NR 222 – Exam 3 (Week 8) at Chamberlain University
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Free NR 222 – Exam 3 (Week 8) at Chamberlain University Questions
1. A nurse is providing health promotion education to a young adult client. Which instruction should the nurse include to prevent unintentional injuries?
- A Avoid texting while driving
- B Maintain hydration
- C Keep firearms at bedside
- D Eat a healthy diet
Explanation
A. Avoid texting while driving Texting while driving significantly increases the risk of motor vehicle accidents, which are a leading cause of unintentional injury and death among young adults. Teaching young adults to avoid distractions such as texting while operating a vehicle is a key safety intervention that promotes responsible driving behavior and prevents injury.
2.
Which statement describes the concept of parallel play in toddlers?
- Toddlers participate in organized group activities with set rules.
- Toddlers play well together, sharing toys and taking turns.
- Toddlers engage in solitary play, avoiding other children.
- Toddlers play independently but in close proximity to others.
Explanation
Correct Answer Is:
D. Toddlers play independently but in close proximity to others.Explanation
Parallel play is a normal developmental stage seen in toddlers, typically between 2 and 3 years of age. During this stage, children play alongside other children but do not interact directly or share toys. They may observe one another while engaging in separate activities. This type of play supports social awareness and gradually leads to more interactive forms of play as children continue to develop social and communication skills.
3. A nurse is assessing an 8-year-old client who is dealing with the recent divorce of their parents. Which action(s) should the nurse take? Select all that apply.
- Discourage the child from talking about the divorce.
- Encourage the child to express their feelings through art.
- Allow the child to watch unlimited TV to distract them.
- Teach the child how to use progressive muscle relaxation.
- Encourage the child to practice deep breathing to cope.
Explanation
B. Encourage the child to express their feelings through art Creative activities such as drawing or painting help children externalize emotions that they may not be able to verbalize. This therapeutic expression fosters emotional processing and provides insight into the child’s internal experience. D. Teach the child how to use progressive muscle relaxation This technique helps children recognize and release physical tension associated with stress. It provides a sense of control and calmness, empowering them to manage anxiety caused by family changes. E. Encourage the child to practice deep breathing to cope Deep breathing exercises reduce physiological stress responses and promote emotional regulation. Teaching coping strategies like controlled breathing helps children manage distress and adapt to emotional challenges in a healthy way.
4. Which of the following is the most important consideration when recommending an exercise program for an older adult client?
- The intensity of the exercise should match the client's fitness level.
- The exercise routine should be consistent with the activities from the client's youth.
- The program should only include high-impact activities to maximize benefits.
- The exercise program should focus solely on cardiovascular fitness.
Explanation
When creating an exercise plan for older adults, matching exercise intensity to the client’s current fitness level is crucial for safety and effectiveness. Older adults often experience reduced cardiovascular capacity, joint flexibility, and muscle mass. Gradually progressing in intensity prevents overexertion, minimizes risk of falls or cardiac events, and encourages consistent participation. Programs should include endurance, strength, balance, and flexibility components suited to individual capability.
5. A nurse is reviewing home safety with the caregiver of a 10-month-old client. Which item(s) should the caregiver avoid giving the child? Select all that apply.
- Sliced bananas
- Round hard candies
- Steamed carrot sticks
- Whole grapes
- Popcorn
Explanation
B. Round hard candies Hard candies are a major choking hazard for infants because they are small, firm, and difficult to break down. Infants do not yet have the coordinated chewing ability or molar teeth required to safely manage these foods. The candy can easily obstruct the airway, placing the infant at serious risk of choking. D. Whole grapes Whole grapes have a round, slippery shape that makes them extremely dangerous for infants, as they can easily block the airway if swallowed whole. Infants should never be given whole grapes; instead, caregivers should peel and cut grapes into very small pieces to reduce choking risk, though introduction is generally recommended after one year. E. Popcorn Popcorn poses a choking hazard because of its small size, irregular texture, and hard, unpopped kernels that may be present. Infants lack the oral motor skills and molars required to chew popcorn safely. Popcorn should not be offered to young children until they are older and able to chew more effectively.
