Fundamentals Quizzes

Which of the following is the best source to obtain evidence to help guide your nursing practice? Google A peer reviewed journal article Wikipedia Web MD

A peer reviewed journal article

What is a MAR? A running total of the cost of hospitalizaion. A unique patient identifier. An order written by a physician or nurse practicioner. A record of the medication that a patient has taken, or has ordered..

A record of the medication that a patient has taken, or has ordered.

A nurse is precepting a new nurse when caring for a client with anxiety. Which statement by the new nurse would indicate an understanding of thought-based mind body practices. "Maybe the patient would benefit from massage or osteopathy to help with their anxiety" "Maybe the patient would benefit from aromatherapy or to help with their anxiety" "Maybe the patient would benefit from yoga or physical therapy to help with their anxiety" "Maybe the patient would benefit from guided-imagery or meditation to help with their anxiety"

"Maybe the patient would benefit from guided-imagery or meditation to help with their anxiety"

The nurse is educating the mother of an infant age 4 months on safety concepts in child rearing. Which of the following statements by the mother suggests that further education is required?

"The baby can sleep on her stomachs during naps and at bedtime."

The nurse is educating the mother of an infant age 4 months on safety concepts in child rearing. Which of the following statements by the mother suggests that further education is required? "I must keep small objects out of the baby's reach." The baby will sleep in her crib, not with me and my husband." "I must keep appointments for the baby's immunizations." "The baby can sleep on her stomachs during naps and at bedtime."

"The baby can sleep on her stomachs during naps and at bedtime."

A nurse is talking with caregivers of a 12-year-old child. Which of the following issues verbalized by the caregivers should the nurse identify as the priority? "We just don't understand why our child can't keep up with the other kids in simple activities like running and jumping." "We think our child is trying too hard to excel in math just to get the top grades in the class." "Our child likes to sing and worries it will make the other kids want to laugh." "Our child keeps trying to find ways around our household rules. They always want to make deals with us."

"We just don't understand why our child can't keep up with the other kids in simple activities like running and jumping."

Before knee surgery, the patient's family requests the patient's limb be cleansed with oil and a prayer be said for taking the patient to the OR. Which statement The nurse to the family is the most therapeutic and accommodating to their request? -"Because of the tools that are used in the OR, using an oil can put your loved one at risk for getting burned in surgery." -"While we cannot utilize the oil on your family members knee before surgery because of the tools and medicines we use I can give you time for prayer, I'll let the surgeon know we will be a few more minutes." -"Here is a teaching pamphlet about our surgical policies and procedures, the information will be in here." -"You can wait to do these after the surgery, the surgeon is in the OR and is ready to go, they have a busy schedule today and we can't get behind."

-"While we cannot utilize the oil on your family members knee before surgery because of the tools and medicines we use I can give you time for prayer, I'll let the surgeon know we will be a few more minutes." Rationale: A is simply wrong; it does not address the requests of the family and is not therapeutic at all. B and C while these may be correct in their information it is not the most therapeutic way we can speak to patients and family. D this is the most therapeutic approach to the family's request. It addresses the use of the oil but allows the family time for prayer before surgery.

You are caring for a patient that has undergone an abdominal surgery, upon assessing the patient's wound you have identified that the wound has completely separated and internal organs are protruding through the incision site. What actions by the nurse are the most appropriate at this time? -Leave the room to get help -Call the physician/surgeon -Cover the area with sterile dressing moistened with sterile NS -Provide comfort to the patient -Attempt to push the internal organs back through the surgical incision

-Call the physician/surgeon -Cover the area with sterile dressing moistened with sterile NS -Provide comfort to the patient

Which of the following would be considered a belief or practice of allopathic medicine? select all that apply -Health is a balance of body systems: mental, social, spiritual, and physical -Illness is a manifestation of imbalance or disharmony -Emphasis is on disease and utilizing technology for treatment. -Illness occurs in either the mind or the body, which are separate entities.

-Emphasis is on disease and utilizing technology for treatment. -Illness occurs in either the mind or the body, which are separate entities.

