250 final

36. Which is an example of a closed-ended question or statement?A. "How did that make you feel?" B."Did you take those drugs?" C."What medications do you take at home?" D."Describe the type of pain you have."

"Did you take those drugs?"

12. The nurse identifies a need for further teaching when a client makes which statement? A."Health is more than just the absence of illness." B."Health is an active process." C."Health means the same to every person." D."Health is dynamic and ever-changing."

"Health means the same to every person."

26. What is the term for the beliefs held by the individual about what matters? A.Ethics B.Values C.Morals D.Bioethics

Values

10. The nurse researcher is aware that the type of variable that can be manipulated in a study is which type of variable? A.Dependent B.Independent C.Quantitative D.Qualitative

Independent

27. A nurse asks a coworker about the condition of the nurse's next-door neighbor, who has been admitted to the unit. If the coworker shares the neighbor's client information with the nurse, the coworker could be held liable for committing which act? A.Invasion of privacy B.Negligence C.Assault D.Defamation of character

Invasion of privacy

49. The nurse is delegating care to an unlicensed assistive personnel (UAP). Which intervention would be most important for the nurse to perform independently? A.Assess the client with difficulty breathing B.Obtain a postprandial blood sugar readingC.Measure the client's blood pressure D.Assist the client with turning in bed

Assess the client with difficulty breathing

42. Which nursing care task is acceptable for a registered nurse to delegate to an unlicensed assistive personnel (UAP)? A.Assisting a client with ambulation B.Evaluation of nursing care delivered to a client C.Initial and ongoing assessments D.Development of a client teaching plan

Assisting a client with ambulation

47. A nurse is in charge of a large group of employees on a busy surgical floor. Today's care must be completed early due to a special event involving most of the employees. Which management style would work best in this situation? A.Authoritarian B.Coercive C.Democratic D.Laissez-faire

Authoritarian

22. Persistent gaps between the health status of minorities and non-minorities are defined as: A.racismB.ethnocentrism. C.health disparities. D.cultural relativity.

health disparities.

14. The nurse should identify the need for further teaching when the client with diabetes who is taking daily insulin and follows a strict diet makes which statement? A."I can achieve a maximum level of functioning." B."I cannot possibly ever be considered as healthy." C."I can achieve a high quality of health and life." D."I have an illness, but I can feel as if I am healthy."

"I cannot possibly ever be considered as healthy."

35. The nurse must use appropriate interviewing techniques to elicit accurate and complete health information. Which statement is an example of an open-ended question or comment? A."What brought you to the hospital this morning?" B."Are you having pain right now?" C."You seem upset today. Are you?" D."I'll be back in 30 minutes to check on your pain relief."

"What brought you to the hospital this morning?"

34. A client scheduled to have hip replacement surgery states, "I am so scared of the surgery and of the anesthetic." What is the best response by the nurse? A."Your wife will be in the surgery waiting room the entire time." B."What will happen if you don't have surgery?" C."What questions do you have about the surgery?" D."You really don't have anything to worry about."

"What questions do you have about the surgery?"

39. The nurse is teaching an 80-year-old client how to instill eye drops for glaucoma. The client's daughter asks, "How do you know that my mother understands what to do?" What is the appropriate nursing response? A."After I demonstrate it once, your mother will be able to do it." B."When 15 minutes have passed, I will ask your mother to show me how to instill the drops." C."We can never be completely sure that your mother understands instructions." D."I will have you bring your mother back next week to see how things are going."

"When 15 minutes have passed, I will ask your mother to show me how to instill the drops."

40. Which strategy might a nurse use to increase compliance with education? A.Include the client and family as partners. B.Use short, simple sentences for all ages. C.Provide verbal instruction at all timesD.Maintain a clear role as the authority.

.Include the client and family as partners.

as COPD, a chronic illness of the lungs. The client is in remission. Which statement best describes a period of remission in a client with a chronic illness? A.The symptoms of the illness reappear. B.The disease is no longer present. C.New symptoms occur at this time. D.Symptoms are not experienced.

.Symptoms are not experienced.

45. In Lewin's classic theory of change, what happens during unfreezing? A.Planning is conducted. B.Change is initiated. C.Change becomes operational. D.The need for change is recognized.

.The need for change is recognized.

