NUR 114 - txbk Qs - Chs 16, 12, 7 - Ex 1
a nurse is teaching a client about hospice care. which of the following statements by the client indicates an understanding of the teaching? (engage funds) a - "I understand that services provided will include just what is needed to keep me comfortable" b - "While I am receiving hospice care, I will continue treatment for my illness" c - "I need to be in hospital to receive hospice care" d - "the hospice team will no longer support my family after I have passed away"
a - "I understand that services provided will include just what is needed to keep me comfortable" the goal of care is not to treat or cure the illness, but to provide comfort and support services for clients who have less than 6 months to live
a nurse is discussing the nursing process with a newly licensed nurse. which of the following statements by the newly licensed nurse should the nurse identify as appropriate for the planning step of the nursing process? (ch. 7) a - "I will determine the most importnat problems that we should address" b - "I will review the PMH on the client's record to get more information" c - "I will carry out the new prescriptions from the provider" d - "I will ask the client if thier nausea has resolved"
a - "I will determine the most importnat problems that we should address"
identify the relevant cues that would indicate that the client is at risk for fall. select up to 3 options. (prac test) a - HX of blindness b - left sided weakness c - weight 175 lbs d - allergic to penecillin e - height 5 ft 8 inches f - temp 98.6 F g - BP 90/50
a - HX of blindness b - left sided weakness g - BP 90/50
a charge nurse is reviewing the steps of the nursing process with a group of nurses. which of the following data should the charge nurse identify as objective data? select all that apply (ch. 7) a - RR is 22/min with even, unlabored respirations b - the client's partner states "they said they hurt after walking about 10 min" c - the clients pain rating is 3 on a scale of 0 - 10 d - the client's skin is pink, warm, and dry e - the assistive personnel reports that the client walked with a limp
a - RR is 22/min with even, unlabored respirations d - the client's skin is pink, warm, and dry
The nurse is preparing to discharge a client home. Medication education, addressing the client's home environment and the client's daily home routine is part of the discharge plan. Which of the following QSEN competencies is the nurse addressing in the plan? Select all-that-apply. (B. space quiz) a - Safety. b - Evidence-based practice. c - Insurance reimbursement. d - Patient-centered care.
a - Safety. b - Evidence-based practice. d - Patient-centered care.
a nurse has received a change of shift report for a group of pts. which of the following ots should the nurse plan to see first? (engage funds - priority) a - a pt who is receiving a blood transfusion and reports urticaria b - a pt who has back pain and is requesting a muscle relaxant mediction c - a pt who has an ankle sprain and requests toileting assistance d - a pt who has chronic migraines and reports a headache
a - a pt who is receiving a blood transfusion and reports urticaria urticaria is a manifestation of anaphylaxis - allergic rxn that is life threatening
a nurse is discussing SDOH with a newly licensed nurse. The nurse should include that wihch of the following factors contributes to the neighborhood and built environment determinant category? Select all that apply (engage funds) a - access to foods that support healthy eating patterns b - access to health care c - crime and violence d - environmental conditions e - civic participation
a - access to foods that support healthy eating patterns c - crime and violence d - environmental conditions
a charge nurse is observing a newly licensed nurse care for a client who reports pain. the nurse checked the client's MAR and noted the last dose of pain medication was over 6 hr ago. The prescription reads every 4 hr PRN for pain. the nurse administered the medication and checked with the client 40 min later, when the client reported improvement. The newly licesned nurse left out which of the following steps of the nursing process? (ch. 7) a - assessent b - planning c - intervention d - evaluation
a - assessment should have used assessment to ask the client to evaluate the severity of the pain on a scale of 0 - 10. The nurse also should have asked about the charactersitics of the pain and assessed for any changes that might have contributed to worsening of the pain
client has hearing loss and TV is loud, client has visitors. Is having pain and was given pain meds that made client sleepy. which of the following factors could present a barrier to the nurse effectively communicating with the client? select all that apply (prac test) a - clients hearing deficit b - volume on the client's TV c - numerous visitors in the client's room d - increase in pain after ambulation e - adverse effects of opioid analgestic f - using earphones while listening to music
a - clients hearing deficit b - volume on the client's TV c - numerous visitors in the client's room d - increase in pain after ambulation e - adverse effects of opioid analgestic
a nurse is caring for a client who has a HX of falls. which of the following actions is the nurse's priority? (ch. 12) a - complete a fall risk assessment b - educate the client and family about fall risks c - eliminate safety hazards fro the client's environment d - make srue the client uses assistive aids in thier possession
