ThePoint Test 1
A 75 year old woman had surgery for her hip fracture yesterday. She is under stress due to pain, sleep deprivation, and hospital surrondings. The nurse caring for her implements a proactive approach to pain management. Plans include frequent communication to establish an acceptable pain rating, conducting hourly pain assessments, and hourly evaluation of the patient's pain control. In addition to improved patient outcomes, how else might the hospital benefit from the nurse's actions? A) improved hospital consumer assessment of healthcare providers and systems survey scores B) additional funding from the institute for healthcare improvement C) improved quality and safety education for nurses survey scores D) continued accreditation from the joint commission
A
A certified nurse practitioner (CNP) working in the emergency department provides advanced cardiac life support to a patient experiencing asystole. Immediately following intravenous access, the CNP knows the first medication to be administered is epinephrine. When the patient remains in asystole the nurse knows to administer atropine. Which care planning tool is the nurse using to provide patient care? A) Algorithm B) Bundles C) Nurisng Care Plan D) Care map
A
A home health nurse is visiting a patient who has been taking the same dose of hydrocodone/ acetaminophen (Lortab) for 2 months. To monitor for the presence of expected side effects of this medication, what should the nurse include in the assessment of the patient? a. Ask about the patient's bowel pattern b. Take the patient's blood pressure c. Assess level of consciousness d. Observe respiratory rate and depth
A
A patient is being treated in a substance abuse unit of a local hospital. The nurse understands that when a patient has compulsive behavior to use a drug for its psychic effect, the patient needs to be monitored for which of the following? a. Addiction b. Tolerance c. Dependence d. Placebo effect
A
A patient recently diagnosed with pancreatic cancer asks the nurse not to share the daignosis with her family members. After visiting the patient, the patient's daughter approaches the nurse and states, "Mom just did not seem herself today. Are biopsy reports back and do they confirm pacreatic cancer?" What is the best response from the nurse to patient's daughter? A) it is unethical and illegal for me to discuss your mother's medical information with you. B) it is illegal for me to discuss biopsy results with anyone but the patient involved. C) it is unethical of me to discuss biopsy results with anyone but the patient involved. D) it it unethical and illegal for me to give you the biopsy results; please ask your mother.
A
During which phase of the general adaptation syndrome is the "fight or flight" response activated? a. Alarm b. Resistance c. Exhaustion d. inflammatory
A
Nociception includes four specific processes: transduction, transmission, perception, and modulation. Which of the following actions illustrates the nociception process of pain transmission? a. A child quickly removing a hand which touching a hot object b. A surgeon making an incision to perform surgery c. A mother in labor utilizing imagery to reduce pain d. A patient taking tramadol (Ultram) to enhance pain management
A
Studying for the NCLEX-RN examination is an example of which type of stressor? a. Acute, time limited b. Chronic intermittent c. Stressor sequence d. Chronic enduring
A
The nurse conducting a community educational program on stress is including Lazarus's cognitive appraisal theory. The nurse evaluates that the participants understand the teaching when they state that during primary appraisal which of the following occurs? a. Identification of the event as stressful b. evaluation of what might be done c. changing a previous opinion d. conflict between desire and need
A
The nurse educator is planning a teaching session for nursing students related to treatment and management of gestational diabetes. The nurse educator arranges for a dietitian, pharmacist, and physical assistant to participate in the lesson plan. Which professional nurse competency is the nurse educator demonstrating? A) Interdisciplinary teamwork B) Patient-centered care C) Quality improvement measures D) Evidence-based practice
A
The nurse is assessing a postoperative patient's surgical incision site. The nurse anticipates which of the following findings? a. Wound edge approximated b. Granulation tissue formation c. Abnormal cell functionality d. Moderate amount of scar formation
A
The nurse is preparing to organize a community prescription drop-off program. Anticipating the need for increased security, the nurse alerts the local police to drop-off locations and schedule. Which critical thinking traits from Alfaro-LeFevre (2009) is the nurse demonstrating? A) proactiveness B) fair-mindedness C) open-mindedness D) flexibility
A
The nurse is using progressive muscle relaxation with a patient to reduce stress. The nurse instructs the patient to do which of the following? a. Tense and relax specific muscles b. Repeat a word or phase c. Stand in a quiet, darkened area d. Select a pleasant scene
A
The nurse is working with a patient who is in a stressful situation. The nurse evaluates the patient's resiliency by assessing the patient's ability to do which of the following? a. Continue to function well b. admit past mistakes c. respond with strong emotions d. verbalize feelings of anger
A
The physician asks the nurse not to disclose the patient's diagnosis of end-stage cancer with the patient until the patient's family can be availbale to provide support. During the nurse's shift, the patient asks the nurse, "What is wrong with m? Everyone is treating me like I am dying." Which of the following replies by the nurse allows the nurse to maintian integrity while providing care for the patient? A) you feel like people are treating you like you are dying? B) I will call the chaplain to talk to you about your concerns. C) you are fine; I hear your family will be in town soon D) test results indicate that you are in the end-stage of your disease process.
