Intro Nursing EXAM 1 Study Guide

Which action of a nursing student regarding The Joint Commission recomendations for creating a safe and welcoming environment for lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) clients needs revision? Posting a client's bill of rights and nondiscrimination policies visibly Arranging exclusive waiting rooms for LGBTQ clients and their families Providing information on special health care concerns for LGBTQ clients Avoiding assumptions about any client's sexual orientation and gender identity

Arranging exclusive waiting rooms for LGBTQ clients and their families

Which complication would the nurse monitor for in a client on strict bed rest for 3 days? Select all that apply. Atelectasis Hypotension Constipation Pressure injuries Urinary tract infection

Atelectasis Hypotension Constipation Pressure injuries Urinary tract infection

To prevent thrombophlebitis in the immediate postoperative period, which action is important for the nurse to include in the client's plan of care? Increase fluid intake Restrict fluids Encourage early mobility Elevate the knee gatch of the bed

Encourage early mobility

A client tells the nursing assistant "I am so worried about the results of the biopsy they took today." The nurse overhears the nursing assistant reply, "Don't worry. I'm sure everything will come out all right." Which conclusion would the nurse make about the nursing assistant's answer? It shows empathy It uses distraction It gives false reassurance It makes a value judgment

It gives false reassurance

The nurse is caring for a surgical client who develops a wound infection during hospitalization. Which classification would this infection belong to? Primary Secondary Superinfection Nosocomial

Nosocomial

The nurse assesses the vital signs of a 50-year old female client and documents the results Which are considered within normal range for this client? Select all that apply. Oral temp of 98.2F Apical pulse of 88 beats/min and regular Respiratory rate of 30 breaths/min Blood pressure of 116/78 mm Hg while in a sitting position Oxygen saturation of 92%

Oral temp of 98.2F Apical pulse of 88 beats/min and regular Blood pressure of 116/78 mm Hg while in a sitting position

An older adult is having urinary incontinence. Which nursing intervention would help the client? Select all that apply. Provide nutritional support Provide voiding opportunities Avoid indwelling catheterization Provide beverages and snacks frequently Promote measures to prevent skin breakdown

Provide voiding opportunities Avoid indwelling catheterization Promote measures to prevent skin breakdown

While collecting a client's urine sample, which condition would the nurse suspect if the sample has a strong odor of ammonia? Malabsorption Bladder cancer Diabetic ketoacidosis Urinary tract infection

Urinary tract infection

Which statements indicate that the nurse is in the expert stage according to Benner et al. (2010)? "The nurse can focus on managing care rather than paying attention to managing and performing skills." "The nurse can assess an entire situation and can gladly transfer knowledge gained from previous experiences to a situation." "The nurse can be a talented practitioner who has the capability of anticipating nursing care and establishing long-term goals." "The nurse can identify the client-centered problems and health care system-related problems and the needs of the trainee nurse."

"The nurse can identify the client-centered problems and health care system-related problems and the needs of the trainee nurse."

Which statements accurately describe the role of the nursing manager? Select all that apply. "They coordinate the activities of the nursing staff in delivering nursing care." "They use appropriate leadership styles to create a nursing environment for clients and staff." "They investigate ways to improve nursing care and further define and expand the scope of the nursing practice." "They provide independent care to women during a normal pregnancy, labor, and delivery, and also provide care for the newborn." "They establish an environment for collaborative client-centered care to provide safe and quality care with positive client outcomes."

"They coordinate the activities of the nursing staff in delivering nursing care." "They use appropriate leadership styles to create a nursing environment for clients and staff." "They establish an environment for collaborative client-centered care to provide safe and quality care with positive client outcomes."

The nurse assesses a client with dry and brittle hair, flaky skin, a beefy-red tongue, and bleeding gums. The nurse recognizes that the clinical manifestations are a result of which? A food allergy Noncompliance with medications Side effects from medications A nutritional deficiency

A nutritional deficiency

What kind of patient is expected to have concavely curved nails?

A patient with iron deficiency anemia

The nurse is caring for a client whose mobility is restricted to a wheelchair after a motor vehicle accident. The client has been prescribed physiotherapy as a part of rehabilitation care. Which interventions would the nurse consider when the client is discharged from the health care facility? Select all that apply. Focus firmly on the challenges faced by the client Refrain from including children in the support system Assist the family in identifying community support systems Encourage the primary caregiver to set a routine time for respite Consider the primary caregiver's experience in the discharge plan

Assist the family in identifying community support systems Encourage the primary caregiver to set a routine time for respite Consider the primary caregiver's experience in the discharge plan

A client who is positive for human immunodeficiency virus (HIV) is admitted to a surgical unit after an orthopedic procedure. The nurse realizes that HIV is transmissible through which means? Select all that apply? Feces Blood Semen Urine Sweat Tears

Blood Semen

The RN is caring for a client who is on isolation precautions. Which tasks can be safely assigned to the nursing assistive personnel? Select all that apply. Assessing vital signs Administering injections Assessing wound drainage Bringing equipment to the client's room Transporting the client to a diagnostic test

Bringing equipment to the client's room Transporting the client to a diagnostic test