a - complete a fall risk assessment
a nurse is caring for a client - macular degeneration - uses a cane to ambulate home hazards: - unsercure throw rug over tile floow - grab bar in bathroom - hot water heater set at 43.3C (110F) - nonskid mat in bathtub - electrical cord on floor over walkway a nurse in reviewing a fall risk assessment for a client. which of the following findings places he client at risk for a fall? select all that apply (prac test) a - electrical cord on floor in hallway b - uses a cane to ambulate c - macular degeneration d - throw rugs in kitchen e - grab bar in bathroom
a - electrical cord on floor in hallway c - macular degeneration d - throw rugs in kitchen
a nurse in a provider's office is speaking with a client about a Press Ganey survey. the nurse should inform the client that this survery will be conducted by which of the following methods? (engage funds) a - email b - automated phone attendant c - post mail d - telephone call
a - email
a nurse in a clinic is planing health promotion and disease prevention strategies for a client who has multiple RFs for cardiovascular disease. Which of the following interventions should the nurse include? select all that apply. (ch 16) a - help the client see the benefits of their actions b - identify the client's support system c - suggest and recoomend community resources d - devise and set goals for the client e - teach stress management strategies
a - help the client see the benefits of their actions b - identify the client's support systems c - suggest and recommend community resources e - teach stress management strategies (the answer is NOT d - devise and set goals for the client, b/c we should work together and set goals WITH the pt, not FOR the pt)
a nurse is completing the Minimum Data Set (MDS) assessment for a resident in a skilled nursing facility. which of the following information should the nurse include in the assessment? select all that apply. (engage funds) a - input from members of the client's interdisciplinary team b - the clients cognitive status c - description of the clients home environment d - each physical therapy visit e - the clients need for assitance with activities of daily living
a - input from members of the client's interdisciplinary team b - the clients cognitive status d - each physical therapy visit e - the clients need for assitance with activities of daily living
a nurse at a hospital is interviewing a newly admitted client. the client tells the nurse they would like to adhere to thier cultural beliefs during their hospitalization. which of the following actions should the nurse take to provide the client with culturally competent care? select all that apply (engage funds) a - listen to the clients request with resect and compassion b - let the client know that their cultural beliefs will be checked on after the assigned nursing break c - reassure the client thaty they can practice thier cultural beliefs if safe to self and others d - explain to the client that this is not possible in public space e - provide resources to meet the clients cultural needs
a - listen to the clients request with resect and compassion c - reassure the client thaty they can practice thier cultural beliefs if safe to self and others e - provide resources to meet the clients cultural needs
a nurse is assessing a pt using the ABCDE approach. which of the following actions should the nurse taken when completing the exposure component of this priority method? select all that apply (engage funds - priority) a - observe the clients lower extremities for indications of DVT b - obtain a RR for one full min c - measure the clients temp d - check the client for bruising e - obtain a BP measurement
a - observe the clients lower extremities for indications of DVT c - measure the clients temp d - check the client for bruising
a nurse in a community health clinic is interviewing a couple who just lost their house in a fire. using the priority framework of Maslow's hierarchy of needs, which category should the nurse identify for the clients situation? (prac test) a - physiological b - esteem c - safety d - self actualization
a - physiological
a nurse is caring for a client who is at risk for suicide. which of the following actions should the nurse take? select all that apply (engage funds - safety) a - place the client on round-the-clock surveillance b - remove objects from the room that the client could use to harm themselves c - search items brought into the clients room by visitors d - refrain from asking the client if they intend to harm themselves e - screen the client for suicidal ideation
a - place the client on round-the-clock surveillance b - remove objects from the room that the client could use to harm themselves c - search items brought into the clients room by visitors e - screen the client for suicidal ideation
by the second post op day, a client has not achieved satisfactory pain relief. based on this evaluation, which of the following actions should the nurse take, according to the nursing process? (ch. 7) a - reassess the client to determine the reasons for inadequate pain relief b - wait to see whether the pain lessens during the next 24 hrs c - change the plan of care to provide different pain relief interventions d - teach the client about the plan of care for managing the pain
