Review Nursing 2356 Multidimensional Care

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Nursing 2356 Multidimensional Care

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Total Questions : 46

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Question 1:

What would be the best education for a nurse to give a client to prevent poisoning of a child in the home?

A. Take only prescription medications as prescribed B. Never share your prescription drugs C. Keep cleaning liquids in a locked cabinet D. Follow directions the label when taking medications and read all warnings

Answer and Explanation

Choice C:

Cleaning liquids are most likely to be accessed by children and cause poisoning. Locking them is therefore a very useful precaution.

A, B and D are wrong as prescription medicines are least likely to be accessed by children and cause poisoning.

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Question 2:

Which of these is the greatest danger to toddlers?

A. Mistletoe tightly secured to the ceiling B. Medication locked in a cabinet C. Large toys with large parts D. Unattended pools

Answer and Explanation

Choice A:

A tightly secured mistletoe is unlikely to pose a danger to toddlers.

Choice B:

Children are less likely to be able to unlock cabinets and hence medication locked in a cabinet is unlikely to pose a danger to toddlers.

Choice C:

Large toys with large parts are less likely to be swallowed by children and hence do not a pose a huge risk.

Choice D:

Unattended pools pose the danger of drowning to children.

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Question 3:

A nurse is orienting the client to their room. What safety measure is a priority during the orientation?

A. Explain how to use the telephone B. Introduce the client to her roommate C. Review the hospital policy on visiting hours D. Explain how to operate the call light

Answer and Explanation

Choice A:

Although using the telephone may be useful in case of an emergency, the patient is less likely to be able to communicate using the telephone as opposed to the call light.

Choice B:

Introducing the patient to their roommate is not very important during orientation.

Choice C:

Knowing about visiting hours is also not a priority during orientation.

Choice D:

Knowing how to operate the call light is important in order to alert the healthcare staff in case of an emergency.

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Question 4:

The nurse is teaching a community group about poisoning prevention. Which of the following statements from an attendee would indicate the need for further teaching?

A. “ I should take prescription medications only as they are prescribed” B. “I should never share my prescription medications with anyone” C. “ I should immediately induce vomiting if I suspect poisoning” D. “I should keep the phone number for the poison control center easily accessible”

Answer and Explanation

Choice B:

Prescription medications should be taken as prescribed and should not be shared with anyone without medical advice.

Choice C:

Vomiting after poisoning with certain substances that are caustic such as acid or alkali chemicals may cause upper gastrointestinal mucosal damage.

Choice D:

The emergency contact of the poison control center should be easily accessible in case of poisoning emergencies.

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Question 5:

What question is considered culturally sensitive?

A. Are you required to pray in a certain way at certain times B. What types of food do you eat for meals and between meals? C. Are you familiar with the way we prepare meals? D. Are you okay with not having kosher meals?

Answer and Explanation

Choice A:

Asking someone about their religion is considered culturally sensitive. Hence asking how many times someone prays and how they pray is culturally intrusive.

Choice B:

Asking about meals is a general question and not considered culture sensitive.

Choice C:

Asking about meals is a general question and not considered culture sensitive.

Choice D:

Asking about meals is a general question and not considered culture sensitive.

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Question 6:

What is not a sign of inadequate perfusion?

A. Bounding pulses B. Cyanosis C. Pallor D. Coolness

Answer and Explanation

Choice A:

Bounding pulses are a feature of high cardiac output states such as pregnancy, thyrotoxicosis, anemia.

Choice B:

Cyanosis is a feature of reduced oxygen supply which is a result of reduced perfusion.

Choice C:

Pallor is a sign of anemia and reduced perfusion due to low hemoglobin levels.

Choice D:

Coolness especially of the extremities is a sign of reduced perfusion to the extremities.

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Question 7:

An eight year old child is eating a hotdog and begins coughing. What is the priority action of the nurse?

A. Begin the heimlich maneuver quickly B. Tell the child to put his hands by his neck to signify that he is choking C. Promote coughing D. Leave the child alone to find a phone

Answer and Explanation

Choice A:

This is only done after the child attempts to cough.

Choice B:

Putting hands by his neck is a universal sign of choking and is not an action the nurse should undertake.

Choice C:

If the child is able to cough and breathe effectively, the nurse should encourage the child to continue coughing and monitor them closely. If the child appears to be struggling to breathe or is not able to cough effectively, the nurse should intervene immediately and administer appropriate first aid, which may include abdominal thrusts (also known as the Heimlich maneuver) or other emergency measures to clear the airway obstruction.

Choice D:

This is not a priority action.

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Question 8:

When assessing the client’s bowel elimination, the nurse understands that which is not a factor?

A. Age B. Diet C. Fluid intake D. Gender

Answer and Explanation

Choice A:

Age, use of laxatives or other bowel medications, dietary habits and fluid intake, history of bowel diseases or surgeries. Gender does not have an influence on bowel movements.

Choice B:

Diet high in fiber usually enhances bowel movement.

Choice C:

Increased fluid intake improves stool consistency.

Choice D:

Gender does not have an influence on bowel movements.

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Question 9:

A client arrives only speaking Cambodian. The daughter is interpreting for her. What is the priority responsibility of the nurse?

A. Call the chaplain for support B. Allow the unlicensed assistive personnel to interpret C. Call for a Cambodian interpreter D. Continue to work with the daughter for interpretation

Answer and Explanation

Choice C:

The best thing to do is to involve a professional interpreter when there is a language barrier as the daughter may fail to provide accurate information if there is sensitive information needed.

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Question 10:

A client recently had an above knee amputation and complained of pain distal to the amputation. What type of pain is the client experiencing?

A. Nociceptive B. Neuropathic C. Cutaneous D. Visceral

Answer and Explanation

Choice A:

Nociceptive pain is a type of pain that occurs as a result of the activation of nociceptors, which are specialized nerve fibers that respond to noxious stimuli such as heat, cold, pressure, or chemical irritants. Nociceptors are found in various tissues throughout the body, including the skin, muscles, bones, and organs.

Choice B:

If a client who has recently undergone an above knee amputation complains of pain distal to the amputation, the type of pain that the client is experiencing is most likely neuropathic pain. Neuropathic pain is a type of pain that occurs as a result of damage or dysfunction to the nervous system. It is often described as a burning, tingling, or shooting sensation and can be difficult to manage with traditional pain medications.

In the case of an amputation, neuropathic pain can occur as a result of the nerve endings in the remaining portion of the limb sending signals to the brain that are interpreted as pain. This can lead to the perception of pain in the "phantom" limb, which is no longer present.

Choice C:

Cutaneous pain is a type of pain that arises from the skin or subcutaneous tissues. It is often described as a sharp, burning, or prickling sensation and can be caused by a variety of factors, such as injury, inflammation, or infection of the skin.

Choice D:

Visceral pain is a type of pain that arises from the internal organs of the body, such as the stomach, intestines, bladder, or uterus. It is often described as a deep, dull, or pressure-like ache that can be difficult to localize or pinpoint to a specific area.

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Total Questions : 46

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Nursing 2356 Multidimensional Care

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