PrepU Ch. 1 and 2

During the clinical rotation, a nurse documents the vital signs of a client on the bedside chart. What role is the nurse playing in such a situation? a. Communicator b. Decision maker c. Client advocate d. Coordinator

a. Communicator Ch 1 Pg 12

A nurse who is a recent graduate has been formally reprimanded after administering a medication to the wrong client. This reprimand would be considered to be consistent with a just culture if: a. the reprimand has been deemed appropriate and relevant to the nurse's actions. b. the nurse received ample support from colleagues during the discipline process. c. the reprimand was legally documented. d. the needs of the client were prioritized over the needs of the nurse.

a. the reprimand has been deemed appropriate and relevant to the nurse's actions. Ch 2 Pg 22

In what time period did nursing care as we now know it begin? a. Early civilization to 16th century b. 18th to 19th century c. Pre civilization d. 16th to 17th century

b. 18th to 19th century Ch 1 Pg 4

A nurse is planning to pursue further education in the hopes of becoming an expert in geriatric nursing who carries out direct care. For which expanded career role is the nurse preparing? a. Physician assistant b. Clinical nurse specialists c. Nurse manager d. Nurse midwife

b. Clinical nurse specialist Ch 1 Pg 8

Which individual provided community based care and founded public health nursing? a. Clara Barton b. Lillian Wald c. Sojourner Truth d. Mary Adelaide

b. Lillian Wald Ch 1 Pg 3

A nursing student wants to take up an advanced specialty nursing role. Which role is included in advanced specialty nursing? a. Nurse midwives care for women with complicated pregnancies. b. Nurse anesthetists are registered nurses. c. Nurse midwives are licensed practice nurses. d. Nurse anesthetists can have independent practices.

b. Nurse anesthetists are registered nurses. Ch 1 Pg 8

A confused client entered the dirty supply room on the unit and was found rummaging through trash that contained blood and body fluids. An incident report has been completed about this event by the nurse who discovered the client. Which statement about the incident report is most accurate? a. The incident report will be used to inform changes so that the dirty supply room becomes less accessible to clients. b. The incident report becomes an attachment to the client's health record. c. The nurse's priority in completing the report is justifying and explaining her initial response to the incident. d. The incident report is completed anonymously, allowing the nurse to be frank with suggestions.

b. The incident report becomes an attachment to the client's health record. Ch 2 Pg 24

Which is the best example of a nurse demonstrating the role of caregiver? a. referring the client to a mental health clinic b. reporting lab values to a client's health care provider c. starting an intravenous line in the client's arm d. assigning a room for a new hospital client

c. starting an intravenous line in the client's arm Ch 1 Pg 11

Municipal authorities have requested that the local hospital become more environmentally responsible. Which action best promotes environmental sustainability in a hospital setting? a. Implementing a system to sort recyclables from waste that contains toxins or body fluids. b. Replacing washable bed linens with single-use sheets in order to save water. c. Ensuring that all waste is thoroughly and hygienically incinerated on-site. d. Obtaining an autoclave so disposable equipment can be safely sterilized for reuse.

a. Implementing a system to sort recyclables from waste that contains toxins or body fluids. Ch 2 Pg 26

Local media reports have focused on the large amounts of waste that are produced by a local hospital, and there is public pressure to reduce waste. What principle should guide the hospital's waste-reduction efforts? a. Much hospital waste is considered a biohazard, but much other waste can be conventionally recycled. b. The technology does not yet exist for sorting hospital waste safely and efficiently. c. Hospital waste can be recycled on-site, but the costs associated with this are prohibitive. d. Hospital waste is distinctly different from other waste because it contains blood and body fluids.

a. Much hospital waste is considered a biohazard, but much other waste can be conventionally recycled. Ch 2 Pg 26

What might a nurse need to do to ensure the continuation of his or her nursing license? a. Obtaining continuing education credits b. Obtain a baccalaureate degree c. Obtain a master's degree d. Attend hospital in services

a. Obtain continuing education credits Ch 1 Pg 10

The nurse is teaching the caregiver of a 8-month-old infant about safety. Which teaching will the nurse include? a. Supervise your child on the changing table. b. Buy protective sporting equipment. c. Keep medications out of reach. d. Peer pressure causes children of this age to take risks.

a. Supervise your child on the changing table. Ch 2 Pg 28

A nurse prepared a client's medication, brought it to the client's bedside and then realized at the last minute that the medication was for another client of similar age and appearance. Follow-up to this event should include: a. completing an incident report describing this near miss. b. revising the procedures by which medications are distributed on the unit. c. a suspension for the nurse, pending the completion of remedial education. d. documenting this latent error and reporting it to relevant state agencies.

a. completing an incident report describing this near miss. Ch 2 Pg 21

The nurse is teaching the caregiver of an infant about safety. Which teaching will the nurse include? a. Peer pressure causes children of this age to take risks. b. Supervise your child on the changing table. c. Place all household cleaners out of reach. d. Buy protective sporting equipment.

b. Supervise your child on the changing table. Ch 2 Pg 28

The nurse conducts a home safety assessment for a client. Which statement best explains the standard of care being implemented? a. The RN identifies client outcomes b. The RN promotes a safe environment c. The RN educates about preventing falls d. The RN develops a plan of care

b. The RN promotes a safe environment Ch 1 Pg 9

A registered nurse wishes to work as a nurse researcher, Which is true regarding nurse researchers? a. They usually have a baccalaureate degree in nursing b. They are responsible for the continued development and advancement of nursing c. They serve as liaisons between staff members and directors of nursing. d. They tend to work in community health centers and long-term care units.