You are caring for an anxious preoperative client. What mind-body practices could you implement as a bedside nurse to help alleviate the patient's anxiety? (Select all that apply) -Guided Imagery -Breathing Exercises -Lorazepam Administration -Acupuncture -Massage

-Guided Imagery -Acupuncture -Massage

A nurse working in the Post Operative Care Unit (PACU) is taking care of a female patient following a surgery. The patient is able to wiggle their toes and squeeze the nurses fingers bi-laterally. She is breathing deeply and coughs. Her blood pressure is virtually the same as it was before the surgery. She wakes and opens her eyes when she is spoken to. Her O2 saturation is 95% on room air. What is her modified Aldrete score?

9

Self-care ideas that a nurse could implement include : (select all that apply). physical wellness improved sleep hygiene relaxation techniques

All

When caring for a client a nurse is performing a health history assessment. Which of the following assessment findings could effect the clients perceived or actual sexual health? (select all that apply) Diabetes Myocardial Infarction (MI) Double Mastectomy Arthritis Medications

All

You are taking care of a client who has had a total knee replacement. Which of the following would be considered part of the healthcare team? (select all that apply) Registered Nurse Physician Physical Therapist Pharmacist

All

To prevent or navigate ethical challenges in healthcare surrounding dying patients and their families, which of the following forms or services can be utilized? A. POLST B. Advance Directive C. Social Workers D. Ethics Committee E. Power of Attorney

All of the above

When determining an appropriate task to delegate to a UAP the nurse should consider the following: A. The stability of the patient B. The complexity of the task to be delegated C. The potential for harm D. The predictability of the outcome E. The overall context of other patient needs

All of the above

The nurse is educating parents about actions that may increase safety for their 14-month-old child. What child safety information would the nurse include in the teaching of the parents? Keep medications locked away. Plastic bags should be kept out of reach Use an approved car seat and install it correctly. Secure heavy objects to the walls.

All of the above.

When taking care of a client, you as a nurse will utilize multiple channels of communication. These channels of communication include: select all that apply Auditory Visual Kinesthetic

All the above Auditory Visual Kinesthetic

Which of the following should the nurse include when documenting medication administration (select all that apply) The efficacy of the medication. Any unexpected reactions from the medication. The time the medication was given. The route of the medication. The dose of the medication given.

All the above The efficacy of the medication. Any unexpected reactions from the medication. The time the medication was given. The route of the medication. The dose of the medication given.

A school nurse is concerned about the almost skeletal appearance of one of the high school students. Although all of the following nutritional problems can occur in adolescents, which one is most often associated with a negative self-concept? Anorexia nervosa Eating fast foods Fad dieting Obesity

Anorexia nervosa

A nurse will be admitting a patient to the med/surg floor following a stroke. When the nurse is examining the chart and patient, what part of the nursing process is the nurse performing? Assessing Implementing Planning Evaluating Diagnosing

Assessing

A feeling of despair caused by the transfer of emotional distress from a victim to a caregiver, which often develops suddenly is identified as? Secondary Traumatic Stress Burn Out Compassion Fatigue Post Traumatic Stress

Secondary Traumatic Stress

As a nurse you have positioned your client with the head of bed at 30 degrees. A nurse would recognize this position as? Semi-Fowler's Trendelenburg Prone No answer text provided.

Semi-Fowler's

What are the five components of the SBARR communication methodology?

Situation, Background, Assessment, Recommendation, Repeat/Read-Back

While conducting a health assessment with an older adult, the nurse notices it takes the person longer to answer questions than is usual with younger clients. What action should the nurse take. Ask a family member to answer the question. Stop asking questions so as not to confuse the client. Realize that the client has some dementia. Slow the pace and allow extra time for answers.

Slow the pace and allow extra time for answers.

What is the definition of a "never event"?

Something that should never happen in a healthcare setting because it is completely preventable.

Whenever you have a patient who is prescribed opioids, as a nurse, you should also ensure that they have a prescription for a _____________.

