F.A Davis Chapters 1 - 7

A patient who is stressed cannot sleep. Which actions should the nurse take? Select all that apply. 1. Offer a back rub. 2. Provide a warm drink. 3. Listen to the patient's concerns. 4. Keep the patient awake. 5. Do not allow anyone to enter the room.

1. Offer a back rub. 2. Provide a warm drink. 3. Listen to the patient's concerns.

Which nurse would use the title LVN? 1. One practicing in Texas 2. One practicing in Vermont 3. One practicing in Wyoming 4. One practicing in Hawaii

1. One practicing in Texas

Which patient is most likely to be insured by Medicaid? 1. One who has a low income 2. One who is 75 years old 3. One who is in a severe vehicle accident 4. One who has a certificate of degree of Indian blood (CDIB)

1. One who has a low income

The nurse is interviewing a patient and states, "I will be asking you questions about the nausea and vomiting you have been having." This represents which stage of the interview process? 1. Opening 2. Closing 3. Body 4. Structure

1. Opening

The nurse is contributing data to the care plan from a primary source. Which source did the nurse use? 1. Patient 2. Nurse 3. Chart 4. Therapist

1. Patient

Which information should the nurse include in the shift report? Select all that apply. 1. Patient has a prosthetic leg. 2. Patient has private-pay insurance. 3. Patient is blind. 4. Patient had a dietary consult for gluten-free diet. 5. Patient has brown, thinning hair.

1. Patient has a prosthetic leg. 3. Patient is blind. 4. Patient had a dietary consult for gluten-free diet.

In which order would the nurse expect a patient to progress through the illness phases?

1. Prodromal 2. Symptomatic 3. Seeking help 4. Dependency 5. Recovery

Which would the nurse consider to effectively communicate and provide culturally sensitive patient care? Select all that apply. 1. Emotion 2. Language 3. Body position 4. Personal space

2. Language 4. Personal space

A nurse performs the following duties for a patient: gives a bath, provides whirlpool treatments, draws blood, and administers a breathing treatment. Which type of nursing care delivery is the nurse using? 1. Team nursing 2. Primary care nursing 3. Client-centered care 4. Case management

3. Client-centered care

The LPN/LVN reviews a patient's care plan. Which nursing diagnosis is the priority? 1. Caregiver role strain 2. Spiritual distress 3. Deficient fluid volume 4. Anxiety

3. Deficient fluid volume

Which action by the nurse indicates compliance with the Health Insurance Portability and Accountability Act (HIPAA)? 1. Informs the patient's nephew of the admission 2. Leaves the patient's chart open at the nurse's desk 3. Destroys handwritten notes about the patient's care 4. Discusses patient information with other students during lunch in the cafeteria

3. Destroys handwritten notes about the patient's care

The nurse updates a plan of care for a patient. Which is an example of a patient-centered goal? 1. Increase patient satisfaction 2. Reduce re-admission rates 3. Empower the patient 4. Receive a nurse recognition award

3. Empower the patient

The LPN/LVN reviews the nursing diagnosis written on the care plan: "Risk for infection related to a break in the skin." The phrase "a break in the skin" represents which component of the nursing diagnosis? 1. Signs and symptoms 2. Defining characteristics 3. Etiology 4. Problem

3. Etiology

The nurse asks a patient, "How are you feeling?" The patient states, "Fine." Which component of this exchange represents feedback in the communication process? 1. Nurse 2. Patient 3. "How are you feeling?" 4. "Fine."

4. "Fine."

The nurse is caring for a patient who just learned he or she has several months to live. Which response by the nurse is therapeutic? 1. "I think you should get a second opinion." 2. "Well, at least you have time to get things in order." 3. "I think it would be a mistake to get chemotherapy." 4. "I'm so sorry. This must be a shock."

4. "I'm so sorry. This must be a shock."

The nurse changes a dressing and observes a patient's wound has decreased in size. Where in a problem-oriented medical record would the nurse chart this information? 1. Database 2. Problem list 3. Plan of care 4. Progress notes

4. Progress notes

The nurse is collecting data from a patient who has a chronic illness. Which statements does the nurse expect to hear from this patient? Select all that apply. 1. "I have good days and bad days." 2. "Sometimes I go into remission." 3. "At times, my illness flares up bad." 4. "I'm so glad this surgery will fix me." 5. "My disease will be gone in a few weeks."

1. "I have good days and bad days." 2. "Sometimes I go into remission." 3. "At times, my illness flares up bad."

Which behaviors could cause an LPN/LVN to lose the right to practice as a nurse? Select all that apply. 1. Drinking alcohol at lunch while caring for patients 2. Secretly taking a patient's ring 3. Leaving the certified nursing assistants unattended 4. Taking an assigned break in the report room 5. Wearing wrinkled uniforms to work

1. Drinking alcohol at lunch while caring for patients 2. Secretly taking a patient's ring 3. Leaving the certified nursing assistants unattended

The licensed practical nurse/licensed vocational nurse is reinforcing teaching with a patient who is a member of a health maintenance organization (HMO). Which statement made by the patient would indicate that teaching has been effective? 1. "I should obtain prior authorization before a computed tomography scan is performed." 2. "I have a nurse that can make referrals for me." 3. "I will pay depending on how many times I see my primary care physician." 4. "I can decide if an appointment with an endocrine specialist is needed."

1. "I should obtain prior authorization before a computed tomography scan is performed." Test Taking Tip: The key phrase in this question is teaching has been effective. This is a clue to the nursing student that a correct statement by the patient is the right answer. An incorrect statement represents a misconception about an HMO, indicating that teaching has not been effective.

Which statement by the nurse indicates a correct understanding of charting? 1. "My charting can be used against me in a court of law." 2. "'Not charted, not done' is always true." 3. "Shortcuts are only used if time is short." 4. "I use several of my own abbreviations when charting."

1. "My charting can be used against me in a court of law."

Which accurately describes diagnosis-related groups (DRGs)? 1. A form of payment 2. A type of insurance 3. A form of nursing care delivery 4. A type of health-care setting

1. A form of payment

A patient needs inpatient care. Which settings are appropriate for this patient? Select all that apply. 1. Acute mental health-care hospital 2. Skilled nursing facility 3. Assisted living facility 4. Ambulatory surgery 5. Cardiac rehabilitation

1. Acute mental health-care hospital 2. Skilled nursing facility 3. Assisted living facility

Which behavior by the nurse represents professionalism? 1. Administers the wrong drug to a patient and tells the nurse in charge 2. Quickly suctions a patient while focusing solely on the skill to be performed 3. Tenderly cares for all patients in the exact same manner 4. Takes longer to return after breaks to relax and recharge himself or herself

1. Administers the wrong drug to a patient and tells the nurse in charge

Place the steps of the nursing process in order.

