NUR 256 EXAM 1 FINAL EXAM

NUR 256 EXAM 1 FINAL EXAM

QUESTIONS AND WELL VERIFIED

ANSWERS | ALREADY GRADED A+ |

GUARANTEED A + | NUR 256 LATEST

ACTUAL EXAM !!]

A nurse is performing a pre-admission assessment on a client and employs the use of nonverbal and verbal communication which of the following actions demonstrates the use of a nonverbal communication technique by the nurse

• asking the client to clarify a statement
• asking the client open-ended questions
• maintain a fair distance between self and client
• stating the name and providing credentials upon entering the client's room -

ANSWER- maintain a fair distance between self and client

A nurse is completing documentation in a client's medical record. Which of the following entries display proper documentation by the nurse?

• The client is feeling better
• The client's abdomen is soft and distended
• The client's status is unchanged 1 / 4

• The client appears in pain - ANSWER- The client's abdomen is soft and

distended

A nurse has just received report on a newly admitted client who speaks a different language than the nurse. Which of the following actions should the nurse take to assist with effective communication with the client during the initial assessment process?

• Enlist the aid of the client's school-aged child to interpret for the nurse and the

client

• Ask the client's best friend to interpret for the nurse and client
• Use jokes and laughter to make the client feel more at ease
• Request assistance from an interpreter during the assessment - ANSWER-

Request assistance from an interpreter during the assessment

A nurse is assessing a client's respiration and notes they are shallow and at a rate of 24/min. The nurse should identify this as which of the following unexpected findings?

• Tachypnea
• Bradypnea
• Apnea
• Hypervenilation - ANSWER- Tachypnea

When conducting a general survey of a client, the nurse should assess ___, ___, and ___.

Respiratory rate 2 / 4

Speech Temperature Gait Pain Pupils Level of consciousness Skin turgor - ANSWER- Level of consciousness, speech, and gait A nurse is planning to conduct a health history interview with a client. which of the following actions should the nurse plan to take? (select all that apply)

• gather supplies to take notes
• review the client's medical record at the conclusion of the interview
• conduct the interview in an open area such as the receptions area or hallway
• select a position that is 0.6 to 0.9 m (2 to 3 feet) from the client during the

interview

• ensure a face to face contact is at eye level - ANSWER- Gather supplies to take

notes Select a position that is 0.6 to 0.9 m (2 to 3 feet) from the client during the interview Ensure a face to face contact is at eye level

A nurse is preparing to collect a health history from a client. Which of the following should the nurse plan to assess as a component of a functional assessment? (select all that apply)

• the reason that the client is seeking health care
• if the client is experiencing abuse or human trafficking 3 / 4

• the environment in which the client resides
• the client's use of substances
• client's ability to perform activities associated with daily living - ANSWER- If

the client is experiencing abuse or human trafficking The environment in which the client resides The client's use of substances Client's ability to perform activities associated with daily living The client's use of substances

A nurse is collecting information about a client's family history. The nurse should plan to collect information about the health of which of the following client relatives? (select all that apply)

• parents
• siblings
• aunts & uncles
• cousins
• grandparents - ANSWER- Parents

Siblings Grandparents

A nurse is collecting biographic data from a client who reports they are seeking health care due to a persistent cough. The client states they identify as transgender.Which of the following questions should the nurse ask?

• "How does your family feel about your gender identity?"
• "What pronouns do you use?"
• "when did you transition?"
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