Problem Oriented Medical Record (POMR) method of documentation includes which of the following sections? (Select all that apply.) 1. Database 2. Care plan 3. Evaluations 4. Problem list 5. Interventions 6. Progress notes ANSWER ANS: 1, 2, 4, 6 The POMR has the following major sections: database, problem list, care plan, and progress notes. […]
Which of the following clients is most likely to experience the best response from a complemen-tary therapy? 1. A 5-year-old receiving a painful injection 2. A 35-year-old having a diagnostic spinal tap 3. A 55-year-old being catheterized post surgery 4. A 15-year-old being casted for a wrist fracture ANSWER ANS: 1 While most complementary […]
A student is caring for a client who contracted an infection following surgery. The client is afebrile during the student’s shift, but still receiving IV antibiotics. This is an example of which level of prevention, according to Neuman’s model? 1. Primary 2. Secondary 3. Tertiary 4. Critical ANSWER Correct Answer: 2 Rationale 1: Primary […]
A nursing student is doing clinicals at a hospital implementing a new computer system. Trying to generalize the information is key, since the student nurse plans to move after graduation. This is due to the fact that: 1. Each hospital will have its own system. 2. Facilities never use the same computer system. 3. Computer […]
The student nurse is assessing the vital signs of a 10-year-old client. The expected values for a client of this age are: 1. P = 140 beats/min, R = 50 breaths/min, BP = 80/50 mm Hg 2. P = 100 beats/min, R = 40 breaths/min, BP = 90/60 mm Hg 3. P = 80 beats/min, […]
The nurse is preparing to remove ticks from a client’s scalp. Which actions should the nurse perform to safely remove these pathogens from the client? 1. Grasp the tick with blunt tweezers. 2. Apply heat to the tick with a match. 3. Wash the area with antibacterial soap. 4. Pull the tick away in a […]
There are many types of health care delivery agencies. An example of a secondary level care agency is a: 1. School 2. Nursing home 3. Drug rehabilitation center 4. State-owned psychiatric hospital ANSWER ANS: 4 A state-owned psychiatric hospital is an example of the secondary level of care in which clients who present with […]
For an older adult client, an example of a common behavioral task or critical event is: 1. Selecting a mate 2. Rearing children 3. Finding a congenial social group 4. Adjusting to decreasing physical strength ANSWER ANS: 4 A common behavioral task of the older adult client is adjusting to decreasing physical strength. Selecting […]
The nurse is reviewing the care needs for a group of assigned clients. Which client should the nurse recognize as being most at risk for a nosocomial infection? 1. A client in the emergency department with abdominal pain 2. A 19-year-old woman in her first trimester of pregnancy 3. A 72-year-old male client with COPD […]
The family of a client in the hospital is concerned about the constant noise in the care area. Which health care professionals have the greatest control over the level of sensory input in the hospital? 1. Physicians 2. Administrators 3. Nurses 4. Planners ANSWER Correct Answer: 3 Rationale 1: Physicians are not at the […]
