a client for surgery. The client states that she is very
nervous and really does not understand what the surgical procedure is for or how
it will be performed. What is the most appropriate nursing action for the nurse to
take?
A. Have the client sign the informed consent and place it in the chart.
B. Provide the client with a pamphlet explaining the procedure.
C. Call the physician to review the procedure with the client.
D. Explain the procedure clearly to the client and her family.
Correct response:
C. Call the physician to review the procedure with the client.
Explanation:
While the nurse may ask the client to sign the consent form and witness the signature, it
is the surgeon's responsibility to provide a clear and simple explanation of what the
surgery will entail prior to the client giving consent. The surgeon must also inform the
client of the benefits, alternatives, possible risks, complications, disfigurement, disability,
and removal of body parts as well as what to expect in the early and late postoperative
periods. The nurse clarifies the information provided, and, if the client requests
additional information, the nurse notifies the physician. The consent formed should not
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
What is the best rationale for health care providers receiving the influenza
vaccination on a yearly basis?
A. To prevent the emergence of drug-resistant strains of the influenza virus
B. To eventually eradicate the influenza virus in the United States
C. To decrease nurses' susceptibility to healthcare-associated infections
D. To decrease risk of transmission to vulnerable clients
Correct response:
D. To decrease risk of transmission to vulnerable clients
Explanation:
To reduce the chance of transmission to vulnerable clients, health care workers are
advised to obtain influenza vaccinations. The vaccine will not decrease nurses' risks of
developing health care-associated infections, eradicate the influenza virus, or decrease
the risk of developing new strains of the influenza virus.
Reference:
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical
,Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 71: Management of
Patients With Infectious Diseases, Educating About the Infectious Process, p. 2138.
A family member of a client diagnosed with Huntington disease calls you at the
clinic. She is requesting help from the Huntington's Disease Society of America.
What kind of help can this client and family receive from this organization? Select
all that apply.
A. Individual assessments
B. Appraisals of research studies
C. Information about this disease
D. Referrals
E. Public education
Correct response:
C. Information about this disease
D. Referrals
E. Public education
Explanation:
The Huntington's Disease Society of America helps clients and families by providing
information, referrals, family and public education, and support for research. It does not
provide individual assessments or appraisals of individual research studies.
Reference:
Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical
, Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 70: Management of
Patients With Oncologic or Degenerative Neurologic Disorders, Continuing and
Transitional Care, p. 2109.
The nurse is preparing a client for surgery. The client states that she is very
nervous and really does not understand what the surgical procedure is for or how
it will be performed. What is the most appropriate nursing action for the nurse to
take?
A. Have the client sign the informed consent and place it in the chart.
B. Provide the client with a pamphlet explaining the procedure.
C. Call the physician to review the procedure with the client.
D. Explain the procedure clearly to the client and her family.
Correct response:
C. Call the physician to review the procedure with the client.
Explanation:
While the nurse may ask the client to sign the consent form and witness the signature, it
is the surgeon's responsibility to provide a clear and simple explanation of what the
surgery will entail prior to the client giving consent. The surgeon must also inform the
client of the benefits, alternatives, possible risks, complications, disfigurement, disability,
and removal of body parts as well as what to expect in the early and late postoperative
periods. The nurse clarifies the information provided, and, if the client requests
additional information, the nurse notifies the physician. The consent formed should not
