Intro To Nursing

The nurse is documenting the client's response to a medication. This action reflects a practice that was started by which key figure in nursing's history?

Florence Nightingale

A beginning nursing student asks the nursing instructor why nurses need to know so many laboratory values. What is the best response by the nurse?

Nurses need to to know lab values to provide data for evaluation of client outcomes.

The registered nurse communicates with the physical therapist that a client is now on strict bed rest due to bradycardia. Which statement best explains the standard exemplified by the nurse?

The RN coordinates care delivery.

Trends in managed care have resulted in an increased focus on the care of clients by nurses in which settings?

community-based settings

The nurse and a student are discussing entry into the profession of nursing. Which statement should the nurse use to describe a diploma program?

"It is obtained by a 24-month program at a hospital."

The nurse is attempting to provide anticipatory guidance for the parents of an 18-month-old child. Which statement would be best for the nurse to make?

"Keep all medications in a locked cabinet."

The nurse is evaluating client health. Which client should the nurse determine to be exhibiting the most signs of health?

A client with a leg amputation who performs activities of daily living with a prosthesis

After hearing a presentation about the American Nurses Association (ANA), a nurse decides to join the organization based on the understanding that:

ANA aims at fostering high standards of nursing in the United States.

What was one barrier to the development of the nursing profession in the United States after the Civil War?

lack of educational standards

What is the primary purpose of standards of nursing practice?

to ensure knowledgeable, safe, comprehensive nursing care

A client asks an RN to prescribe a medication for pain. What is the best answer by the nurse?

"Only advanced practice registered nurses have prescriptive authority."

The postoperative patient's plan of care contains an intervention to ambulate twice a day 200 feet with assistance of one member of the healthcare team. The intervention was not completed one morning due to his pain. Which of the following would be the appropriate way to document the missed event?

The patient reported his pain at a level of 8/10 at 30 minutes after dosing. The patient was returned to bed and the physician was notified of the uncontrolled pain level with the current medication order.

The patient has just received a central venous catheter placed by the physician. Which of the following should the nurse anticipate next?

The patient will have an X-ray to confirm placement of the device.

In the role of entrepreneur, the nurse's primary responsibility is:

managing a health-related business.

The nurse is performing care for a client in the end stage of cancer. How can the nurse best facilitate the client and family's ability to cope? Select all that apply.

Assist the client with activities of daily living (ADLs). Assist the client and family with the preparation for end-of-life. Refer the client and family to hospice services.

Which callenge associated with technology most affects nurses today?

Client privacy issues within the social media realm

During the course of any given day of work in the acute care setting, the nurse may need to perform which roles? Select all that apply.

Communicator Counselor Teacher

The new nursing graduate is concerned about some of the critical changes that will be occuring in nursing. What changes does the nurse anticipate will impact nursing care?

Difficulty for nurses to remain current in a rapidly changing medical and technology environment

Which action should the nurse implement when working with a medically homeless client?

Encourage client to utilize the free health care clinic.

A nurse manager is teaching staff how to use a new piece of hospital equipment. Which educational setting would be most appropriate for this process?

In-service education

A nurse identifies a client's health care needs and devises a plan of care to meet those needs. Which guideline is being followed in this case?

Nursing process

A nurse incorporates the health promotion guidelines established by the U.S. Department of Health document Healthy People 2010. Which disease/condition is a health indicator discussed in this document?

Obesity

The student nurse is changing the bed linens of a hospitalized patient. While placing the contaminated materials into the laundry bag, the outside of the bag is touched by the material. What should the student nurse do next?

Obtain another laundry bag and place the contaminated bag inside while in the patient's room.

Of the following orders, which is considered to be the first to provide visiting nurses in Canada?

The Grey Nuns of Montreal

The nurse conducts a home safety assessment for a client. Which statement best explains the standard of care being implemented?

The RN promotes a safe environment.

The nurse that has been in practice for 15 years is able to use intuition when providing care to clients and also utilizes resources and demands to attain specific goals. According to Author Patricia Benner, in From Novice to Expert (1984), what stage of practice is the nurse displaying?

Expert

The nurse is caring for a client with a new diagnosis of cancer, and allows the client to verbalize fears relating to how to tell the children. The nurse's intervention reflects which aspect of nursing?

art of nursing

A prospective nursing student desires a career that will allow the opportunity to provide client care and to assist professional nurses with routine technical procedures. The prospective student needs to be employed in a full-time position quickly due to economic hardship. What type of nursing program would best suit this student?

licensed or vocational nursing program

The nurse is caring for a client who ascribes to the theory of animism. When attempting to explain this theory to other staff members, the nurse should state:

"Everything in nature is alive with invisible forces."

In what time period did nursing care as we now know it begin?

18th to 19th century

A 32-year-old construction worker is admitted to the emergency department after suffering a heat stroke. Which of the following IV solutions would the nurse expect the physician would order?

A solution of normal saline

Which is the best example of a client-centered approach to care?

The nurse asks the client about health goals.

The American Nurses Association (ANA) Standards of Professional Nursing Practice provides standard of care for all nurses. Which statement on the assessment of the nursing process is accurate?

The nurse collects comprehensive data pertinent to the client's health or situation.

The need for university-based nursing education programs was brought to light during which important historical time?

World War II

Teaching a woman about breast self-examination is an example of what broad aim of nursing?

preventing illness