Hurst Readiness Final Exam Questions & Answers with Explained Rationales, Graded 100%

Hurst Readiness Final Exam Questions & Answers with Explained Rationales, Graded 100% -A 40 year old client reports a diminished ability to visually focus on close objects and has also noticed a need for a well lit environment to enhance vision. To what would the nurse attribute these changes? a. normal changes associated with aging b. a cataract is forming c. symptoms of a brain tumor d. precipitated by diabetic retinopathy - a. normal changes associated with aging Rationale: aging results in stiffening of the lens, thus lessening the ability to focus. The retina is less sensitive to light, making accurate vision in low-light situations more difficult. Pupillary response diminishes, affecting the ability to adjust to changing light levels The nurse is assessing pain after surgery in a 3 year old client with a known developmental delay. Which pain scale should the nurse use to assess this client's pain level? a. CRIES scale b. numeric scale c. FLACC scale d. FACES scale - c. FLACC scale Rationale: The FLACC scale can be used for pediatric clients from age 2 months to 7 years and is appropriate when clients cannot communicate their pain A client recently diagnosed with diabetes is sent home with a prescription for subcutaneous insulin. What statement made by the client indicates that teaching has been effective regarding safe needle disposal? a. "I should wrap the needle in a paper towel and place in the trash." b. "I should use a hospital issued biohazard container for all needles." c. "I may use any hard plastic container with a screw-on cap." d. "I should take my needles to the nearest hospital for disposal." - c. "I may use any hard plastic container with a screw-on cap." Rationale: At home, an FDA approved sharps container is not needed, however, needles, syringes, and sharps may be disposed of in a hard plastic container. Clients should follow their community guidelines for sharps container disposal. This protects the sanitation engineers from injury by the sharps. The primary healthcare provider suspects the client has tuberculosis (TB) and prescribes a Mantoux test. What precautions should the nurse take when administering the Mantoux test? a. don sterile gloves b. place the client on reverse isolation c. wear a particulate respirator d. obtain a consent form e. initiate airborne precautions - c. wear a particulate respirator e. initiate airborne precautions Rationale: A disposable particulate respirator that fits snugly around the face is needed. The client needs to be on acid-fast bacilli (AFB) isolation precautions, not reverse isolation. Airborne precautions include a private room with negative pressure and a minimum of 6 air exchanges per hour. Ultraviolet lamps and high efficiency particulate air filters are also needed.