NU271 HESI Prep: Fundamentals - Issues in Nursing

The nurse recalls that which disease in clients includes the short period of the evident decline in disease trajectory? 1 Heart failure 2 Renal cancer 3 Disabling stroke 4 Alzheimer disease

Renal cancer

Which step should the nurse take to alert the risk management system after notifying the primary health care provider of a client's fall? 1 Document the incident in the occurrence report tool. 2 Provide information in the medical record about the occurrence. 3 Document in the client's medical report that an occurrence report has been filed. 4 Provide information in the client's medical report that the primary health care provider has been contacted.

Correct1 Document the incident in the occurrence report tool.

The client taking intravenous coagulant medications for a bleeding disorder suddenly develops an embolic stroke as a result of medication overdose. Which actions by the hospital management does the Leapfrog Group suggest? Select all that apply. One, some, or all responses may be correct. 1 Apologize to the client and family. 2 Waive all costs directly related to the adverse effect. 3 Report the adverse event to The Joint Commission. 4 Include the details of the medical error in the client's case sheet. 5 Share the client's details and condition with other health care facilities.

Correct1 Apologize to the client and family. Correct2 Waive all costs directly related to the adverse effect. Correct3 Report the adverse event to The Joint Commission

In which situations can a minor give consent for himself or herself for medical treatment? Select all that apply. One, some, or all responses may be correct. 1 His or her siblings 2 Any venereal disease 3 If he or she is lawfully married 4 For a drug or substance abuse 5 For an abortion

Correct2 Any venereal disease Correct3 If he or she is lawfully married Correct4 For a drug or substance abuse

A client who underwent open heart surgery died 2 days after the surgery because of septicemia. Which tool will the nurse use to determine the cause of the client's death? 1 Plan-do-study-act (PDSA) 2 Root cause analysis (RCA) 3 Failure mode effective analysis (FMEA) 4 Computerized physician order entry (CPOE)

RCA

Which represents a significant shift in U.S. health policy in recent years? 1 Palliative care is now being offered to children and adults. 2 End-of-life care is no longer covered by insurance companies. 3 Terminal clients now have standardized support for ending their lives. 4 There is a focus on better managing clients with multiple chronic conditions.

There is a focus on better managing clients with multiple chronic conditions.

Which information would the registered nurse provide to a student nurse about the importance of nursing documentation for risk management? Select all that apply. One, some, or all responses may be correct. 1 "A nurse's documentation is the evidence of care that a client receives." 2 "Nurses' notes would not be given to attorneys in the event of a lawsuit." 3 "The nurse would note assessments and significant changes in the client's health." 4 "In case an occurrence report is filed, nurses would enter the information the client's charts." 5 "Nurses would always document the primary health care providers' responses whenever they are contacted."

Correct1 "A nurse's documentation is the evidence of care that a client receives. Correct3 "The nurse would note assessments and significant changes in the client's health. Correct5 "Nurses would always document the primary health care providers' responses whenever they are contacted."

The nurse assigned to care for five clients in the ICU notes that all the clients in the ICU are at a risk of developing serious complications. Which course of action should the nurse take to handle the situation? 1 Refuse to accept the assignment. 2 Leave the ICU as a sign of protest. 3 Notify the primary health care provider. 4 Submit a written protest to the nursing administrator.

Correct4 Submit a written protest to the nursing administrator.

The nurse is caring for a child whose parents refuse a life-saving surgery for the child, stating that surgeries are against their belief system. Which step would the nurse take first to resolve this ethical dilemma? 1 Evaluate the outcome of the plan of action over time. 2 Verbalize the problem and agree to a statement as a group. 3 Examine his or her own values critically to formulate an opinion about the issue. 4 Obtain information from the child, the parents, health care workers, and other sources.

4 Obtain information from the child, the parents, health care workers, and other sources

Which statement provided by the nursing student post-teaching needs correction regarding abortion-related issues? 1 "If a woman is in her first trimester, she may end her pregnancy according to state regulations." 2 "In the third trimester when the fetus becomes viable, the state's interest is to protect the fetus." 3 "If the fetus is over 28 weeks old, the state requires viability tests before conducting abortions." 4 "In the second trimester, the state enforces regulation regarding the person performing the abortion and the abortion facility."

Correct1 "If a woman is in her first trimester, she may end her pregnancy according to state regulations.

Which Quality and Safety Education for Nurses (QSEN) competency would the nurse comply with when using flowcharts to determine usefulness of bed monitoring devices for checking on dementia clients? 1 Safety 2 Informatics 3 Quality improvement 4 Patient-centered care

3 Quality improvement

Which information would the nurse provide to a client regarding a do-not-resuscitate (DNR) order? Select all that apply. One, some, or all responses may be correct. 1 "Do-not-resuscitate orders would be reviewed routinely by the primary health care provider." 2 "A primary health care provider would make every effort to revive a client if a do-not-resuscitate order exists." 3 "Legally competent adults may issue a do-not-resuscitate order verbally or in writing after receiving proper information about it." 4 "Primary health care providers would check for a DNR order before deciding to perform cardiopulmonary resuscitation." 5 "A DNR order may be attached to the client's medical orders without any legal proof of consultation regarding the order."