1. Assessment 2. Diagnosis 3. Planning 4. Implementation 5. Evaluation Rationale: Think ADPIE

The nurse is providing immunizations to pediatric patients in a children's clinic. Which Healthy People 2030 goal is the nurse primarily helping to meet? 1. Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death 2. Achieve health equity, eliminate disparities, and improve the health of all groups 3. Create social and physical environments that promote good health for all 4. Promote quality of life, healthy development, and healthy behaviors across all life stages

1. Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death

The LPN/LVN is assisting the RN in preparing a presentation over the fight-or-flight response for the nursing staff. The LPN/LVN would contribute which structures that dilate in the response? Select all that apply. 1. Bronchial airways 2. Skin blood vessels 3. Central blood vessels 4. Pupils 5. Extremities

1. Bronchial airways 3. Central blood vessels 4. Pupils

What are the steps to becoming a licensed practical/vocational nurse in the correct order from beginning to end?

1. Complete nursing education program 2. Submit application to National Council of the States Boards 3. Pass the NCLEX-PN 4. Apply for licensure

The nurse observes that an ancillary staff member does not wear personal protective equipment correctly when providing care for a patient who requires transmission-based isolation. Place the steps of the assertive communication method, which would be used to approach this situation, in the correct order.

1. Describe 2. Explain 3. State 4. Consequences

Which pathways can be used to enter nursing? Select all that apply. 1. Diploma program 2. Associate degree program 3. Licensed practical/vocational nurse program 4. Career ladder nurse program 5. Baccalaureate degree program

1. Diploma program 2. Associate degree program 3. Licensed practical/vocational nurse program 5. Baccalaureate degree program

A nurse is caring for a patient who has a headache. The nurse needs to notify a health-care provider (HCP) to obtain a pain medication prescription for acetaminophen. Which team members are qualified to write the prescription? Select all that apply. 1. Doctor of Osteopathy 2. Physical therapist 3. Physician's assistant 4. Registered nurse 5. Nurse practitioner

1. Doctor of Osteopathy 3. Physician's assistant 5. Nurse practitioner Test Taking Tip: The key phrase in the question is qualified to write the prescription. Only certain members of the health-care team can write orders/prescriptions. These team members include doctors, physician's assistants, and nurse practitioners.

The LPN/LVN is working in home health. Which action should the nurse take? 1. Document how the patient is progressing in follow-up visits. 2. Complete the Outcome and Assessment Information Set (OASIS). 3. Make the first home visit. 4. Perform the initial assessment.

1. Document how the patient is progressing in follow-up visits.

A patient tells the nurse, "I am leaving the hospital and firing my doctor. I have been here three days, and no one knows what's wrong with me." The nurse presents the form below. Which purpose does the form fulfill? 1. Documents that leaving is against medical advice. 2. Terminates the patient physician relationship. 3. Negates the possibility of a lawsuit by the patient. 4. Alleviates the patient of financial responsibility.

1. Documents that leaving is against medical advice.

The nurse helps a patient to perform wound care at home, allowing the patient to achieve self-care. Which theorist's model is the nurse using? 1. Dorothea Orem 2. Margaret Newman 3. Jean Watson 4. Callista Roy

1. Dorothea Orem (Dorothea Orem developed the self-care deficit nursing theory. This theory explains that nursing care is required when people are not able to care for themselves and that the goal of care is to help patients attain total self-care)

The LPN/LVN tells the unlicensed assistive personnel to have a patient's complete bed bath done by 0900 and to report any skin problems. Which types of communication did the nurse use? Select all that apply. 1. Downward 2. Upward 3. Job instructions 4. Aggressive 5. Job rationale

1. Downward 3. Job instructions

Which actions would the nurse take before suctioning a patient who is having problems swallowing? Select all that apply. 1. Gather supplies for the procedure. 2. Identify patient using one method of identification. 3. Explain the procedure to the patient. 4. Lower the bed to its lowest height to reduce falls. 5. Research the procedure on the Internet before performing it for the first time on a patient.

1. Gather supplies for the procedure. 3. Explain the procedure to the patient.

Which patient finding will alert the LPN/LVN to notify the RN? 1. Has had a nagging cough for several weeks 2. Has a brown mole that has not changed in size 3. Is stressed about an upcoming diagnostic test 4. Is anxious and has a slight increase in pulse Is anxious and has a slight increase in pulse

1. Has had a nagging cough for several weeks

The LPN/LVN is being evaluated by the charge nurse. Which finding about the LPN's/LVN's appearance indicates the charge nurse will need to intervene? 1. Has professionally painted, long fingernails 2. Has tattoos on the shoulder that remain covered 3. Hair is long and pulled back 4. Deodorant is worn every day

1. Has professionally painted, long fingernails Test Taking Tip: The key phrase in this question is needs to intervene. This phrase indicates an unprofessional appearance is the correct answer. A charge nurse does not need to intervene if professional appearance is appropriate; however, the charge nurse needs to intervene if the appearance is unprofessional (long fingernails).

Which organizations can LPN/LVN students join? Select all that apply. 1. Health Occupations Students of America 2. Board of nursing 3. Nurses Associated Alumnae of the United States 4. Quality and Safety Education for Nurses 5. National Association of Licensed Practical Nurses

1. Health Occupations Students of America 5. National Association of Licensed Practical Nurses

The nurse is observing a patient's score of the "newest vital sign." What is the nurse reviewing? 1. Health literacy 2. Pain level 3. Oxygen saturation 4. Apical pulse

1. Health literacy

A patient who has an abdominal wound needs a special diet and is being discharged today. The patient lives alone and has arthritis. The patient reports that he cannot afford the dressing supplies and that he does not feel confident he can change the dressing correctly. Which health-care team members does the licensed practical nurse/licensed vocational nurse expect to be consulted? Select all that apply. 1. Home health nurse 2. Medical social worker 3. Registered dietitian 4. Speech and language therapist 5. Respiratory therapist

1. Home health nurse 2. Medical social worker 3. Registered dietitian

The nurse is providing care to a patient with urinary retention (problems urinating). Which dependent interventions might the nurse expect to perform? Select all that apply. 1. Insert a Foley catheter. 2. Administer a diuretic. 3. Monitor intake and output. 4. Place patient in a sitting position when trying to urinate. 5. Obtain a clean-catch urine sample.

1. Insert a Foley catheter. 2. Administer a diuretic. 5. Obtain a clean-catch urine sample.

The licensed practical nurse/licensed vocational nurse is working with a registered nurse to verify medical necessity. Which situations would the nurse expect the insurance company to deny? Select all that apply. 1. Insertion of buttock implants to increase size 2. Draining of an infected buttock wound 3. Using liposuction to reduce buttock size 4. Injection of buttocks with hydrogel for increased firmness 5. Applying skin grafts to a severe pressure ulcer on the buttocks

1. Insertion of buttock implants to increase size 3. Using liposuction to reduce buttock size 4. Injection of buttocks with hydrogel for increased firmness Test Taking Tip: The key word for the question is deny. This is a hint that the nursing student must choose an answer that is NOT a medical necessity, such as examples of cosmetic surgery.

The nurse listens to a patient's lungs with a stethoscope. In which personal space-distance zone did the nurse provide care? 1. Intimate 2. Casual-personal 3. Social-consultative 4. Public

1. Intimate

In which order should the nurse conduct the interview process?

