NUR 302 Final Exam Study Guide

Which statement about a nursing license is true? A. It is issued and regulated by the State Board of Nursing. B. It is issued by the federal government. C. Once obtained, it cannot be revoked. D. IT is not required to work as a nurse.

A. It is issued and regulated by the State Board of Nursing.

When should a nursing student complete a variance report? A. A student witnesses a client fall and there are no other witnesses. B. The student makes an error on documentation and has to make a correction. C. The student is 30 min. late on entering a client's vital signs. D. The student makes an error on their lung assessment.

A. A student witnesses a client fall and there are no other witnesses.

Which nursing action is an example of preventing disease? A. Administering vaccinations. B. Administering blood pressure medication. C. Teaching a diabetic how to administer insulin. D. Working with a cancer patient to reduce symptoms.

A. Administering vaccinations. *a=health promotion b=disease prevention **c= restoring health=facilitating/coping with disability and death.

Which domain of learning involves feelings, beliefs, and values? A. Affective B. Cognitive C. Motivational D.Psychomotor

A. Affective *bc Affective learning involves feelings.

A nurse is admitting a client and using the nursing process as their tool. What is the first step of the nursing process? A. Assessment B. Intervention C. Noticing D. Planning

A. Assessment

A student nurse is taking a course exam. Which strategy is most effective in helping the student select the correct answer? A. Be sure to understand the question before looking at the answers. B. Review the answers first, then quickly browse the question. C. Consider all of the possible scenarios besides the ones listed. D. If in doubt after selecting your answer, be sure to change it to do something else.

A. Be sure to understand the question before looking at the answers.

Which medication dose is written correctly? A. Digoxin 0.125 mg po daily. B. Digoxin .125 mg po daily C. Digoxin .1250 mg po daily

A. Digoxin 0.125 mg po daily. *There should be a zero in front of the decimal, but no zeros trailing behind the decimal. mg should not have a period at the end as in mg.

MSU School of Nursing values the continual professional development of their students through ___________, ____________, and ___________________ . A. Education, scholarship, and service. B. Scheduling, scholarship, and service. C. Social event, education, and service. D. Scholarship, training, and social events.

A. Education, scholarship, and service.

A nursing student who lives in MO has successfully complete an accredited nursing program. Which organization will authorize the student to take the National Nursing Exam to obtain a nursing license. A. MO State Board of Nursing B. National Council of State Boards of Nursing C. The testing organizing PEARSON VUE. D. The school where the student graduated.

A. MO State Board of Nursing *The State BON controls licensing

A nurse in the emergency room uses Maslow's hierarchy of basic human needs to guide her care in the emergency room. Which activity would this theory support? A. Prioritizing nursing interventions. B. Collaborating with other team members. C. Determining specific injuries. D. Administering medications.

A. Prioritizing nursing interventions.

Which statement is true regarding legal liability for nursing students in the clinical setting? A. Student nurses are held to the standards of care that would be used to evaluate the actions of a registered nurse. B. The nurse caring for the client is solely responsible for the actions of the nursing student. C. Nursing students are exempt from liability if properly supervised by an instructor. D. Instructors are solely responsible for student actions.

A. Student nurses are held to the standards of care that would be used to evaluate the actions of a registered nurse. *Student nurses are held to the same standard of care that would be used to evaluate the actions of a registered nurse. Student nurses are responsible for their own acts of negligence if these result in patient injury. A hospital may also be held liable for the negligence of a student nurse enrolled in a hospital-controlled program because the student is considered an employee of the hospital. Nursing instructors may share responsibility for damages in the event of patient injury if an assignment called for clinical skills beyond a student's competency or the instructor failed to provide reasonable and prudent clinical supervision. Most nursing programs require students to carry personal professional liability insurance.

A nurse manager is looking to hire someone who is a critical thinker. Which attitudes is the nurse manager seeking? Select all that apply. (There are 3 correct answers.) A. Tenacious B. Confidence C. Honesty D. Doesn't question the status quo.

A. Tenacious B. Confidence C. Honesty

Which example would be an appropriate goal for the orientation phase of the nurse-patient relationship? A. The client will call the nurse by name. B. The client will identify the goals accomplished. C. The client will express feelings and concerns to the nurse. D. The client will cooperate in activities.