Stool Softener

An 18 year old with a chronic illness tells the school nurse that he has recently started using marijuana with his friends on weekends. Which of the following should be the nurse's next action? Tell him not to do this or it will be reported to the proper authorities and risk losing his driver's license Recommend counseling so that he understands the serious consequences of using marijuana Teach him about effects of marijuana on his illness and potential complications with marijuana use Ask him why he is using marijuana and what is his relationship with his friends

Teach him about effects of marijuana on his illness and potential complications with marijuana use

The helping relationship between nurse and client consists of 3 phases. These phases are: select all that apply Termination Orientation Working Passive

Termination Orientation Working

You are caring for a client that has been diagnosed with stage 2 pancreatic cancer. The clients physician has referred the client to a specialty cancer center. The physician would be referring this client to what level of care? Tertiary Secondary Primary No answer text provided.

Tertiary

A client has been admitted to the hospital related to pneumonia. When the nurse is assessing the client, which of the following would be considered objective data? The clients x-ray shows bilateral lower lobe infiltrates. The clients WBC count is 20,000/microliter The client states they are anxious and would like to see their family member. The client states it is hard to breathe.

The clients x-ray shows bilateral lower lobe infiltrates. The clients WBC count is 20,000/microliter

The nurse is caring for Michelle, a 15-year-old female, who was admitted for a concussion suffered while playing hockey. Her parents are at her bedside and appear very concerned about her. She ignores them for the most part and spends her time texting her hockey friends. Which of the following describes how her behavior is related to Erik Erikson's theory of growth and development? -The peer group acts as the greatest influence -Abstract concepts are being utilized -She is learning about gender social roles -This stage is about learning useful skills

The peer group acts as the greatest influence

Which of the following would be considered a belief or practice of allopathic medicine? select all that apply -Illness occurs in either the mind or the body, which are separate entities. -Illness is a manifestation of imbalance or disharmony -Health is a balance of body systems: mental, social, spiritual, and physical -Emphasis is on disease and utilizing technology for treatment.

-Illness occurs in either the mind or the body, which are separate entities -Emphasis is on disease and utilizing technology for treatment.

Which statement by the client indicates a need for further teaching about the use of natural remedies? -My yoga instructor swears by this supplement, I'm sure it's safe to take with my other meds -I will notify my provider if I begin taking anything new. -I will ask my doctor if it is safe before I take this supplement my friend showed me. -I should see how strong this herbal remedy is, I'm not sure if it is FDA regulated.

-My yoga instructor swears by this supplement, I'm sure it's safe to take with my other meds Rationale: While the CHA provider may be familiar with the supplements that they recommend. Research should be done to ensure that there are not known interactions between prescribed medications and supplements. All other answers indicate the client is educated about the use of natural remedies.

There are a variety of factors that can affect wound healing. Which of the following would be identified as local factors that affect this? (select all that apply) -Pressure -Trauma -Infection -Nutritional Status -Immunosuppression

-Pressure -Trauma -Infection

When interviewing a client, nurses should in general avoid the following interview techniques: select all that apply -using leading questions -using validating questions -using questions that probe for information -using clichés

-using leading questions -using questions that probe for information -using clichés

A nurse has an order to slow push 3000 units of Heparin. It comes packaged as 5000 units in 0.5 mL. The nurse will administer ________ mL ?

0.3

A nurse has an order to administer Versed 2 mg IV slow push. Versed comes packaged as 5 mg in 1 mL. After checking the rights of safe medication administration, the nurse will administer _________ mL?

0.4

Which of the following are correct ways to write the decimal equivalent of 4/10 ? (select all that apply) 0.4 .4 4.0 .04

0.4

You have an order to administer 25 mcg fentanyl I.V. On hand you have 100 mcg fentanyl in 2 mL of liquid. How many mL of fentanly will you administer to the patient ?

0.5 mL

You are caring for a client who has arrived in the ED from a MVA (motor vehicle accident) with an open femur fracture. The provider has written an order for 8 mg morphine sulfate IV STAT. Using the image below of the ampule dispensed from the AccuDose, you would prepare to administer how many mL to the client?

0.8mL

PPE (personal protective equipment) for healthcare providers includes gloves, gowns, masks and eye wear. List the correct order for donning PPE.