1. Introduce self to the patient 2. Explain the purpose of the interview 3. Ask questions and obtain answers from the patient 4. Thank patient for participating

Which are important characteristics for a nurse to have? Select all that apply. 1. Is responsible 2. Makes patients laugh 3. Tells the truth 4. Has a caring attitude 5. Is organized

1. Is responsible 3. Tells the truth 4. Has a caring attitude 5. Is organized

In which order would the nurse expect a patient to progress through the general adaptation syndrome (GAS)?

1. Learns about a family member's car wreck 2. Experiences fight-or-flight response 3. Patient's body works hard to resist stress 4. Patient's body becomes exhausted

Which information should the nurse include in a change-of-shift report? Select all that apply. 1. Lungs clear bilaterally with no cough. 2. Oh, I forgot, the blood pressure is continuing to rise. 3. You should see what the patient's mother is wearing. 4. Chest x-ray indicates tuberculosis. 5. Patient uses a walker.

1. Lungs clear bilaterally with no cough. 2. Oh, I forgot, the blood pressure is continuing to rise. 4. Chest x-ray indicates tuberculosis. 5. Patient uses a walker.

What must the two nurses be prepared to do during this end-of-shift report to meet Health Insurance Portability and Accountability Act (HIPAA) regulations? 1. Maintain confidentiality 2. Promote trust 3. Chart report on the computer 4. Verify insurance status together

1. Maintain confidentiality

A nurse is describing for new staff members the factors in health-care delivery that are influenced by economics. Which two major factors would the nurse include to reinforce this assertion? Select all that apply. 1. Medical necessity 2. Capitation 3. Point-of-Service plan (POS) 4. Preferred Provider Organization (PPO) 5. Appropriate level of care

1. Medical necessity 5. Appropriate level of care

The nurse is collecting data from a patient who is waiting on a biopsy report to confirm cancer. Which finding would increase the patient's stress level? 1. Not sleeping well 2. Praying 3. Meditating 4. Saying "no" to certain activities

1. Not sleeping well

A patient who suffered a stroke needs to learn to eat again. Which health-care team member would be consulted? 1. Occupational therapist 2. Pathologist 3. Radiologic technologist 4. Phlebotomist

1. Occupational therapist

The nurse is reinforcing teaching to nursing students about the purposes of documentation. Which information would the nurse include? Select all that apply. 1. Provides continuity of care 2. Obtains reimbursement for care 3. Provides a temporary record of medical care 4. Serves as a record for quality assurance 5. Serves as a legal record

1. Provides continuity of care 2. Obtains reimbursement for care 4. Serves as a record for quality assurance 5. Serves as a legal record

A health-care provider must determine if a pediatric patient's x-ray indicates a fractured bone. Which health-care team member should be consulted? 1. Radiologist 2. Radiologic technologist 3. Medical laboratory technologist 4. Medical technician

1. Radiologist

Which safety measures should the nurse take during implementation? Select all that apply. 1. Read the patient's armband and ask the patient to state name and birthdate. 2. Rely on what the RN says is ordered . 3. Have another staff nurse "talk them through" the skill while in the patient's room. 4. Refer to facility procedures if unsure about a skill. 5. Continue to observe the patient for any problems.

1. Read the patient's armband and ask the patient to state name and birthdate. 4. Refer to facility procedures if unsure about a skill. 5. Continue to observe the patient for any problems.

The LPN/LVN is assisting the RN with a health literacy assessment of a patient. The LPN/LVN would help collect data for which patient ability? 1. Reading an ice cream label 2. Describing the wellness-illness continuum 3. Describing how to change the dressing 4. Reading a blood pressure level

1. Reading an ice cream label

The nurse is aware that it is important to remain current and up-to-date in order to be a safe practitioner. Which sources are best for the nurse to select to obtain and review clinical information? Select all that apply. 1. Reading current nursing journals on a regular basis 2. Joining and participating in professional nursing organizations 3. Researching nursing topics and health-care issues on profesisonal websites 4. Learning best practice concepts from senior nurses in the facility 5. Staying up-to-date with published Board of Nursing meeting reports

1. Reading current nursing journals on a regular basis 2. Joining and participating in professional nursing organizations 3. Researching nursing topics and health-care issues on profesisonal websites 5. Staying up-to-date with published Board of Nursing meeting reports

The LPN/LVN notices on the plan of care for a patient who has fibromyalgia the following goal: Decrease stress level by discharge. What is the purpose of this goal? 1. Reduce exacerbations 2. Reduce adaptation 3. Reduce homeostasis 4. Reduce remissions

1. Reduce exacerbations

A young child who is drinking from a cup is admitted to the nursing unit. The child starts to want a bottle at night. Which defense mechanism is the child using? 1. Regression 2. Repression 3. Projection 4. Rationalization

1. Regression

The nurse is caring for a patient who was in a motorcycle accident. The patient is stable and progressing as expected but will require extensive physical therapy for the lower extremities. Which facility does the licensed practical nurse/licensed vocational nurse (LPN/LVN) expect the health-care provider will recommend for this patient? 1. Rehabilitation facility 2. Long-term acute care hospital (LTACH) 3. Detoxification unit 4. Ambulatory care clinics

1. Rehabilitation facility

Place the sequence of the communication process in the correct order.

1. Sender 2. Information 3. Receiver 4. Feedback

The nurse manager is concerned about possible violations of the Health Insurance Portability and Accountability Act (HIPAA) on the unit. Which nursing staff behaviors would the nurse manager address as a HIPAA violation? Select all that apply. 1. Shift notes are torn up into small pieces and placed in the trash can. 2. Phone updates about the patient's condition are not provided. 3. Family members are escorted to a private area where questions can be answered without the patient's knowledge. 4. Information is shared with another nurse who knows the patient from church. 5. A computer screen in a patient's room is turned off after the nurse leaves.

1. Shift notes are torn up into small pieces and placed in the trash can. 3. Family members are escorted to a private area where questions can be answered without the patient's knowledge. 4. Information is shared with another nurse who knows the patient from church.

Each state has a Board of Nursing. Of which function of a state's Board of Nursing should the nurse be aware? Select all that apply. 1. Takes disciplinary action against nurses who do not follow the state's Nurse Practice Acts 2. Manages the process of acquiring and maintaining licensure for nurses 3. Determines the pay ranges for nurses in the different patient care settings 4. Regulates the practice of nursing and of nursing education 5. Authorize a nursing student to take the NCLEX Exam

1. Takes disciplinary action against nurses who do not follow the state's Nurse Practice Acts 2. Manages the process of acquiring and maintaining licensure for nurses 4. Regulates the practice of nursing and of nursing education

Which strategies would the nurse use when communicating with a patient who has receptive aphasia? Select all that apply. 1. Talk slowly. 2. Speak in a normal tone of voice. 3. Be respectful. 4. Correct the patient if he or she uses swear words. 5. Use long sentences.

1. Talk slowly. 2. Speak in a normal tone of voice. 3. Be respectful.

A patient asks the nurse, "Can my partner stay even though visiting hours are over?" The nurse is unsure of how to respond, and the situation escalates. Put in the correct order to whom the nurse will speak in accordance with upward communication.