A. The client will call the nurse by name. *Introduction is the main goal for the first interaction.

A nurse is working to create a goal for a client post arthroplasty (hip replacement). The orders are for the client to ambulate to the bathroom. When creating the goal, what is the essential characteristic of the goal that will allow the nurse to determine if the goal was met? A. The goal must be specific and measurable. B. The goal must be attainable. C. The goal must be time sensitive. D. The goal must be determined in collaboration with the client.

A. The goal must be specific and measurable. *All of these are correct about the goal, but it must be measurable to determine if it was achieved.

Match the abbreviations with their correct meaning. There will be three answers without matches. AMB CTA c/o OOB PIH Sx dx S/P All answer choices: A. situation and position B. Symptoms C. ambulate D. Diagnosis E. Out of Bed F. complains of G. Clear to auscultation. H. Protected Health Information I. Status Post J. Ambition K. death

AMB: C. ambulate CTA: G. Clear to auscultation. c/o: F. complains of OOB: E. Out of Bed PIH: H. Protected Health Information Sx: B. Symptoms dx: D. Diagnosis S/P: I. Status Post

Match the acronym letters with their corresponding meaning. There will be two options that are unmatched: A: I: D: E: T: -A. I am a nursing student from MSU, I will be working with your health care team today to help you achieve your goals. - B. I will be with you today until 2pm. -C. My name is ___________. -D. Time of day. -E. Assess the situation. -F. Hello, how are you this morning? -G. Thank you for allowing me to be a part of your team today.

Acknowledge: F. Hello, how are you this morning? Introduce: C. My name is ___________. Duration: B. I will be with you today until 2pm. Explain: A. I am a nursing student from MSU, I will be working with your health care team today to help you achieve your goals. Thank You: G. Thank you for allowing me to be a part of your team today.

A nurse is caring for a client with asthma, the breathing treatment is scheduled for 4:00 am and pm. What times will it be recorded in the medical record? A. 0400, 1200 B. 0400, 1600 C. 0400,1800 D. 0400, 2000

B. 0400, 1600 *bc 1600 is 4:00 on the 12 hour clock.

What is the correct military time documentation for 7:00 pm? A. 1700 B. 1900 C. 0700

B. 1900 *1900 is the correct documentation for 7:00pm

A nurse manager is searching for a charge nurse to oversee a busy medical unit. The nurse manager is looking for someone who is conscientious with emotional intelligence. Which professional traits would the manager like for the charge nurse to posess? A. Punctual, able to speak their mind. B. Accountability, ability to prioritize, able to function well under pressure. C. Independent thinker, ability to delegate to others. D. Flexible, goes with the wind

B. Accountability, ability to prioritize, able to function well under pressure.

A nurse is working with a Spanish-speaking client who is having some difficulty understanding information. What is the best response by the nurse? A. Speak slow and pronounce words carefully. B. Consult an interpreter. C. Speak louder. D. Have a family member interpret.

B. Consult an interpreter. *The only method that would be effective is obtaining an interpreter. The client cannot communicate if they don't understand the language.

All clients who are over 65-years-old are eligible for health insurance under what plan? A. CHIP B. Medicare C. Medicaid D. Previous employer

B. Medicare *Yes, Medicare is the organization that provides health coverage for anyone over age 65

which nursing action is regulated by the board of nursing? A. Meeting attendance at place of employment. B. Nursing responsibilities toward the client. C. Work attendance and punctuality. D. Following workplace dress code.

B. Nursing responsibilities toward the client.

Which statement best describes intra personal communication? A. The goal is to exchange messages. B. Self-talk C. People and groups communicative to achieve established goals. D. Interaction between two or more people to accomplish a goal.

B. Self-talk *Intrapersonal communication is what we say to ourselves

A nurse is caring for a client using the nursing process as their tool. Which example describes a nursing intervention? A. Listening to lung sounds. B. Starting an IV. C. Setting goals. D. Measuring blood pressure.

B. Starting an IV. *Assessment is not an intervention. An intervention requires doing something to help the client. Starting an IV is done to help the client recover. See NP slide.

