Final Exam - Final Exam What sign is most likely to alert a ...

NUR 2214 :Care Of The Older Adults

Final Exam What sign is most likely to alert a nurse manager that one of her nurses is stealing medications for personal use?

• The nurse complains of never being able to control her patients' pain even

though other nurses never seem to have any problems controlling the same patient's pain

• The nurse who has a spouse with a history of drug abuse
• The nurse once made a treatment error and immediately notified the physician,

nurse manager, and wrote an incident report

• The nurse has a teenager daughter, who is currently undergoing a long

chemotherapy regimen to fight ovarian cancer (ANS- A. The nurse complains of never being able to control her patients' pain even though other nurses never seem to have any problems controlling the same patient's pain Which nursing intervention is a priority for a patient who is post-op from having a lobectomy?

• Position the patient on the side of their body that was not operated on
• Position the patient in the semi-fowler's position at all times
• Monitor vital signs every day
• Teach incentive spirometry when patient is 12 hours post-op

(ANS- A. Position the patient on the side of their body that was not operated on Rationale: Positioning the patient on their "opposite side" allows for the operated side to drain properly A 21-year-old female patient sates she is the victim of interpersonal violence (IPV) from her boyfriend, with whom she lives with. She states to the nurse, "There is no escaping my situation unless...". How should the nurse respond? 1 / 4

• "Why are you afraid to go to the police?"
• "I will to call the police for you so this can be documented."
• "What methods have you used in the past to deescalate a bad situation between

you and your boyfriend"

• "Have you ever thought about hurting yourself or someone else?"

(ANS- D. "Have you ever thought about hurting yourself or someone else?" What criteria must be met for a patient to be admitted to hospice care?

• A patient must cancer
• A patient who has 6 months or less to live
• A patient who is suffering from an incurable illness
• A patient who wants to have their pain controlled
• A patient who is 65+ years of age
• A patient who lives alone

(ANS-

• A patient who has 6 months or less to live
• A patient who is suffering from an incurable illness
• A patient who wants to have their pain controlled

A neurology nurse assesses a 75-year-old male patient with Parkinson's Disease (PD) and notices his face appears drooping and "mask-like." What does the nurse fear the patient may be at risk for?

• Risk for knowledge deficit
• Risk for self-harm
• Risk for depression
• Risk for malnutrition

(ANS- D. Risk for malnutrition Rationale: The patient is at risk for malnutrition because he will have difficulty chewing. Patient's with facial paralysis are also at risk for aspiration, too. 2 / 4

Which statements are true about melanoma? Select all that apply:

• Patients with a family history of melanoma should be tested for the BRCA 1 &
• genes
• Women are more likely to have melanoma on their arms and face compared to

other parts of the body

• Men are more likely to have melanoma on their arms and face compared to

other parts of the body

• Melanoma is highly metastatic
• Survival rate of melanoma mostly depends on how early a diagnosis is made

and how quickly treatment begins

• Instructing patients to carry a body and lesion map is considered the best method

of primary prevention against melanoma (ANS-

• Men are more likely to have melanoma on their arms and face compared to

other parts of the body

• Melanoma is highly metastatic
• Survival rate of melanoma mostly depends on how early a diagnosis is made

and how quickly treatment begins

Rationale: Women are more likely to have melanoma on their legs and torso area;

men are more likely to have it on their arms and face; melanoma is highly metastatic A 27-year-old female patient with rheumatoid arthritis is suspected of having Sjogren's disease. Why did her HCP instruct the nurse to get the Snellen Chart?

• The HCP suspects the patient's eyes are drying out and wants to exam her vision
• Vision loss is a normal sign of rheumatoid arthritis (RA)
• Sjogren's disease usually alters the patient's color perception
• Permanent vision loss is a normal sign of Sjogren's disease

(ANS- A. The HCP suspects the patient's eyes are drying out and wants to exam her vision 3 / 4

Rationale: Sjogren's disease dries out the mucus membranes of the eyes, mouth,

and vagina A nurse works in a cardiology clinic and she suspect one of her patients is experiencing digoxin toxicity. What are some signs and symptoms of digoxin

toxicity? Select all that apply:

• Vomiting
• Jaundice
• Diarrhea
• Petechiae
• Temperature of 100 F
• Nausea

(ANS-

• Vomiting
• Diarrhea
• Nausea

Rationale: vomiting is usually one of the first signs

Which component is most important when it comes to fostering a culture of safety?

• Honor system
• Non-inclusive communication
• Open communication
• The Joint Commission

(ANS-

• Open communication

Rationale: open communication fosters a "just culture" which in return keeps a "culture of safety"

• / 4