1. Team leader 2. Unit manager 3. Shift supervisor 4. Senior supervisor

The nurse is on an airplane when another passenger becomes short of breath. The flight attendant asks for assistance from anyone with medical training. When the nurse's traveling companion suggests that the nurse assist, the nurse states, "I am not risking legal repercussions in this setting." Which should the nurse consider? 1. The Good Samaritan Law will protect the nurse. 2. Refusing assistance is the same as abandonment. 3. The nurse has a professional obligation to assist. 4. The nurse is covered by the airline's insurance.

1. The Good Samaritan Law will protect the nurse.

A patient is reluctant to exercise both hands. The nurse discovers that the patient likes to knit. The nurse allows the patient to knit to exercise both hands. What did the nurse demonstrate? 1. The art of nursing 2. The science of nursing 3. The knowledge of nursing 4. The culture of nursing

1. The art of nursing (The art of nursing describes the caring, creativity, communication, and compassion necessary to connect with patients in a meaningful way) Test Taking Tip: The nurse used creativity to get the patient to exercise. This demonstrates the art of nursing. "Art" implies artistic, which involves creativity. Science and knowledge imply thinking skills. Culture implies social issues, such as customs and beliefs.

The nurse believes that a health-care provider is committing sexual harassment. Which behaviors will the nurse include when filing a complaint? Select all that apply. 1. The health-care provider looks at the nurse from head to toe whenever they come in contact. 2. The health-care provider tells the nurse jokes containing sexual content and references to body parts. 3. The health-care provider sits in the nurse's station while writing orders for patients. 4. The health-care provider continually touches the nurse during conversations and patient rounds. 5. The health-care provider always teases the nurse in front of coworkers and patients.

1. The health-care provider looks at the nurse from head to toe whenever they come in contact. 2. The health-care provider tells the nurse jokes containing sexual content and references to body parts. patients. 4. The health-care provider continually touches the nurse during conversations and patient rounds. 5. The health-care provider always teases the nurse in front of coworkers and patients.

A nurse educator is preparing a presentation for the staff nurses about liability. Which part of the presentation will the nurse educator plan to emphasize the most? 1. The necessity for the nurse to develop a trusting relationship with each patient 2. The reasons why each nurse should carry individual practice insurance 3. The fact that nurses are constantly making decisions that affect patients' lives 4. The importance of understanding the laws and ethics of nursing

1. The necessity for the nurse to develop a trusting relationship with each patient

Which describes how a nurse may provide care using Betty Neuman's theory? 1. Treats the patient using general systems theory 2. Bases patient care on cultural diversity 3. Focuses interventions on the human-universe-health process 4. Emphasizes expanding consciousness of the patient

1. Treats the patient using general systems theory (Neuman systems model is based on general systems theory (a nonnursing theory) and reflects the nature of living organisms as open systems)

The LPN/LVN has an evaluation meeting with the nursing supervisor. Which type of communication occurred for the LPN/LVN? 1. Upward 2. Downward 3. Assertive 4. Passive

1. Upward Rationale: Upward communication is the interaction with those in authority over the nurse and is formal by nature.

A transgender patient is admitted with leg pain. Which question would be appropriate for the nurse to ask? 1. What happened to make you come to the hospital today? 2. What made you want to change gender? 3. Are you sure this is the gender you want to be for the rest of your life? 4. Do you have a boyfriend?

1. What happened to make you come to the hospital today?

The nurse is asked how often the goals and objectives are revised for Healthy People. How many years should the nurse reply? Record answer as a whole number.

10 Rationale: The goals and objectives for Healthy People are revised every 10 years.

A nurse receives a telephone prescription to infuse a lactated Ringer's solution at 80 mL/hr for 12.5 hours. The nurse is correct by verifying with the practitioner that the patient is to receive ________ mL in 12.5 hours. Enter the numerical only.

1000 Rationale: Multiply 80 mL/hr with 12.5 to determine the total amount of IV fluid that will be infused

The nurse turns a patient at 7:30 p.m. How would the nurse chart the time in military time? Enter the numeral only. Do not enter the unit.

1930

The nurse tells the unit manager, "I am not sure where to get my mandatory continuing education hours." Which sources can the nurse manager suggest to the nurse? 1. "Take any college courses; they always count. " 2. "Attend the programs offered by the hospital." 3. "Subscribe to and reand nursing journals" 4. "Research nursing topics on your own."

2. "Attend the programs offered by the hospital."

The nurse reinforces teaching with a patient about coping strategies for stress. Which statement by the patient indicates a correct understanding of the teaching? 1. "I will exercise intermittently." 2. "I am going to clean out my closet this week." 3. "I will take shallow breaths to relax." 4. "I am going to work rather than camp with my family."

2. "I am going to clean out my closet this week."

The nurse is collecting data from a patient. Which statements indicate to the nurse that the patient is stressed? Select all that apply. 1. "My heart seems to slow way down." 2. "I seem to be getting a lot of headaches lately." 3. "I find it hard to make decisions." 4. "I talk to my spouse about everything." 5. "My ability to sleep is awful."

2. "I seem to be getting a lot of headaches lately." 3. "I find it hard to make decisions." 5. "My ability to sleep is awful."

Which statement by the nurse indicates a correct use of the wellness-illness continuum? 1. "I focus just on the patient's physical well-being or illness when using this scale." 2. "The patient's spiritual wellness or illness can be placed on the scale." 3. "The patient's score on the scale will not change in one day." 4. "I realize that a patient's score with a chronic illness will be low on the scale."

2. "The patient's spiritual wellness or illness can be placed on the scale."

The nurse works in a pediatric surgical unit. The health-care provider is acquiring a consent form for surgery on an underage patient. As a witness, the nurse recognizes that which of the following adults could sign the consent for the child? Select all that apply. 1. A stepparent to the patient 2. A parent of the patient 3. A grandparent with custody 4. A day-care provider 5. A sibling of the patient

2. A parent of the patient 3. A grandparent with custod

Which situations will cause the nurse to complete an incident report? Select all that apply. 1. The nurse administered 500 mg of acetaminophen and 500 mg of acetaminophen was ordered. 2. A patient fell during ambulation. 3. A visitor fainted in the lobby. 4. A new medication was ordered 2 days ago and is just being administered now. 5. A patient spilled hot coffee on the chest.

2. A patient fell during ambulation. 3. A visitor fainted in the lobby. 4. A new medication was ordered 2 days ago and is just being administered now. 5. A patient spilled hot coffee on the chest.

Which technique can the nurse use to facilitate communication with a patient on a ventilator? 1. Place the patient in a side-lying position. 2. Ask "Are you in pain?" 3. Speak softly into the good ear. 4. Stand in front of the patient.

2. Ask "Are you in pain?"

The nurse is caring for a patient scheduled for surgery. The nurse overhears the nursing assistant tell the patient, "My mother suffered terribly and died after this same surgery. You better think about it." Which is the nurse's first action? 1. Plan an in-service program about ethics. 2. Ask the patient to share questions and concerns. 3. Inform the health-care provider that the patient may reconsider surgery. 4. Report the UAP's behavior to the nurse manager.

