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Examen # 3

Revisión del intento 1

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Comenzado el sábado, 19 de septiembre de 2009, 22:51

Completado el sábado, 19 de septiembre de 2009, 23:15

Tiempo 24 minutos 9 segundos

empleado

Calificación 50 de un máximo de 50 (100%)

Question 1

Puntos: 2

When the nurse makes a mistake in charting, what action should be taken?
Seleccione una respuesta.

a. Rewrite the page with the error.

b. Draw a single line through the error.

c. Scratch out the information.

d. Place an X through the error.

Correcto

Puntos para este envío: 2/2.

Question 2

Puntos: 2

A client states to the nurse, “I understand that I need a mastectomy for the treatment of my breast
cancer, but I am fearful of learning about the drains I will need to empty.” This is an example of

Seleccione una respuesta.

a. Cognitive learning

b. Affective learning

c. Psychomotor learning

d. Behavioral learning

Correcto

Puntos para este envío: 2/2.

Question 3

Puntos: 2

The nurse changes a client's surgical dressing daily. This is considered to be part of which phase of the
nursing process?

Seleccione una respuesta.

a. Implementation
 b. Outcome identification

c. Nursing diagnosis

d. Client goal

Correcto

Puntos para este envío: 2/2.

Question 4

Puntos: 2

In the development of a nursing diagnosis for a client who has cachexia and decreased weight, what
would be an appropriate nursing diagnosis?

Seleccione una respuesta.

a. Lack of adequate nutrition related to decreased calories

b. Imbalanced nutrition: less than body requirements

c. Anorexia nervosa and bulimia

d. Weight loss related to abdominal discomfort

Correcto

Puntos para este envío: 2/2.

Question 5

Puntos: 2

When the nurse is administering Lasix 20 mg to a client in congestive heart failure, what phase of the
nursing process does this represent?

Seleccione una respuesta.

a. Evaluation

b. Implementation

c. Assessment
 d. Planning

Correcto

Puntos para este envío: 2/2.

Question 6

Puntos: 2

When a client informs the nurse that he is a Jehovah's Witness, the nurse must recognize and validate
that the client will not accept

Seleccione una respuesta.

a. Traditional health practices

b. Disease causation from germs

c. Pain medication

d. Blood transfusions

Correcto

Puntos para este envío: 2/2.

Question 7

Puntos: 2

A ___________ _____________ is a distinct nursing function in the nursing process.

Respuesta:

nursing diagnosis

Correcto

Puntos para este envío: 2/2.

Question 8

Puntos: 2

What is the primary goal of the planning process?

Seleccione una respuesta.

 a. To identify goals for the client

b. To prepare a plan of care

c. To establish priorities for care

d. To acknowledge client needs

Correcto

Puntos para este envío: 2/2.

Question 9

Puntos: 2

When assessing the client's pulse, the nurse is using the following assessment technique:

Seleccione una respuesta.

a. Inspection

b. Auscultation

c. Percussion

d. Palpation

Correcto

Puntos para este envío: 2/2.

Question 10

Puntos: 2

The sharing of information about a client is Known as: ________________.

Respuesta:

reporting

Correcto

Puntos para este envío: 2/2.

Question 11
Puntos: 2

What guides professional practice?

Seleccione una respuesta.

a. Risk Appraisal Index

b. Nursing Intervention Classification

c. ANA Standards of Nursing Practice

d. National Institutes of Health publications

Correcto

Puntos para este envío: 2/2.

Question 12

Puntos: 2

How can a nurse obtain additional information about a client?

Seleccione una respuesta.

a. Call the client's family.

b. Ask the client's sister about the family history.

c. Review nursing literature.

d. Read the client's history and assessment.

Correcto

Puntos para este envío: 2/2.

Question 13

Puntos: 2

Nursing students, clients, and nurses must understand that during education sessions, they must

Seleccione una respuesta.

a. Be active participants
 b. Take tests to evaluate learning

c. Read material after the session

d. Be formally engaged

Correcto

Puntos para este envío: 2/2.

