Fundamentals- Exam 2 Practice Questions
A nurse is reinforcing teaching with a client about hospice care. Which of the following statements by the client indicates an understanding of the teaching?
"I understand that services provided will include just what is needed to keep me comfortable"
A nurse is reinforcing teaching with a client about the Affordable Care Act (ACA). Which of the following information should the nurse include?
A focus of the ACA is disease prevention
A nurse reinforcing teaching about the International Self-Care Foundation's seven pillars of self-care to a client. Which of the following client statements indicates an understanding of the teaching?
"I will perform moderate exercise several times each week"
A nurse is reinforcing teaching with a newly licensed nurse about an OSHA standard that is engineer controlled to minimize needlestick injuries. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
"Needleless IV tubing infusions is an example of an OSHA standard that is engineer controlled"
A nurse is participating in a high school career day and is teaching about accreditation of nursing programs. Which of the following statements should the nurse make?
"Nurses who graduate from accredited nursing programs will have more employment opportunities"
A nurse in a provider's office is collecting data from a client. The client tells the nurse that they have not had their annual mammogram screening because their insurance plan does not include that test. Which of the following statements should the nurse make?
"The Affordable Care Act requires all insurance plans to offer preventive services such as mammogram screenings"
A nurse is reinforcing teaching about Medicaid with a client who is concerned about paying for health care. Which of the following statements should the nurse make?
"Your income will determine if you are eligible for Medicaid"
A nurse is discussing health literacy with a newly licensed nurse. Which of the following information should the nurse include?
A client's comprehension of education can be affected by low health literacy
A nurse is discussing social determinants of health with newly licensed nurse. The nurse should include that which of the following factors contribute to the neighborhood and built environment determinant category? (select all that apply)
Access to foods that support healthy eating patterns Crime and violence Environmental conditions
A nurse in a clinic is caring for a client who is going to require 7 days of IV antibiotics and dressing changes for cellulitis. Which of the following care facilities should the nurse anticipate the client be admitted to?
Acute care hospital
A school nurse who works in a low-income district is assisting with planning a community program to improve health eating habits of school-age students in the district. Which of the following organizations should the school nurse contact to provide funding?
Administration for Children and Families (ACF)
A nurse is a member of the facility's quality improvement committee. The committee is concerned with the increase in the number of catheter-associated urinary tract infection (CAUTI) at the facility. Which of the following agencies should the nurse use to find best-practice guidelines for the care of clients with indwelling urinary catheters?
Centers for Disease Control (CDC)
A school nurse notifies the guardian of a school-age child who has failed the vision screening and recommends that child see an optometrist. The guardian reports that they cannot afford private health insurance. Which of the following programs should the nurse recommend the guardian contact?
Children's Health Insurance Program (CHIP)
A nurse who has a multistate nursing license receives a request from a facility in a neighboring state about providing care in their facility during an emergency disaster. Which of the following actions should the nurse take prior to responding to the request?
Contact the state board of nursing the neighboring state
A nurse is preparing to administer an influenza vaccine to a client. The client states that they understand being immunized will help protect against the influenza virus. Which of the following concepts is the nurse demonstrating by administering the vaccine?
Disease prevention
A nurse is caring for a client who reports that they have recently lost their job and they do not have insurance coverage. Which of the following social determinants of health is challenging for this client?
Economic stability
A nurse in a provider's office is speaking with a client about a Press Ganey survey. The nurse should inform the client that this survey will be conducted by which of the following methods?
A nurse is speaking to a client who smokes tobacco and has a child living in the home. The nurse should identify that the child's exposure to second-hand smoke is an example of which of the following types of risk factors?
Environmental
A nurse in a long-term care facility is working with a case manager. Which of the following services should the nurse expect the case manager to perform?
Facilitate transfer of clients to meet the required level of care
A nurse has completed administering a controlled substance to a client. There is 1 mL of the medication left in the syringe. Which of the following actions should the nurse take to dispose of the unused medication?
Have a second nurse witness the disposal of the client's unused medication
A nurse is reinforcing teaching with a client about the benefits of a healthy diet and regular exercise to achieve weight loss. Which of the following topics is the nurse reinforcing with the client?
Health promotion
A nurse in the ICU is assisting with the care of a young adult client who is deceased and has a valid organ donation card. The client's parents have expressed a desire against having the client's organs donated. Which of the following actions should the nurse take?
Inform the parents about the law that prohibits their ability to revoke the client's wishes to donate
A nurse at a community health center is providing an in-service for a group of residents about the Healthy People program. Which of the following information should the nurse include? (select all that apply)
Initiatives to reduce healthcare disparities Activities to improve social determinants of health Improving access to healthcare
A home health nurse is visiting a client who lives in an older home and is concerned about their child's exposure to lead paint in the house. The nurse identify that which of the following is a potential health risk from exposure to lead paint?