2. Ask the patient to share questions and concerns.

The nurse is interviewing a patient about nausea. The patient constantly talks about the possible causes of the nausea. Which response would the nurse make? 1. Nod head and continue to listen 2. Ask, "What have you tried to relieve the nausea?" 3. Say, "I just need the most important facts." 4. Reply, "Thank you for your time."

2. Ask, "What have you tried to relieve the nausea?"

A patient with no chronic illnesses or major disability needs help with bathing, dressing, and taking medications; the patient also needs meals provided. Which residential care facility does the licensed practical nurse/licensed vocational nurse (LPN/LVN) expect will be recommended by the health-care provider as the best fit for this patient? 1. Long-term care facility 2. Assisted living facility 3. Memory care facility 4. Independent living facilities

2. Assisted living facility Test Taking Tip: Even though best is bolded, there are two key phrases in the question: no chronic illnesses or major disabilities and needs help with bathing, dressing, and taking medications. These are clues that intensive long-term care, memory care, and independent care are not needed.

A nursing student has finished 2 years of general education courses and is now taking nursing courses at a university. Which educational program is the nursing student enrolled in? 1. Diploma 2. Baccalaureate 3. Master's 4. Associate's

2. Baccalaureate

The nurse is interviewing a patient and asks, "When did the abdominal pain start?" After the patient answers, the nurse asks, "What did you do to relieve the pain?" Which stage of the interviewing process does this represent? 1. Structure 2. Body 3. Closing 4. Opening

2. Body

Which actions indicate the nurse understands narrative charting? Select all that apply. 1. Charts by exception 2. Charts in chronological order 3. Charts from admission to discharge 4. Charts using the acronym SOAP 5. Charts without the use of medical abbreviations or acronyms

2. Charts in chronological order 3. Charts from admission to discharge 5. Charts without the use of medical abbreviations or acronyms

Upon checking a patient's history, the nurse discovers that the patient lives by a large factory area, mines coal for a living, and is 15 miles from the nearest hospital. Which leading health indicator is a priority? 1. Access to health services 2. Environmental quality 3. Nutrition, physical activity, and obesity 4. Mental health

2. Environmental quality

The LPN/LVN works with the nurse to find research articles to find the best method of treating a wound. The nurse and LPN/LVN describe the methods to the health-care provider and the patient. The group decides on one method. Which process did the nurse and the LPN/LVN use? 1. Safety 2. Evidence-based practice 3. Informatics 4. Being honest

2. Evidence-based practice (Nurses should use evidence-based practice (EBP) as a problem-solving approach to delivering health care. This approach uses the best evidence from nursing research studies and patient care data. It also considers the patient's preferences and values)

A patient is angry and is insisting on going home even though multiple therapies are in place. The nurse calls the health-care provider and requests a sedative to help calm the patient. Which tort may the nurse be guilty of if the patient is medicated under these conditions? 1. Chemical restraining 2. False imprisonment 3. Battery 4. Assault

2. False imprisonment

Which term should the nurse use when a patient's internal environment of the body is in balance? 1. Adaptation 2. Homeostasis 3. Continuum 4. Stress

2. Homeostasis

A patient becomes stressed after being diagnosed with a life-threatening disease. When collecting data from this patient which signs and symptoms does the nurse expect? Select all that apply. 1. Constricted pupils 2. Increased heart rate 3. Increased respiratory rate 4. Decreased saliva production 5. Increased peristalsis

2. Increased heart rate 3. Increased respiratory rate 4. Decreased saliva production

A nurse is using a scanning tool to administer medication correctly to a patient. Which area of the Quality and Safety Education for Nurses (QSEN) project best represents the nurse's action? 1. Teamwork and collaboration 2. Informatics 3. Client-centered care 4. Scope of practice

2. Informatics (This best reflects the nurse's actions. Informatics emphasizes the use of technology to communicate, manage data, and prevent errors, especially regarding technology used in medication administration) Test Taking Tip: If a word is bolded, this is a clue to the nursing student that it is important to pay attention to the word or phrase. Best implies that several answers may work, but there is only one best overall answer. Only look at the information presented in the scenario to obtain the best answer.

Which type of nursing education would be appropriate for a person who would like to be employed in the shortest amount of time? 1. Associate degree program 2. Licensed practical/vocational program 3. Diploma program 4. Baccalaureate program

2. Licensed practical/vocational program (9 months-1 year) Test Taking Tip: The key word in the question is shortest. LPN/LVN education is the shortest and will allow quicker entry into the work force, whereas the other options take longer.

The nurse is using the ISBARR to report a patient problem to the health-care provider. Which information should the nurse include for the B? 1. Dr. Smith, this is Mary Jones, LPN, at Lakeview Hospital. 2. Mr. Allan is having chest pain that is not relieved by medication. 3. The patient's O2 sats are 86% and pulse is 54 and irregular. Skin is clammy. 4. Would you like an ECG done and cardiac enzymes drawn?

2. Mr. Allan is having chest pain that is not relieved by medication.

The nurse is caring for a patient in the hospital for injuries related to domestic abuse. The patient fears that their abusing spouse will try to hurt them while in the hospital. Which precaution shared by the nurse will provide the patient with the greatest sense of safety? 1. The hospital must abide by the Health Insurance Portability and Accountability Act (HIPAA). 2. No one in the hospital can give information about the patient or even confirm that the patient is there. 3. Health care personnel in general will not have access to information about the patient. 4. If the situation escalates, the police can be called to assist.

2. No one in the hospital can give information about the patient or even confirm that the patient is there.

The LPN/LVN works in the emergency department (ED) and is caring for a preschool-age patient with a head laceration and bruising on the body. The patient refuses to sit down because "it hurts." The patient's medical record indicates multiple visits to the ED and several broken bones. Which action would the LPN/LVN take? 1. Talk to the patient alone to gather information. 2. Notify the RN in charge of suspected child abuse. 3. Question the parents about the patient's injuries. 4. Call the local police about a case of child abuse.

2. Notify the RN in charge of suspected child abuse.

Which expected outcome would the nurse most likely observe written in a patient's care plan? 1. Patient's vital signs will be taken every 4 hours until discharge. 2. Patient will rate pain level at a 2 or below by discharge. 3. Patient will have a good understanding of diagnosis by discharge. 4. Patient will lose weight by discharge.

2. Patient will rate pain level at a 2 or below by discharge.

Which information that the nurse gives in report is objective? 1. Patient has severe stomachache. 2. Patient's blood pressure is 120/70 mm Hg. 3. Patient is apprehensive about surgery. 4. Patient likes grapefruit juice.

2. Patient's blood pressure is 120/70 mm Hg.

A patient needs to improve the range of motion of a knee joint after knee replacement surgery. Which health-care team member should the licensed practical nurse/licensed vocational nurse expect to be included in the plan of care? 1. Occupational therapist (OT) 2. Physical therapist (PT) 3. Respiratory therapist (RT) 4. Speech and language therapist (ST)

2. Physical therapist (PT)

A patient has a fever. Which independent intervention can the nurse implement? 1. Administer acetaminophen every 4 hours. 2. Place a cool washcloth on the patient's forehead. 3. Start intravenous (IV) fluids for hydration. 4. Obtain blood cultures to determine the cause of fever.

