Questions 28

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Question 1 of 5

The adult child of an older adult calls the nurse practitioner to report that the parent is becoming very confused after dark. What is this type of confusion named?

Correct Answer: C

Rationale: Cognitive dysfunction: This is a broad term that includes various types of cognitive impairment. Alzheimer's disease: This is a specific type of dementia, but it doesn't specifically describe the timing of confusion. Sundowning syndrome: This term describes increased confusion and agitation in the late afternoon and evening. It's commonly seen in individuals with dementia. Night-time confusion: This is a general term and doesn't specifically relate to the characteristic pattern of sundowning.

Question 2 of 5

A nurse is conducting an interview with a client. Which example best demonstrates use of open-ended questions in an interview?

Correct Answer: B

Rationale: Do you smoke?' This is a closed-ended question that can be answered with a simple 'yes' or 'no.' It doesn't encourage elaboration or detailed responses. 'How are you feeling?' This is an open-ended question that encourages the client to provide more detailed and descriptive responses about their current state or feelings. It allows the client to share more information and gives the nurse a better understanding of their condition. 'Are you feeling well?' Similar to option A, this is a closed-ended question. It prompts a 'yes' or 'no' answer without inviting further discussion or detailed explanation. 'Do you use any illicit drugs?' This is another closed-ended question that requires a 'yes' or 'no' answer. It does not provide the opportunity for the client to discuss their drug use in detail.

Question 3 of 5

At the end of the shift,the nurse documents that the client has voided $475 \mathrm{ml}$ during the shift via an indwelling urinary catheter. What type of data has the nurse documented?

Correct Answer: C

Rationale: Covert: Covert data refers to information that is hidden, subjective, or not immediately observable, such as symptoms reported by the client. Voided volume is measurable and observable, so it is not covert. Subjective: Subjective data is information reported by the client, such as feelings, perceptions, or symptoms. Since the urine output is a measurable and observable fact, it is not subjective. Objective: Objective data is factual, measurable, and observable. The voided volume of $475 \mathrm{ml}$ is a precise, quantifiable measurement, making it objective data. Symptomatic: Symptomatic data pertains to symptoms experienced by the client, which are typically subjective. The documented urine output is a specific, quantifiable measurement and not a symptom.

Question 4 of 5

Which type of play is most typical of the toddler stage?

Correct Answer: A

Rationale: Parallel play: Parallel play is typical of toddlers, where they play alongside each other but do not interact or play directly with each other. This is a key stage in social development where they start to notice peers but prefer independent activities. Cooperative play: Cooperative play involves children playing together with a common goal or activity. This type of play is more typical of older preschoolers and school-age children. Solitary play: Solitary play is common in infants and very young toddlers where they play alone and are not engaged with others. By the toddler stage, children often progress to parallel play. Associative play: Associative play involves children interacting and playing together, but not with a structured goal or organization. This typically develops after parallel play, around the preschool age.

Question 5 of 5

The nurse is conducting an assessment of a client that has been admitted to a medical unit in the hospital for treatment of pneumonia. Which action will the nurse take when conducting the respiratory assessment of this client?

Correct Answer: B

Rationale: Document 'impaired oxygenation' on the nursing care plan: While this may be appropriate based on assessment findings, it's premature to document without conducting a thorough assessment first. Auscultate the chest for breath sounds: This is a critical component of assessing respiratory function, especially in a client with pneumonia, to identify abnormal breath sounds such as crackles or diminished breath sounds. Collaborate with the client to form goals: Goal setting typically comes after assessment data is collected and analyzed. Apply supplemental oxygen by face mask as needed: This action should be based on assessment findings indicating the need for oxygen therapy, not assumed without assessment.

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