a - reassess the client to determine the reasons for inadequate pain relief
a nurse is assisting with emergency care of a client who has been exposed to a chemical toxin. which of the following actions should the nurse take? a - rinse the clients skin with water b - remove the clients clothing by pulling it over their head c - dispose of the clients clothing in a single biohazard bag d - prepare to administer potassium iodide to the client
a - rinse the clients skin with water to remove the chemical toxin from their skin, hair, and eyes to reduce the effects of exposure
a nurse is providing care to a client. prior to exiting the clients room, the nurse ensures the client's bed is looked at and their call light is within reach. which of the following QSEN competencies is the nurse demonstrating? (prac exam) a - safety b - teamwork and collaboration c - pt-centered care d - QI
a - safety
a nurse in a health clinic is caring for a 21-y/o client who tells the nurse that their last physical exam was in HS. which of the following health screenings should the nurse expect the provider to perform for this client? (ch. 16) a - testicular exam b - blood glucose c - fecal occult blood d - prostate specific antigen
a - testicular exam
a nurse is preparing to administer a premixed medication to a client. the nurse should check the label for which of the following informaiton? select all that apply (engage funds - safety) a - the date the medication was mixed b - the client's age c - the client's room number d - the dose of the mixed medication e - the time the medication was mixed
a - the date the medication was mixed d - the dose of the mixed medication e - the time the medication was mixed
a graduate nurse notes that a hospital with Pathway to Excellence recognition is hiring staff. Which of the following should the nurse expect from this facitlity? Select all that apply (engage funds) a - the facility has practices in place that lead to a healthy workplace environment b - the facility must have underwent an on site review to receive the Pathway to Excellence award c - the facility emphasizes shared governence d - the facility emphasizes practices that positively affect a nurse's well being e - the facility focuses on improving clinical quality indicators
a - the facility has practices in place that lead to a healthy workplace environment c - the facility emphasizes shared governence d - the facility emphasizes practices that positively affect a nurse's well being
when administering an injection to a pt with hep C in a health care facility, the nurse sustained a needlestick injury. which ensuing action would be the most important? (prac test) a - the nurse needs to file an incident report after the event occurs b - infor the clients attorneys about the event c - a note of the incident report is amde on the clients medical record d - tell the client bc who will bear the medical costs of the injury
a - the nurse needs to file an incident report after the event occurs
a nurse is caring for a client who is + for C. diff. which of the following actions should the nurse take? select all that apply (prac test) a - wear a protective gown while caaring for the client b - place the client in a private room c - wear an N-95 respiratory while caring for the client d - place the client in a negative pressure room e - place a mask on the client when they leave thier room
a - wear a protective gown while caaring for the client b - place the client in a private room
match Maslow's categories w/ the correct definitions: *esteem needs* (engage funds - priority setting)
ability, achievement, and respect from others
match Maslow's categories w/ the correct definitions: *physiological needs* (engage funds - priority setting)
air, food, sleep, clothing, health, and shelter
a nurse manager is reviewing with nurses on the unit the care of a client who has had a seizure. Which of the following statements by a nurse requires further instruction? (ch. 12) a - "I will place the client on their side" b - "I will go to the nurses' station for assistance" c - "I will note the time that the seizure begins" d - "I will prepare to insert an airway"
b - "I will go to the nurses' station for assistance" during a seizure, stay with the client and use the call light to summon assistance
a nurse at a provider's office is talking about routine screenings with a 45-y/o female client who has no specific FHX of cancer or diabetes. which of the following client statements indicates that the client understands how to proceed? (ch. 16) a - "so I don't need the colon CA procedure for another 2 or 3 years" b - "for now, I should continue to have a mammogram each year" c - "because the doctor just did a pap smear, I'll come back next year for another one" d - "I had my blood glucose test last year, so I won't need it again for 4 years"
b - "for now, I should continue to have a mammogram each year" (female 45 - 54 should have a mammo annually)
a nurse is providing education on priority setting framework to a group of newly licensed nurses. which of the following statements should the nurse make regarding the acute vs chronic priority setting framework? select all that apply (prac test) a - "this framework helps clients to establish order in their individual environment" b - "this framework guides care by recognizing conditios that worsen rapidly" c - "this framework follows a specific algorithm for prioritizing care" d - "this framework recognizes when client conditions have less time to adapt" e - "this framework will guide your care using a sequential process"
