Prepare for your exams
Get points
Guidelines and tips

Prepare for your exams

Study with the several resources on Docsity

Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips

Sell on Docsity

Log in Sign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search Store documents

The best documents sold by students who completed their studies

Search through all study resources

Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents

20 Points

For each uploaded document

Answer questions

5 Points

For each given answer (max 1 per day)

All the ways to get free points

Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

University Rankings

Discover the best universities in your country according to Docsity users

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

From our blog

Exams and Study

Go to the blog

RN COMPREHENSIVE SUMMARIZED COURSEWORK, Exams of Nursing

University of Oxford Nursing

RN COMPREHENSIVE SUMMARIZED COURSEWORKRN COMPREHENSIVE SUMMARIZED COURSEWORK.

Typology: Exams

2024/2025

Available from 07/02/2025

Prof.Henshall 🇬🇧

309 documents

1 / 250

This page cannot be seen from the preview

Don't miss anything!

RN COMPREHENSIVE SUMMARIZED

COURSEWORK

What can be delegated to Assistive personnel (AP)?

- ADLs - bathing - grooming - dressing - ambulating - feeding (w/o swallow

precautions) - positioning - bed making - specimen collection - I&O - VS (stable

clients

A nurse on a med surg unit has recieved change of shift report and will care for 4

clients. Which of the following clients needs will the nurse assign to an AP?

A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia

B. Reinforcing teaching with a client who is learning to walk with a quad cane

C. Reapplying a condom catheter for a client who has urinary incontinence

D. Applying a sterile dressing to a pressure

ulcer C

A nurse is delegating the ambulation of a client who had knee arthroplasty 5

days ago to an AP. Which of the following info should the nurse share with the

AP?

Select all:

A. the roommate is up independently

B. The client ambulates with his slippers on over his antiembolic

stockings C. The client uses a front wheeled walker when ambulating

D. The client had pain meds 30 minutes ago

E. The client is allergic to codeine

F. the client ate 50 % of his breakfast this morning

B

C

D

An RN is making assignments for client care to an LPN at the beginning of the

shift. Which of the following assignments should the LPN question?

A. Assisting a client who is 24 hr postop to use an incentive spirometer

B. Collecting a clean catch urine specimen from a client who was admitted on

the previous shift

C. providing nasopharyngeal suctioning for a client who has pneumonia

D. Replacing the cartridge and tubing on a PCA pump

Partial preview of the text

Download RN COMPREHENSIVE SUMMARIZED COURSEWORK and more Exams Nursing in PDF only on Docsity!

RN COMPREHENSIVE SUMMARIZED

COURSEWORK

What can be delegated to Assistive personnel (AP)?

ADLs - bathing - grooming - dressing - ambulating - feeding (w/o swallow precautions) - positioning - bed making - specimen collection - I&O - VS (stable clients A nurse on a med surg unit has recieved change of shift report and will care for 4 clients. Which of the following clients needs will the nurse assign to an AP? A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia B. Reinforcing teaching with a client who is learning to walk with a quad cane C. Reapplying a condom catheter for a client who has urinary incontinence D. Applying a sterile dressing to a pressure ulcer C A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the following info should the nurse share with the AP? Select all: A. the roommate is up independently B. The client ambulates with his slippers on over his antiembolic stockings C. The client uses a front wheeled walker when ambulating D. The client had pain meds 30 minutes ago E. The client is allergic to codeine F. the client ate 50 % of his breakfast this morning B C D An RN is making assignments for client care to an LPN at the beginning of the shift. Which of the following assignments should the LPN question? A. Assisting a client who is 24 hr postop to use an incentive spirometer B. Collecting a clean catch urine specimen from a client who was admitted on the previous shift C. providing nasopharyngeal suctioning for a client who has pneumonia D. Replacing the cartridge and tubing on a PCA pump