Question 14

Puntos: 2

A client is unconscious and unable to provide input into outcome identification. With which group of
individuals should the nurse consult for the formulation of goals and measurable outcomes?

Seleccione una respuesta.

a. Physical therapists

b. Pharmacists

c. Occupational therapists

d. Family

Correcto

Puntos para este envío: 2/2.

Question 15

Puntos: 2

The primary purpose of nursing implementation is to

Seleccione una respuesta.

a. Identify a need for collaborative consults

b. Help the client achieve optimal levels of health

c. Implement the critical pathway for the client

d. Improve the client's postoperative status

Correcto

Puntos para este envío: 2/2.

Question 16

Puntos: 2

When the newly diagnosed insulin-dependent diabetic client tells the nurse that he has never received
instruction on the administration of injections, an appropriately stated nursing diagnosis for the client is

Seleccione una respuesta.

a. Self-care deficit related to lack of knowledge about injections

b. Knowledge deficit related to lack of knowledge about injections

c. Deficient knowledge of injection administration as verbalized by the client related to the lack of
instruction and experience

d. Ineffective healthcare maintenance related to diabetic instructions

Correcto

Puntos para este envío: 2/2.

Question 17

Puntos: 2

When assessing an infant, it is important to involve the

Seleccione una respuesta.

a. Siblings

b. Parents

c. Physician

d. Infant

Correcto

Puntos para este envío: 2/2.

Question 18
Puntos: 2

A client states, “I am having a severe headache with pain over my right eye.” This statement is classified
as

Seleccione una respuesta.

a. Planning care

b. Symptom identification

c. Primary source

d. Objective data

Correcto

Puntos para este envío: 2/2.

Question 19

Puntos: 2

A client is a poor historian of his past medical history. Whom should the nurse consult about the client's
past history?

Seleccione una respuesta.

a. Family

b. Social worker

c. Physician

d. Old chart

Correcto

Puntos para este envío: 2/2.

Question 20

Puntos: 2

The primary purpose for evaluating data about a client's care according to a functional health approach
is to
Seleccione una respuesta.

a. Meet accreditation standards

b. Determine implementation of medical orders

c. Evaluate the need for healthcare consultations

d. Revise or modify the nursing care plan

Correcto

Puntos para este envío: 2/2.

Question 21

Puntos: 2

An 8-year-old has just been diagnosed with insulin-dependent diabetes mellitus. What type of learning
will the nurse focus on?

Seleccione una respuesta.

a. Affective

b. Andragogy

c. Pedagogy

d. Evaluative

Correcto

Puntos para este envío: 2/2.

Question 22

Puntos: 2

Besides being an instrument of continuous client care, the client's medical record also serves as a(an)

Seleccione una respuesta.

a. Kardex

b. Legal document
 c. Incident report

d. Assessment tool

Correcto

Puntos para este envío: 2/2.

Question 23

Puntos: 2

Which learning domain is the focus for instruction when the nurse teaches a new mother about the
breast and its role in milk production for feeding the newborn?

Seleccione una respuesta.

a. Affective

b. Psychomotor

c. Cognitive

d. Behavioral

Correcto

Puntos para este envío: 2/2.

Question 24

Puntos: 2

The highest standard for maintaining a client's condition is

Seleccione una respuesta.

a. Management

b. Confidentiality

c. Documentation

d. Reporting

Correcto
Puntos para este envío: 2/2.

Question 25

Puntos: 2

A client and nurse are engaged in health education sessions. For successful and effective learning, the
client and nurse must

Seleccione una respuesta.

a. Meet together and in separate sessions

b. Accept client and nurse as equal participants

c. Assimilate and apply psychomotor concepts

d. Be able to handle criticism in the learning

Correcto

Puntos para este envío: 2/2.

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Usted se ha autentificado como Maria Corcoba (Salir)

ENF101-69