b - "this framework guides care by recognizing conditios that worsen rapidly" d - "this framework recognizes when client conditions have less time to adapt"
a nurse is documenting assessment findings. which finding would the nurse include as objective data? select all that apply. (prac test) a - sharp abdominal pain reported b - BP 128/68 c - weight 175 lbs d - "I feel sick to my stomach" e - bowel sounds active in all 4 quadrants
b - BP 128/68 c - weight 175 lbs e - bowel sounds active in all 4 quadrants
a nurse working in an acute care facility is caring for a client who has a total brain injury and is receiving mechanical ventilation. which of the following facilities should the nurse anticipate the client to be transferred to for further treatment? (engage funds) a - skilled nursing facility (SNF) b - Long term care hospital (LTCH) c - assisted living d - hospice care
b - Long term care hospital (LTCH)
a nurse is reviewing a report by the Insitute of Medicine (IOM). which of the following competencies should the nurse identify health care professionals need in order to reduce errors? select all that apply. (engage funds) a - competition b - cooperation c - communication d - resolution e - coordination
b - cooperation c - communication e - coordination
a nurse is caring for a client who has Parkinson's disease and needs assitance with ADLs. Which of the following referrals should the nurse anticipate the provider to prescribe? select all that apply (engage funds) a - social worker b - dietitian c - PT d - OT
b - dietitian c - PT d - OT
a nurse is preparing to administer an influenza vaccine to a client. the client states that they udnerstand being immunized will help protect them against the influenza virus. Which of the following concepts is the nurse demonstrating by administering the vaccine? a - health promotion b - disease prevention c - health outcomes d - wellness
b - disease prevention
a nurse is caring for a client who has a prescription for wrist restraints. which of the following actions should the nurse take? (engage funds - safety) a - tie the restraints to the siderails on the client's bed b - remove the restraints with each vital sign check c - use a square knot to secure the restraints d - make sure one finger can fit under the restraints
b - remove the restraints with each vital sign check during this time, check the skin and circulation to monitor for injury
a nurse at a clinic is providing free BP screenings for clients. which of the following levels of health prevention is the nurse demonstrating? (engage funds) a - tertiary prev b - secondary prev c - primary prev d - quaternary care
b - secondary prev secondary prev is discovering diseases before they progress through screenings
a nurse in a providers office is calling a client's insurace company to obtain permission prior to scheudling a MRI test. which of the following is the nurse obtaining? (engage funds) a - free-for-service b - diagnosis-related group (DRG) c - retrospective review d - precertification
d - precertification
a nurse at a health department is planning strategies related to heart disease. Which of the following activities should the nurse include as part of primary prevention? (ch. 16) a - providing cholesterol screening b - teaching about a healthy diet c - providing information about antihypertensive medications d - developing a list of cardiac rehabilitation programs
b - teaching about a healthy diet (primary = prevent illness or injury - health information about nutrition, exercise, stress management, protection from injuries or illness)
a nurse is teaching a class about the hospital acquired condition reduction program (HACRP). which of the following information should the nurse include? (engage funds) a - the HACRP reimburses a medical facility based on the client's primary diagnosis b - the HACRP links medicare payments to health care quality c - the HACRP determines the length of hospitalization for clients who have the same dx d - the HACRP is not used in acute care setting
b - the HACRP links medicare payments to health care quality
a public health nurse is preparing for an education session at a community health center about the SDOH. which of the following information should the nurse include? (prac test) a - SDOH are determined by an individuals background b - identifying SDOH increases disparities in healthcare c - SDOH are conditions in an individuals environment that affect their well being d - SDOH include psychological factors
c - SDOH are conditions in an individuals environment that affect their well being
The hospital is introducing a safety program using the Quality and Safety Education for Nurses website for guidance. Which inititative best demonstrates QSEN competencies? (B. space quiz) a - Systems are reviewed with the goal of achieving good outcomes at the cheapest cost. b - A new school of nursing has partnered with the hospital c - Systems are introduced to increase communication between nurses and other members of the interdisciplinary team. d - Hiring practices for nurses are reviewed to ensure new nurses hold baccalaureate degrees.
