Claywell Final Exam Part One

A drug is labeled 85 mg per 1.5 ml. If you are to prepare a 75 mg dose, how many ml will you give? Round your answer to the nearest tenth. (and don't forget to label your answer!)

1.3 mL

The physician orders a dose of 85 mg atenolol PO Q day. The pharmacy sends a bottle labeled 15 mg/3ml. How much will you give your patient? Don't forget to label your answer.

17 mL

The student is studying the history of nursing education. She is able to identify which nursing degree program as the first one in the United States for RNs? A. Diploma degree B. Master's degree C. Associate's degree D. Bachelor's degree

A. Diploma degree

A faculty member is discussing question types found on NCLEX. The faculty member knows that students need more teaching about question types if they select which question type? A. Essay B. Completing calculations C. Fill-in-the-blank D. Multiple choice

A. Essay

A patient is learning to improve her personal empowerment skills after going through a tough divorce. Which actions can she take to accomplish this? (Select all that apply.) A. Manage the work of success. B. Practice positive self-talk. C. Eliminate self-defeating behaviors. D. Develop an external locus of control. E. Manage good health.

A. Manage the work of success. B. Practice positive self-talk. C. Eliminate self-defeating behaviors. E. Manage good health.

A graduate nurse is preparing to take the NCLEX-RN exam. She knows that which self-care activities that will help her pass the exam? (Select all that apply.) A. Meditating, praying, or affirmations to improve stress. B. Studying all night before the exam. C. Consuming energy drinks to stay alert and focused. D. Getting adequate rest at night. E. Eating a balanced diet.

A. Meditating, praying, or affirmations to improve stress. D. Getting adequate rest at night. E. Eating a balanced diet.

A lab instructor is observing placement of a Foley catheter by a senior nursing student. If the student is in the active conceptualization phase of Kolb's Theory of Experiential Learning, what action can the lab instructor expect from the student? A. The student places the Foley catheter without assistance. B. The student verbalizes beginning to understand catheter placement. C. The student will need to observe placement before proceeding. D. The student assists the instructor in placing the catheter.

A. The student places the Foley catheter without assistance.

A struggling student admits that she is reading the same paragraph over and over when she tries to read the text. The instructor recognizes this as inhibitory to her comprehension of the material. Which suggestion could the instructor make to the student to help correct the situation? A. "Try putting your finger under the words one at a time." B. "If the words are a stumbling block, study them alone first, and then as you read, you will be less likely to stumble over them and regress." C. "Just keep trying. Maybe you need to read it over a few times to get it." D. "Maybe you are waiting too late at night to study. Try studying earlier in the day."

B. "If the words are a stumbling block, study them alone first, and then as you read, you will be less likely to stumble over them and regress."

A nurse who has been an LPN/LVN for 10 years is meeting with an advisor to discuss the possibility of taking classes to become an RN. The advisor interprets which statement by the nurse as the driving force for returning to school? A. "I'll have to rearranging my schedule." B. "There is a possibility of advancement into administration." C. "I'll need to schedule time to attend classes." D. "I'll have to budget for paying tuition."

B. "There is a possibility of advancement into administration."

A nursing student is learning about effective time management in her first semester of nursing school. Which action by the student indicates that she understands the first critical step? A. Prioritizing tasks in chronological order B. Assessing the reality of the complete situation C. Setting goals based on the desired outcome D. Prioritizing goals in order of simple to complex

B. Assessing the reality of the complete situation

The student understands that the LPN/LVN role differs from the RN role in many areas. She shows understanding when she can state that the LPN/LVN and RN are similar in which area? A. Assessment skills B. Basic psychomotor skills C. Educational preparation D. Thinking skills

B. Basic psychomotor skills

A student has just listened to a lecture on better strategies for studying. Which of the student's actions indicate understanding? (Select all that apply.) A. Begin to study the day before the exam. B. Create a conducive study area. C. Record the lectures and listen in your car. D. Wait until evening to study materials. E. Begin with the most difficult subjects.

B. Create a conducive study area. C. Record the lectures and listen in your car. E. Begin with the most difficult subjects.

There is a test on the cardiovascular system on Friday morning, and it is now Wednesday night. The student has already taken a vacation day from work Thursday night so that she can stay home and study. She is considering skipping her exercise class on Thursday morning to go to the library to prepare for the test. Which response best identifies the student's outcome priority? A. Avoiding work by taking a vacation B. Doing well on the test on Friday C. Exercise class D. Going to the library

B. Doing well on the test on Friday

The registered nurse takes on different care provider roles in the health care setting. Which roles could the nurse assume when caring for a patient who has just been diagnosed with cancer? (Select all that apply.) A. Durable medical power of attorney. B. Educator. C. Counselor. D. Advocate. E. Collaborator.

B. Educator. C. Counselor. D. Advocate. E. Collaborator.

A student has been out of school for a number of years. She is concerned that she may not be able to study effectively. What action can the student take that will increase her ability to focus on her studies? A. Stay up all night before tests to make sure she is proficient. B. Study with the TV off. C. Study for 1 hour a night. D. Study in a loud coffee shop.