2. Place a cool washcloth on the patient's forehead.

The LPN/LVN is assisting the RN who is writing long- and short-term goals. Which step of the nursing process are the nurses working on? 1. Assessment 2. Planning 3. Evaluation 4. Diagnosis

2. Planning

A nurse is collecting data on how long it takes before the call light is answered to enhance responsiveness on the surgical unit. The average time is 45 seconds. Which area of the Quality and Safety Education for Nurses (QSEN) project is the nurse performing? 1. Patient-centered care 2. Quality improvement 3. Informatics 4. Teamwork and collaboration

2. Quality improvement

The nurse in a hospital emergency department (ED) is caring for a patient diagnosed with Ebola. The hospital director does not want news of the disease to become public and requests the illness not be reported to any outside sources. Which decision would the nurse make? 1. Remind the director that the Centers for Disease Control and Prevention (CDC) should be notified. 2. Report the disease to the CDC in compliance with the statute that requires mandatory reporting. 3. Follow the director's instructions in order to avoid being fired or disciplined. 4. Discuss the situation with coworkers and agree to go along with the majority's decision.

2. Report the disease to the CDC in compliance with the statute that requires mandatory reporting.

Which information would the nurse include in the A component of the ISBARR for a patient experiencing shock (decreased blood pressure)? 1. We will increase the IV fluids to 200 mL/hr as ordered. 2. Skin is moist, cool, and pale. 3. The patient was admitted with dehydration. 4. Do you want us to increase the IV fluids?

2. Skin is moist, cool, and pale.

The nurse instructs a patient about health education topics before hospital discharge. Which therapeutic communication technique would the nurse utilize? Select all that apply. 1. Offering self 2. Summarizing 3. Using silence 4. Using reflection 5. Giving information

2. Summarizing 3. Using silence 5. Giving information

A patient just learned emergency surgery is needed. The nurse notices the patient's heart and respiratory rate increase. The nurse suspects which nervous system was primarily stimulated in this fight-or-flight response? 1. Parasympathetic 2. Sympathetic 3. Central 4. Spinal nerves

2. Sympathetic

Which insurance plan would the nurse most likely observe in the chart of a patient who is a retired army sergeant? 1. Shriners 2. TRICARE 3. Robert Wood Johnson Foundation 4. Concierge medicine

2. TRICARE

A nursing unit is having problems communicating and working as a team, which is negatively affecting patient care. Which evidence-based program could the nursing unit use to improve care? 1. Quality and Safety Education for Nurses (QSEN) 2. Team STEPPS 3. TRICARE 4. CHAMPVA

2. Team STEPPS

A patient who requires emergency surgery after a serious accident is unconscious and has no identification. Which action should the nurse expect to occur first? 1. The hospital will contact the police to help identify the patient. 2. The patient will be prepared for surgery because of an immediate need. 3. A judge will be contacted for a court order to provide the patient with care. 4. A picture will be televised to determine if anyone can identify the patient.

2. The patient will be prepared for surgery because of an immediate need.

The nurse is beginning care with a patient who was just admitted with stroke. What is essential for the nurse to develop in the nurse-patient relationship? 1. Humor 2. Trust 3. Encouragement 4. Intellect

2. Trust

The nurse is caring for a resident in a long-term care facility. Which action would the nurse take when charting care about this resident? 1. Sign just the last entry on the page. 2. Use a specific time for each entry. 3. Write in pencil in case there are changes later. 4. Chart the procedure before it is done.

2. Use a specific time for each entry.

The LPN/LVN observes a patient pacing and believes the patient is anxious. Which initial action would the nurse take? 1. Inform the registered nurse. 2. Validate findings with the patient. 3. Notify the primary health-care provider. 4. Document the findings in the patient's chart.

2. Validate findings with the patient.

Which action demonstrates the science of nursing? 1. Listens to the patient's fears about the heart monitor 2. Watches the patient's heart monitor for changes 3. Decreases the patient's anxiety while applying the heart monitor 4. Sits with the patient after applying the heart monitor

2. Watches the patient's heart monitor for changes Test Taking Tip: The key phrase in the question is the science of nursing. Science implies thinking, knowledge, equipment, and decision making, whereas art implies artistic, which deals with the emotional side.

Fitzpatrick's Rhythm Model includes which nursing areas? Select all that apply. 1. Nursing research 2. Wellness promotion 3. Attentive treatment 4. Restorative care 5. Informatics

2. Wellness promotion 3. Attentive treatment 4. Restorative care

Which patient findings would the nurse classify as verbal communication? Select all that apply. 1. Nodding head 2. Writing a note 3. Reporting pain 4. Frowning 5. Pointing to wound

2. Writing a note 3. Reporting pain

A nurse is discussing the Affordable Care Act. A nurse is asked until what age a child can stay on his or her parents' insurance policy. How should the nurse respond? Enter answer as a whole number.

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Starting with the earliest event, place the events of nursing history in correct sequence. 1 First training program established for practical nurses 2 All states required practical nurses to be licensed 3 Nursing care provided by family members and male priests 4 First nursing school established in Kaiserworth, Germany

3, 4, 1, 2

The nurse is caring for a patient who says "I am so scared I might have cancer." Using an open-ended statement, how should the nurse respond? 1. "What can I do to help you?" 2. "You're frightened about having cancer?" 3. "Tell me more about how you are feeling." 4. "Have you thought about looking into a cancer center?"

3. "Tell me more about how you are feeling."

A meeting is called with the hospital's ethics committee. Which situation does the nurse identify as an ethical dilemma? 1. An older adult patient is refusing food and fluid according to the patient's advance directive. 2. The parents of a child with a rare condition want to transfer the patient to a specialty hospital. 3. A family requests life support for a brain-dead patient who is six months pregnant until the fetus is viable. 4. The patient with stage IV colon cancer is refusing all medical interventions.

3. A family requests life support for a brain-dead patient who is six months pregnant until the fetus is viable.

Which patient would the nurse expect the health-care provider to refer to a skilled nursing facility (SNF)? 1. A patient who has been hospitalized for 48 hours 2. A patient who is not making regular progress in the hospital 3. A patient who has been in the hospital for 20 days 4. A patient who needs hospital care for at least half of the year

3. A patient who has been in the hospital for 20 days

Which action would the nurse take when completing a variance report for a patient who fell out of bed while unattended? 1. Place the variance report in the patient's chart. 2. State that the patient fell because the nurse forgot to raise the side rail. 3. Add that x-rays were taken of the hip. 4. Notify the facility's legal representative.

3. Add that x-rays were taken of the hip.

The following goal is written in a patient's care plan: Patient will verbalize three foods allowed on a heart-healthy diet. Which action would the nurse take to evaluate this goal? 1. Talk to the dietitian about the patient's diet. 2. Suggest foods the patient should eat to protect the heart. 3. Ask the patient to list items that will be eaten after discharge. 4. Monitor the patient for heart disease monthly.