Which are the four core roles for the advanced practice registered nurse (RN)? Select all that apply. Ostomy care nurse Clinical nurse specialist Certified nurse-midwife Certified Rn anesthetist Certified diabetes educator Certified nurse practitioner

Clinical nurse specialist Certified nurse-midwife Certified Rn anesthetist Certified nurse practitioner

Which nursing interventions enhance comfort in a dying client in the hospital? Select all that apply. Frequently repositioning the client Maintaining oral hygiene in the client Limiting frequent visits of the family members Measuring the vital signs of client frequently Applying body lotion to the client's skin daily

Frequently repositioning the client Maintaining oral hygiene in the client Applying body lotion to the client's skin daily

The nurse is assessing an older adult during a regular checkup. Which finding(s) during the assessment is/are normal? Select all that apply Loss of turgor Urinary incontinence Decreased night vision Decreased mobility of ribs Increased sensitivity to odors

Loss of turgor Decreased night vision Decreased mobility of ribs

The triage nurse in the ER receives 4 clients simultaneously. Which of the clients would the nurse determine could be treated last? Multipara in active labor Middle-aged woman with substernal chest pain Older adult male with a laceration to the finger Adolescent boy with an oxygen saturation of 91%

Older male adult with a laceration to the finger

Which nursing assessment finding is most indicative of a systemic infection? White blood cell (WBC) count of 8200/mm3 Bilateral 3+ pitting pedal edema Oral temp. of 101.3F Pale skin and nail beds

Oral temp. of 101.3F

An older client with shortness of breath is admitted to the hospital. The medical history reveals a diagnosis of pneumonia 3 days ago. Which vital assessment would be seen as a sign that the client needs immediate medical attention? Oxygen saturation: 89% Body temp.: 101F Blood pressure: 130/80 mm Hg Respiratory rate: 26 beats/minute

Oxygen saturation: 89%

Which involuntary physiologic response in a client experiencing pain should the nurse monitor for? Crying Splinting Perspiring Grimacing

Perspiring

The nurse is caring for a client who had a hip replacement 2 days prior. Which nursing intervention would the nurse perform next? Provide perineal care Turn and position the client Give a complete bed bath Document the bowel movement

Provide perineal care

A 50-year old client is diagnosed with chronic obstructive pulmonary disease (COPD). The clinical data on admission are as follows: a heart rate of 100 beats/min, a blood pressure of 138/82 mm Hg, a respiratory rate of 32 breaths/min, a tympanic temp. 98.2F, and an oxygen saturation of 80%. Which vital signs obtained by the nurse indicated a positive outcome? Select all that apply. Radial pulse: 70 beats/minute Temp.: 98.6F Respiratory rate: 14 breaths/min Blood pressure: 110/70 mm Hg Oxygen saturation: 92%

Respiratory rate: 14 breaths/min Blood pressure: 110/70 mm Hg Oxygen saturation: 92%

Which findings noted during assessment would lead the nurse to determine that a client is at an increased risk for infection? Select all that reply Surgical incision Urinary catheter Antibiotic therapy Intravenous access Diminished appetite

Surgical incision Urinary catheter Antibiotic therapy Intravenous access

The nurse is preparing discharge instructions for a client who acquired a nosocomial Clostridium Difficile infection. Which would the nurse include in the instructions? Anticipate that nausea and vomiting will continue until the infection is no longer present The infection causes diarrhea accompanied by flatus and abdominal discomfort Consume a diet that is high in fiber and low in fat Other than routine hand washing, it is not necessary to perform special disinfection procedures

The infection causes diarrhea accompanied by flatus and abdominal discomfort

Which scenarios are examples of the Quality and Safety Education for Nurses (QSEN) competency called quality improvement? Select all that apply. The nurse studies old medical cases about clients with Alzheimer disease before formulating the care plan for a client The nurse prepares a graph to compare the effectiveness of regular nursing practice with tradition health care practices The nurse demonstrates the method of using electronic health records to assure a client about confidentiality of the records The nurse designs a new method for ensuring surgical asepsis on the basis of information obtained from facility administrators The nurse prepares a flow chart to show the decline in client injuries after implementing a weekly client education program on the use of nurse call lights

The nurse studies old medical cases about clients with Alzheimer disease before formulating the care plan for a client The nurse designs a new method for ensuring surgical asepsis on the basis of information obtained from facility administrators The nurse prepares a flow chart to show the decline in client injuries after implementing a weekly client education program on the use of nurse call lights

According to Quality and Safety Education for Nurses (QSEN), which defines patient-centered care? Understanding that the client is the source of control when providing care Functioning effectively within nursing and interprofessional teams to deliver quality care Using data to evaluate outcomes of care processes and designing methods to improve health care Minimizing the risk for hard to clients and health care workers through improved professional performance

Understanding that the client is the source of control when providing care

The nurse assesses for which client symptoms that indicate hyperthermia? Select all that apply? Vasodilation Dry and flushed skin Pale and cyanotic skin Decreased capillary refill Decreased urinary output

Vasodilation Dry and flushed skin Decreased urinary output