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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