Correct1 "Do-not-resuscitate orders would be reviewed routinely by the primary health care provider. "Legally competent adults may issue a do-not-resuscitate order verbally or in writing after receiving proper information about it." Correct4 "Primary health care providers would check for a DNR order before deciding to perform cardiopulmonary resuscitation."

Which statements accurately describe the role of the nursing manager? Select all that apply. One, some, or all responses may be correct. 1 "They coordinate the activities of the nursing staff in delivering nursing care." 2 "They use appropriate leadership styles to create a nursing environment for clients and staff." 3 "They investigate ways to improve nursing care and further define and expand the scope of the nursing practice." 4 "They provide independent care to women during a normal pregnancy, labor, and delivery, and also provide care for the newborn." 5 "They establish an environment for collaborative client-centered care to provide safe and quality care with positive client outcomes."

Correct1 "They coordinate the activities of the nursing staff in delivering nursing care." Correct2 "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.

Which clients would be eligible for Medicare coverage? Select all that apply. One, some, or all responses may be correct. One, some, or all responses may be correct. 1 A 67-year-old man with pneumonia 2 A 40-year-old physically handicapped man 3 A 50-year-old sales executive with a leg fracture 4 A 75-year-old woman with end-stage renal failure 5 A 30-year-old irregularly employed woman with appendicitis

Correct1 A 67-year-old man with pneumonia Correct2 A 40-year-old physically handicapped man A 75-year-old woman with end-stage renal failure

Which important points would the nurse keep in mind when witnessing consent forms? Select all that apply. One, some, or all responses may be correct. 1 Confirm that the client's signature is authentic. 2 Ensure that the client has given the consent voluntarily. 3 Refrain from asking the student nurse to witness consent forms. 4 Instruct the family member to assist if the client denies understanding of the procedure. 5 Check if the client's caregiver has understood the procedures written in the consent form.

Correct1 Confirm that the client's signature is authentic. Correct2 Ensure that the client has given the consent voluntarily. Correct3 Refrain from asking the student nurse to witness consent forms.

Which findings indicate that the nurses are providing safe health care? Select all that apply. One, some, or all responses may be correct. 1 Exhibits good decision-making skills 2 Acts within the scope of practice of their license 3 Provides cost-effective interventions to the clients 4 Offers both curative and preventive interventions for the clients 5 Executes interventions that have reduced the duration of hospital stays of the clients

Correct1 Exhibits good decision-making skills Correct2 Acts within the scope of practice of their license

Which information would the registered nurse provide when educating a nursing student about living wills? Select all that apply. One, some, or all responses may be correct. 1 Health care workers would always follow the directions of a client's living will. 2 Clinically specific instructions are provided that help in dealing with unforeseen circumstances. 3 Clients use living wills to declare any medical procedures they want or do not want when terminally ill. 4 Living wills are written documents that direct the client's treatments in the event of a terminal illness or condition. 5 Authorized individuals are given authority to make medical decisions on behalf of the client if he or she is unable to do so.

Correct1 Health care workers would always follow the directions of a client's living will. Correct3 Clients use living wills to declare any medical procedures they want or do not want when terminally ill. Correct4 Living wills are written documents that direct the client's treatments in the event of a terminal illness or condition.

The nurse would expect a client in the precontemplation stage of wellness behavior change to exhibit which characteristics? Select all that apply. One, some, or all responses may be correct. 1 No intention of making any changes in the next 6 months 2 Considers a change in health behavior in the next 6 months 3 Does not show interest in information related to health behavior changes 4 Understands that the advantages of health behavior change outweigh the disadvantages 5 Becomes defensive when confronted with information regarding his or her current health behavior

Correct1 No intention of making any changes in the next 6 months Correct3 Does not show interest in information related to health behavior changes Correct5 Becomes defensive when confronted with information regarding his or her current health behavior

Which key points would the nurse keep in mind about the legal implications of nursing practice? Select all that apply. One, some, or all responses may be correct. 1 The nurse needs to know all the laws and that these laws are applied in the nursing practice, whenever required. 2 The primary health care providers' orders are followed unless they appear to be incorrect or inappropriate. 3 All incident and occurrence reports are filed only for errors that have caused injury to the client. 4 The client has given consent to any surgery or therapy voluntarily or involuntarily. 5 The nurse can make a formal protest to the nursing administrator if he or she is asked to take care of more clients than is reasonable.

Correct1 The nurse needs to know all the laws and that these laws are applied in the nursing practice, whenever required. Correct2 The primary health care providers' orders are followed unless they appear to be incorrect or inappropriate. Correct5 The nurse can make a formal protest to the nursing administrator if he or she is asked to take care of more clients than is reasonable.