c - Systems are introduced to increase communication between nurses and other members of the interdisciplinary team.
a nurse is caring for four clients who are all requeting assistance. which of the following clients should the nurse assist first? (prac test) a - a client who reports their IV pump is beeping b - a client who is post op and is reproting nausea c - a client who reports they have fallen while ambulating d - a client who is requesting a bed pan
c - a client who reports they have fallen while ambulating
a nurse is teaching a newly licensed nurse about health literacy. which of the following information should the nurse include? (engage funds) a - the clients signature on the d/c instructions ensures they understood the instructions b - clients who can read and write demonstrate health literacy c - a clients comprehension of education can be affected by low health literacy d - health literacty affects only a small portion of clients who are cared for within the health care system
c - a clients comprehension of education can be affected by low health literacy health literacy is the ability to process and comprehend basic healht information, which is necessary for the client to make informed health care decisions. a low level of health literacy can negatively impact the effectiveness of health teaching
a nurse is caring for a pt who is confused and trying to remove their peripheral IV. using the least restrictive / least invasive priority setting framework, which of the following actions should the nurse take first? (engage funds - priority) a - apply soft limb restraints to the client's wrists b - administer an antianxiety medication to the client intramuscularly (IM) c - cover the IV site with an elastic bandage d - request a prescription for a central venous catheter
c - cover the IV site with an elastic bandage
a nurse is caring for a young adult at a college health clinic. which of the following actions should the nurse take first? (ch 16) a - give the client information about immunization against meningitis? b - tell the client to have a TB skin test every 2 years? c - determine the health risks d - teach the client about exercise recommendations?
c - determine the clients health risks The first action that should be taken using the nursing process is assessment. Talk with the client firs to determine what RFs the client might have before initiating the health promotion and disease prevention measures.
A nurse is preparing to give a presentation to a group of clients in the community about *Healthy People.* The nurse knows that which of the following options should be included? (engage funds) a - health data from the last 50 years b - financial recommendations c - goals and objectives for healthy habits d - personal informaiton about local people
c - goals and objectives for healthy habits
a nurse is preparing a teaching plan for a client about hand hygiene. the nurse should identify that which of the following actions is part of the planning step? (prac test) a - ask the client to demonstrate hand hygiene b - demonstrate hand hygiene for the client c - identify teaching strategies about hand hygiene for the client d - determine the clients motivation to learn about hand hygiene
c - identify teaching strategies about hand hygiene for the client
a nurse is caring for a client who fell at a nursing home. The client is oriented to person, place, and time and can follow directions. Which of the following actions should the nurse take to decrease the risk of another fall? Select all that apply. (ch. 12) a - place a belt restraint on the client when they are sitting on the bedside commode b - keep the bed in the lowest position with all side rails up c - make sure that the client's call light is within reach d - provide the client with nonskid footwear e - complete a fall-risk assessment
c - make sure that the client's call light is within reach d - provide the client with nonskid footwear e - complete a fall-risk assessment
a nurse observes smoke coing from under the door of the staff's lounge. Which of the following actions is the nurse's priority? (ch. 12) a - extinguish the fire b - active the fire alarm c - move clients who are nearby d - close all open doors on the unit
c - move clients who are nearby the greatest risk to the pt is injury from the fire, therefore the priority is to rescue the pt by moving those who are in close proximity to the fire
a nurse is admitting a new client. which of the following steps of the nursing process is the nurse performing when formulating goals for a positive outcome? (prac test) a - implementation b - assessent c - planning d - evaluation
c - planning
a home health nurse is caring for a client who is receiving hospice care. the client's partner reports feeling overwhelmed from caring for the client. which of the following types of facilities should the nurse recommend? (engage funds) a - a skilled nursing facility (SNF) b - a long term care hospital (LTCH) c - respite care d - assisted living
c - respite care respite care is a benefit offered under hospice care that allows the client to receive up to 5 days of care. This can help provide client caregivers relief and rest from the duties of caring for their loved one
