NUR 211 FUNDAMENTALS EXAM 2

 Question 1

Which characteristics of the stages of infection indicate the full stage of

infection?

a. It is the interval between the pathogen’s invasion of the body and the

appearance of symptoms of infection.

b. Specific signs and symptoms are present.

c. The organisms are growing and multiplying.

d. Early signs and symptoms of disease are present, but these are often

vague and nonspecific.

 Question 2

While assessing the client, the nurse hears diminished lung sounds on

auscultation, counts a respiratory rate of 22 and regular, and obtains an oxygen

saturation of 89% on room air. What nursing diagnosis is best supported by this

assessment data?

a. Impaired gas exchange ??

b. Ineffective airway clearance ??

c. Anxiety

d. Tachypnea

 Question 3

A nurse accidentally sticks her hand with a needle after administering an

injection to a client. What action should the nurse take first?

a. Report the incident to the charge nurse.

b. Wash the area of the puncture thoroughly with soap and warm water.

c. Complete an incident report.

d. Go to employee health services.

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 Question 4

A client is having difficulty climbing stairs and reports shortness of breath. The

nurse notes that the client is breathing heavy, having nasal flaring and mouth is

wide open. How will the nurse document this client's response to activity?

a. Wheezing with activity.

b. Tachypnea.

c. Dyspnea on exertion (DOE).

d. Apnea.

 Question 5

A home care client was recently prescribed continuous oxygen. What client

statement indicates further education is needed?

a. I will be able to tell how much oxygen I’m getting by looking at the

flowmeter.

b. I should call my doctor if I find it harder to concentrate.

c. I will make sure my visitors smoke outside.

d. I will wear synthetic clothing and woolen socks when using my oxygen

 Question 6

A nurse is interviewing a client who will undergo a cardiac coronary

catheterization (angiography). The nurse inquires if the client has someone

with her that will be able to drive her home after the procedure. What phase of

the nursing process involves questioning and gathering data?

a. Planning

b. Evaluation

c. Assessment

d. Diagnosis

 Question 7

Following shift-to-shift report, what nursing process activity is performed first?

a. Critically analyze assessment data to determine priorities.

b. Collect and organize client data through physical assessment.

c. Set client-centered, measurable and realistic goals.

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