Learning disabilities
A nurse is assisting with the admission of a client to the hospital for reports of leg pain. The client states that they would like to practice their cultural beliefs while hospitalized. Which of the following options should the nurse offer to the client in order to provide culturally competent care ? (Select all the apply)
Listen to the client's request with respect and compassion Reassure the client that they can practice their cultural beliefs if safe to self and others Provide resources to meet the client's cultural needs
A nurse working in an acute care facility is assisting with the care of a client who has a total brain injury and is receiving mechanical ventilation. Which of the following facilities should the nurse anticipate the client to be transferred to for further treatment?
Long-term care hospital (LTCH)
A nurse is caring for a client who has Parkinson's disease and needs assistance with ADLs. Which of the following referrals should the nurse anticipate the provider to prescribe? (Select all that apply)
Occupational therapist Physical therapist Dietitian
A community health nurse is reinforcing teaching with a newly licensed nurse about social determinants of health. Which of the following should the newly licensed nurse identify as a physical determinant of health?
Poor air quality
A nurse in a provider's office is calling a client's insurance company to obtain permission prior to scheduling a magnetic resonance imaging (MRI) test. Which of the following is the nurse obtaining?
Precertification
A nurse is discussing hospice care with a newly licensed nurse. Which of the following should the nurse identify as the goal of hospice care?
Provide care for a client who has lass than 6 months to live
A nurse is reinforcing teaching with a newly licensed nurse about Medicare reimbursement. Which of the following
Reimbursement amounts will be adjusted for clients who contract hospital-acquired conditions (HAC)
A home health nurse is caring for a client who is receiving hospice care. The client's partner reports feeling overwhelmed from caring for the client. Which of the following types of facilities should the nurse recommend?
Respite care
A newly licensed nurse is assigned to care for a client who has a newly inserted chest tube. The nurse has not previously cared for a client who has a chest tube. Which of the following actions should the nurse take?
Review the facility's policy and procedure (P&P) manual
A nurse at a clinic is providing free blood pressure screenings for clients. Which of the following levels of health prevention is the nurse demonstrating?
Secondary prevention
A nurse is reinforcing teaching with a newly licensed nurse about The Joint Commission (TJC). Which of the following information should the nurse include?
TJC ensures organizations remain up-to-date with state guidelines
A nurse is reinforcing teaching with a group of guardians about primary prevention techniques. Which of the following topics should the nurse include as an example of primary prevention?
Taking measures to decrease the risk of childhood injuries within the home
A nurse is caring for a client whose neighbor works on another unit. The neighbor calls the unit and asks the client's nurse "What happened to the client" Which of the following actions should the nurse take?
Tell the neighbor they cannot give them that information
A nurse is reinforcing teaching with a client who has a prescription for an antihypertensive medication. The nurse should identify that antihypertensive medications are used for which of the following types of prevention?
Tertiary prevention
A nurse is assisting in teaching a class about the Hospital-Acquired Condition Program (HACRP). Which of the following information should the nurse include?
The HACRP links Medicare payments to health care quality
A nurse is reinforcing teaching with a newly licensed nurse about the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) tool. Which of the following information should the nurse include?
The HCAHPS tool is issued to measure client satisfaction with the health care service
A nurse is assisting with the completion of the Minimum Data Set (MDS) assessment for a resident in a skilled facility. Which of the following information should the nurse include in the assessment? (Select all that apply)
The client's cognitive status Each physical therapy visit The client's need for assistance with ADLs
A graduate nurse notes that a hospital with a Pathway to Excellence Recognition is hiring staff. Which of the following should the nurse expect from this facility? (select all that apply)
The facility has practices in place that lead to a healthy workplace environment The facility emphasizes shared governance The facility emphasizes practices that positively affect a nurse's well-being
A nurse is discussing the Healthy People initiative with a newly licensed nurse. Which of the following information should nurse include?
The program focuses on providing goals and data for improved public health
A nurse is reinforcing teaching with a client about modifiable risk factors to their health. Which of the following should the nurse include as an example of a modifiable risk factor?
Tobacco use
A nurse is caring for a client who reports an improved diet, exercising 30 min a day for 5 days a week and an overall sense of improved health. The nurse should identify that the client is describing a positive state of health known as which of the following?
Wellness
A nurse is assisting a charge nurse prepare an in service to a group of nurses on a report by the Institute of Medicine (IOM). The charge nurse should include in the teaching that healthcare professionals need which of the following competencies in order to reduce errors. (select all that apply)
cooperation communication coordination
A nurse in a provider's office is speaking with a client who needs a refill for a prescription that has expired. The nurse should identify that which of the following team members can assist the client with the refill? (select all that apply)
physician assistant PA advanced practice registered nurse APRN physician