there has been a recent increase in the number of adverse incidents at a hosptial and plans are in place to address this problem. the need to foster a culture of safety has been identified. which statement most closely relates to a culture of safety? (prac test) a - safety is higher priority than quality in the planning and provision of care b - violations of safety are not tolerated, and disciplinary actions are swift but fair c - safety is a collective responsibility shared by all members of the care team d - each individuals responsibility in ensuring safety corresponds to education level
c - safety is a collective responsibility shared by all members of the care team
a charge nurse is talking with newly licensed nurses and is reviewing nursing interventions that do not require a provider's prescription. which of the following interventions should the charge nurse include? select all that apply (ch. 7) a - writing a prescription for morphine sulfate as needed for pain b - inserting a nasogastric (NG) tube to relieve gastric distention c - showing a client how to use progressive muscle relaxation d - performing daily bath after the evening meal e - repositioning a client every 2 hr to reduce pressure injury risk
c - showing a client how to use progressive muscle relaxation d - performing daily bath after the evening meal e - repositioning a client every 2 hr to reduce pressure injury risk
a nurse is teacihng a group of gaurdians about primary prevention techniques. which of the folowing topics should the nurse include as an example of primary prev? (engage funds) a - emphasizing the importance of well-child visits for the child b - encouraging children who have asthma to participate in extracurricular activities c - taking measures to decrease the risk of childhood injuries within the home d - promoting a healthy lifestyle for children who are overweight
c - taking measures to decrease the risk of childhood injuries within the home this is primary prev b/c this intervention is intended to decrease the risk for medical conditions and injuries by changing behaviors and minimizing exposures
a nurse is planning to use the identity, situation, background, assessment, recommendation, read back (ISBARR) tool to communicate with a provider about a client. which of the following informaiton is included in the assessment component of ISBARR? (engage funds - safety) a - the clients admitting dx b - the clients medical hx c - the clients lab test results d - the clients response to tx
c - the clients lab test results general client impression and significant findings such as dx tests, lab results, and vital signs are included in the assessent component of the ISBARR communication tool
a nurse is caring for a client who reports new onset abdominal pain. the nurse should assign the clients condition to which of the following catergories when prioritizing care? (engage funds - priority) a - chronic b - minimal c - urgent d - expectant
c - urgent
a nurse is providing education on priority setting frameworks to a group of newly licensed nurses. which of the following statements should the nurse make regarding the safety and risk reduction priority setting framework? (engage funds - priority) a - "when using this framework, clients are prioritized using a color coded system" b - "this framework uses the least restrictive measures first as long as the clients safety is maintained" c - "when using this framework, the nurse will encourage the client to have social relationships through group interaction" d - "this framework assigns the highest priority to the situation that poses a threat to the clients physical well being"
d - "this framework assigns the highest priority to the situation that poses a threat to the clients physical well being"
a nurse is assessing a client using the ABCDE approach. the nurse has already assessed the client's airway and breathing status. which of the following assessments should the nurse perform next? (engage funds - priority) a - body temp b - abdominal contour c - skin integrity d - BP
d - BP next would be the circulatory status
A client went missing from a dementia unit and an emergency code was called. After one hour, the client was found in a utility room that should have been blocked off. The staff should first: (B. space quiz) a - Complete an incident report to determine who was most at fault. b - Hold a meeting with hospital administrators. c - Document interventions in the client record to prevent future events like this. d - Fill out an incident report with the goal of identifying contributing factors and preventing a similar event in the future.
d - Fill out an incident report with the goal of identifying contributing factors and preventing a similar event in the future.
A client received a unit of blood with an incompatible blood type. Which action should the nurse manager prioritize to followup on this 'near miss' event? (B. space quiz) a - Send the nurse home immediately b - Tell the client about potential consequences of the 'near miss.' c - Ensure that the nurse is held accountable. d - Identify system factors on the unit that may have contributed to the event.
d - Identify system factors on the unit that may have contributed to the event.