D

A nurse is preparing an inservice program about delegation. Which of the following elements should she identify when presenting the 5 rights of delegation. Select all: A. Right client B. Right supervision/evaluation C. Right direction/communication D. Right time E. Right circumstances B C E A nurse manager of a med surg unit is assigning care responsibilities for the oncoming shift. A client is waiting transfer back to the unit from the PACU following thoracic surgery. To which staff member should the nurse assign the client? A. Charge nurse B. RN C. LVN D. AP B What is the study of conduct and character? Ethics What are the values and beliefs that guide behavior and decision making? Morals What is the right to make ones own personal decisions, even tho those decisions might not be in the persons best interest Autonomy What are positive actions to help others Beneficience What is an agreement to keep promises

A nurse questions a med prescription as too extreme and light of the clients advanced age and unstable status. The nurse understands that this action is an example of which ethical principle A. Fidelity B. Autonomy C. Justice D. Nonmalificence D Which of the following situations can be identified as an ethical dilemma? A. A nurse on a med surg unit demonstrates signs of chemical impairment B. A nurse over hears another nurse telling an older adult client that if he doesnt stay in bed she will restrain him C. A family has conflicting feelings about the initiation of enteral tube feedings of their father who is terminally ill D. A client who is terminally ill hesitates to name her spouse on her durable power of attorney form C Most managers can be categorized as authoritative, democratic, and laissez faire makes decisions of the group motivates by coercion communication occurs down the chain of command Work output by the staff is usually high-good for crisis situations and bureaucratic settings Authoritative includes the group when decisions are made Motivates by supporting star achievements Communication occurs up and down the chain of command Work output by staff is usually of good quality-good when cooperation and collaboration is necessary Democratic

makes very few decisions and does little planning motivation is largely the responsibility of individuals staff members Communication occurs up and down the chain of command and between group members Work output is low unless an informal leader evolves from the group *the use of any of these styles may be appropriate depending on the situation Laissez faire The nurse should consider the hierarchy of human needs when prioritizing interventions, which are?

Physiological needs first (oxygen, shelter, food)
Safety & security needs (physical safety)
Love and belonging
Self esteem
Self actualization The ABC framework identifies, in order, the three basic needs for sustaining life Airway Breathing Circulation Nurses must follow what code of standards in delegating and assigning tasks ANA codes of standards What values would a nurse possess to be a client advocate?
caring
autonomy
respect
empowerment What do the nurse need to keep in mind about the client when being their advocate? Client's religion & culture When should planning discharge process begin? a. at time of admission b. 2 days after client is admitted

The client is exhibiting symptoms of myxedema. The nursing assessment should reveal

increased pulse rate.
decreased temperature.
fine tremors.
increased radioactive iodine uptake level. 2 A nonstress test is scheduled for a client at 34-weeks gestation who developed hypertension, periorbital edema, and proteinuria. Which of the following nursing actions should be included in the care plan in order to BEST prepare the client for the diagnostic test?
Start an intravenous line for an oxytocin infusion.
Obtain a signed consent prior to the procedure.
Instruct client to push a button when she feels fetal movement.
Attach a spiral electrode to the fetal head. 3 Which of the following nursing interventions is MOST important for a 45-year-old woman with rheumatoid arthritis?
Provide support to flexed joints with pillows and pads.
Position her on her abdomen several times a day.
Massage the inflamed joints with creams and oils.
Assist her with heat application and ROM exercises. 4 The nurse is caring for a young adult admitted to the hospital with a severe head injury. The nurse should position the patient
with his neck in a midline position and the head of the bed elevated 30°.
side-lying with his head extended and the bed flat.
in high Fowler's position with his head maintained in a neutral position.
in semi-Fowler's position with his head turned to the side. 1 The nurse is teaching a 40-year-old man diagnosed with a lower motor neuron disorder to perform intermittent self-catheterization at home. The nurse should instruct the client to

