Fundamentals Test 4

a nurse is using EBP to reduce pain during venipunctures for adolescent clients by asking PICOT question "does providing music to adolescent clients during venipunctures decrease their discomfort compared to those clients who do not listen to music?" Which of the following component of the "I" in this PICOT question?

providing music

a nurse is explaining the sequence of electrical conduction in the heart to a newly licensed nurse. what should the nurse include as the correct sequence of the transmission of electrical impulses?

SA node, AV node, bundle of His, right and left bundle branches, purkinje fibers

a nurse educator is planning an in-service for staff nurses about psychomotor client teaching strategies. which of the following activities requires the use of gross motor skills?

a client walking with crutches, a client using a manual wheelchair

a nurse is assisting a massage therapist to identify the best client for massage therapy. which of the following clients should the nurse recommend?

a client who has postpartum depression

a nurse is talking with a group of clients in a community setting. which of the following statements by the nurse describes how culture affects a clients definition of health and illness.

health and illness can be defined differently by individual clients

a nurse is assisting with teaching a client about homeopathy. which of the following client statements indicates an understanding of the teaching?

homeopathy believes a substances that can cause a disease can also cure it

a nurse is admitting a client for surgery. which of the following questions should the nurse ask to determine the clients health literacy levels and learning needs?

how comfortable are you with filling out medical forms by yourself

a nurse is reinforcing teaching about traditional chinese medicine (TCM) to a client. which of the following statements by the client demonstrates an understanding of the teaching.

i will practice tai chi every day

a nurse is caring for a client who was born i india but has lived in the u.s. for 30 years. the client speaks english and has family members at the bedside. which of the following actions should the nurse take?

inquire about any special cultural beliefs or practices

a nurse is preparing to use a video-enabled device to communicate with a client who is at home. which of the following actions shuold the nurse plan to take?

instruct the client to use a computer for the video conference

a nurse is assisting with an in-service for staff members about culturally competent care. which of the following information should the nurse include about traditional native american beliefs?

music can produce healing energy

a nurse is assessing a client who is being discharged. the nurse notes the client has regular and quiet breathing. the nurse should identify this breathing pattern as which of the following?

normal breathing

a nurse is providing teaching for a client who has a prescription for home oxygen. which of the following instructions should the nurse include?

post a "no smoking" sign inside the home, attach oxygen containers to a fixed object, notify the fire department that oxygen is used in the home

a nurse is discussing quality measurement with a newly licensed nurse. the nurse should include that medication reconciliation is an aspect of which of the following parts of quality measurement?

process

a nurse is reviewing discharge instructions with a client who has low health literacy. ehich of the following actions should the nurse take

provide examples

a nurse is planning a 30-min group education class. which of the following actions should the nurse plan to take to address carious learning styles related to the domains of learning?

provide games, discussion, and question-and-answer

a nurse is planning a smoking cessation program for a client. which of the following actions is a component of SMART outcome goals?

providing a time frame to accomplish the outcome

a nurse is teaching a newly licensed nurse about pulmonary function tests. the nurse should include that which of the following is the vital capacity

the maximum volume of air that is expired after a maximum inspiration

a nurse is caring for a client who is receiving palliative care. which of the following non-pharmacological nursing interventions should the nurse provide the client?

therapeutic touch

a nurse is assisting with teaching a class about us food and drug administration regulation of nutritional supplements. which of the following information should the nurse include in the teaching?

a nutritional supplement contains at least one nutritional component

a nurse is suctioning a clients tracheostomy using an open system. which of the following actions should the nurse take?

administer 100% oxygen before the procedure

a nurse is assisting with developing a QI plan to reduce the incidence of medication errors in acute care unit. the nurse should recognize that which of the following actions is included in the identifying step of the QI practice

recognize a need for a change

a nurse is caring for a client who follows a vegan diet and reports lethargy. which of the following interventions should the nurse implement?

request a prescription for vitamin b12 supplements

a nurse is teaching a client about food choices that promote immunity and healing. which of the following foods is the best source of vitamin c?

1 cup strawberries

a nurse is assisting with teaching a class about HIPAA. which of the following information should the nurse include.

HIPAA protects the unauthorized release of a client's protected health information, The loss of a provider's cell phone that contains a client's protected health information is considered a data breach, A breach in HIPAA should be reported within 60 days after the breach is discovered

a nurse is assisting with teaching a client who has a history of alcohol use disorder and is to be discharged following cataract surgery, about non-pharmalogical therapies. which of he following client statements indicates an understanding of the teaching?