3. Ask the patient to list items that will be eaten after discharge.

The nurse listens to a patient's abdomen with a stethoscope and hears active bowel sounds. Which physical assessment technique did the nurse use? 1. Palpation 2. Inspection 3. Auscultation 4. Percussion

3. Auscultation

Which phrase correctly describes a health maintenance organization (HMO)? 1. Patient as gatekeeper 2. Diagnosis-related groups (DRGs) 3. Capitated system 4. Concierge medicine

3. Capitated system

A patient says to the nurse, "I was hurting so bad that I called my husband at work. He works at a school as a teacher, so it was hard to get a hold of him. The pain is just so overwhelming." The nurse responds by saying, "Are you saying the pain is unbearable?" Which therapeutic technique did the nurse use? 1. Summarizing 2. Reflecting 3. Clarifying 4. Using open-ended question

3. Clarifying

The nurse is assigned to care for a patient who was injured during an arrest for a violent crime. The nurse states, "I will not take care of this terrible person." The nurse then leaves the unit and goes home. Which disciplinary action is the charge nurse most likely to initiate against the nurse? 1. Firing for insubordination 2. Inquiry by state board of nursing 3. Filing charges of abandonment 4. Entry of incident in personnel file

3. Filing charges of abandonment

The nurse is reviewing a patient's chart for risk factors that can lead to heart disease. Which finding would be a nonmodifiable risk factor? 1. Consumes a high-fat diet on a regular basis 2. Is 50 pounds overweight 3. Has a grandfather who had heart disease 4. Maintains a blood pressure of 150/100

3. Has a grandfather who had heart disease

A nurse is working with a small amount of supplies and is having to make quick decisions with no other health professional to help. Which type of nurse does this describe? 1. Emergency department 2. Medical office 3. Home health 4. Long-term care

3. Home health Test Taking Tip: Any word that is bolded is a clue to the student that the word or phrase is important. Although the nurse could be working in any of these settings, the word "most" indicates there is one overall best answer. Focus on the scenario information only. If students begin to say or think, "yeah, but," students are reading into the question (adding extraneous information into the question). Reading into the question can lead to wrong answers.

The nurse ambulates a patient with intestinal gas buildup in the hallway to help relieve the discomfort. Which step of the nursing process did the nurse complete? 1. Assessment 2. Planning 3. Implementation 4. Evaluation

3. Implementation

The registered nurse (RN) assigns an LPN/LVN the task of inserting a nasogastric (NG) tube. The LPN/LVN has only performed this task once in nursing school on a mannequin. Which behavior by the LPN/LVN is best? 1. Use the facility procedure manual for guidance 2. Look the procedure up on a medical website 3. Inform the RN and aask for guidance and assistance 4. Mentally review the procedure and insert the tube

3. Inform the RN and aask for guidance and assistance

Which is an appropriate action for the nurse to take when computer charting? 1. Review patient chart that was transferred to another floor for care 2. Allow another nurse to use the password to chart a late entry 3. Log off immediately after charting patient information 4. Copy and paste notes because there has been no change in status

3. Log off immediately after charting patient information

The nurse spills coffee on a patient's chart while charting. Which action would the nurse take? 1. Write (continued) at the bottom of the damaged nurse's notes followed with signature. 2. Throw the damaged page away and start over. 3. Note on the damaged page that the information will be rewritten. 4. Shred the damaged page after notes are recopied word for word.

3. Note on the damaged page that the information will be rewritten.

Which individualized interventions would the nurse recommend including in a patient's plan of care? Select all that apply. 1. Take vital signs. 2. Monitor intake and output. 3. Offer fruit juice every 2 hours, especially apple, which the patient prefers. 4. Provide favorite reading material, which is a sports magazine. 5. Assess for signs and symptoms of dehydration.

3. Offer fruit juice every 2 hours, especially apple, which the patient prefers. 4. Provide favorite reading material, which is a sports magazine.

A stable patient has pneumonia and is being cared for in the home with supportive family members. Using Dunn's high-level wellness theory, the patient would be in which classification? 1. Emergent high-level wellness 2. High-level wellness 3. Protected poor health 4. Poor health

3. Protected poor health

A patient experienced a brainstem stroke and has no active brain waves. The family wants the patient removed from life support. Which action by the nurse is ethical? 1. Suggest that the family wait a while longer 2. Ask the health-care provider to intervene for the patient 3. Provide the family with care and support 4. Ask the chaplain to speak with the family

3. Provide the family with care and support

A patient with emphysema (a lung disease) wants to know how to do household chores without becoming short of breath. Which program does the licensed practical nurse/licensed vocational nurse (LPN/LVN) expect the registered nurse (RN) or health-care provider will suggest? 1. Residential care 2. Cardiac rehabilitation 3. Pulmonary rehabilitation 4. Hospice care

3. Pulmonary rehabilitation

The LPN/LVN student is reading the Nurse Practice Act to determine which assessments the LPN/LVN can and cannot do. What is the student researching? 1. Lifelong learning 2. Specialization in nursing 3. Scope of practice 4. Nursing theories

3. Scope of practice

The nurse is giving report about a transgender patient. On the chart, the patient's legal name is shown as Shawn, but the patient prefers the name Lisa. Which information should the nurse share in report to the oncoming shift? 1. He was admitted with chest pain. 2. Shawn does not like orange juice. 3. She has stable vital signs. 4. His mother is in the room.

3. She has stable vital signs.

The nurse is helping a patient prepare for surgery. Which action from the nurse demonstrates patient-centered communication? 1. Crossing arms while the patient is talking about the surgery 2. Saying, "Don't worry. You are in good hands." 3. Sitting down when the patient starts asking about the surgery 4. Focusing solely on the tasks to be done before surgery

3. Sitting down when the patient starts asking about the surgery

Which charting entry best evaluates the patient's learning for constipation? 1. States that was glad to learn about constipation 2. Nodded head in agreement to increase fluids 3. States, "I will eat more high-fiber foods" 4. Seemed to understand instructions

3. States, "I will eat more high-fiber foods"

Which specific type of law has the greatest impact on the profession of nursing? 1. Civil 2. Judicial 3. Statutory 4. Constitutional

3. Statutory

Which action should the nurse take to facilitate communication with a patient who wears a hearing aid? 1. Use an interpreter. 2. Speak loudly into the good ear. 3. Turn off the television. 4. Leave the door open.

3. Turn off the television.

The nurse implements the preoperative checklist when the patient states, "I am nervous." Which response by the nurse is therapeutic? Select all that apply. 1. "Don't worry; everything will be fine." 2. "Did you discuss your feeling with the surgeon?" 3. "If I were you, I would say a prayer and trust in God." 4. "Tell me more about how you feel." 5. "You are nervous about the surgery."

4. "Tell me more about how you feel." 5. "You are nervous about the surgery."

