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NR 302 Foundation Of Nursing Chamberlin University Proctored Exam
Total Questions : 59
Showing 10 questions, Sign in for moreThe nurse is preparing to assess a group of clients. Place the clients in the order that the nurse should assess them.
Explanation
Rationale:
C. A client with a mental status change is assessed first because altered mental status can indicate life-threatening conditions, such as hypoxia, stroke, or severe infection. This requires immediate evaluation to prevent deterioration.
A. A client with difficulty breathing is second because respiratory distress is an urgent priority and may quickly become life-threatening if not addressed.
B. A client with abdominal pain is third. While pain can indicate a serious condition, it is generally not immediately life-threatening unless accompanied by other alarming signs (e.g., shock, hemorrhage).
D. A client that needs education is last because educational needs are low priority compared with acute or potentially life-threatening conditions.
A client from a low-income background presents with symptoms of uncontrolled hypertension. If the nurse does not address their personal biases, how might that impact the assessment of the client?
The nurse is reviewing first-level priority client needs with the nursing student. Select the 2 healthcare settings that are most likely to treat first-level clients. Select two healthcare settings.
Which communication skill stated by the student nurse to the primary nurse indicates an understanding of recommended practice when providing health education to the client?
Explanation
Rationale:
• Starting with the most important information: Recommended. Prioritizing key points helps ensure the client understands essential information first, especially if attention or recall is limited.
• Using passive voice: Not recommended. Active voice is clearer and easier for clients to understand, improving comprehension.
• Including extra information to the client: Not recommended. Providing unnecessary details can overwhelm the client and reduce understanding.
• Limiting the number of messages given to the client: Recommended. Focusing on a few key points enhances learning and retention.
• Using short sentences and simple words: Recommended. Plain language improves understanding and supports health literacy.
The nurse is caring for a client who is alert and oriented. What is the most reliable indicator of pain in this client?
A nurse is completing a health history and physical examination. Which information documented by the nurse is subjective data?
The nurse completes a general survey of a client. For each finding in the general survey, click to specify whether the finding should be documented as body structure or behavior.
Explanation
Rationale:
• The client is dressed appropriately for the weather: Behavior. This reflects judgment, self-care, and interaction with the environment.
• The client has no physical deformities noted: Body structure. This finding relates to physical form and anatomical characteristics.
• The client conveys ideas clearly and at an even pace: Behavior. This reflects communication ability and cognitive function.
• The client's height seems appropriate for age and heritage: Body structure. Height is a physical characteristic related to body build.
• The client's arm span, fingertip to fingertip, equals height: Body structure. This assesses body proportions and skeletal structure.
• The client maintains eye contact throughout the assessment: Behavior. Eye contact reflects social interaction and engagement.
A nurse is planning to interview a client. Place the nurse's interview statements in the order they should be asked.
Items to be Ordered
Explanation
Rationale:
C. "I am your nurse today" is first. This introduction establishes rapport and trust, explains the nurse’s role, and sets a professional tone for the interview. Starting with a proper introduction helps the client feel comfortable and respected, which encourages open communication and honest sharing of health information. It also clarifies the nurse’s role and responsibilities in the client’s care, which is essential for building a therapeutic relationship.
A. "Can you tell me what brings you to the clinic today?" is second. This open-ended question begins the health history by allowing the client to describe their chief concern in their own words, providing valuable subjective data. Open-ended questions help the nurse understand the client’s perspective, clarify priorities, and guide further assessment. It encourages the client to elaborate on their symptoms without feeling rushed or constrained by yes/no responses.
B. "When you said you had been having pain in your stomach, what did you mean?" is third. This question clarifies and explores the client’s initial statement, ensuring that the nurse accurately understands the nature, location, intensity, and characteristics of the symptom. Asking for clarification also demonstrates active listening, shows the client that their information is valued, and helps the nurse gather detailed, precise, and meaningful data to guide further assessment and care planning.
D. "We are almost done; do you have any questions for me?" is last. This closes the interview by providing the client an opportunity to ask questions, express concerns, or clarify instructions. Ending with this step reinforces the nurse’s availability, ensures that the client feels heard, and promotes client-centered care. It also helps prevent misunderstandings and supports patient engagement and adherence to the care plan.
How should a nurse document the client's reason for seeking care?
A nurse is caring for a client who has been dizzy recently. What safety precaution should the nurse implement to prevent falls?
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