I will practice meditating when I feel stressed

a nurse is planning to use EBP to determine the best practice for dressing changes for clients. according to EBP, in what order should the nurse perform the following steps.

a nurse notices another nurse changing a dressing and recognizes they perform the same procedure differently, the nurse asks a clinicla question about methods to perform a dressing change, the nurse conducts a literature search to determine the presence of nursing literature on how to perform dressing changes, the nurse reads, organizes, and compares the results of the scientific literature search, the nurse develops recommendations about dressing changes to present to an interdisciplinary team in order to update the policy and procedure, the nurse implements changes for performing dressing changes and collects data to determine client outcomes

a nurse is planning a teaching session for a client. place the steps of teaching in the correct order

assessment, analysis, planning, implementation, evaluation

a nurse is providing teaching to a client who speaks a different language than the nurse. which of the following actions should the nurse take?

request a medical interpreter to be present

A nurse is caring for a client who has a sunburn. The nurse should identify that which of the following herbal supplements is used to treat sunburns?

aloe vera

a nurse is teaching a group of newly licensed nurses about client education. which of the following information should the nurse include in the teaching?

client education can improve self-care at home

a nurse is orienting a newly licensed nurse to the unit. which of the following statements by the new nurse indicates an understanding of the importance of documentation of client education.

client education can increase staffing and services

a nurse is using EB research to care for a client who has diabetes. which of the following resources should the nurse use to manage the delivery of care?

clinical practice guidelines

a nurse is reviewing the impact low literacy has for clients with a newly licensed nurse. which of the following information should the nruse include

decrease in mortality rate

a nurse is evaluating a clients plan of care. the desired outcome of having the client sit on the side of the bed by the end of the shift was not met. which of the following actions should the nurse take?

determine if different nursing interventions are required

a nurse is caring for a client who asks about naturopathy. the nurse should include that which of the following is a component of naturopathy?

dietary supplements, exercise, traditional chinese medicine, homeopathy

a nurse is teaching a class about citing references to use for EB changes. which of the following requires citing a reference to avoid plagiarism

direct quotations from a journal article, a photograph depicting equipment, ideas published in a theoretical paper, paraphrased sentence from an article

a nurse is caring for a client who has impaired cognition and has begun taking a new medication. which of the following actions should the nurse take during client education?

direct the education to the caregiver as well as the client

a nurse is explaining the practice of ayurveda to a newly licensed nurse. the nurse should indicate that ayurveda is based on establishing a balance between the body, mind, and spirit with which of the following elements?

earth, sky, and water

a nurse is reviewing the use of electronic documentation with a newly licensed nurse. which of the following statements should the nurse make

electronic documentation provides evidence of care provided

a nurse is helping to develop an in-service about cultural competence is reviewing a list of health beliefs provided by members of a local cultural group. the nurse should recognize that this list provides which of the following types of information?

emic knowledge

a nurse is completing a preoperative health history for a client who reports taking several herbal supplements. which of the following herbal supplements is the priority for the nurse to report?

ginkgo biloba

a nurse is reviewing a clients medical record for factors that could impact accessibility to health care services. for which of the following factors should the nurse monitor?

health disparities

a nurse is assisting with teaching a class about using holistic nursing interventions to care for clients. which of the following information should the nurse include?

holistic nurses empower clients to actively participate in their own care

a nurse is using EBP to address the incidence of catheter associated infections on a surgical unit. according to EBP, which of the following actions should the nurse take first?

identify a clinical problem

a nurse is assisting a quality improvement team that is using the plan-do-study-act model to address an increase in pressure injuries on a medical unit. which of the following actions should the nurse identify as an example as the "do" step of the PDSA model?

implementing a new EBP protocol

a nurse is caring for a client who has a chest tube. which of the following actions should the nurse take?

monitor the client for subcutaneous emphysema

a nurse is auscultating a clients heart sounds and hears a low pitched whooshing or blowing sound over the apex of the heart. the nurse should identify that this indicates which of the following?

murmur

a nurse is caring for a client who requires 1 L of oxygen. which of the following oxygen delivery devices should the nurse expect to use?

nasal cannula

a nurse is caring for a newly admitted client. which of the following actions should the nurse take first?

perform a cultural health assessment

a nurse is assessing a postoperative client prior to a teaching session. the nurse notes that the client is grimacing and restless. which of the following barriers to learning is the client exhibiting?