A
The preferred route of administration of medication in the most acute care situations is through which of the following routes? a. Intravenous (IV) b. Subcutaneous c. Epidural d. Intramuscular
A
When a person thinks about whether it is possible to do something about a situation, he or she is exhibiting what type of appraisal? a. Secondary b. Primary c. Reappraisal d. Hardiness
A
When a person who has been taking opioids becomes less sensitive to the drug's analgesic properties, that person is said to have developed which of the following? a. A tolerance b. An addiction c. A dependence d. A balanced analgesia
A
When taking a patient history, the nurse notes that the patient has been taking herbal remedies in addition to acetaminophen for several years. Based on the admission history, the nurse understands that the patient is experiencing which of the following types of pain after an amputation? a. Chronic pain b. Acute pain c. Phantom pain d. Breakthrough pain
A
Which critical thinking skill involves identification of patient problems indicated by data? A) analysis B) interpretation C) explanation D) interference
A
Which of the following best describes a steady state within the body? A. Homeostasis B. Stress C. Constancy D. Adaptation
A
Which of the following examples of therapeutic communication techniques may occur during the planning stage and increases the patient's perception of available options? A) home health services are also available in our community if you feel an assisted living situation is uncomfortable B) I hear you say that you are uncomfortable with the idea of going to an assisted living facility C) you appear confused about assisted living facilities D) let's discuss specific concerns you have regarding assisted living facilities
A
Which of the following is a sympathetic-adrenal medullary response to stress? a. Increased heart rate b. decreased blood glucose c. constricted pupils d. mental confusion
A
Which of the following statements best defines the term culture? A) The learned patterns of behavior, beliefs, and values that can be attributed to a particular group of people B) A group of people distinguished by genetically transmitted material C) The status of belonging to a particular region by origin, birth, or naturalization D) The classification of a group based upon certain distinctive characteristics
A
Which of the following terms, according to Lazarus, refers to the process through which an event is evaluated with what is at stake and what might and can be done? a. Cognitive appraisal b. Adaptation c. Hardiness d. Coping
A
Which of the following would be an intellectual skill used in critical thinking by nurses? A) supporting evidence with facts B) priority setting with broad time constraints C) determining nurse-specific outcomes D) utilizing bias to achieve goals
A
Which of the following would be considered an expanded nursing role? A) Nurse practitioner (NP) B) Social worker C) Certified nurse's aide (CNA) D) Respiratory therapist
A
Which type of healing occurs when the edges are not approximated and the wound fills with granulation tissue? a. Second intention b. First intention c. Cellular necrosis d. Third intention
A
The nurse is conducting a health risk appraisal. The nurse should include which of the following? Select all that apply. a. Recreational activities b. driving habits c. blood pressure d. educational level
A, B, C
The nurse is assessing a patient for signs and symptoms of stress. Which of the following should the nurse include in this assessment? Select all that apply. a. Energy level b. oral mucosa c. menstrual cycle d. substance use/abuse
A, B, C, D
Which of the following statements accurately describes the clinical nurse leader? Select all that apply A) delegates task to other health care personnel B) works in the acute care setting C) provides nursing care in community health settings D) manages care at the point of care E) oversees fragmented care delivery F) educated at the master's level in nursing
A, B, C, D, F
Which of the following situations would be appropriate for ethic committee review? Select all that apply. A) patient refusal of a lifesaving blood transfusion related to religious preference B) request to administer fertilization injection to an infertile couple C) institutional participation in gene chip technology directed at disease prevention D) restraining a patient, after all other viable options have been exhausted E) placing a 21 year old cystic fibrosis patient on double lung transplant list