use a new sterile catheter each time he performs a catheterization.
perform the Valsalva maneuver(holding breath and bearing down) before doing the catheterization.
perform the catheterization procedure every 8 hours.
limit his fluid intake to reduce the number of times a catheterization is needed. 2 A client is being discharged with sublingual nitroglycerin (Nitrostat). The client should be cautioned by the nurse to
take the medication five minutes after the pain has started.
stop taking the medication if a stinging sensation is absent.
take the medication on an empty stomach.
avoid abrupt changes in posture. 4 A 38-year-old woman is returned to her room after a subtotal thyroidectomy for treatment of hyperthyroidism. Which of the following, if found by the nurse at the patient's bedside, is nonessential?
Potassium chloride for IV administration.
Calcium gluconate for IV administration.
Tracheostomy set-up.
Suction equipment. 1 A nurse recognizes that an initial positive outcome of treatment for a victim of sexual abuse by one parent would be that the client
acknowledges willing participation in an incestuous relationship.
reestablishes a trusting relationship with his/her other parent.
verbalizes that s/he is not responsible for the sexual abuse.
describes feelings of anxiety when speaking about sexual abuse. 3 An adolescent client is ordered to take tetracycline HCL (Achromycin) 250 mg PO bid. Which of the following instructions should be given to this client by the nurse?
"Take the medication on a full stomach, or with a glass of milk."
"Wear sunscreen and a hat when outdoors."

A client who has dysuria and foul-smelling, cloudy, dark amber urine.
An immunosuppressed client who has not received an influenza immunization. 1 The nurse is observing care given to a client experiencing severe to panic levels of anxiety. The nurse would intervene in which of the following situations?
The staff maintains a calm manner when interacting with the client.
The staff attends to client's physical needs as necessary.
The staff helps the client identify thoughts or feelings that occurred prior to the onset of the anxiety.
The staff assesses the client's need for medication or seclusion if other interventions have failed to reduce anxiety. 3 A 69-year-old client is undergoing his second exchange of intermittent peritoneal dialysis (IPD). Which of the following would require an intervention by the nurse?
The client complains of pain during the inflow of the dialysate.
The client complains of constipation.
The dialysate outflow is cloudy.
There is blood-tinged fluid around the intra-abdominal catheter. 3 The clinic nurse is performing diet teaching with a 67-year-old client with acute gout. The nurse should teach the client to limit his intake of
red meat and shellfish.
cottage cheese and ice cream.
fruit juices and milk.
fresh fruits and uncooked vegetables. 1 A client is scheduled for a left lower lobectomy. The physician has ordered diazepam (Valium) 2 mg IM for anxiety. The nurse would determine that the medication is appropriate if the client displays which of the following symptoms?
Agitation and decreased level of consciousness.

Lethargy and decreased respiratory rate.
Restlessness and increased heart rate.
Hostility and increased blood pressure. 3 A 59-year-old woman with bipolar disorder is receiving haloperidol (Haldol) 2 mg PO tid. She tells the nurse, "Milk is coming out of my breasts." Which of the following responses by the nurse is BEST?
"You are seeing things that aren't real."
"Why don't we go make some fudge."
"You are experiencing a side effect of Haldol."
"I'll contact your physician to change your medication." 3 The physician orders ranitidine hydrochloride (Zantac) 150 mg PO qd for a client. The nurse should advise the client the BEST time to take this medication is
before breakfast.
with dinner.
with food.
at hs. 4 . If a client develops cor pulmonale (right-sided heart failure), the nurse would expect to observe
increasing respiratory difficulty seen with exertion.
cough productive of a large amount of thick, yellow mucus.
peripheral edema and anorexia.
twitching of extremities. 3 The nurse is performing triage on a group of clients in the emergency department. Which of the following clients should the nurse see FIRST?
A 12-year-old oozing blood from a laceration of the left thumb due to cut on a rusty metal can.
A 19-year-old with a fever of 103.8°F (39.8°C) who is able to identify her sister but not the place

