Question

The nurse educator provides developmental testing for kindergarten through third-grade students. Which level of prevention is the nurse performing?

Answer 1

Correct Answers:

Secondary

Rationale :

▶Developmental screening for school-aged children serves as a form of secondary prevention, which involves early detection and intervention to halt or slow the progression of a potential health problem. ▶By identifying developmental delays at an early age, the nurse enables timely treatment, which can prevent long-term learning or behavioral complications.

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Answer 2

Correct Answers:

Acting

Rationale :

▶Acting reflects the final component in the values clarification process, where the client integrates personal beliefs into lived behavior. ▶Choosing to return to her counseling practice despite blindness shows purposeful alignment with her internal values of autonomy, resilience, and professional identity.

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Answer 3

Correct Answers:

Document that the problem has been resolved and the goal has been met.

Rationale :

▶In the evaluation phase of the nursing process, if the set goal—elimination of diarrhea and vomiting within 48 hours—has been exceeded, and symptoms have resolved for five days, the nurse should formally close the problem on the care plan. ▶This demonstrates outcome achievement and effective nursing intervention.

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Answer 4

Correct Answers:

An unlicensed assistive person may not delegate.

Rationale :

✅Delegation involves transferring responsibility for performing a task while retaining accountability for the outcome. ✅Only licensed nurses can delegate tasks. An unlicensed assistive person (UAP) does not possess the legal authority or professional training required to assess, assign, or evaluate tasks for others. ✅This principle maintains safety, accountability, and regulatory compliance in client care.

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Answer 5

Correct Answers:

The client will perform four to five isometric squeezes for 5 to 10 seconds.

Rationale :

✅Stress urinary incontinence is commonly caused by weak pelvic floor muscles. ✅Isometric squeezes, such as Kegel exercises, are the gold standard non-invasive intervention that directly strengthens these muscles. ✅This outcome is measurable, realistic, and targets the physiological cause of the problem, making it the most appropriate intervention-related goal.

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Answer 6

Correct Answers:

Public health agencies are funded by government grants to investigate and manage communicable diseases.

Rationale :

▶Public health agencies operate under federal or local government oversight and receive public funding to carry out vital services like disease surveillance, outbreak investigation, vaccination programs, and community health education. ▶Their work directly addresses the prevention and control of communicable diseases at the population level.

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Answer 7

Correct Answers:

Public health agencies are funded by government grants to investigate and manage communicable diseases_

Rationale :

💥Public health departments have a primary responsibility to protect community health. 💥They receive government funding to support disease monitoring, manage outbreaks, and implement prevention strategies. 💥These services are essential to preventing widespread illness and ensuring community resilience.

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Answer 8

Correct Answers:

Clara Barton

Rationale :

💥Clara Barton was a foundational figure in nursing history, known for establishing the American Red Cross in 1882. 💥Her leadership and organizational skills contributed to creating a structured system for disaster response and humanitarian aid in the United States, extending nursing practice into the realm of emergency relief.

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Answer 9

Correct Answers:

Fluid volume excess.

Rationale :

⁕Heart failure impairs the heart’s ability to pump blood effectively, resulting in fluid accumulation. ⁕Common signs include peripheral edema and pulmonary congestion, such as coarse crackles. ⁕These manifestations indicate fluid retention in the vascular and interstitial compartments, confirming fluid volume excess.

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Answer 10

Correct Answers:

Instruct the client to report promptly to the practitioner anydecreased redness, swelling, pain, or discharge from the incision or drain sites.

Rationale :

💥Decreased signs of inflammation typically indicate wound healing, not complication. 💥Teaching clients to report such changes is clinically incorrect. 💥Nurses must educate clients to report increased redness, swelling, pain, or purulent drainage—these suggest possible infection or impaired wound healing.

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RN Fundamental Final Test~Exam_2

No.

1 : The nurse educator provides developmental testing for kindergarten through third-grade students. Which level of prevention is the nurse performing?

2 : A client who has been blinded as a result of an injury has informed the nurse of her plans to return to her counselling practice and work full-time. The nurse should realize that this client is demonstrating which aspect of values clarification?

4 : An unlicensed assistive person (UAP) is working on a rehabilitation unit. Which task would be appropriate for this person to delegate?

5 : The nurse is identifying outcomes for a client with the nursing diagnosis of Stress Urinary Incontinence. Which outcome would be related to sphincter incompetence?

6 : Which of the following statements is true regarding types of health care agencies?

7 : Which of the following statements is true regarding types of health care agencies?

8 : Which of the following nursing pioneers established the Red Cross in the United States in 1882?

9 : The client is admitted to the nurse's unit with a diagnosis of heart failure. His heart is not pumping effectively, which is resulting in edema and coarse crackles in his lungs. The term for this condition is:

10 : During discharge planning, the nurse is responsible for teaching the client how to maintain comfort, promote healing, and restore wellness. However, one of the actions listed below is not correct.

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