18. Which definition of culture is most accurate? A.A belief system that guides behavior B.Altruistic grouping C.A cluster of individuals D.Complete uniformity of members

A belief system that guides behavior

48. Which nurse leader most clearly exemplifies transformational leadership? A.A leader who is dynamic and inspiring and promotes change by the power of the leader's convictions B.A leader who is careful to thoughtfully assess the issues and priorities surrounding a problem prior to acting C.A leader who prioritizes the delegation of leadership to the individual members of the group D.A leader who prioritizes the fact that every member of the team is considered valuable and equal

A leader who is dynamic and inspiring and promotes change by the power of the leader's convictions

3. A nurse is reading a research article from a nursing journal. The nurse is aware that the opening paragraph summarizing the article and the research findings is a good place to start. What part of the article is the nurse reading? A.Abstract B.Review of the literatureC.Results D.Conclusions

Abstract

33. Which process evaluates and recognizes educational programs as having met certain standards? A.Accreditation B.Credentialing C.Licensure D.Certification

Accreditation

41. A nurse manager makes all of the decisions for staff activities. What type of leadership is demonstrated by this action? A.Democratic B.Self-governance C.Laissez-faire D.Autocratic

Autocratic

31. Which best exemplifies malpractice? A.The nurse applies an ice pack to a client's lower back without an order and the client feels better. B.The nurse, using proper body mechanics, assists a client into a locked bed. The client slips and breaks a femur. C.The nurse administers amoxicillin to a client with known allergies to penicillin. The client has a seizure with resulting respiratory arrest. D.The nurse administers the wrong medication to a client, who then has one episode of vomiting 5 minutes later but no further adverse reactions.

C.The nurse administers amoxicillin to a client with known allergies to penicillin. The client has a seizure with resulting respiratory arrest.

17. A client who does not speak the dominant language is admitted to the hospital. Which cultural intervention would be most appropriate by the nurse? A.Ask the closest family member to interpret. B.Speak loudly and slowly so that the client can better understand. C.Call for an interpreter who is familiar with health care. D.Minimize eye contact to avoid being offensive.

Call for an interpreter who is familiar with health care.

9. Which statement is most applicable to evidence-based practice? A.It emphasizes personal experience over science. B.Clinical expertise is integrated with external evidence. C.It involves gaining solutions to problems. D.The purpose is to learn about a specific problem.

Clinical expertise is integrated with external evidence

21. Which term describes the tendency to impose one's cultural beliefs, values, and patterns of behavior on a person from a different culture? A.Acculturation B.Cultural blindness C.Cultural imposition D.Cultural taboos

Cultural imposition

1. Information is collected for analysis in both quantitative and qualitative research. What is the information called?A.SurveysB.AnswersC.Interviews D.Data

Data

24. Which nursing situation is an example of an ethical dilemma? A.Administering pain medication as ordered B.Transferring a client to a step-down unit C.Deciding whether to perform cardiac compressions against a client's wishes

Deciding whether to perform cardiac compressions against a client's wishes

44. The nurse manager who asks staff members to give suggestions on how to improve collaboration between nurses and physicians is exhibiting what style of leadership?A. Laissez-faire B.Democratic C.Autocratic D.Transactional

Democratic

2. Which is the theory that describes the maturation of humans through stages A.Nursing theory B.Systems theory C.Theory D.Developmental theory

Developmental theory

6. When looking at a model for evidence-based practice, what is the final step of the process? A.Evaluating practice change B.Searching the literature C.Appraising evidence D.Formulating a clinical question

Evaluating practice change

16. Which model of health and illness places high-level health and death on opposite ends of a graduated scale? A.Health-Illness Continuum B.Agent-Host-Environment Model C.Health Belief Model D.Health Promotion Model

Health-Illness Continuum

46. Which is a characteristic of mentorship? A.It is a paid position to orient new nurses to the workplace.B.It involves membership in a professional organization. C.It is a link to a protégé with common interests. D.It is not encouraged in health care settings.

It is a link to a protégé with common interests

24. A charge nurse is always careful to listen carefully to clients and to be respectful of their privacy and care needs. The nurse says, "I want the staff on this unit to see me interacting with clients in the manner I would like for them to interact with clients." The nurse is using which technique to guide value development of the staff? A.Moralizing B.Modeling C.Laissez-faireD.Responsible choice

Modeling

25. A nurse knows that the expression "Do not cause harm" refers to which ethical principle? A.Justice B.Nonmaleficence C.Fidelity D.Beneficence

Nonmaleficence

7. Nurses in an ICU noticed that their clients required fewer interventions for pain when the ICU was quiet. They then asked a researcher to design a study about the effects of noise on the pain levels of hospitalized clients. How does this demonstrate the ultimate goal of expanding the nursing body of knowledge? A.Nursing research involves clients in their care while hospitalized. B.Nursing research helps improve ways to promote and maintain health. C.Nursing research draws conclusions about the quality of client care. D.Nursing research explains ongoing medical studies to clients, and asks for participation.