1. Gown 2. Masks 3. Goggles 4. Gloves

You receive an order to administer 40 mg of methadone subcutaneously for opioid detoxification. The pharmacy has on hand methadone 30 mg/mL. How many mL should you draw up to administer? (do not round)

1.3mL

After the checking the medication against the MAR and order, the nurse is preparing to administer lasix 60 mg p.o. The nurse has on hand lasix 40mg per tablet. How many tablets will the nurse give the patient?

1.5

You have a patient that weighs 246.4 pounds. How many kg does the patient weigh ? Give an exact answer, no rounding.

112

You are caring for a patient with a DVT (deep vein thrombosis). The provider has ordered a continuous IV infusion of heparin sodium at 1,300 units/hour. Pharmacy delivers a prepared IV medication bag and the label reads as follows: Heparin sodium 20,000 units/250 mL D5W. You prepare an infusion pump to administer the medication. You would program the infusion pump at how many mL/hr to deliver the ordered dose? Record to the nearest whole number.

16mL/hr

A nurse should reposition a patient that is unable to reposition themselves at least every ______________. 2 hours 30 minutes 4 hours 1 hour

2 hours

A patient that weighs 172 pounds is septic and has an order for a fluid resuscitation bolus of 30 mL/kg of LR intravenously x 1 now. How many total mL will the nurse administer? Round to the nearest whole number.

2,345 mL

You need to administer 500 mL of NS over an hour. Your drip rating for the tubing is 15 gtt. How many gtt will you administer in 10 seconds. Round to the nearest whole number.

21

A nurse is working a shift at the hospital. She discovers that there is a shortage of infusion pumps and must set up a gravity drip. She is to infuse LR at a rate of 125 mL/hr. The tubing is rated at 15 gtt/mL. How many gtt/min should she set the rate at? (round to the nearest whole number).

31

The physician writes an order for heparin 900 units/hr. The label on the I.V. bag reads: Heparin 10,000 units in 500 mL D5W. How many mL/hr will deliver the correct dose?

45

You need to administer 2,000 mL of 0.9 % NS IV over 4 hours for a patient with severe dehydration accompanied with nausea/vomiting and diarrhea. How many mL per hour will you set the pump to run at?

500mL/hr

Think about some of the issues that were discussed in the video for this module. Other than issues that were specifically mentioned in the video, please describe two potential major health concerns that a transgendered person may face, and how a nurse can address their issues.

A transgender person may face health concerns such as a social stigma or disapproval that is felt by others. Unfortunately, they could deal with discrimination, neglect, abuse, or even harassment in the healthcare industry. This, to me, is a horrible ethical wrong, Just as opinions should be left outside the door of work about how they would handle their healthcare, so should their lifestyle or gender change. This does nothing but damage and can lead to negative thoughts towards their self and raises the possibility of suicide which is counterproductive for a healthcare provider. Instead, unconditional positive regard and empathy/focus on what they came in for should be utilized.

A nurse is obtaining a history from a client including a list of current medications that are being taken. A nurse recognizes that medications have which effect(s), if any, on the clients actual or perceived sexual health? (select all that apply). inhibitory effect additive effect no effect

A''

Which of the following transmission based precautions would be most appropriate for a patient with and infection that spreads through the air such as TB (tuberculosis)? Airborne Droplet Contact

Airborne

The nurse is providing education on childhood safety to a group of parents. The nurse responds to a question from one of the parents asking about the major causes of death in toddlers. What would the nurse say are the major causes of death in toddlers? Select all that apply. Childhood diseases Accidents Drowning Motor vehicle crashes Infections

Accidents Drowning Motor vehicle crashes

An individual who holds that nothing can be known about the existence of a higher power is known as a __________________ ? Agnostic Atheist Functionalist Spiritualist

Agnostic

Whenever you see bleeding or low blood pressure, assume that you will need to: (write a short answer) Your Answer: Apply pressure, give fluids, bolster wound, and stabilize any object impaled in patient

Apply pressure, give fluids, bolster wound, and stabilize any object impaled in patient

The first step in changing your practice is to _________________.

Ask a clinical question

What type of activity can often promote bowel activity and help a patient to have a bowel movement? Rocking in a rocking chair. Assisting a client with ambulation Drinking a glass of warm water. Performing a digital dis-impaction.