physical discomfort

a nurse is assiting with using the plan-so-study-act model to decrease client falls in a long term care facility. the nurse should identify that developing guidelines to decrease falls is included in which of the following steps of the PDSA model.

plan

a nurse is collecting data from a group of clients regarding their feelings and experiences of living with congestive heart failure. in which of the following types of research studies is the nurse participating?

qualitative

a nurse has created a table of evidence to organize findings from a literature search. which of the following components of the table provides information for implementing a change in practice

recommendations

a nurse is assessing a client who is receiving oxygen therapy. the nurse should identify that which of the following findings can indicate oxygen toxicity

ringing in the ears

a nurse is assisting with teaching a newly licensed nurse about the use of electronic health records. which of the follow outcome associated with the use of EHRs that the nurse should include

saves time

a nurse is reviewing information to enhance their own cultural awareness. the nurse should identify the need to examine which of the following?

self-bias

a nurse is admitting a client who has heart failure. which of the following tools should the nurse use to implement nursing interventions for the client?

standard of care

a nurse is reviewing the medical history of a client who has heart disease and a narrowed valve. which of the following findings should the nurse expect?

stenosis

a nurse is planning to measure the cardiac output of a client who had myocardial infarction. which of the following data should the nurse use to calculate the clients cardiac output?

stroke volume

a nurse is using a question-and-answer session to teach a client about a diabetic diet. which of the following outcomes is an example of cognitive learning?

the client understands a diabetic meal plan

a nurse is preparing to perform a procedure on a client. which of the following resources should the nurse use to meet the standard of care?

the health care organization policy and procedure manual, information from a governmental website, article published by a peer-reviewed journal

a charge nurse is supervising a nurse providing care to several clients. for which of the following actions should the charge nurse intervene?

the nurse alters the steps in a procedure established in the clinical practice guidelines

a nurse is reviewing the HIPAA regulatory rules. which of the following rules is restricted to electronic protected health information

the security rule

a nurse is teaching a class about searching the internet for research articles to use for EB changes. which of the following information should the nurse include?

use quackwatch to verify credible websites

a nurse is assisting with teaching a class about incidence reports. the nurse should include that which of the following situations requires an incident report?

a nurse administers the wrong medication to a client

a nurse is assisting with teaching a class about sentinel events. the nurse should include that which of the following situations is a sentinel event?

a nurse infused an incompatible blood product to a client

a nurse is assisting in recommending clients for chiropractic treatment. which of the following clients should the nurse recommend?

a client who has shoulder pain

a nurse is planning care for a group of clients on a cardiopulmonary unit. which of the following clients should the nurse plan to see first?

a client who reports dyspnea when walking to the bathroom

a nurse is obtaining a health history from a client. which of the following findings should the nurse identify as risk factors for heart disease

a diet high in saturated fats, a history of smoking for 25 years, a sedentary lifestyle

a nurse is reviewing the medical record of an adolescent who is lesbian. the nurse should identify that which of the following findings are likely caused by the client being marginalized by others?

being bullied at school, depression, using illicit drugs

a nurse is participating in a question-and-answer session with a client. which of the following domains of learning uses this type of client education?

cognitive

a nurse is assisting on a quality improvement committee to decrease the number of client falls occurring last night. after identifying the problem, which of the following is the next step the nurse should take?

complete a literature review

a nurse is caring for a client who is from a different culture. to provide the best possible client care, which of the following actions should the nurse take first?

conduct a self-assessment

a nurse is planning care for a client who uses culturally based folk-care for medical treatments. which of the following actions should the nurse take?

coordinate folk care treatments with modern medical treatments

a nurse is assiting with teaching a class about using simulation for clinical education. whcih of the following should the nruse include

the use of simulation improves communication skills

a nurse is assisting with teaching a class about types of research studies. the nurse should include that which of the following is an example of a randomized controlled trial (RCT)?

a study arbitrarily assigning people who smoke into either an expiremental group or a control group to determine the effects of a new therapy to reduce smoking

a nurse is discussing ventilation and perfusion with a newly licensed nurse. the nurse should include in the discussion that the exchange of oxygen and carbon dioxide occurs at which of the following locations?

alveoli

a nurse is assiting with teaching a class about quality core measures. which of the following information should the nurse include?

quality core measures are a standard of care for treatment

a nurse is assisting with teaching a class about using health information technology for client care. which of the following examples should the nurse include

using a barcode to verify a clients medication

a nurse is assessing a clients health literacy prior to providing education. which of the following actions should the nurse take?