A, C, E
A patient with HIV is visiting the health care center for a regular checkup. His symptoms indicate multiorgan infections and he reports extreme weakness and says he is depressed most of the time, as his friends and colleagues has distanced themselves from him. Which are primary areas of concern for the nurse attending the patient? Select all that apply. A) provide patient education related to multi-organ infection B) diagnose opportunistic infections C)prescribe medications based on viral load D) instruct the patient to take frequent rest periods E) refer patient to seek psychosocial counseling
A, D, E
A nurse working in an acute setting volunteers to participate in a research study. The nurse understands that research findings add to the scientific base of nursing practice. Evidence-based practice (EBP) accomplishes which of the following? Select all that apply. A) decrease health care cost B) provides answers to ethical questions C) validate nursing diagnosis D) improve patient outcome E) delineate the health-illness continuum F) establish best nursing practice
A, D, F
A nurse asks a chronic obstructive pulmonary disease patient to breathe in slowly through the nose, taking in a normal breath. Then, she asks the patient to pucker his lips as if preparing to whistle. Finally, she asks him to exhale slowly and gently through the puckered lips. The nurse recognizes that teaching the patient pursed-lip breathing helps the patient relax and gain control of dyspnea, reducing the feelings of panic they experience. Which of the ANA tenets characteristics of all nursing practice is the nurse demonstrating? Select all the apply. A) using the nursing process B) establishment of a professional work environment C) interdisciplinary collaboration D) evidence-based nursing E) individualized nursing practice F) caring
A, E, F
A 54 year old woman on a foxed income has had an electrocardiogram as part of her annual physical examination. Her physician notes an abnormal Q wave on an otherwise unremarkable ECG. What legislation supports this focus on disease prevention, health promotion, and management of chronic conditions? A) Building a safer health system act B) The patient protection and affordable care act C) A new health system for the 21st century bill D) Healthcare research and quality improvement bill
B
A high school football player hurts his foot while playing a game. He complains of intense pain with muscle spasms and swelling of the toe. Which of the following pain assessment tools will the nurse most likely use to assess the patient's pain level? a. Visual analog scale (VAS) b. Numeric rating scale (NRS) c. Wong baker FACES pain rating scale d. Verbal descriptor scales (VDS)
B
A nurse working in the emergency department reviews arterial blood gas (ABG) values for a patient diagnosed with heatstroke. Blood gas values are pH 7.48, pCO2 34, pO2 95, CO2 23, HCO2 22, and SO2 98%. Which of the following nursing interventions demonstrate the nurse's understanding of the patient's ABG's and knowledge of Maslow's hierarchy of needs when providing care for this patient? A) The nurse completes a spiritual assessment and provides appropriate clergy support for the patient. B) The nurse prepares for endotracheal intubation and mechanical ventilation for the patient. C) The nurse immediately starts an intravenous line (IV) of dextrose 50% in a water solution (D50W) D) Lab values are within normal limits and contacts the patient's family to be with the patient while in the ED
B
A patient has admitted to the health car center, diagnosed with cardiac dysfunction. The nurse notices that the patient's ankles and feet have swollen. When the nurse uses critical thinking skills, which of the following nursing interventions does the nurse need to perform? A) weigh patient daily at the same time B) assess patient for dependent edema C) organize activities to provide frequent rest periods D) assess oxygen saturation level
B
An advanced practice registered nurse (APRN) specializing in adult-gerontology has accepted a new position in a different state. Which governing body does the APRN need to consult to verify prescriptive in the new state? A) The new states APRN Advisory Committee B) The new states boards of nursing C) The National Council of State Boards of Nursing D) The new employers' board of directors