Assisting a client with ambulation

An individual who denies the existence of a higher power is known as a ______________ ? Atheist Agnostic Functionist Spiritualist

Atheist

A nurse calculated and determined that they need to drawn up 2.5 mL of medication to be administered. Which syringes below would be appropriate to use for this volume?

B & D only

A nurse is teaching a group of parents about the dangers of Sudden Infant Death Syndrome (SIDS). The nurse recommends that parents place their children on a firm surface laying on their:

Back.

A nurse is teaching a group of parents about the dangers of Sudden Infant Death Syndrome (SIDS). The nurse recommends that parents place their children on a firm surface laying on their: Abdomen. Right side. Back. Left side.

Back.

At birth, the neonate must adapt to extrauterine life through several significant physiologic adjustments. Which of the following is the most important adjustment that occurs? Body temperature responds to the environment. Breathing begins. Reflexes develop. Stool and urine are eliminated.

Breathing begins.

Medicare and Medicaid are administered by ___________ (part of HHS).

CMS

A patient is being evaluated by the physician to assess if they meet medical criteria to certify brain death. What medical standards must be present to meet this? select all that apply Cessation of breathing No response to deep painful stimuli Lack of reflexes and spontaneous movement Flat encephalogram (ECG) Lack of bowel movement or urine production Cessation of liver and kidney function

Cessation of breathing No response to deep painful stimuli Lack of reflexes and spontaneous movement Flat encephalogram (ECG)

Although some institutions have a different standard, generally, medications should be given within 30 minutes of the order time. True False

Correct! True

The nurse is providing education on childhood safety to a group of parents. The nurse responds to a question from one of the parents asking about the major causes of death in toddlers. What would the nurse say are the major causes of death in toddlers? Select all that apply. Infections Childhood diseases Drowning Motor vehicle crashes Accidents

Drowning Motor vehicle crashes Accidents

The nurse is needing help with several patient care tasks. Which of the following tasks would be the most appropriate to delegate to the UAP? Emptying a Foley catheter bag and record the value Administering lidocaine cream on a patients back Evaluating the effectiveness of given pain medication Determining if the patient is stable enough to walk without oxygen

Emptying a Foley catheter bag and record the value

Medicare will no longer reimburse the hospital for certain adverse events, including in-hospital falls. Fall prevention is a major part of nursing and risk management especially in the older adult population. In order to reduce the risk of falling, the nurse must do which of the following? Select all that apply -Ensure the client wears their prescription glasses when up. -Post signs to alert staff to the client at high risk for falls. -Always assist every client with ambulation. -Assess the client's fatigue level. -Monitor gait and balance.

Ensure the client wears their prescription glasses when up. Post signs to alert staff to the client at high risk for falls. Assess the client's fatigue level. Monitor gait and balance.

The highlighted letter in the acronym RACER stands for: Extinguish Enter carefully Evacuate Elevate

Extinguish

An Occupational Therapist helps a client to learn how to walk after an injury. True False

False

Issues with communication are not a significant barrier to providing safe healthcare to patients. True False

False

It is OK to share your password with a co-worker as long as it is needed for them to provide safe patient care. True False

False

Personal Protective Equipment is a guaranteed way to protect yourself or others from infection. True False

False

Reverse Trendelenburg is when the head of the bed is lower than the foot of the bed. True False

False

Using the abbreviation MS on an order is OK because everyone knows that MS stands for Morphine Sulfate. True False

False

When communicating with a client, you as the nurse should always assume that the client's age is representative of their developmental level. True or false. True False

False

When faced with ethical issues regarding a persons spirituality/religion and providing treatment, there are no resources immediately available to the bedside nurse to assist with the situation. True False

False

A nurse makes a medication error while administering medication to a patient. The error is that three Tums antacid tablets are given instead of the ordered amount of two. There is no harm done to the patient as a result of the error. What action should the nurse take after discovering the error?

Fill out an incident report The nurse should write an event report detailing the error.