b. They are responsible for the continued development and advancement of nursing Ch 1 Pg 8

A nurse is considering relocating to another state to practice nursing. Which is the most appropriate action by the nurse to ensure ability to practice in the new state? a. asking the current state to transfer the license b. applying for a reciprocal license in the new state c. No action is needed by the nurse. d. taking the new state's licensing exam

b. applying for a reciprocal license in the new state Ch 1 Pg 10

A nurse has completed an incident report after a client tripped on an electrical cord in the hospital hallway and had a fall. The incident report will most likely be analyzed by: a. the Occupational Safety and Health Administration (OSHA). b. the hospital's health and safety committee. c. the client's primary care provider. d. the state's board of nursing.

b. the hospital's health and safety committee. Ch 2 Pg 25

The nurse is teaching an unlicensed assistive personnel (UAP) about fire safety. Which UAP statement demonstrates that teaching has been effective? a. "I know that nurses are the only ones who can extinguish a fire." b. "I will sound the alarm before I start moving a client from a room." c. "I will rescue clients from harm before doing anything else." d. "I will leave all doors open after rescuing clients."

c. "I will rescue clients from harm before doing anything else." Ch 2 Pg 30

The Joint Commission 2015 Hospital National Patient Safety Goals have been introduced during an educational session for nurses. Which action by a nurse best demonstrates the implementation of these goals? a. A nurse works several shifts on a new unit in order to gain experience in a different area of specialty. b. A nurse checks a client's blood pressure shortly before and shortly after giving a diuretic and a beta-adrenergic blocker. c. A nurse promptly telephones a client's primary care provider to report the client's critically low hemoglobin. d. A nurse performs a set of neurological vital signs when assessing a client after noting a facial droop.

c. A nurse promptly telephones a client's primary care provider to report the client's critically low hemoglobin. Ch 2 Pg 23

The nurse cares for a client with hemiparesis following cerebrovascular accident (CVA). Place the nursing diagnoses in the order of priority for this client. Use all options. a. Risk for social isolation b. Self-care deficit: dressing c. Impaired urinary elimination d. Sexual dysfunction

c. Impaired urinary elimination b. Self-care deficit: dressing d. Sexual dysfunction a. Risk for social isolation Ch 1 Pg 14

A nurse is providing care for clients in a long term care facility. What should be the central focus of this care? a. The nursing actions provided by the nurse b. The nurse as a caregiver c. The client receiving the care d. Nursing as a profession

c. The client receiving the care Ch 1 Pg 11

A nurse is caring for a client who is being treated for complications of diabetes. Which action by the nurse best reduces the client's risk of experiencing an adverse outcome while receiving care? a. delegating care appropriately and working closely with unlicensed care providers b. documenting the care that the client receives in a timely and detailed manner c. monitoring the client's health status frequently and thoroughly d. ensuring that the care provided is efficient and timely

c. monitoring the client's health status frequently and thoroughly Ch 2 Pg 27

The nurse is providing safety teaching to the family of an older adult client. Which finding in the client's home will the nurse teach the family to address? a. Outlets and switches have cover plates. b. No extension cords are being used. c. Machines used infrequently are unplugged. d. A hair dryer is placed next to the sink.

d. A hair dryer is placed next to the sink. Ch 2 Pg 29

A nurse is gathering information about a person's culture and beliefs related to health and how these beliefs influence the person. The nurse is evaluating which functional health pattern? a. Sleep and rest b. Coping and stress tolerance c. Cognition and perception d. Health perception and health management

d. Health perception and health management Ch 1 Pg 15

The administrators of a long-term care facility have been ordered to acquire mechanical client lifts because care staff have been performing manual client transfers that are too heavy. What organization would most likely make this ruling? a. Centers for Medicare & Medicaid Services (CMS) b. Institute of Medicine (IOM) c. Joint Commission d. Occupational Safety and Health Administration (OSHA)

d. Occupational Safety and Health Administration (OSHA) Ch 2 Pg 23

Teaching a client about performing a self examination of the skin is an example of what broad aim of nursing? a. Restoring Health b. Treating illness c. Facilitating coping d. Preventing illness

d. Preventing illness Ch 1 pg 6

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. a. Assist the client and family with the preparation for end of life b. Inform the family that there is nothing they can do for their loved one. c. Encourage the family to leave and let the nurse take over care. d. Refer the client and family to hospice services. e. Assist the client with activities of daily living (ADLs).

d. Refer the client and family to hospice services. Ch 1 Pg 13

A health care institution's most recent strategic plan includes a commitment to creating a culture of safety. The organization can best meet this commitment by: a. ensuring that the care clients receive is based on the latest research evidence. b. rotating staff members through various sites in order to reduce complacency. c. publicizing events that threatened client safety, while still maintaining confidentiality. d. having every employee focus on safety, not only direct care providers.

d. having every employee focus on safety, not only direct care providers. Ch 2 Pg 21

A nurse is preparing to insert a peripheral intravenous (IV) into a client who requires IV fluids. How can the nurse best demonstrate the skills that indicate the nurse meets the Quality and Safety Education for Nurses (QSEN) competency of safety? a. having empathy for the client and recognizing that the procedure is painful b. being aware of the signs of infiltration and other complications of therapy c. knowing the assessment findings that indicate therapy has been successful d. selecting an appropriate vein and establishing access aseptically

d. selecting an appropriate vein and establishing access aseptically Ch 2 Pg 24