What is the difference between a helping relationship and a social relationship? A. The social relationship involves unequal sharing. B. The helping relationship is built on the client's needs. C. The helping relationship occurs spontaneously. D. Social relationships are professional relationships.

B. The helping relationship is built on the client's needs. *A helping relationship is only about the client.

An instructor is working with a student to achieve the goal of mastering the nursing process. Which response from the student is the best indicator that the student has learned the information? A. The student is able to verbalize the steps of the nursing process. B. The student utilizes the nursing process when making decisions about client care. C. The student is able to recognize an answer on an exam. D. The student presents a written outline of the nursing process.

B. The student utilizes the nursing process when making decisions about client care. *A demonstration of the knowledge is the best indicator of success

A nurse is orienting a new nurse about documentation. Which statement by the new nurse would indicate a need for additional education? A. "I will only use approved abbreviations in my documentation." B. "I will ensure that all client problems are included in the plan of care." C. "I will stay logged into the computer for the entire shift." D. "I will document in real time."

C. "I will stay logged into the computer for the entire shift." *The nurse should sign out when away from the computer."

Which scenario is a potential liability for nurses? A. A client refuses to ambulate in the hallway. B. A client has a reaction to a medication. C. A client develops a new problem, no documentation is recorded in the notes or plan of care about the new problem. D. The lab technician loses a blood sample.

C. A client develops a new problem, no documentation is recorded in the notes or plan of care about the new problem. *All nurses and nursing students are held to the standard of care related to their training.

A nurse is preparing to assess a client's ability and knowledge about performing a dressing change for a wound. Which teaching method would be the BEST choice to evaluate the client's understanding of how to perform the procedure? A. Ask them 3 questions. B. Provide them all of the details in a brochure. C. Ask them to demonstrate the process. D. Ask them if they have any questions.

C. Ask them to demonstrate the process. *Watching the demonstration provides information on how well they understand the process

Who was responsible for creating formalized nursing education? A. Lillian Wald B. Linda Richards C. Florence Nightingale D. Clara Barton

C. Florence Nightingale

Which definition best describes the goals of nursing? A. Ensuring that the care provided is covered by insurance or that the client has the physician's orders. B.Treating diseases, researching treatments, providing direct care and following the physician's orders. C. Health promotion, prevention of illness, health restoration, and helping our clients to cope with disability and death. D. Ensuring that the providers from other departments are doing their job.

C. Health promotion, prevention of illness, health restoration, and helping our clients to cope with disability and death. *Nurses' goals are to prevent illness, restore health, and help our clients cope.

Which of the statements about health and illness are accurate? A. Health and illness are the same for all people. B. Health is the absence of disease. C. Illness is the response of person to a disease. D. Illness is considered a chronic disease.

C. Illness is the response of person to a disease. *Oops... you may want to review the definitions of health

Finish this statement: If it wasn't charted.... A. It was probably communicated in another way. B. It should be charted. C. It wasn't done D. It is assumed

C. It wasn't done

A nurse is caring for a client who is diabetic and refuses to follow the treatment plan. What is a common reason that the client may not be adhering to the prescribed treatment plan? A. Client has adequate resources and can make their own decisions B. Client knows a better way. C. Lack of motivation D. Client is resistant to getting better.

C. Lack of motivation *A client can be overwhelmed and lose motivation, however information is rarely the cause of non-adherence. Adequate resources typically promote adherence. The client is involved in the plan and their ideas should already be included.

A client is having a procedure, and the nurse receives an order to obtain consent. The client has questions about the procedure and does not understand what is being done. What is the best response by the nurse? A. Leave the unsigned permit in the chart for the OR nurse to sign. B. Inform them about the procedure and ask them to sign the permit to avoid delaying their surgery. C. Notify the physician that the client has questions about the procedure he is performing, and would like to talk with them prior to signing the consent. D. Ask a family member who understands the procedure to sign the permit.

C. Notify the physician that the client has questions about the procedure he is performing, and would like to talk with them prior to signing the consent. *Yes! It is the nurses' responsibility to advocate for the client in helping them to gather the necessary information so they can provide an informed consent.

Which statement is true regarding the Nurse Practice Act? A. The Nurse Practice Act is sets legal guidelines for Registered Nurses who work in the hospital. B. The Nurse Practice Act is the same for each state. C. The Nurse Practice Act sets defined limits for nursing practice. D. The Nurse Practice Act is a set of federal laws that nurses must follow during their practice.