A fecal occult test is also known as a: Guaiac test Specific gravity test Culture and sensitivity test Ova test

Guaiac test

When assessing a patient prior to calling a provider, you should ALWAYS __________? Check the physicians order Have a current set of vital signs Count of the physician to notice a problem Get a second opinion from a charge nurse

Have a current set of vital signs

Which of the following whole medical systems uses the treatment belief that suppression of symptoms makes the condition more difficult to treat? Homeopathy Traditional Chinese Medicine Shamanism Naturopathy

Homeopathy

You are taking care of a client who has been diagnosed with a serious progressive illness that is expected to end their life within 6 months. What service line of healthcare would be the most appropriate referral for this client? Hospice care Palliative care Home Health Primary Care

Hospice care

Whenever you see bleeding or low blood pressure, assume that you will need to: (write a short answer)

Identify the source of bleeding, apply direct pressure, bolster as needed, keep any objects in and stabilized, & GIVE FLUIDS.

A school nurse is aware of the importance of creating and carrying out interventions that resonate with the developmental tasks of the adolescent population. Such interventions should appeal to adolescents' prioritization of their what? Identity Vulnerability Skepticism Goals

Identity

A nurse is taking care of a client who has been admitted to the hospital following a motor vehicle accident (MVA). The nurse walks into the room to put non-skid socks on the patient to prevent a fall during ambulation. Which part of the nursing process is the nurse performing with this action? Assessing Planning Diagnosing Evaluating Implementing

Implementing

There are myths associated with aging and older adults. Which of the following statements is true of the older adult population? Older adults are not interested in sex. Old age begins at 65 years of age. Most older adults live in nursing homes. Incontinence is not a part of aging.

Incontinence is not a part of aging.

Which phase of the wound healing process is identified by the influx of cells to the wound that begin ingesting bacterial and cellular debris that result in swelling, heat, and pain to the injury site that lasts approximately 2 to 3 days? Hemostasis Inflammatory Proliferation Maturation

Inflammatory

When classifying a wound, a surgical incision would be classified as ? (select all that apply) Intentional Acute Open Closed Chronic

Intentional Acute Open

This type of catheter is known as a/an: Irrigation catheter Foley catheter Purewick catheter Pitchfort catheter

Irrigation catheter

The home health nurse is visiting an older adult client in their home. The nurse assesses that the client has been losing weight over the past several weeks. What additional assessments should the nurse make? Select all that apply Kitchen cupboards and refrigerator Weight when the client was 25 years of age Ability to swallow food and fluids Mouth for painful sores or missing teeth Eating patterns and food choices

Kitchen cupboards and refrigerator Ability to swallow food and fluids Mouth for painful sores or missing teeth Eating patterns and food choices

The increased use of broad-spectrum antibiotics and the improper use of antibiotics by patients and clinicians has led to an increase in ____________________________.

MDRO Multi Drug Resistant Organisms

When caring for a client, which of the following tasks would be considered nonverbal communication? select all that apply Maintaining eye contact with the patient while having a conversation Holding the clients hand for comfort. Remaining silent while the patient expresses emotion. Asking questions about a health history.

Maintaining eye contact with the patient while having a conversation Holding the clients hand for comfort. Remaining silent while the patient expresses emotion.

An adolescent client tells the nurse, "I just don't want to live anymore." What should the nurse do next? Document the adolescent's statement in the client record. Sit down and discuss all the reasons there are for living. Make an immediate referral to a suicide-prevention professional. Laughingly, teach the adolescent about making scary statements.

Make an immediate referral to a suicide-prevention professional.

_____________ is for clients who are older than 65, or who have a permanent disability.

Medicare

Which statement is True for nursing care of older adults? Fewer older adults will require nursing care during the 21st century. Most older adults are functional, benefiting from health-oriented interventions. Interventions for older adults are no different from those for young adults. Most older adults are unable to care for themselves independently.

Most older adults are functional, benefiting from health-oriented interventions.

