RNSG 1125 exam 1 Questions And Answers With Complete
Solutions
A client has been placed on droplet precautions for
meningococcal meningitis. The nurse must wear a mask when
entering the room and especially within how many feet when
taking care of the infected client? Record your answer using a
whole number. Correct Answer 3 feet
A client is discharged following an extended stay on the surgical
unit. On the way out, the client hands the nurse a card containing
a twenty-dollar bill. The client states this money is a gift for the
nurse. Which of the following statements made by the nurse
demonstrates an understanding of accepting gifts from clients?
1. "The nurses on this unit prefer a box of chocolates as a gift
rather than money."
2."Thank you. This will allow me to take my husband out for
dinner this evening."
3."I will let the nurse manager purchase something that all of the
staff can enjoy."
4."I appreciate your generosity, but nurses are forbidden to
accept gifts from clients." Correct Answer "I will let the nurse
manager purchase something that all of the staff can enjoy."
Explanation:
Sharing the gift with all the staff on the unit would be
appropriate because many people were involved in the client's
care, including non-nursing staff. The other options are incorrect
because refusing to accept the gift or asking for something in
lieu of the money might have a negative effect on the client.
,Twenty dollars would not be considered an unreasonable
monetary gift after a prolonged hospital stay in this situation.
A client states that his recent fall was caused by the fact that his
scheduled antihypertensive medications were mistakenly
administered by two different nurses, an event that is disputed
by both of the nurses identified by the client. Which measure
should the nurses prioritize when anticipating that legal action
may follow?
1. Consult with practice advisors from the state board of nursing.
2. Consult with the hospital's legal department as soon as
possible.
3. Document the client's claims and the events surrounding the
alleged incident.
4.Enlist support from nursing and non-nursing colleagues from
the unit. Correct Answer Document the client's claims and the
events surrounding the alleged incident.
Explanation:
It is imperative for nurses to carefully and accurately document
assessment findings and the nursing care that they provide, a
fact that is especially salient when legal action is anticipated.
This thorough and accurate assessment should precede
consultation with the legal department, the state board of
nursing, and colleagues.
A client who is a candidate for an implantable cardioverter
defibrillator (ICD) asks the nurse about the purpose of this
device. What would be the nurse's best response?
,1."To detect and treat dysrhythmias such as ventricular
fibrillation and ventricular tachycardia"
2."To detect and treat bradycardia, which is an excessively slow
heart rate"
3."To detect and treat atrial fibrillation, in which your heart
beats too quickly and inefficiently"
4."To shock your heart if you have a heart attack at home"
Correct Answer "To detect and treat dysrhythmias such as
ventricular fibrillation and ventricular tachycardia"
Explanation:
The ICD is a device that detects and terminates life-threatening
episodes of ventricular tachycardia and ventricular fibrillation. It
does not treat atrial fibrillation, MI, or bradycardia.
Reference:
Timby, B.K., & Smith, N.E. Introductory Medical-Surgical
Nursing, 11th ed., Philadelphia: Wolters Kluwer
Health/Lippincott Williams & Wilkins, 2014, Chapter 26:
Caring for Clients With Cardiac Dysrhythmias, p. 416.
Chapter 26: Caring for Clients with Cardiac Dysrhythmias - Pag
A client who recently immigrated from Korea to the US or
Canada is hospitalized with second- and third-degree burns. He
speaks little English and has been lying quietly in bed. Ten
hours after the client's admission, the nurse conducts a serial
assessment and asks him whether he's in pain. He smiles and
shakes his head vigorously back and forth. Which nursing action
is most appropriate at this time? Correct Answer checking vital
signs and assessing for nonverbal indications of pain
, A client with a 25-year history of smoking is diagnosed with
emphysema. Physical assessment reveals an increased anterior-
posterior chest diameter. Which term should the nurse use to
document this finding? Correct Answer Barrel chest
A client with a complex cardiac history is scheduled for
transthoracic echocardiography. What should the nurse teach the
client in anticipation of this diagnostic procedure?
1. The test is noninvasive, and nothing will be inserted into the
client's body.
2. The test will provide a detailed profile of the heart's electrical
activity.
3. The client's pain will be managed aggressively during the
procedure.
4. The client will remain on bed rest for 1 to 2 hours after the
test. Correct Answer The test is noninvasive, and nothing will
be inserted into the client's body.
Explanation:
Before transthoracic echocardiography, the nurse informs the
client about the test, explaining that it is painless. The test does
not evaluate electrophysiology and bed rest is unnecessary after
the procedure.
A code is called and Nurse A hands several drugs to Nurse B,
stating while rushing off, "Give these to my client while I help
with the code." What is Nurse B's appropriate response?
1.State, "I cannot give medications for other nurses."
2.Ask another staff nurse to give the medications.
3.Hold the medications for Nurse A.
Solutions
A client has been placed on droplet precautions for
meningococcal meningitis. The nurse must wear a mask when
entering the room and especially within how many feet when
taking care of the infected client? Record your answer using a
whole number. Correct Answer 3 feet
A client is discharged following an extended stay on the surgical
unit. On the way out, the client hands the nurse a card containing
a twenty-dollar bill. The client states this money is a gift for the
nurse. Which of the following statements made by the nurse
demonstrates an understanding of accepting gifts from clients?
1. "The nurses on this unit prefer a box of chocolates as a gift
rather than money."
2."Thank you. This will allow me to take my husband out for
dinner this evening."
3."I will let the nurse manager purchase something that all of the
staff can enjoy."
4."I appreciate your generosity, but nurses are forbidden to
accept gifts from clients." Correct Answer "I will let the nurse
manager purchase something that all of the staff can enjoy."
Explanation:
Sharing the gift with all the staff on the unit would be
appropriate because many people were involved in the client's
care, including non-nursing staff. The other options are incorrect
because refusing to accept the gift or asking for something in
lieu of the money might have a negative effect on the client.
,Twenty dollars would not be considered an unreasonable
monetary gift after a prolonged hospital stay in this situation.
A client states that his recent fall was caused by the fact that his
scheduled antihypertensive medications were mistakenly
administered by two different nurses, an event that is disputed
by both of the nurses identified by the client. Which measure
should the nurses prioritize when anticipating that legal action
may follow?
1. Consult with practice advisors from the state board of nursing.
2. Consult with the hospital's legal department as soon as
possible.
3. Document the client's claims and the events surrounding the
alleged incident.
4.Enlist support from nursing and non-nursing colleagues from
the unit. Correct Answer Document the client's claims and the
events surrounding the alleged incident.
Explanation:
It is imperative for nurses to carefully and accurately document
assessment findings and the nursing care that they provide, a
fact that is especially salient when legal action is anticipated.
This thorough and accurate assessment should precede
consultation with the legal department, the state board of
nursing, and colleagues.
A client who is a candidate for an implantable cardioverter
defibrillator (ICD) asks the nurse about the purpose of this
device. What would be the nurse's best response?
,1."To detect and treat dysrhythmias such as ventricular
fibrillation and ventricular tachycardia"
2."To detect and treat bradycardia, which is an excessively slow
heart rate"
3."To detect and treat atrial fibrillation, in which your heart
beats too quickly and inefficiently"
4."To shock your heart if you have a heart attack at home"
Correct Answer "To detect and treat dysrhythmias such as
ventricular fibrillation and ventricular tachycardia"
Explanation:
The ICD is a device that detects and terminates life-threatening
episodes of ventricular tachycardia and ventricular fibrillation. It
does not treat atrial fibrillation, MI, or bradycardia.
Reference:
Timby, B.K., & Smith, N.E. Introductory Medical-Surgical
Nursing, 11th ed., Philadelphia: Wolters Kluwer
Health/Lippincott Williams & Wilkins, 2014, Chapter 26:
Caring for Clients With Cardiac Dysrhythmias, p. 416.
Chapter 26: Caring for Clients with Cardiac Dysrhythmias - Pag
A client who recently immigrated from Korea to the US or
Canada is hospitalized with second- and third-degree burns. He
speaks little English and has been lying quietly in bed. Ten
hours after the client's admission, the nurse conducts a serial
assessment and asks him whether he's in pain. He smiles and
shakes his head vigorously back and forth. Which nursing action
is most appropriate at this time? Correct Answer checking vital
signs and assessing for nonverbal indications of pain
, A client with a 25-year history of smoking is diagnosed with
emphysema. Physical assessment reveals an increased anterior-
posterior chest diameter. Which term should the nurse use to
document this finding? Correct Answer Barrel chest
A client with a complex cardiac history is scheduled for
transthoracic echocardiography. What should the nurse teach the
client in anticipation of this diagnostic procedure?
1. The test is noninvasive, and nothing will be inserted into the
client's body.
2. The test will provide a detailed profile of the heart's electrical
activity.
3. The client's pain will be managed aggressively during the
procedure.
4. The client will remain on bed rest for 1 to 2 hours after the
test. Correct Answer The test is noninvasive, and nothing will
be inserted into the client's body.
Explanation:
Before transthoracic echocardiography, the nurse informs the
client about the test, explaining that it is painless. The test does
not evaluate electrophysiology and bed rest is unnecessary after
the procedure.
A code is called and Nurse A hands several drugs to Nurse B,
stating while rushing off, "Give these to my client while I help
with the code." What is Nurse B's appropriate response?
1.State, "I cannot give medications for other nurses."
2.Ask another staff nurse to give the medications.
3.Hold the medications for Nurse A.