ask questions regarding the clients health care needs and concerns, obtain a health history, assess the clients education level

a nurse is providing teaching about performing blood glucose checks to a client who has a new diagnosis of diabetes mellitus. which of the following actions indicates the nurse is using the affective domain of learning?

ask the client how they feel about checking their blood glucose levels

a nurse is providing teaching to a client who has a new prescription for eye drops. which of the following teaching strategies is an example of using the psychomotor domain of learning.

ask the client to teach-back about how to use the medication

a nurse is assessing a client who has COPD. the nurse should identify that which of the following is an expected finding?

clubbing of the fingers

a nurse is providing teaching for a client who has a new prescription for a continuous positive airway pressure (CPAP) machine to treat obstructive sleep apnea. which of the following statements should the nurse include?

cover your nose with the CPAP mask

a nurse is caring for a client who has left-sided heart failure. which of the following findings should the nurse expect?

crackles in the lungs

a nurse is collaborating with an interdisciplinary team to develop a plan of care for a client. which of the following tools should the nurse use to guide the delivery of care?

critical pathway

a nurse is reviewing information about culture with a group of newly hired nurses. which of the following statements by a newly hired nurse should the nurse identify as an understanding of culture?

culture can indicate language and communication practices

a nurse is reviewing the goals of client education with a newly licensed nurse. which of the following information should the nurse include?

improvement of health, provide knowledge about an illness or injury, health promotion

a nurse is explaining National Patient Safety Goals to a newly licensed nurse. the nurse should include that which of the following is a goal addressed in the NPSGs?

improving staff communication

a nurse is a member of a committee that is using EBP to decrease the incidence of central line infections. the nurse should identify that which of the following interventions is part of the implementation step of EBP

incorporating the new practice into client care

a nurse is caring for a client who has suction equipment in their room. the client asks the nurse "why do you check my suction equipment every day even though i am not using it?"which of the following statements should the nurse make?

it is part of the quality assurance plan of the unit

a nurse is conducting a cultural assessment. which of the following factors are incorporated in Leininger's sunrise enabler?

kinship and social factors biological factors, economic factors, political and legal factors

a nurse is teaching a client about how to perform daily blood pressure readings at home. which of the following statements by the client is an example of the teach-back method of learning?

let me show you how i will take my blood pressure at home each day

a nurse is teaching a newly licensed nurse about using credible databases for research studies. which of the following sources should the nurse include?

peer-reviewed journals

a nurse is preparing for a teaching session with a client. which of the following actions should the nurse take to provide the client with unbiased care?

avoid assumptions about the client, control personal thoughts about the client, collaborate with another nurse to develop teaching strategies

a nurse is interviewing a client who states that they are transgender. their records indicate they were assigned male at birth. which of the following information should the nurse incorporate when assisting in the clients plan of care?

the client associates their identity to something different from their sex assigned at birth

a nurse is planning care for a client who is a veteran. which of the following information should the nurse consider?

the client is at an increased risk for poor health outcomes

a nurse is preparing for a teaching session with a client who has pernicious anemia. which of the following should the nurse identify as part of the implementation step of the teaching process

use demonstration to teach the client about b12 injections

a nurse is providing teaching for a client who has a new prescription for an incentive spirometer. which of the following instructions should the nurse include?

use the incentive spirometer every hour while awake

a nurse is discussing atrial fibrillation with a newly licensed nurse. which of the following statements by the newly licensed nurse indicates an understanding of atrial fibrillation

atrial fibrillation is caused by electrical signals outside of the SA node

a nurse is assisting with teaching a newly licensed nurse about the hospital consumer assessment of healthcare providers and systems tool. which of the following information should the nurse include?

the HCAHPS tool is issued to measure client satisfaction about health care service

a nurse is preparing to educate a client about the proper procedure for a dressing change. which of the following indicates an understanding of Knowles fundamental principles of client readiness?

the client is engaged and alert

a nurse is using EBP to develop a PICOT question. which of the following describes the "O" in PICOT?

the desired result of the intervention to the problem

a nurse is reviewing a health care failities policy that states to use a guaze dressing over IV insertion sites. after completing a literature review, the nurse discovers that EBP indicates to use a transparent dressing over in sites. which of the following actions should the nurse take next.