B. Study with the TV off.

A nurse is working with a depressed youth on a psychiatric unit. She knows that her greatest strength is listening. The nurse's knowledge of herself describes: A. understanding. B. self-awareness. C. self-confidence. D. competence.

B. self-awareness.

A clinical instructor notices that one of her students worries a lot, expects negative outcomes for most situations, strives for perfection, and seems to look for the tiniest faults in her work. The clinical instructor interprets these behaviors as: A. self-directedness. B. self-defeating behaviors. C. commitment to learning. D. assuming an external locus of control.

B. self-defeating behaviors.

A student is preparing for an exam on the different role elements of an RN. She is prepared for the exam when she can state that all of the following are elements of the RN role except: A. counselor. B. therapist. C. collaborator. D. manager.

B. therapist.

A nursing advisor is meeting with a student who is interested in earning her RN degree. She knows that LPN/LVNs who enter nursing school to become RNs come into the learning environment with prior knowledge and understanding. Which statement by the nursing advisor best describes her understanding of the effect experience may have on learning? A. "Experience never makes learning more difficult." B. "Once something is learned, it can never be truly modified." C. "Experience may be a source of insight or a barrier." D. "Experience is usually a stumbling block for LPN/LVNs."

C. "Experience may be a source of insight or a barrier."

A nurse is trying to manage success in the workplace. Which action demonstrates that she understands key habits that must be developed and maintained? A. Avoid difficult tasks because they won't be done correctly. B. Blame others for lack of organization. C. Carefully list and organize the day's tasks. D. Complete a task over again because it wasn't done perfectly the first time.

C. Carefully list and organize the day's tasks.

A student has just completed an especially stressful week of work, class, and clinical. She decides that to help reduce stress, a treat of a really funny movie is in order. What kind of coping mechanism has this student chosen? (Select all that apply.) A. Adrenaline rush. B. Reframing. C. Distraction. D. Catharsis. E. Relaxation.

C. Distraction. E. Relaxation.

A first semester student is struggling in class and did not do well on her last exam. She has determined the problem to be her lack of skill in note-taking. What can the student do in order to take more effective notes during lecture? A. Write verbatim all that is said. B. Practice memorization in class instead of taking notes. C. Focus on writing key words and phrases. D. Photocopy someone else's notes.

C. Focus on writing key words and phrases.

A nursing professor is grading an assignment on self-defeating behavior. The professor can expect to find which statement written by the student who has a good understanding of perfectionism? A. Perfectionism is the only means by which we can truly improve. B. Perfectionism is a character flaw and cannot be addressed. C. Perfection is impossible to attain, and therefore constantly falling short of perfection leads to negative feelings and beliefs about oneself. D. Perfection is the ultimate goal, and it is not a self-defeating behavior to demand it of oneself.

C. Perfection is impossible to attain, and therefore constantly falling short of perfection leads to negative feelings and beliefs about oneself.

A student has a large reading assignment that must be completed in order to be prepared for the next class. Which action by the student would be ineffective in the planning process? A. Determine a study environment fitting your learning style. B. Divide the assignment into manageable chunks, and take notes as you read. C. Put off the assignment until later so more content is remembered. D. Examine your schedule to determine time frames for study sessions.

C. Put off the assignment until later so more content is remembered.

A student is a month into her LPN-RN program. She realizes that proper studying is key to success and passing the NCLEX-RN exam. What would be the most appropriate action for the student to take when it comes to studying? A. She should begin studying after graduation, so that she retains information better. B. She does not have to study for the exam at all; she will learn everything in class. C. She should begin studying at the beginning of her program. D. She should wait until she learns more about becoming an RN.

C. She should begin studying at the beginning of her program.

A nurse manager is discussing the RN's scope of practice with a new hire. Which statement, made by the new hire, is not true of the RN's scope of practice? A. "Scope of practice defines the responsibilities of nurses." B. "Scope of practice can be found in state nurse practice acts." C. "A nurse may be disciplined by the Board of Nursing for practicing beyond his or her scope of practice." D. "Scope of practice is legally defined by the American Nurses Association."

D. "Scope of practice is legally defined by the American Nurses Association."

A nurse manager is teaching a class about the different role elements of RNs. If she has an adequate understanding, she can state that a care provider is: A. "a nurse who seeks out new endeavors." B. "a nurse who seeks out positive changes in the best interest of his or her patients." C. "a nurse who medically manages patients." D. "an RN who carries out interventions that assist patients to meet positive outcomes."

D. "an RN who carries out interventions that assist patients to meet positive outcomes."

A student is trying to develop better study habits. She knows that for every hour of class, it is advised that she study for ______ hours. A. 4 to 5 B. 5 to 6 C. 3 to 4 D. 2 to 3

D. 2 to 3

A nurse is completing a history on a patient with role conflict. Which finding is consistent with role conflict? A. A patient feels less of a man after a leg amputation. B. A patient loses a job from the company's downsizing. C. A patient is unsure about job expectations in a fast-paced company. D. A patient has to travel for work and misses children's birthdays.