Nursing research helps improve ways to promote and maintain health.

23. A nurse is caring for a client who constantly requests pain medication. What should the nurse consider when assessing the client's pain? A.Most people react to pain in the same way. B.Pain in adults is less intense than pain in children. C.The client has a low pain tolerance. D.Pain is what the client says it is.

Pain is what the client says it is.

4. The focus of nursing is always on which of the four common concepts in nursing theory? A.Person B.Environment C.Health D.Nursing

Person

30. A nurse has taken a telephone order from a physician for an emergency medication. The dose of the medication is abnormally high. What should the nurse do next? A.Administer the medication based on the order. B.Question the order for the medication. C.Refuse to administer the medication. D.Document concerns about the order.

Question the order for the medication.

28. A client on a surgical unit asks for the nurse's opinion of the surgeon. The nurse says that the surgeon is rude and that the surgeon's clients always end up with infections. The nurse is at risk of being accused of which? A.Libel B.Slander C.Negligence D.Assault

Slander

29. Injuries related to lifting or transferring clients occur in the health care setting and may be considered a work-related injury. Which law was intended to reduce work-related injuries and illnesses? A.The Occupational Safety and Health Act of 1970 B.The Health Care Quality Improvement Act of 1986 C.Title VII of the Civil Rights Act of 1964 D.Americans with Disabilities Act of 1990

The Occupational Safety and Health Act of 1970

50. The registered nurse (RN) has received orders to perform an unsafe practice on a client. The RN voices concern with the physician who gave the order, but the physician refuses to change the order. Whom should the nurse consult next regarding the order? A.The client B.The charge nurse C.The nurse manager D.The licensed practice nurse (LPN)

The charge nurse

13. A child, age 4 years, has leukemia but is now in remission. What does it mean to be in remission when one has a chronic illness? A.The chronic disease has been cured. B.Nothing further can be done in terms of treatment. C.Severe symptoms of the chronic illness have reappeared. D.The disease is present, but symptoms are not experienced.

The disease is present, but symptoms are not experienced.

43. The registered nurse (RN) wants to delegate a task to an unlicensed assistive personnel (UAP) but is unsure if the task can be delegated. What is the best resource for the RN to use in determining if the task is appropriate? A.The medical practice act website B.A nurse mentor or a nurse preceptor C.A more experienced nurse working on the same unit D.The nurse practice act or facility's policy and procedures

The nurse practice act or facility's policy and procedures

11. Which definition best describes acute illness? A.The rapid onset of symptoms lasting a relatively short time B.A medical condition that is life-threatening and requires surgery C.A condition that causes a permanent change and requires a long period of care D.The leading health problem in the world

The rapid onset of symptoms lasting a relatively short time

32. Nurses complete incident reports as dictated by the agency protocol. What is the primary reason nurses fill out an incident report? A.To document everyday occurrences B.To document the need for disciplinary action C.To improve quality of care D.To initiate litigation

To improve quality of care

5. A nurse is discussing dietary issues with a Latino client in the clinic. The client states, "My grandmother always told me that I needed to include beans in my diet so that my muscles would grow." The information that the client is expressing is known as what? A.Traditional knowledge B.Authoritative knowledge C.Scientific knowledge D.Philosophical knowledge

Traditional knowledge

19. A client from a minority culture has been hospitalized for 6 days for postoperative infection. The client's weight is decreasing each day, and the nutritional intake is declining. Which nutritional assessment question is most appropriate? A."Why aren't you eating your food?" B."Are you aware that you are losing weight?" C."What type of food do you eat at home?" D."Don't you like what is on your food tray?"

What type of food do you eat at home?"

8. A nurse is preparing to conduct a research study and uses the PICO format to develop the foreground question which is: "In adults, does reducing salt intake, compared to no change in salt intake, lower blood pressure?" The nurse identifies the "P" as: A.adults B.reducing salt intake. C.no change in salt intake. D.lower blood pressure.

adults

37. In which situation would the SBAR technique of communication be most appropriate? A.A nurse is calling a physician to report a client's new onset of chest pain. B.A nurse is facilitating a family meeting to coordinate a client's discharge planning. C.A nurse is explaining the process of bone marrow biopsy to a client who is scheduled for the procedure. D.A nurse is teaching a client about the benefits of smoking cessation and the risks of continuing to smoke.

nurse is calling a physician to report a client's new onset of chest pain

20. A preconceived and untested belief about an individual or group of individuals is: A.racism. B.stereotyping. C.culturally competent care. D.cultural relativity.

stereotyping.