nurs 470 questions final exam with answers

nurs 470 questions final exam with answers
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1. The new graduate (GN) working on a medical unit night shift is
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concerned that the RN charge nurse is drinking alcohol on duty.
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On more than one occasion, the new graduate has smelled
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alcohol when the charge nurse returns from a break. Which
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action should the new graduate nurse implement first? -
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CORRECT ANSWERS ✔✔Talk with the night supervisor about the
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concerns.


2. The charge nurse observes two unlicensed assistive personnel
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(UAPs) arguing in the hallway. Which action should the RN
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implement first in this situation? - CORRECT ANSWERS
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✔✔Instruct the UAPs to stop arguing in the hallway.
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3. The graduate nurse (GN) is working with an unlicensed
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assistive personnel (UAP) who has been an employee of the
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hospital for 12 years. However, tasks delegated to the UAP by
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the graduate nurse are frequently not completed. Which action
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should the GN take first? - CORRECT ANSWERS ✔✔Address the
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UAP to discuss why the tasks are not being done as requested.
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4. The RN primary nurse informs the shift manager that one of
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the unlicensed assistive personnel (UAPs) is falsifying vital signs.
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Which action should the RN shift manager implement first? -
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CORRECT ANSWERS ✔✔Take the assigned client's vital signs and
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compare with the UAP's results. |\ |\ |\ |\

,5. The nurse hung the wrong intravenous antibiotic for the
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postoperative client. Which intervention should the nurse |\ |\ |\ |\ |\ |\ |\


implement first? - CORRECT ANSWERS ✔✔Assess the client for |\ |\ |\ |\ |\ |\ |\ |\ |\


any adverse reactions.
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6. The registered nurse (RN), a licensed practical nurse (LPN),
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and an unlicensed assistive personnel (UAP) are caring for clients
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in a critical care unit. Which task would be most appropriate for
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the RN to assign or delegate? - CORRECT ANSWERS ✔✔Tell the
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UAP to obtain urine output for the 12-hour shift.
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7. Which task should the RN critical care nurse delegate to the
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unlicensed assistive personnel (UAP)? - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\


✔✔Take the client's sterile urine specimen to the laboratory.
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8. Which situation would prompt the health-care team to utilize
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the client's advance directive when needing to make decisions
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for the client? - CORRECT ANSWERS ✔✔The client diagnosed with
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a head injury who is exhibiting decerebrate posturing
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9. The RN is caring for clients on a skilled nursing unit. Which
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tasks should be delegated to the unlicensed assistive personnel
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(UAP)? Select all that apply. - CORRECT ANSWERS ✔✔Instruct the
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UAP to apply sequential compression devices to the client on
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strict bedrest. Ask the UAP to assist the radiology tech to position
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a client for a STAT portable chest x-ray. Tell the UAP to obtain the
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intakes and outputs (I&Os) for all the clients on the unit. Ask the
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UAP to check a client's blood glucose with the glucometer ac and
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hs.
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, 10. The nurse is assigned to a quality improvement committee to
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decide on a quality improvement project for the unit. Which
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issue should the nurse discuss at the committee meetings? -
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CORRECT ANSWERS ✔✔Systems that make it difficult for the |\ |\ |\ |\ |\ |\ |\ |\ |\


nurses to do their job |\ |\ |\ |\




11. The clinic manager is discussing osteoporosis with the clinic
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staff. Which activity is an example of a secondary nursing
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intervention when discussing osteoporosis? - CORRECT ANSWERS |\ |\ |\ |\ |\ |\


✔✔Obtain a bone density evaluation test on a female client older
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than 50.
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12. The female home health (HH) aide calls the office and reports
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pain after feeling a pulling in her back when she was transferring
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the client from the bed to the wheelchair. Which priority action
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should the RN home health (HH) nurse tell the HH aide? -
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CORRECT ANSWERS ✔✔Recommend that she apply an ice pack |\ |\ |\ |\ |\ |\ |\ |\ |\


to the back.
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13. The client diagnosed with osteoarthritis is 6 weeks
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postoperative for open reduction and internal fixation (ORIF) of |\ |\ |\ |\ |\ |\ |\ |\ |\


the right hip. The home health (HH) aide tells the RN HH nurse
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the client will not get in the shower in the morning because she
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"hurts all over." Which action would be most appropriate by the
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HH nurse? - CORRECT ANSWERS ✔✔Explain to the HH aide the
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client should get up and take a warm shower.
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14. The RN home health (HH) nurse is discussing the care of a
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client with the HH aide. Which task should the HH nurse delegate
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to the HH aide? - CORRECT ANSWERS ✔✔Instruct the HH aide to
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assist the client with a shower.|\ |\ |\ |\ |\