Nursing 225 NCLEX || All Accurately Answered.
The most effective way to break the chain of infection is by: correct answers Correct -Practicing
good hand hygiene
-Wearing gloves
-Placing clients in isolation
-Providing private rooms for clients/patients
What is the single most effective method by which the nurse can break the chain of infection.
correct answers -Give all clients antibiotics
-Wear gloves when caring for all clients
Correct -Wash hands between procedures and clients
-Make sure housekeeping staff are using the right chemicals
The nurse is preparing to do a physical assessment on a patient who is end-stage HIV positive.
What should the nurse do for self-protection? correct answers -Wash hands and don gloves,
gown, and protective face shield.
-Don gloves and wash hands after examination; no other protective equipment is necessary.
-Wash hands and don two pair of gloves and a gown.
Correct -Wash hands, don gloves, and wash hands after examination; no other protective
equipment is necessary.
The ANA Code of Nursing Ethics articulates that the nurse "promotes, advocates for, and strives
to protect the health, safety, and rights of the patient." This includes the protection of patient
privacy. On the basis of this principal, if you participate in a public online social network such as
Facebook, could you post images of a patient's X-ray film if you deleted all patient identifiers?
correct answers -Yes because patient privacy would not be violated as long as the patient
identifiers were removed.
-Yes because respect for autonomy implies that you have the autonomy to decide what
constitutes privacy.
, Correct -No because, even though patient identifies are removed, someone could identify the
patient based on other comments that you make online about his or her condition and your place
of work.
-No because the principal of justice requires you to allocate resources fairly.
The practitioner, entering the examining room to meet the patient for the first time, states:
"Hello, I'm M.M., and I'm here to gather some information from you and to perform your
examination. This will take about 30 minutes. D.D. is a student working with me. If it's all right
with you, she will remain during the examination."
Which of the following must be added in order to cover all aspects of the interview contract?
correct answers Correct -A statement regarding confidentiality, patient costs, and the expectation
of each person.
-The purpose of the interview and the role of the examiner.
-Time and place of the interview and a confidentiality statement.
-An explicit purpose of the interview and a description of the physical examination, including
diagnostic studies.
All of the following would be considered objective assessment data for a patient admitted with
diabetes mellitus except: correct answers -+2 urine glucose level; negative urine acetone level
-Chemstrip reading of 240 mg/dl
Correct -Patient complains of having to frequently urinate large amounts of urine
-Serum glucose level of 263 mg/dl.
Many factors can become barriers to communication. In which of the following situations would
communication least likely be hindered? correct answers -Mr. S., a 30-yr-old Vietnamese
immigrant is admitted to the hospital with a fractured tibia; he speaks limited English
-Ms. M., age 58 and unmarried, is admitted to the hospital for breast surgery.
Correct -Mrs. R., age 26, is admitted to the hospital for a scheduled caesarean section; this is her
first admission.
-Mr. G., age 78, arrives at the hospital by ambulance after suffering a stroke at home
The most effective way to break the chain of infection is by: correct answers Correct -Practicing
good hand hygiene
-Wearing gloves
-Placing clients in isolation
-Providing private rooms for clients/patients
What is the single most effective method by which the nurse can break the chain of infection.
correct answers -Give all clients antibiotics
-Wear gloves when caring for all clients
Correct -Wash hands between procedures and clients
-Make sure housekeeping staff are using the right chemicals
The nurse is preparing to do a physical assessment on a patient who is end-stage HIV positive.
What should the nurse do for self-protection? correct answers -Wash hands and don gloves,
gown, and protective face shield.
-Don gloves and wash hands after examination; no other protective equipment is necessary.
-Wash hands and don two pair of gloves and a gown.
Correct -Wash hands, don gloves, and wash hands after examination; no other protective
equipment is necessary.
The ANA Code of Nursing Ethics articulates that the nurse "promotes, advocates for, and strives
to protect the health, safety, and rights of the patient." This includes the protection of patient
privacy. On the basis of this principal, if you participate in a public online social network such as
Facebook, could you post images of a patient's X-ray film if you deleted all patient identifiers?
correct answers -Yes because patient privacy would not be violated as long as the patient
identifiers were removed.
-Yes because respect for autonomy implies that you have the autonomy to decide what
constitutes privacy.
, Correct -No because, even though patient identifies are removed, someone could identify the
patient based on other comments that you make online about his or her condition and your place
of work.
-No because the principal of justice requires you to allocate resources fairly.
The practitioner, entering the examining room to meet the patient for the first time, states:
"Hello, I'm M.M., and I'm here to gather some information from you and to perform your
examination. This will take about 30 minutes. D.D. is a student working with me. If it's all right
with you, she will remain during the examination."
Which of the following must be added in order to cover all aspects of the interview contract?
correct answers Correct -A statement regarding confidentiality, patient costs, and the expectation
of each person.
-The purpose of the interview and the role of the examiner.
-Time and place of the interview and a confidentiality statement.
-An explicit purpose of the interview and a description of the physical examination, including
diagnostic studies.
All of the following would be considered objective assessment data for a patient admitted with
diabetes mellitus except: correct answers -+2 urine glucose level; negative urine acetone level
-Chemstrip reading of 240 mg/dl
Correct -Patient complains of having to frequently urinate large amounts of urine
-Serum glucose level of 263 mg/dl.
Many factors can become barriers to communication. In which of the following situations would
communication least likely be hindered? correct answers -Mr. S., a 30-yr-old Vietnamese
immigrant is admitted to the hospital with a fractured tibia; he speaks limited English
-Ms. M., age 58 and unmarried, is admitted to the hospital for breast surgery.
Correct -Mrs. R., age 26, is admitted to the hospital for a scheduled caesarean section; this is her
first admission.
-Mr. G., age 78, arrives at the hospital by ambulance after suffering a stroke at home