A nurse on duty finds that a client is anxious about the results of laboratory testing. Which intervention by the nurse reflects a supportive intervention? (prac test) a - Telling the laboratory technician to speed up the results b - Calling the physician for an order for a pain medication c - Educating the client about reducing risk factors d - Sitting with the client to encourage her to talk
d - Sitting with the client to encourage her to talk
a nurse is teaching a newly licensed nurse about The Joint Commission (TJC). which of the following information should the nurse include? (engage funds) a - TJC is a for profit organization b - Accreditation by TJC is required for all inpatient facilities c - Accreditation by TJC is restricted to inpatient facilites d - TJC ensures organizations remain up to date with state guidelines
d - TJC ensures organizations remain up to date with state guidelines
a nurse is assisting with client triage at the scene of a mass casualty event. which of the following clients should the nurse recommet for transport first? (engage funds - priority) a - a client who resports possible sprained wrist and is walking around b - a client who has an open forearm fracture without visible drainage c - a client who has a RR of 6/min and no pupil response d - a client who has an abdominal wound that is actively bleeding
d - a client who has an abdominal wound that is actively bleeding (the answer was NOT c - RR 6/min and no pupil resp b/c this pt has a minimal chance of survival even w intervention, so another pt with a better chance of survival should be taken first)
a nurse is teaching a client about the Affordable Care Act (ACA). whic hof the following information should the nurse include? (engage funds) a - the ACA does not provide coverage for pre-exisiting conditions b - the ACA enforces a lifetime limit to covered benefits c - clients whi have insurance pay a fee for preventable screenings d - a focus of the ACA is disease prevention
d - a focus of the ACA is disease prevention
a nurse has entered a client's room and the client is lying on the floor next to her bed. what is the nurse's priority action? (prac test) a - complete an incident report b - document the adverse event c - inform the PCP d - assess the client's health status
d - assess the client's health status
a nurse is applying knowledge to analyze a clinical situation. which of the following roles is the nurse taking? (prac test) a - mentor b - educator c - advocate d - critical thinker
d - critical thinker
a nurse is admitting a client who reports they are currently unemployed. which of the following factors of the SDOH is challenging for the client? (prac test) a - education b - social and community context c - neighborhood and environment d - economic stability
d - economic stability
a nurse is assisting with teaching a class about warning signs from a co-worker that might indicate future workplace violence. which of the following behaviors should the nurse include? (egnage funds - safety) a - legitimate absenteeism b - strict adherence to facility policies c - consistent adequate work performance d - frequent reports of not being treated fairly
d - frequent reports of not being treated fairly
a nurse is administering a continous IV solution via a computerized infusion pump to a client who is dehydrated. which of the QSEN competencies is the nurse demonstrating? (prac test) a - QI b - teamwork & collaboration c - pt centered care d - informatics
d - informatics utilizing computerized infusion pump to administer the clients IV fluids
a nurse discovers a small paper fire in a trash can in a client's bathroom. the client has been taken to safety and the alarm has been activated. which of the following actions should the nurse take? (ch. 12) a - open the windows in the clients room to allow smoke to escape b - obtain a class C fire extinguisher to extinguish the fire c - remove all electrical equipment from the clients room d - place wet towels along the base of the door to the clients room
d - place wet towels along the base of the door to the clients room this contains fire and smoke in the room
a community health nurse is teaching a newly licensed nurse about SDOH. which of the following should the newly licensed nurse identify as a physical determinant of health? (engage funds) a - limited income to purchase food b - poor quality school system c - inability to read food labels d - poor air quality
d - poor air quality
the nurse is preparing to give the client a bath early in the morning. the client states "I prefer to take my bath at night. it helps me sleep." what is the nurse's best response? (prac test) a - tell the client that the health care provider has prescribed sleep medication if necessary b - inform the client that the evening shift will not have time to give baths c - ask the client for permission to give the bath in the morning d - work with the evening shift to possibly reschedule
d - work with the evening shift to possibly reschedule
match Maslow's categories w/ the correct definitions: *safety* (engage funds - priority setting)
employment, resources, health, and property
match Maslow's categories w/ the correct definitions: *self actualization* (engage funds - priority setting)
reaching ones potential, self fulfillment
match Maslow's categories w/ the correct definitions: *love and belonging* (engage funds - priority setting)
social relationships, family, and friends