The LPN/LVN is assisting the RN in presenting a community health class for immunizations. The nurses are using the public personal space-distance zone for the presentation. What is the minimum amount of feet the nurses are from the audience? 1. 1.5 2. 4 3. 10 4. 12

4. 12 feet

The first-year LPN/LVN student is called to assist with a patient in cardiopulmonary arrest in the unit. The registered nurse (RN) has drawn up an intravenous push medication and asks the student nurse to administer the medication. The student nurse states, "I can't. I have not learned how to do that." Which behavior is the student nurse demonstrating? 1. Uncertainty 2. Lack of confidence 3. Uncooperativeness 4. Accountability

4. Accountability

The nurse is caring for a patient who had eye surgery and has patches over both eyes. Which action should the nurse take? 1. Avoid body language. 2. Speak in a loud voice. 3. Quietly slip out the door. 4. Announce when entering the room.

4. Announce when entering the room.

The nurse is providing care for a patient who signed an informed consent form for surgery. The nurse overhears the patient state a change of mind regarding the surgery. A family member states, "You need the surgery, and I will not let you back out." Which action would the nurse take as a patient advocate? 1. Document the conversations in the patient's medical record. 2. Share the patient and family member's comments with the health-care provider. 3. Tell the family member that the decision to have surgery is the patient's right. 4. Ask the patient about thoughts and feelings regarding the surgery.

4. Ask the patient about thoughts and feelings regarding the surgery.

Which action by the LPN/LVN indicates a correct understanding of the LPN's/LVN's role in the nursing process? 1. Formulates a nursing diagnosis 2. Develops expected outcomes 3. Performs an admission assessment 4. Carries out interventions

4. Carries out interventions

A licensed practical nurse/licensed vocational nurse (LPN/LVN) is assisting the registered nurse (RN) who is supervising the care of a group of patients with diabetes. The RN is trying to reduce the number of times these patients are admitted to the hospital. Which type of nursing care delivery is being used? 1. Client-centered care 2. Team nursing 3. Primary care nursing 4. Case management

4. Case management (The goal of case management is to assist patients who are vulnerable, at-risk, or cost-intensive so that their care is coordinated, meets their specific needs, and is cost-effective while still bringing them to optimum health. Case managers may supervise the care of a group of patients within one facility, such as an acute care hospital or home health agency) Test Taking Tip: The key phrases in the question are supervising the care of a group of patients with diabetes and reduce the number of times these patients are admitted to the hospital. Keeping diabetic patients out of the hospital is optimum health for a vulnerable, cost-intensive patient population, leading the student to the correct answer of case management.

A patient is in the hospital receiving care from the nurses. The patient is in which phase of the illness? 1. Symptomatic 2. Prodromal 3. Seeking help 4. Dependency

4. Dependency

The nurse is observing an unlicensed assistive personnel (UAP) who is caring for a comatose patient. Which action by the UAP would require the nurse to intervene? 1. Talking to the patient about the weather 2. Telling the patient that laboratory personnel is here to draw blood 3. Informing the visitors in the room that they can talk to the patient 4. Explaining the care plan for a family member who is in the hospital to the patient

4. Explaining the care plan for a family member who is in the hospital to the patient

The nurse works in a hospital that uses electronic health records (EHRs). Which situation violates the Security Rule of the Health Insurance Portability and Accountability Act (HIPAA)? 1. Closing cimputer screens before walking away 2. Giving access only to personnel caring for a patient 3. Denying family members access to the medical record 4. Failing to report a breach in the use of one's password

4. Failing to report a breach in the use of one's password

Which woman (shown in the picture) is famous for her nursing care in the Crimean War? 1. Hildegard Peplau 2. Clara Barton 3. Mary Mahoney 4. Florence Nightingale

4. Florence Nightingale

Which agency/facility does the licensed practical nurse/licensed vocational nurse (LPN/LVN) expect will be suggested by the health-care provider to a new mother who wants to take her baby for immunizations? 1. Home health 2. Emergency department 3. Acute care medical center 4. Health department

4. Health department

The nurse writes the following in a patient's chart: "Heart tones strong." However, the nurse meant to write weak rather than strong. What would the nurse do? 1. Scratch out strong and add weak. 2. Place correction fluid over strong and then write weak. 3. Write weak over the word strong. 4. Make a single horizontal line through strong and initial it.

4. Make a single horizontal line through strong and initial it.

Which nursing student can use the title LPN? 1. One who has completed the last test in the last theory class 2. One who has finished the last clinical day 3. One who has graduated from the nursing program 4. One who has passed the National Council Licensure Examination

4. One who has passed the National Council Licensure Examination

A patient on Medicare is using insurance to pay for prescribed blood pressure medicine. Which program is the patient using? 1. Part A 2. Part B 3. Part C 4. Part D

4. Part D

The nurse is preparing to reinforce teaching with a patient about medications. Which situation would the nurse recognize as being the best time to proceed with the teaching session? 1. Patient states, "My heart is racing." 2. Patient feels feverish and is chilled. 3. Patient just received news of cancer diagnosis. 4. Patient has just finished going to the bathroom.

4. Patient has just finished going to the bathroom.

A nurse is calling insurance companies to verify medical necessity. Which situation would the insurance company approve as a medical necessity? 1. Keeping the patient in a hospital after extensive abdominal surgery 2. Injecting lip fillers to plump lips 3. Performing a facelift on an elderly woman for a more youthful appearance 4. Replacing a broken hip with a metal prosthesis

4. Replacing a broken hip with a metal prosthesis (Replacing a broken hip is a medical necessity. According to government funding sources, medical necessity is defined as "services or items reasonable and necessary for the diagnosis or treatment of illness or injury, or to improve the functioning of a malformed body member.")

The nurse is using SOAP to chart patient care. Which information would the nurse place after the S? 1. Experiencing impaired gas exchange. 2. Nailbeds bluish, sitting on edge of bed. 3. Notify health-care provider for oxygen. 4. Reports, "Hard to catch breath when I take a deep breath."

4. Reports, "Hard to catch breath when I take a deep breath."

The LPN/LVN is providing the oncoming nurse with information about a patient's care that occurred over the last 12 hours. Which type of communication is the LPN/LVN demonstrating? 1. Role modeling 2. Trust development 3. Social conversation 4. Shift Report

4. Shift Report

A patient is anxious. Which therapeutic response should the nurse make? 1. Leave the room quietly. 2. Say, "If you would just calm down, I could help you." 3. Talk to the patient about less stressful things. 4. State, "This must be nerve-racking."

4. State, "This must be nerve-racking."

The nurse is experiencing conflict with an unlicensed assistive personnel (UAP) taking extended break times. According to the DESC method, which statement would the nurse use for the E? 1. You are taking extended break times. 2. What else do I need to do to get your attention? 3. I need you to return from your assigned breaks on time. 4. Taking extended breaks negatively affects patient care and safety.

4. Taking extended breaks negatively affects patient care and safety.

The nurse is speaking to a patient who has been deaf from birth and reads lips. Which actions should the nurse take? Select all that apply. 1. Stand to the side of the patient. 2. Place hands near the mouth while talking. 3. Overly exaggerate the mouth while talking. 4. Turn lights on in the room. 5. Use short, simple sentences.

4. Turn lights on in the room. 5. Use short, simple sentences.

A nurse is discussing Medicare and states that this insurance is primarily for people older than what age? Enter answer as a whole number.

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