Exam 1 Practice Questions

On admission to the hospital, patients are asked if they have a living will or a durable power of attorney. If not, the admitting staff person will provide a sample form to the patient if they want it. The purpose of this inquiry is to determine: a) what the patient wants to happen during the hospitalization. b) how the patient feels about being resuscitated and maintained on life support if this is necessary. c) if they have a document describing their wishes for care when they are no longer able to make their own decisions. d) previous decisions made regarding who to contact should they die in the hospital.

c) if they have a document describing their wishes for care when they are no longer able to make their own decisions.

Select the best description of how the nurse applies the nursing process in caring for clients. The nurse: a) applies intuition and routine care for clients. b) employs communication to meet the client's needs. c) uses critical thinking to direct care for the individual client. d) uses scientific problem solving to meet client problems.

c) uses critical thinking to direct care for the individual client.

What statent made by the nurse providing care to a group of clients indicates that the nurse requires further education regarding negligence? a) "Please avoid bringing fresh fruit to a client with neutropenia." b) "I am going to assess for collateral circulation before preforming an arterial blood gas (ABG)." c) "I am going to auscultate breath sounds every 8 hours on a client receiving enteral feedings" d) "I don't need to assess distal pulses on a client after a femoral arteriography."

d) "I don't need to assess distal pulses on a client after a femoral arteriography."

The nurse overhears a colleague state, "All people from that client's country are rude." What is the appropriate nursing response? a) Say nothing and ignore the comment. b) Agree and state, "Yes, I've noticed the same thing." c) Report the colleague to the nurse manager. d) Respond by saying, "Stereotypes keep us from accepting others as unique individuals."

d) Respond by saying, "Stereotypes keep us from accepting others as unique individuals."

In some cases, the act of providing nursing care in unexpected situations is covered by the Good Samaritan laws. Which nursing actions would most likely be covered by these laws? a) any emergency care where consent is given b) negligent acts performed in an emergency situation c) medical advice given to a neighbor regarding her child's rash d) emergency care for a choking victim in a restaurant

d) emergency care for a choking victim in a restaurant

Which is a cultural norm of the health care system? a) There is the use of a systematic approach and problem-solving methodology. b) There is a tolerance of tardiness, disorderliness, and disorganization. c) There is high flexibility in certain procedures attending birth and death. d) The omnipotence of technology is yet to be recognized.

a) There is the use of a systematic approach and problem-solving methodology.

A 16-year-old girl has been injured in an accident and is receiving home care due to fractures and multiple trauma-related injuries. She states, "I don't know why I survived and not my best friend." It is most important to: a) communicate her feelings to family and friends. b) allow the religious force in her life to visit. c) be certain that her educational needs are being met. d) increase her activity to assist in her coping ability.

a) communicate her feelings to family and friends.

A nurse demonstrates understanding of Healthy People 2020: Understanding and Improving Health by supporting which statement? a) Establish a set of nursing skills that focuses on quick resolution to clients' needs. b) A client's health is affected by social, economic, and political factors. c) Clinical care supports wellness in the environment. d) Physical therapy supports client safety at home.

b) A client's health is affected by social, economic, and political factors.

A nurse has the Petty Family as a client, who consists of a wife, husband, and their 4-year-old daughter. The husband has been unemployed for 8 months, and they lost their apartment. The family has been staying in neighborhood shelters and, on occasion, with the husband's father for a night or two. When evaluating this family, the nurse identifies this family as which type? a) A multigenerational family b) A homeless family c) A blended family d) An extended family

b) A homeless family

Which government policy addresses penalizing hospitals for readmissions of clients with certain diagnoses within 30 days of discharge? a) American Disability Act b) Affordable Care Act c) American Nurses Association Bylaws d) National Commission for Minorities

b) Affordable Care Act

As the nurse caring for a 25-year-old patient who has recently been diagnosed with testicular cancer, you know that this patient's illness will impact every aspect of his life. What developmental tasks might you expect to be affected? a) Achieving self-actualization b) Marrying and starting a family c) Reviewing life's accomplishments d) Establishing financial security

b) Marrying and starting a family

A nursing faculty is discussing laissez-faire values with students. Which of the following is an example of those values? a) Teaching children right from wrong b) Parents allowing a child to decide not to have an intravenous line inserted c) Modeling healthy behaviors for teenagers d) Telling a child an injection will feel like a pinch

b) Parents allowing a child to decide not to have an intravenous line inserted

A nurse enters the client's room and finds the client lying on the floor experiencing a seizure activity. After stabilizing the client, the nurse informs the physician. The physician advises the nurse to prepare an incident report. What is the purpose of an incident report? a) To provide a method for deciding the nurse's fault in the incident b) To evaluate quality care and potential risks for injury to the client c) To provides information to local, state, and federal agencies d) To evaluate the immediate care provided by the nurse to the client

b) To evaluate quality care and potential risks for injury to the client

The Nursing Agenda for Health Care Reform (American Nurses Association [ANA]) identifies the recipients of health care. This reform's main focus is on: a) accurate assessment in the acute health care setting. b) health promotion. c) better connectivity through the use of technology. d) High quality disease management.

b) health promotion.