"I have a headache and my stomach has bothered me for a week."
"I always check the door locks three times before I leave home."
"I don't know who I am and I don't know where I live." 4 A 23-year-old man is admitted with a subdural hematoma and cerebral edema after a motorcycle accident. Which of the following symptoms should the nurse expect to see INITIALLY?
Unequal and dilated pupils.
Decerebrate posturing.
Grand mal seizures.
Decreased level of consciousness. 4 . The nursing team includes two RNs, one LPN/LVN, and one nursing assistant. The nurse should consider the assignments appropriate if the nursing assistant is assigned to care for
a client with Alzheimer's requiring assistance with feeding.
a client with osteoporosis complaining of burning on urination.
a client with scleroderma receiving a tube feeding.
a client with cancer who has Cheyne-Stokes respirations. 1 An elderly client is returned to her room after an open reduction and internal fixation of the left femoral head after a fracture. It is MOST important for the nursing care plan to include that the client
eat a high-protein, low-residue diet.
lie on her unoperated side.
exercise her arms and legs.
cough and deep breathe. 4 Which of the following is a correctly stated nursing diagnosis for a client with abruptio placentae?
Infection related to obstetrical trauma.
Potential for fetal injury related to abruptio placentae.

Potential alteration in tissue perfusion related to depletion of fibrinogen.
Fluid volume deficit related to bleeding. 4 An 8-year-old client is returned to the recovery room after a bronchoscopy. The nurse should position the client
in semi-Fowler's position.
prone, with the head turned to the side.
with the head of the bed elevated 45° and the neck extended.
supine, with the head in the midline position. 1 Which of the following assessment findings would indicate to the nurse the need for more sedation in a client who is withdrawing from alcohol dependence?
Steadily increasing vital signs.
Mild tremors and irritability.
Decreased respirations and disorientation.
Stomach distress and inability to sleep. 1 The home care nurse is instructing a client recently diagnosed with tuberculosis. It is MOST important for the nurse to include which of the following as a part of the teaching plan?
During the first two weeks of treatment, the client should cover his mouth and nose when he coughs or sneezes.
It is necessary for the client to wear a mask at all times to prevent transmission of the disease.
The family should support the client to help reduce feeling of low self- esteem and isolation.
The client will be required to take prescribed medication for a duration of 6- 9 months. 4

The nurse is caring for an 80-year-old client with Parkinson's disease. Which of the following nursing goals is MOST realistic and appropriate in planning care for this client?

Return the client to usual activities of daily living.
Maintain optimal function within the client's limitations.
Prepare the client for a peaceful and dignified death.
Arrest progression of the disease process in the client. 2 A client with a peptic ulcer had a partial gastrectomy and vagotomy (Billroth I). In planning the discharge teaching, the client should be cautioned by the nurse about which of the following?
Sit up for at least 30 minutes after eating.
Avoid fluids between meals.
Increase the intake of high-carbohydrate foods.
Avoid eating large meals that are high in simple sugars and liquids. 4 A nurse is caring for a 37-year-old woman with metastatic ovarian cancer admitted for nausea and vomiting. The physician orders total parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of the following is the BEST indication that the patient's nutritional status has improved after 4 days?
The patient eats most of the food served to her.
The patient has gained 1 pound since admission.
The patient's albumin level is 4.0mg/dL.
The patient's hemoglobin is 8.5g/dL. 3 A 23-year-old woman at 32-weeks gestation is seen in the outpatient clinic. Which of the following findings, if assessed by the nurse, would indicate a possible complication?
The client's urine test is positive for glucose and acetone.
The client has 1+ pedal edema in both feet at the end of the day.
The client complains of an increase in vaginal discharge.
The client says she feels pressure against her diaphragm when the baby moves.

After abdominal surgery, a client has a nasogastric tube attached to low suctioning. The client becomes nauseated, and the nurse observes a decrease in the flow of gastric secretions. Which of the following nursing interventions would be MOST appropriate?