6. A nurse is discussing the care plan of a client named Mr. Johnson with their charge nurse. The nurse consistently refers to Mr. Johnson as "the diabetic in room 302." What action should the charge nurse take?
- Encourage the use of the client's name, Mr. Johnson, when discussing the care plan.
- Recommend the nurse refer to the client by their initials and room number for privacy.
- Suggest the nurse use a combination of the client's name and diagnosis for full clarity.
- Advise the nurse to refer to the client by their room number to maintain confidentiality.
Explanation
Using a client’s name rather than their diagnosis demonstrates respect, dignity, and person-centered care. Referring to clients by medical conditions depersonalizes them and can contribute to stigma or bias. Encouraging the nurse to address the client as “Mr. Johnson” aligns with ethical and professional communication standards that emphasize respect for individual identity and holistic care rather than focusing solely on disease or room assignment.
7. The nurse is caring for a young adult male client who is a professional cyclist, traveling globally and competing in a demanding schedule of races. Which self-screening will the nurse recommend to the client?
- Testicular self-examination for lumps and irregularities.
- Oral self-examination for tooth decay.
- Skin self-examination for malnutrition and dehydration.
- Prostate self-examination for urinary tract health.
Explanation
The nurse should recommend a testicular self-examination (TSE) because testicular cancer most commonly affects men between the ages of 15 and 35, which includes young adults like this client. Early detection is crucial, as testicular cancer has a high cure rate when treated promptly. The client should perform TSE monthly, ideally after a warm shower when the scrotal skin is relaxed, checking for lumps, swelling, or changes in consistency. Given his athletic lifestyle and frequent travel, self-awareness is key to maintaining preventive health.
8.
What is the most appropriate information to provide the caregivers of an 8-year-old child regarding safety?
- The child should walk to school alone to foster independence
- The child should eat a balanced diet for their overall health
- The child should be supervised during swimming activities
- The child should exercise regularly to maintain a healthy weight
Explanation
Correct Answer Is:
C. The child should be supervised during swimming activitiesExplanation
Water-related injuries and drowning remain a significant safety risk for school-aged children. Even though an 8-year-old may have basic swimming skills, they still require adult supervision to prevent accidents, fatigue, or unexpected emergencies. Emphasizing supervision during swimming directly addresses injury prevention and safety, which is the nurse’s primary focus. The other options promote health and development but are not immediate safety-specific interventions.
9.
Why should a nurse share their name, qualifications, and experience when first meeting a client?
- It helps the client understand the procedure being performed.
- It ensures the client knows when they will be discharged.
- It allows the client to ask questions about their medication.
- It builds trust and establishes professional credibility.
Explanation
Correct Answer Is:
D. It builds trust and establishes professional credibility.Explanation
Sharing name, qualifications, and experience helps establish a professional nurse–client relationship from the start. It reassures the client that the nurse is competent and qualified to provide care, which reduces anxiety and promotes openness. This introduction fosters trust, clarifies the nurse’s role, and encourages effective communication, all of which are essential for safe, respectful, and patient-centered nursing care.
10. A nurse is educating a client how to manage a new medication. Which action reflects the principle of pacing in communication?
- Using medical terminology to sound professional
- Speaking quickly to ensure the material is covered in one session
- Speaking slowly and clearly, pausing to check for understanding
- Following a scripted explanation of the medication
Explanation
Pacing in communication involves adjusting the speed and delivery of information to match the client’s ability to process it. Speaking slowly and clearly allows the nurse to gauge the client’s comprehension and provide opportunities for clarification. This approach fosters effective learning, enhances retention, and promotes a supportive, client-centered teaching environment.
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