What is one of the most significant trends in health care today? a) increased length of hospital stays b) shift from hospitals to community-based care c) emphasis on disease management d) narrowing of the areas for nursing practice

b) shift from hospitals to community-based care

What would be an example of the nurse practicing fidelity? The nurse: a) regulates visitors. b) stays with the client during his death as promised. c) withholds information as requested. d) provides continuity of care.

b) stays with the client during his death as promised.

The nurse is explaining to a nursing colleague why there should be only one entry into the profession. What is the best statement by the explaining nurse? a) "Multiple methods of preparation increase the number of nurses." b) "Increasingly, there is opportunity for educational advancement." c) "Multiple methods of preparation are confusing to consumers." d) "State laws recognize both the LPN and RN as nursing credentials."

c) "Multiple methods of preparation are confusing to consumers."

A home health care nurse is discussing home health care during a presentation for a group of senior nursing students, as part of a Career Day seminar. One of the students asks, "How is home health care different from care in a hospital?" Which response by the nurse would be most appropriate? a) "You need a graduate degree to specialize in home health care." b) "It requires that you have high-level critical care skills." c) "The client and family are in control of the setting, not the nurse." d) "Each team member works independently of other team members."

c) "The client and family are in control of the setting, not the nurse."

A home care nurse has just completed a dressing change on her client. Which statement best describes the termination phase? a) "You need to eat more protein to assist you with wound healing." b) "On a scale of 0 to 10 with 0 being no pain and 10 being the worst, where would you rate your pain?" c) "Your wound is healing nicely. It is draining less and it is smaller by a half centimeter." d) "Have you had any problems since our last visit? Is your wife doing well with your dressing changes?"

c) "Your wound is healing nicely. It is draining less and it is smaller by a half centimeter."

The clinic nurse is obtaining demographic data from a client. The client states, "Why do you need to know what my ethnicity is?" How should the nurse respond? a) "Collecting this information allows us to develop a personalized plan of care to meet your needs." b) "We require the information for identification purposes." c) "Understanding your background will prevent us from doing anything to offend you." d) "Insurance companies requires us to ask all clients."

a) "Collecting this information allows us to develop a personalized plan of care to meet your needs."

The nurse is describing the role of the nurse entrepreneur. Which of the following statements best describe this role? a) A nurse who manages a health-related business b) A nurse responsible for administration of resources c) A nurse who manages personnel involved in client care d) A nurse who teaches in a clinical setting

a) A nurse who manages a health-related business

The nurse is performing an assessment on a client who presents with a rash on the back that is red and raised. What would be the most appropriate nursing action? a) Assess the client's back visually. b) Document it in the client's chart. c) Establish a nursing diagnosis of Altered Skin Integrity. d) Report it to the health care provider.

a) Assess the client's back visually.

Which of the following actions should the nurse implement when working with a medically homeless client? a) Encourage client to utilize the free healthcare clinic. b) Assist the client in finding housing. c) Encourage the client to utilize the emergency room when ill. d) Assist the client in finding a job.

a) Encourage client to utilize the free healthcare clinic.

A nurse is providing care for three clients on a medical unit, two of whom are significantly more acute than the third. The nurse is making a concerted effort to ensure that the less acute client still receives a reasonable amount of time, attention, and care during the course of the shift. Which of the following is the nurse attempting to enact? a) Justice b) Beneficence c) Fidelity d) Nonmaleficence

a) Justice

A client with Asian heritage is admitted to the unit. What cultural assessment might the nurse anticipate? a) Nonverbal expressions of pain b) Loud, aggressive response to pain c) Refusal of pain medication d) Excessive verbal reports of extreme pain

a) Nonverbal expressions of pain

A nurse-manager at a community hospital is discussing the concept of Pay for Performance with the medical-surgical unit's physicians, nurses, and other members of the health care team. Which of the following statements made by the nurse-manager is consistent with this concept? a) Quality of care is being measured and used to evaluate hospitals and other providers and to award reimbursement. b) Financial incentives are employed to reward providers for the achievement of a range of patient objectives. c) Pay for Performance includes only demonstrated delivery efficiencies and improved quality and patient safety. d) Pay for Performance is to be instituted primarily in small community hospitals with fewer than 100 beds, as patient outcomes are worse there.

a) Quality of care is being measured and used to evaluate hospitals and other providers and to award reimbursement.