Custom Adaptive Quiz - Technology & Informatics
During a newborn assessment the nurse identifies that the temperature, pulse, respirations, and other physical characteristics are within the expected range. The nurse records these findings on the clinical record. Legally, how should the nurse's action be interpreted? 1 The nurse performed her role correctly. 2 This is a medical diagnosis and the nurse overstepped the legal boundary. 3 Nursing assessments are not equivalent to a primary healthcare provider's assessments. 4 The initial assessment of the infant's physical status is the responsibility of the client's primary healthcare provider.
1. The nurse performed her role correctly
The nurse is performing bedside sonography for a female client who underwent a hysterectomy. Which nursing intervention needs correction? 1 Using the female icon on the bladder scanner 2 Placing an ultrasound gel pad right above the pubic bone 3 Pointing the scan head so the ultrasound is projected towards the client's coccyx 4 Placing the midline of the probe over the abdomen about 1.5 inches (3.8 cm) above the pubic bone
1.Using the female icon on the bladder scanner
A client is to have a computed tomography (CT) scan with contrast to assess a potential brain tumor. The nurse should teach the client about which common expected responses to the contrast material? Select all that apply. 1 Visual disturbances 2 Flushing of the face 3 Sensation of warmth 4 Lemony taste in the mouth 5 Small petechiae on the arms
2,3
A health care facility uses cardiac telemetry for a client. Which Quality and Safety Education for Nurses (QSEN) competency does this intervention adhere to? 1 Safety 2 Informatics 3 Patient-centered care 4 Evidence-based practice
2. Informatics
A registered nurse notices that the insertion site of a client receiving intravenous medication is swollen. The nurse takes appropriate measures to treat the area and takes a photo of the insertion site and saves it in the client's electronic health record. Which Quality and Safety Education for Nurses (QSEN) competency is the nurse following? 1 Safety 2 Informatics 3 Client-centered care 4 Teamwork and collaboration
2. Informatics
A client arrives at the emergency room complaining of chest pain and dizziness. The client has a history of angina. The primary healthcare provider prescribes an electrocardiogram (ECG) and lab tests. A change in which component of the ECG tracing should the nurse recognize as the client actively having a myocardial infarction (MI)? 1 QRS complex 2 S-T segment 3 P wave 4 R wave
2. S-T segment
A nurse needs to record a client's data from admission until discharge. Which record will the nurse use? 1 Acuity record 2 Source record 3 Hand-off records 4 Problem-oriented medical record
2. Source record
The community health care nurse uses emails to remind the community about vaccines and regular diabetic checkups. Which Quality and Safety Education for Nurses (QSEN) competency does the nurse address? 1 Safety 2 Informatics 3 Quality improvement 4 Evidence-based practice
2.Informatics
A nurse performs a Rinne test during physical assessment of a client. The client indicates that the sound is louder when the vibrating tuning fork is placed against the mastoid bone than when held closely to the ear. What conclusion should the nurse make about these results? 1 This represents an expected finding. 2 The client may have a sensorineural deficit. 3 This is evidence of a conductive hearing loss. 4 The client has an inflammation of the mastoid.
3. This is evidence of a conductive hearing loss.
A nurse identifies 12 mm of induration at the site of a Mantoux test when a client returns to the health office to have it read. Which explanation of this result should the nurse give to the client? 1 Result is negative, and follow-up is not needed. 2 The disease is active, and medication is required. 3 Additional tests are needed, such as a chest x-ray. 4 Outcome is inconclusive, and the test will be repeated in six weeks
3.Additional tests are needed, such as a chest x-ray.
The nurse is watching the technician obtain a 12-lead ECG. In which area should the nurse make sure the technician places the V 1 lead? 1 Halfway between V 2 and V 4 2 Fourth intercostal space, left sternal border 3 Fourth intercostal space, right sternal border 4 Fifth intercostal space, left midclavicular line
3.Fourth intercostal space, right sternal border
A nurse is working in a health care organization that has Magnet status. What specific responsibility does the nurse have in this organization? 1 The nurse must follow best-practices for quality improvement. 2 The nurse must use research-based practice to provide client care. 3 The nurse must collect data for comparison against a national level. 4 The nurse must refrain from taking independent actions during client care
3.The nurse must collect data for comparison against a national level.
A client is admitted in the primary healthcare center for treatment of electrical burns. Which technology should the nurse expect will be used for the treatment? 1 Skin substitutes 2 Electrical stimulation 3 Topical growth factors 4 Hyperbaric oxygen therapy
4. Hyperbaric oxygen therapy
The laboratory international normalized ratio (INR) results of a client receiving warfarin have been variable. The nurse interviews the client to determine factors contributing to the problem. Which is most important for the nurse to identify? 1 Use of analgesics 2 Serum glucose level 3 Serum potassium levels 4 Adherence to the prescribed drug regimen
4.Adherence to the prescribed drug regimen