recommend changing the procedure to the policy and procedure committee

a nurse is assisting with teaching a client about remote patient monitoring devices. which of the following information should the nurse include

the transfer of data is accomplished using wireless devices, clients can participant in their health by using RPM, a clients heart rhythm can be transferred using RPm

a nurse is teaching a newly licensed nurse about the purpose of peer review in scholarly publications. which of the following statements should the nurse make?

this process ensures scientific quality and rigor

a nurse is reviewing a clients plan of care. "the client will ambulate 20 feet using a walker" is the desired outcome. which of the following aspects of the SMART goal should the nurse identify as missing from the outcome?

timed

a nurse is caring for a client who is scheduled for an emergency appendectomy and reports increasing anxiety. which of the following statements should the nurse make ti implement a complementary health strategy?

try to take slow, deep breaths in and out

a nurse is providing an in-service about research methods for a group of nurse. which of the following methods provides the most credible evidence to support practice changes?

a systematic review summarizing findings of studies

a nurse is assisting with teaching a newly licensed nurse about using barcode technology in client care. the nurse should include that barcode technology is used to reduce errors during which of the folllowing phases of medication process

administering

a nurse in a community clinic sees clients experiencing health disparities within vulnerable populations. the nurse should consider which of the following clients as belonging to a vulnerable population?

an african american adolescent who is pregnant, a low-income family, a female who is latina and has t2 diabetes

a nurse is discussing clinical pathways with a newly licensed nurse. which of the following information should the nurse include

clinical pathways use EBP guidelines for health care delivery

a nurse is completing a medication reconciliation on a newly admitted client. which of the following infomration should the nurse include

current prescribed medications, nutritional supplements the client takes. over-the-counter medications the client uses

a nurse is reviewing information about client education with a newly licensed nurse. which of the following information should the nurse include as the focus of client education?

empowering clients to be accountable for self-care

a nurse is reviewing the role of health information technology in client care with a newly licensed nurse. which of the following information should the nurse include

facilitates care coordination, improves practice efficiencies, is capable of being overrideen by a nurse, improves clinical outcomes

a nurse is providing teaching to a client who has a recent diagnosis of pancreatic cancer. the nurse is using strategies in the affective domain of learning. which of the following client statements is part of the affective domain?

i have been crying a lot since i learned about my diagnosis, im worried about everything

a nurse is performing chest percussion therapy on a client. which of the following actions should the nurse take?

listen for a hollow sound when performing chest percussion therapy

a nurse is planning complementary therapy for a client who has breast cancer. which of the following treatments is a complementary therapy that the nurse can implement?

massage therapy

a nurse is teaching a class about using smart infusion pumps to administer intravenous medications. which of the following information should the nurse include?

nurses enter client information into the smart infusion pump

a nurse is discussing the nurses role in client education with a newly licensed nurse. which of the following statements by the newly licensed nurse indicates an understanding of a nurses role?

nurses make up the greatest percentage of members on a healthcare team

a nurse is caring for a client who has a history of asthma and is wheezing. which of the following actions should the nurse take first?

obtain the oxygen saturation

a nurse is caring for a client who asks about aromatherapy for nausea. which of the following scents should the nurse recommend?

peppermint, ginger, orange

a nurse is assisting with providing an in-service for staff members about complementary and integrative health. which of the following statements by a staff member indicates an understanding of the teaching?

scented oils might decrease discomfort

a nurse is preparing a low-stimulus environment for an educational session on smoking cessation. which of the following should the nurse implement?

set the thermostat to a comfortable temperature

a nurse is caring for a client who requires 7 L of oxygen to maintain oxygen saturation. which of the following oxygen delivery devices should the nurse expect to use?

simple face mask

a nurse is caring for a client who is receiving supplemental oxygen for hypoxia. the nurse should identify that which of the following can cause hypoxia?

smoke inhalation

a nurse is caring for a client who has atelectasis. the nurse should identify that which of the following substances is requires to keep the clients alveoli from collapsing and causing atelectasis?

surfactant

a nurse is teaching a client who has an abdominal incision about coughing and deep breathing. in which order should the nurse instruct the client to perform the following steps

take a deep breath, hold your breath for several seconds, exhale slowly, brace the incision with a pillow and try to cough deeply

a nurse is caring for a client who speaks a different language than the nurse. which of the following actions should the nurse take?

use a certified medical interpreter

a nurse is assisting with teaching a newly licensed nurse about holistic nursing. which of the following information should the nurse include?

use deep breathing to promote relaxation in clients, encourage clients to use guide imagery to decrease pain, apply essential oils to treat anxiety in clients