While providing education to a young adult during an annual health exam, the nurse discusses health problems common during this stage of development. What is the most common cause of mortality during this stage? Eating disorders Motor vehicle crashes Suicide Drug overdose

Motor vehicle crashes

The home health nurse is visiting an older adult client in their home. The nurse assesses that the client has been losing weight over the past several weeks. What additional assessments should the nurse make? Select all that apply Mouth for painful sores or missing teeth Eating patterns and food choices Kitchen cupboards and refrigerator Ability to swallow food and fluids Weight when the client was 25 years of age

Mouth for painful sores or missing teeth Eating patterns and food choices Kitchen cupboards and refrigerator Ability to swallow food and fluids

Wesley is a patient at the local outpatient clinic where Nurse Sabrina works. After almost a year of him being a patient at the clinic, Wesley told Sabrina he is very attracted to her and asked to take her to dinner. Sabrina likes Wesley and is considering having a date with him. In your opinion, should Sabrina go out with Wesley? Please elaborate on why she should or should not date him.

No, because they can run into a lot of legal problems and it goes outside of being professional. It doesn't help with the progress of the patient either which could interfere with therapeutic care. In some cases, the nurse can run into misconduct as well.

A nurse is speaking with the physician and the interdisciplinary team when developing a plan for a patient. Which professional nursing relationship does this represent? Nurse to Nurse Nurse to Patient to Family Nurse to Patient Nurse to Healthcare team

Nurse to Healthcare team

When providing nursing care and education to an adolescent, the nurse recognizes that which of the following groups has the greatest influence during this period of development? Immediate family Teachers and coaches Extended family Peer group

Peer group

At which phase of surgery does education from the RN to the client occur? (Select all that apply) Pre-operative Post-operative intra-operative None of these

Pre-operative Post-operative intra-operative

The nurse in the emergency room has a patient who does not open their eyes when a sternal rub is done. The patient withdraws from pain and speaks in incomprehensible responses. The nurse knows that the most likely priority action is to: Prepare to intubate the patient. Allow the client to rest quietly until they awaken more. Perform the "ice water" test. Prepare to infuse anti-convulsant medications.

Prepare to intubate the patient.

You are a nurse at a community health center providing vaccines free of charge to the community. The level of care that you are providing as a nurse would be which of the following? Primary Secondary Tertiary

Primary

PASS

Pull, Aim, Squeeze, Sweep

Which of the following are patient's rights that we discussed in class (select all that apply) Right Arm Right Administration Right Time Right Route Right attitude

Right Time Right Route

A woman aged 88 years old who lives alone has deficits in vision and hearing, although these deficits are corrected by glasses and hearing aids. Her blood pressure medication is making her dizzy. What would be the most appropriate nursing diagnosis that the home health nurse identified for this patient? Risk for decreased social interaction Altered consciousness Risk for accidental injury Risk for impaired judgment

Risk for accidental injury

__________ is a tool that healthcare professionals use to help facilitate clear communication between each other.

SBARR

The nurse is caring for Michelle, a 15-year-old female, who was admitted for a concussion suffered while playing hockey. Her parents are at her bedside and appear very concerned about her. She ignores them for the most part and spends her time texting her hockey friends. Which of the following describes how her behavior is related to Erik Erikson's theory of growth and development? This stage is about learning useful skills The peer group acts as the greatest influence Abstract concepts are being utilized She is learning about gender social roles

The peer group acts as the greatest influence

While caring for an older adult male, the nurse observes that his skin is dry and wrinkled, his hair is gray, and he needs glasses to read. Based on these observations, what would the nurse conclude? These are normal physiologic changes of aging. These are abnormal observations and must be reported. Extra education will be necessary to prevent complications. The observations are not typically found in older adults.

These are normal physiologic changes of aging.

Which of the following is true about incident reports? -They are a good tool to help weed out dangerous nurses. -You should always identify the care provider who made the mistake -that you are reporting. -They should be used to drive quality improvement. -It is preferable to include subjective information when writing one.

They should be used to drive quality improvement.

Which of the following is true about incident reports? They are a good tool to help weed out dangerous nurses. They should be used to drive quality improvement. It is preferable to include subjective information when writing one. You should always identify the care provider who made the mistake that you are reporting.

They should be used to drive quality improvement.