The nurse signs as a witness to informed consent provided by the client. Which does the signature of the nurse imply? Select all that apply. One, some, or all responses may be correct. 1 The signature of the client is authentic. 2 Consent has been given voluntarily. 3 The client appears to be competent to give consent. 4 Treatment cannot be refused after consent is given. 5 The nurse has explained all procedures to the client.

Correct1 The signature of the client is authentic. Correct2 Consent has been given voluntarily. Correct3 The client appears to be competent to give consent.

Which important teaching strategies would the nurse take into consideration to bring a change in the client's lifestyle? Select all that apply. One, some, or all responses may be correct. 1 Use written resources at an appropriate reading level. 2 Practice active listening and ask the client how he or she prefers to learn. 3 Refrain from including family members in efforts to bring a change in the client's lifestyle. 4 Provide timelines for modification of eating and exercise lifestyle habits without consulting with the client. 5 Identify which information the client knows regarding health risks related to poor lifestyle choices.

Correct1 Use written resources at an appropriate reading level. Correct2 Practice active listening and ask the client how he or she prefers to learn. Correct5 Identify which information the client knows regarding health risks related to poor lifestyle choices.

Which important factor would the nurse keep in mind regarding the procurement of informed consent for a client with dementia? 1 Consent provided by a client with mental illness is not valid. 2 Clients with mental illness have the right to refuse treatment. 3 Family members of the client need to give consent for all procedures. 4 Primary health care providers may perform procedures without consen

Correct2 Clients with mental illness have the right to refuse treatment.

Which activities are involved in providing a secondary level of preventive care? Select all that apply. One, some, or all responses may be correct. 1 Using specific immunizations 2 Preventing the spread of communicable disease 3 Providing facilities to limit disability and prevent death 4 Providing adequate treatment to arrest the disease process 5 Educating the public and industry to use rehabilitated individuals to the fullest possible extent

Correct2 Preventing the spread of communicable disease Correct3 Providing facilities to limit disability and prevent death Correct4 Providing adequate treatment to arrest the disease process

How does the International Classification of Nursing Practice (ICNP) help nurses deliver effective care to clients? 1 Gives information about medications and their side effects 2 Provides information about various cultural practices and beliefs 3 Provides vocabulary to include nursing data in computerized information systems 4 Helps the nurse conduct biosurveillance and gives information on various diseases

Correct3 Provides vocabulary to include nursing data in computerized information systems

Which information would the nurse provide to the client about the benefits of rehabilitation? Select all that apply. One, some, or all responses may be correct. 1 "Specialized rehabilitation services help clients and caregivers to adjust to lifestyle changes." 2 "Rehabilitation helps prevent complications associated with illness or injury at the initial stages." 3 "Clients who receive rehabilitation attain their fullest physical, mental, social, vocational, and economic potential." 4 "Programs are used solely to help clients become free from drug dependence." 5 "Services focus on maximizing a client's functioning and level of independence at the initial stages."

1"Specialized rehabilitation services help clients and caregivers to adjust to lifestyle changes." "2Rehabilitation helps prevent complications associated with illness or injury at the initial stages. " 3"Clients who receive rehabilitation attain their fullest physical, mental, social, vocational, and economic potential."

Which steps would the nurse take when caring for a client to prevent nursing malpractice? Select all that apply. One, some, or all responses may be correct. 1 Be alert about common sources of client injuries. 2 Gain knowledge regarding current nursing practices. 3 Refrain from speaking falsely about a client's medical condition. 4 Communicate with the client regarding tests and treatment plans. 5 Refrain from divulging medical information to unauthorized persons.

Correct1 Be alert about common sources of client injuries. Correct2 Gain knowledge regarding current nursing practices Correct4 Communicate with the client regarding tests and treatment plans

A health care worker is collecting data on the quality of health care provided in a health care center. The health care worker finds that too many nurses are attending to a single client. What does the health care worker conclude from this? 1 Safe care is not being provided by the nursing team. 2 The nurses on the unit are not providing efficient care. 3 Effective care is not being provided to clients. 4 Patient-centered care is not being provided.

Correct2 The nurses on the unit are not providing efficient care.

For which reason would the nurse review standardized terminology before entering client data in the electronic medical record? 1 Allows the nurse to retrieve the information the next time it is needed 2 Stores client information properly to apply for Medicaid incentives 3 Ensures that client information is meaningful to other health care professionals 4 Confirms that clients can understand information within the electronic health record

Ensures that client information is meaningful to other health care professionals

Which actions by the nurse and other members of the health care team help provide efficient client care? Select all that apply. One, some, or all responses may be correct. 1 Provide financial assistance to the client. 2 Follow interventions to reduce hospital stay. 3 Encourage the client to use herbal therapy. 4 Provide cost-effective treatment to the client. 5 Help the client in making health care decisions.

follow interventions to reduce hospital stay. Provide cost-effective treatment to the client