D. A patient has to travel for work and misses children's birthdays.

A lab instructor is preparing to teach a group of students. After reading questionnaires filled out by the students in her group, she notes that the students would best learn by reflective observation. What activity should the instructor plan so that the students have the best chance of success? A. Present the information in a lecture while students take notes. B. Present information and allow the students to be directly involved in a hands-on setting. C. Set up stations so that the students can try to "figure it out for themselves." D. Allow the students to observe a presentation.

D. Allow the students to observe a presentation.

A student is designing a study plan to prepare for NCLEX. The student analyzes testing processes and determines which goal is the best preparation process? A. Make flash cards to study lab values. B. Outline chapters for exams with a score of less than 80%. C. Review the medical surgical book 15 minutes each day for each disease process in the book. D. Answer 2500 to 3000 NCLEX-type questions before taking boards.

D. Answer 2500 to 3000 NCLEX-type questions before taking boards.

A nurse notices a posting for a management position for which she is qualified. If the nurse is in the moving phase of Lewin's Change Theory, which statement reflects the action she is most likely to take? A. Identifies that change is needed B. Settles into the routine of her job C. Does nothing to obtain the position D. Applies for the position

D. Applies for the position

Which function falls within the LPN/LVN's scope of practice? A. Selecting nursing diagnoses B. Setting goals, objectives, and outcomes C. Formulating the plan of care D. Collecting data

D. Collecting data

The charge nurse is creating assignments for the oncoming shift. She notices that today staffing consists of three RNs and one LPN. Which assignment would be most appropriate for the LPN? A. Possible stroke: needs anticoagulation therapy B. Dehydration: needs IVF boluses and IV antiemetics C. Acute MI: needs preparation for the catheter lab D. Flu-like symptoms: needs reassessment of vital signs every hour

D. Flu-like symptoms: needs reassessment of vital signs every hour

A nurse teaches a group of nursing students about nurse practice acts. Which information is most important to include in the teaching session about nurse practice acts? A. Protects the provider B. Protects the hospital C. Protects the nurse D. Protects the public

D. Protects the public

A nursing student knows that effective listening requires attention and preparation. What actions can she take to ensure that she is proficient? (Select all that apply.) A. Study independently during discussion time. B. No special attention or preparation is required. C. Read the material during class. D. Read over the assigned material before class begins. E. Actively engage in class discussion.

D. Read over the assigned material before class begins. E. Actively engage in class discussion.

The RN is performing an assessment on a patient being admitted for back pain. The nurse interprets which of the patient's statements as a minor detail? A. The patient reports being unable to walk. B. The patient was involved in a car accident 2 days ago. C. The patient has not been able to void in 12 hours. D. The patient ate 90% of his meal.

D. The patient ate 90% of his meal.

An RN is caring for a diabetic patient. The patient appears interested in changing her lifestyle and has been asking questions about eating better. The nurse can interpret this behavior as which stage of Lewin's Change Theory? A. Action B. Refreezing C. Moving D. Unfreezing

D. Unfreezing

A student exclaims, "I have to make a 100% on this test because anything less is just like failing in my book. I either know it or I don't and if I don't know it now, I never will." This student is obviously stressed, and the statements represent: A. positive coping mechanisms. B. acceptance of reality. C. awareness reduction. D. cognitive distortions.

D. cognitive distortions.

A patient comes to the emergency department with complaints of crushing chest pain that radiates down his left arm. While reviewing his health history with the RN, the patient states that he has been getting over a cold. He also has seasonal allergies and is allergic to peanuts. The nurse interprets the major detail for the patient's ER visit as the patient: A. is getting over a cold. B. has seasonal allergies. C. has a peanut allergy. D. is experiencing crushing chest pain.

D. is experiencing crushing chest pain.

A student must come back to the learning laboratory to repeat the skills check for insertion of a nasogastric tube. The instructor overhears the student saying, "I know I can do this, I know I can do this!" The instructor interprets this behavior as: A. perfectionism. B. blaming. C. a self-defeating behavior. D. positive self-talk.

D. positive self-talk.

A nursing student is giving a presentation on the different organizations that support nurses. She has an adequate understanding of the American Nurses Association when she states, "The American Nurses Association: A. evaluates and updates licensure exams." B. determines who is eligible to take the NCLEX exam." C. sets the guidelines for entrance into nursing programs." D. represents and advocates for nurses."

D. represents and advocates for nurses."

A nursing student is preparing for her first day of lecture. She knows that in order to succeed, she should: A. take notes from the book during lecture time. B. sit in the back of the class, next to her best friend. C. skip the first day of class and read the material at home. D. sit in the front of the room, away from distractions.

D. sit in the front of the room, away from distractions.

The RN understands that the National League for Nursing (NLN) delineates three professional roles of the associate degree nurse when she lists all of the following except: A. provider of care. B. member of profession. C. manager of care. D. team player.

D. team player.

Studies have found that students tend to answer questions at a slower pace as they proceed through exams. With this in mind, students should be aware of _____ during school exams as practice for the NCLEX-RN. A. the wording of each question B. which questions they answer first C. what their classmates are doing D. the amount of time they are spending on each question

D. the amount of time they are spending on each question