A POLST is a medical order and can guide actions by emergency personnel. True False

True

A Speech-language Pathologist helps a patient learn how to swallow food if they are at risk of aspiration. True False

True

A client's culture can greatly influence how they communicate both verbally and nonverbally. True False

True

A patient that is of sound mind and the age of majority may refuse care or treatments even if it will lead to the patient's demise. True False

True

A patient's chard is a permanent record of the the care given to a patient. True False

True

All cares documented in a patient's chart are PHI. True False

True

As a nurse it is important to establish and maintain self-care practices. True False

True

Back injuries are the primary cause of work related injuries for nurses. True False

True

Emotional stress in the workplace can contribute to muscle tension and tightness, increase risk of injury. True False

True

For an order to be a valid order, it must include the date and time the order was written. True False

True

One of the most important skills a nurse will learn is how to properly delegate. True False

True

Sexual/reproductive health is a basic human need. True False

True

The nursing process is used to promote the wellbeing of patients. True False

True

To ensure the appropriate level of protection for a respirator or N95 mask, the user must be fit tested to determine the correct size. True False

True

True or false, in order for a team to be effective, the team must: have effective leadership, work towards a common goal, have clear roles and responsibilities, have complementary skills, interact interdependently and adaptively, and hold themselves accountable. True False

True

When writing an order, for numbers less than 1, you should always use a leading zero before the decimal point. True False

True

Which of these are effective methods of stopping the spread an infection from patient to patient. Go into a patient's room, but not touch anything. Use sterile technique when performing high risk procedures. Not "calling out" others in the hospital who disregard hand hygiene. Cleaning the leur lock port with alcohol prior to accessing it. Washing your hands before entering an upon leaving a patient's room.

Use sterile technique when performing high risk procedures. Cleaning the leur lock port with alcohol prior to accessing it. Washing your hands before entering an upon leaving a patient's room.

Which of these are effective methods of stopping the spread an infection from patient to patient. -Washing your hands before entering an upon leaving a patient's room. -Use sterile technique when performing high risk procedures. -Cleaning the leur lock port with alcohol prior to accessing it. -Go into a patient's room, but not touch anything. -Not "calling out" others in the hospital who disregard hand hygein.

Washing your hands before entering an upon leaviung a patient's room. Use sterile technique when performing high risk procedures. Cleaning the leur lock port with alcohol prior to accessing it.

Which of the following questions to a client would be an open ended question? What brought you into the hospital today? Did you come in today for a sore throat? Can you tell me the timeline of how this illness developed? What is your pain on a scale of 1 to 10?

What brought you into the hospital today?

A nurse working in the Post Operative Care Unit (PACU) is taking care of a female patient following a surgery. The patient is able to wiggle their toes and squeeze the nurses fingers bi-laterally. She is breathing deeply and coughs. Her blood pressure is virtually the same as it was before the surgery. She wakes and opens her eyes when she is spoken to. Her O2 saturation is 95% on room air. Based on her modified Aldrete score, is this patient ready for discharge to home?

Yes

In addition to fulfilling the six patient rights of safe medication administration, a PRN order must also contain what?

an indication

The nurse who works in the operating room is known as the _____________ nurse?

circulating

The nurse is speaking with the physician and is asking if the orders they received from the physician are correct. The nurse would be using which kind of question? clarifying question sequencing question open ended question validating question

clarifying question

The nurse is speaking with the physician and is asking if the orders they received from the physician are correct. The nurse would be using which kind of question? open ended question validating question sequencing question clarifying question

clarifying question

Wounds should be cleaned from " to ".

dirty to clean

A nurse is caring for an individual who has unresolved and extended grief that is now being manifested by somatic symptoms. This grief is identified as ______________ grief.

dysfunctional

The practice of nursing that focuses on healing the whole person is known as ___________ nursing.

holistic

Surgery performed on the wrong body part is known as a/an _____________ event.

never

Name the six patient rights of Safe Medication Administration.

patient, route, dose, time, medication, documentation

What is the most important step in the SBARR communication process?

readback

This type of catheter is most often used to do a straight cath on a patient. What is it referred to as:

red rubber catheter

RACER

rescue, alarm, contain, extinguish, relocate