C. The Nurse Practice Act sets defined limits for nursing practice.

Which action is in violation of the Standards of Professional Performance from ANA? A. The Registered Nurse collaborates with the health care team and consumer. B. The Registered Nurse evaluates their own and others' nursing practice. C. The Registered Nurse fails to communicate changes in a client's condition to the physician. D. The Registered Nurse practices ethically.

C. The Registered Nurse fails to communicate changes in a client's condition to the physician.

In Benner's Novice-to-Expert theory, what is the second stage of becoming an expert? A. Proficient B. Novice C. Expert D. Advanced Beginner.

D. Advanced Beginner. *The second stage is the advanced beginner

MSU School of Nursing Philosophy states that, the faculty believes that nursing is a(n) ___________ discipline that practices with a framework of ethical and professional standards. A. Independent B. Healthcare C. Medical D. Collaborative

D. Collaborative

Which elements of liability must be present for a client to bring suit against a nurse? A. Intent to harm B. Duty, Accusation, Causation, Damages. C. Duty, Breach of Duty, Character, Damages. D. Duty, Breach of Duty, Causation, Damages.

D. Duty, Breach of Duty, Causation, Damages. *Duty, Breach of Duty, Causation, Damages must all be present in order for a malpractice suit to be filed

When developing teaching goals, what is an essential component? A. Must be at the 12th- grade reading level. B. Goals are based on nurse's preference. C. Should provide at least an hour of information. D. Must be measurable.

D. Must be measurable. *In order to determine if a goal was met it must be measurable.

what distance zone is appropriate for the first encounter with the client? A. Intimate Zone (0-18') B. Social Zone (4-12 ft) C. Public Zone (12-25 ft) D. Personal Zone (18"-4ft)

D. Personal Zone (18"-4ft) *Personal Zone 18"-4ft is the personal space required for initial conversation. See communication ppt.

A nurse is working with a client in a helping relationship. Which action is an example of verbal communication? A. Smiling. B. Eye contact C. Touch D. Providing instructions

D. Providing instructions *Providing instructions is the only example of verbal instructions.

What agency exists for the sole purpose of partnering with nursing programs to prepare nurses to provide safe, high-quality care? A. Managed Care Organizations B. JACO C. Medicare D. QSEN

D. QSEN *QSEN stands for Quality and Safety Education for Nurses

Who is responsible for development of the plan based on the client's response to the disease and the treatment? A. The Nurse Manager in charge of the unit. B. The physician caring for the client. C. The nurse tech assigned to the client. D. The Registered Nurse assigned to the clients.

D. The Registered Nurse assigned to the clients. *As care designer the RN assigned to the client is responsible for planning individualized care to the client.

Who is the RN primarily responsible to in the hospital setting? A. Hospital administration. B. The doctor. C. The charge nurse. D. The client

D. The client *Nurses goals should be patient centered.

What or whom is at the core of all nursing care? A. The plan B. The goals C. The nurse D. The client

D. The client *The client is the core of all nursing care.

A nurse is giving change of shift report at the bedside. Which information should be included? A. Client was watching television most of the day. B. Personalities of the client and family members. C. Nurse patient staffing ratio. D. VS, Intake and Output, Changes since last shift.

D. VS, Intake and Output, Changes since last shift. *VS, Intake and Output, Changes in condition are information that is relative to the client's response to their illness.

The Standards of Nursing practice vary by state, but which statement is a common element of the Standards of Nursing Practice? A. "The Registered Nurse is responsible for overseeing the functions of the health care setting." B. "The Registered Nurse is required to follow all physician orders without question." C. "The Registered Nurse is responsible for providing all personal care." D." The Registered Nurse collects data relative to the consumer's health or the situation."

D." The Registered Nurse collects data relative to the consumer's health or the situation."

What four concepts are included in nursing theories? I. Environment II. Nurse III. Acute Illnesses IV. Health V. Chronic Illnesses VI. Person

I. Environment II. Nurse IV. Health VI. Person *Person/Nurse/Health/Environment are the 4 concepts included in each theory.

Health

a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity