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NR446 Collaborative Exam 1

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 23 pages. Originally published on StudyMerit.

Pages
23
Academic year
2025/2026
Language
English

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1. The nurse collaborates with the social worker regarding the discharge of a client with a terminal diagnosis of end-stage liver failure . The nurse knows the client must be able to demonstrate what task ) regarding their plan of care to make decisions Independently ? Select all that apply Currently Selected : A, B, D A. Receive information B. Process Information C. Maintain patency of pleural tube. D. Communicate treatment preferences E. Ambulate 50 feet TID. F. Perform a - care regimen with minimal assistance 2. The nurse develops the plan of care for a client 4-hours post bilateral lung transplant . The nurse recognizes it is essential to prioritize what action( ) Select all that apply. Answers : A - C,D,E A. Integrity of surgical dressing . B. Administer pneumococcal vaccine. C. Vital signs and continuous cardiac monitoring. D. Fluid volume management. E. Drainage amount to negative pressure drains . 3. A nurse is caring for a client who has a prescription for diazepam in divided doses. The client weighs 72 pounds. The minimum therapeutic dose for diazepam is 0.12mg/ kg / day in 3 divided doses. What is the minimum therapeutic dosage the client should be prescribed per dose? mg needed, round the answer to the nearest tenth ) 1.3 4. Which represents the nurse acting as a client advocate? Select all that apply. Currently Selected: ABC, E A. Questions orders that may cause harm to a client B. Notifies family members of critical health information C. Ensures clients are informed of their rights D. Directs a client in decision- making E. Speaks up when clients cannot speak for themselves 5. 5 . The nurse on the orthopedic unit has received hand-off shift report. Place the clients in the order the nurse should see each client. Clients to be Ordered: 1. A client post knee arthroplasty who complains of difficulty breathing.

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2. A client with complaints of pain 7/10 in right hip post total joint replacement 3. A client requiring discharge orders and teaching on cast care 4. A client scheduled for orthopedic surgery in 2 hours who needs IV cefazolin. 5. A client with osteoarthritis one day post internal fixation in the left hand 6. The nurse manager is interviewing a potential staff nurse. There has been a large amount of fluctuation in staff nurses on the unit, and they want to ensure that the new staff nurse will stay on the unit for a long period of time. Which question is most appropriate for the nurse manager to ask the potential staff nurse? A. “Where do you see yourself in 5 years?” B. “Have you ever been in a union?” C. “What kind of experience do you have?” D. “Are you planning on having children?” 7. The nurse receives change of shift report on a group of clients. Which 3 client(s) should the nurse assess first? Select 3 clients. A. A client who is receiving IV antibiotics and has a sudden onset of shortness of breath. B. A-client who is awaiting discharge home after completing a course of antibiotics. C. A client who is post-op day 3 after a hip replacement surgery and is requesting pain medication . D. A client with a history of anxiety requesting information about relaxation techniques. E. A client who is scheduled for a physical therapy session this afternoon F. A client with a central line catheter and a temperature of 101.8 F (38.8 C). 8. The nurse manager on a labor and delivery unit is reviewing sentinel events. The group most affected by sentinel events on the unit were African American women. The nurse manager should suspect this is attributed to 1 cultural experiences. One strategy that the nurse manager can implement to increase advocacy among nurses is 2. 1 . Cultural experiences 2. Select answer choice Screening for explicit biases among staff reprimanding nurses that stereotype clients implicit bias training 9. A manager of a nursing unit suspects that one of the nurses is chemically impaired Place the actions in the order that should be taken . Nursing Actions  1 Remove the nurse from client care  2 Obtain drug and alcohol testing

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 3 Discuss repercussions for being impaired  4 Refer the nurse for outside help 10. A nurse provides a client with information about blood transfusion including its risk factors and side effects . Which principle of ethics is exemplified by this nursing action? Currently Selected A A. Fidelity B. Veracity C. Autonomy D. Justice 11. A client complained to the nurse manager that their nurse was too rough when moving them from the bed to the chair. Which action should the nurse manager take? A. A Report the abuse to the domestic violence hotline B. Immediately dismiss the nurse from their position C. Change the client’s nurse and investigate D. Complete an incident report 12. A charge nurse has received the change-of-shift report and is delegating tasks to the unlicensed assistive personnel (UAP). The nurse should instruct the UAP to complete which task first? A. Apply a condom catheter to a client who is incontinent. B. Deliver a clean voided urine specimen to the laboratory. C. Perform blood glucose monitoring of a client with a prescription for short-acting insulin prior to breakfast. D. Feed a client with bilateral casts due to upper arm fractures. 13. The nurse nominates another nurse for an award during Nurses Week. The nurse emulates a transformational leadership style. Which characteristic(s) would the nominated nurse display? Select all that apply. A,C,E,F A. A positive attitude that uplifts the entire staff B. Brings coffee for staff every shift they work C. Focuses on maintaining the status quo D. Allows others to choose their client assignments E. Inspires others to go above and beyond for clients F. Empowers others to achieve Long-term goals

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