Irrigate the nasogastric tube with distilled water.
Aspirate the gastric contents with a syringe.
Administer an antiemetic medicine.
Insert a new nasogastric tube. 2 After sustaining a closed head injury and numerous lacerations and abrasions to the face and neck, a five-year-old child is admitted to the emergency room. The client is unconscious and has minimal response to noxious stimuli. Which of the following assessments, if observed by the nurse three hours after admission, should be reported to the physician?
The client has slight edema of the eyelids.
There is clear fluid draining from the client's right ear.
There is some bleeding from the child's lacerations.
The client withdraws in response to painful stimuli. 2 The nurse is caring for a manic client in the seclusion room, and it is time for lunch. It is MOST appropriate for the nurse to take which of the following actions?
Take the client to the dining room with 1:1 supervision.
Inform the client he may go to the dining room when he controls his behavior.
Hold the meal until the client is able to come out of seclusion.
Serve the meal to the client in the seclusion room. 4 A client is given morphine 6 mg IV push for postoperative pain. Following administration of this drug, the nurse observes the following: pulse 68, respirations 8, BP 100/68, client sleeping quietly. Which of the following nursing actions is MOST appropriate?
Allow the client to sleep undisturbed.
Administer oxygen via facemask or nasal prongs.

Which of the following actions should the nurse take next? a) place a warm compress over the IV site b) record the findings in the client's chart c) notify the client's primary care provider d) prepare to insert a new IV catheter A A nurse is caring for a client who has dementia. Which of the following interventions should the nurse take to minimize the risk for injury for this client? a) use a bed exit alarm system b) raise 4 side rails while client is in bed c) apply one soft wrist restraint d) dim the lights in the client's room A A nurse is implementing a plan of care for a client who is at risk for falls. Which of the following is an appropriate nursing action? a) implement a regular toileting schedule b) encourage the client to wear athletic socks when ambulating c) place all 4 bed rails in the upright position c) require a family member to remain at the bedside A Which of the following techniques should the nurse use when performing nasotracheal suctioning for a client? a) insert the suction catheter while the client is swallowing b) apply intermittent suction when withdrawing the catheter c) place the catheter in a location that is clean and dry for later use d) hold the suction catheter with the clean, non-dominant hand B A nurse is caring for a client following an acute myocardial infarction. The client is concerned that providing self-care will be difficult due to extreme fatigue. Which

of the following strategies should the nurse implement to promote the client's independence? a) request an occupational therapy consult to determine the need for assistive devices b) assign assistive personnel to perform self-care tasks for client c) instruct the client to focus on gradually resuming self-care tasks d) ask the client if a family member is available to assist with his care C A nurse is reviewing the medical records of a client who has a pressure ulcer. Which of the following is an expected finding? a) serum albumin level of 3 g/dL b) HDL level of 90 mg/dL c) Norton scale score of 18 d) Braden scale score of 20 A A nurse is caring for a client who needs a 24-hr urine collection initiated. Which of the following client statements indicates an understanding of the procedure? a) "I had a bowel movement, but I was able to save the urine" b) "I have a specimen in the bathroom from about 30 minutes ago" c) "I flushed what I urinated at 7 am and have saved the rest since" d) "I drink a lot, so I will fill up the bottle and complete the test quickly" C A nurse is caring for a client who has an NG tube that is to be irrigated every 8 hr. Which of the following should be used to irrigate the tube in order to maintain fluid and electrolyte balance? a) tap water b) sterile water c) 0.9% sodium chloride d) 0.45% sodium chloride C

RN COMPREHENSIVE SUMMARIZED COURSEWORK, Exams of Nursing

Related documents

Partial preview of the text

Download RN COMPREHENSIVE SUMMARIZED COURSEWORK and more Exams Nursing in PDF only on Docsity!

RN COMPREHENSIVE SUMMARIZED

COURSEWORK

D