PNU 133 Honan PrepU Professional Behaviors / Professionalism
In many situations, measurement of which of the following is the most accurate measurement technique to identify changes in patient behavior?
Direct observation of behavior
The advance nurse practitioner, who is treating a client diagnosed with neuropathic pain, decides to start adjuvant analgesic agent therapy. Which medication is appropriate for the nurse practitioner to prescribe?
Gabapentin
A student nurse is scheduled to observe a surgical procedure. The nurse provides the student nurse with education on the dress policy and provides all attire needed to enter a restricted surgical zone. Which observation by the nurse requires immediate intervention?
Mask is placed over nose and extends to bottom lip.
A nurse is preparing an in-service presentation about primary immunodeficiencies. When describing these conditions, what would the nurse need to integrate into the presentation?
Most cases are typically diagnosed in infancy.
A legally blind client is in pre-op area prior to an appendectomy. What steps does the nurse take to effectively communicate with this client ?
Notify the client prior to touching the client.
A group of nursing students are reviewing the various types of advanced practice nurses. The students demonstrate the need for additional review when they identify which of the following as an advanced practice nurse?
Nurse manager
Which of the following would NOT be categorized as a mid-level practitioner?
Nursing assistants
A nurse is a member of which entity within the larger healthcare environment?
healthcare team
Because of a client's reluctance to begin hormone therapy, the advance nurse practitioner prescribes venlafaxine to decrease the risk of
hot flashes.
Health education of a client by the nurse
is an independent function of nursing practice.
The nurse understands that the purpose of the "time out" is to:
maintain the safety of the client.
A type of comprehensive care for clients whose disease is not responsive to cure is
palliative care.
The nurse sees an order for a lidocaine 5% patch. What use is approved for by the US Food and Drug Administration for this patch?
postherpetic neuralgia
While providing care to a terminally ill client, the client asks, "Am I dying?" Which response by the nurse would be most appropriate?
"Tell me some more about what is on your mind."
The nursing student asks the nurse to describe the difference between sinus rhythm and sinus bradycardia on the electrocardiogram strip. What is the nurse's best reply?
"The only difference is the heart rate."
The nurse is working with a client with a new onset of atrial fibrillation during a three-month follow-up visit. The healthcare provider is planning a cardioversion, and the client asks the nurse why there is a wait for the treatment. What is the best response by the nurse?
"Your atrial chambers may contain blood clots now, so you must take an anticoagulant for a few weeks before the cardioversion."
Which client is most likely to develop prostate cancer according to a nurse working at a health screening at the local mall?
A 56-year-old African American man
A nurse educator is preparing to discuss immunodeficiency disorders with a group of fellow nurses. What would the nurse identify as the most common secondary immunodeficiency disorder?
AIDS
A 75-year-old client had surgery for a hip fracture yesterday. The client is under stress because of the pain, the medications, sleep deprivation, and hospital surroundings. Which nursing intervention to treat the client's pain should the nurse question when ordered by the doctor?
Advil for pain management
Which element would be included as a goal of case management?
Appropriateness of services
What is the first step in becoming culturally competent?
Exploring one's own cultural beliefs
The nurse working on a neurological unit is mentoring a nursing student who asks about a client who has sustained primary and secondary brain injuries. The nurse correctly tells the student which of the following, related to the secondary injury?
It results from inadequate delivery of nutrients and oxygen to the cells.
Students are reviewing information about community health nursing. The students demonstrate understanding of the term "community-oriented nursing practice" by describing it as which of the following?
Nursing interventions that can promote wellness, reduce illness spread, and improve the health status of groups
A client comes in to get an EIA test done because the health care provider suspects HIV. Which nursing action is essential before an EIA test is performed?
Obtaining a general consent for medical care from the client
A scrub nurse is diagnosed with a skin infection to the right forearm. What is the priorityaction by the nurse?
Report the infection to an immediate supervisor.
How should the registered nurse be responsive to the changing health care needs of society?
Place increasing emphasis on wellness, health promotion, and self-care, because the majority of Americans today suffer from chronic debilitative illness.
Which of the following are the major roles of nurses working in institutional, community-oriented, or community-based settings? Select all that apply.
Practitioner Leader Researcher
A client is diagnosed with hypertension. The client also reports skin discoloration, weight gain, and nausea. Which contraceptive preparations would the nurse practitioner recommend for this client?
Progestin-only
The practice of nursing care is multifaceted in its scope and delivery. Which of the following activities describe the role of nursing? Select all that apply.
Promoting health Preventing illness Health education and maintenance
A nurse is caring for a client with acute renal failure and hypernatremia. In this case, which action can be delegated to the nursing assistant?
Provide oral care every 2-3 hours.
What is the only insulin that can be given intravenously?
Regular
The nurse is teaching a beginning EKG class to staff nurses. As the nurse begins to discuss the parts of the EKG complex, one of the students asks what the normal order of conduction through the heart is. What order does the nurse describe?
Sinoatrial (SA) node, atrioventricular (AV) node, bundle of His, right and left bundle branches, and the Purkinje fibers
A patient with myasthenia gravis is in the hospital for treatment of pneumonia. The patient informs the nurse that it is very important to take pyridostigmine bromide (Mestinon) on time. The nurse gets busy and does not administer the medication until after breakfast. What outcome will the patient have related to this late dose?
The muscles will become fatigued and the patient will not be able to chew food or swallow pills.
A nursing instructor is describing the role of a nurse during a disaster. Which of the following would best reflect the nurse's role?
Variable depending on the needs of the situation