B
During an interview for an ambulatory clinic position, the nurse notices that family planning counseling is included in the job description. Being a devout Catholic, how should the nurse proceed with the interview? A) continue the interview and only provide patients with information related to abstinence B) excuse herself from the interview stating she is Catholic C) realize the ethical obligation to provide care to all faiths, and continue the interview process D) continue the interview; other nurses at the center can provide family counseling
B
The nurse is caring for a client with hypoxia. The nurse understands that brain cell death may occur in a little as how many times? a. 1 to 3 b. 3 to 6 c. 6 to 9 d. 9 to 12
B
The nurse is caring for a patient with diabetes who has an infection. The nurse creates a plan of care for the patient based on a knowledge of the hypothalamic-pituitary response to stress by including which of the following nursing interventions in the plan of care? a. Increasing insulin dosage b. Assessment for hyperglycemia c. Measurement of intake/output d. Restriction of dietary protein
B
The nurse is developing a plan of care to assist a patient in coping with a right leg-below-the-knee amputation (BKA). Which of the following interventions should the nurse include? a. Discouragement of complementary medicine b. Patient's verbalization of feelings of loss c. Subjective appraisal of event by patient d. Establishment of nurse-determined goals
B
The nurse is planning a community health promotion program on stress and stress reduction. The nurse includes which of the following statements related to the physiologic response to exposure to long-term stress? a. Sympathetic adrenal medullary discharge b. Activation of the sympathetic nervous system c. Activation of the hypothalamic pituitary system d. Norepinephrine epinephrine discharge
B
The nurse understands that which of the following is true about tolerance and addiction? a. Tolerance to opioids is uncommon. b. Although patients may need increasing levels of opioids, they are not addicted. c. Addiction to opioids commonly develops d. The nurse must be primarily concerned about development of addiction by the patient in pain
B
The physician orders a nasogastric tube for a young adult with end-stage ovarian cancer suspected of having a bowel obstruction. The newly hired nurse explains the procedure and rational for NG tube placement. The patient refuses to consent to NG tube placement stating "I would rather keep vomiting than to have the tube in my nose." Following the American Nurse Association Code of Ethics for Nurses what should the nurse do next? A) delegate the NG tube placement to a more experienced nurse B) document the patient's wishes and notify the physician C) make a referral to social services related to body image disturbance D) call the patient's husband so he can consent to the procedure
B
The use of patient restraints limits which of the following ethical principles? A) trust B) autonomy C) justice D) beneficence
B
What is the term for an adaptation to environmental stress that occurs when tissue mass enlarges due to cell multiplication and increased stimulation? a. Atrophy b. Hyperplasia c. Dysplasia d. metaplasia
B
When administering a fentanyl patch, the last dose of sustained release morphine should be administered at what point? a. Prior to respiratory assessment b. At the same time the first patch is applied c. Immediately following the morning shower d. There are no administration requirements
B
Which of the following actions when performed by the nurse indicates understanding of one basic principle of providing effective pain management? a. Administering pain medications on a PRN (as needed) basis b. Wakening a new postoperative patient to take his or her pain medication c. Administering a dose of an analgesic agent via patient controlled analgesia (PCA) during rounds d. Continuing to provide around the clock pain medications 72 hours following a surgical procedure
B
Which of the following is a formal systematic study of moral beliefs? A) morality B) ethics C) veracity D) fidelity
B
Which of the following is a true statement regarding placebos? a. A placebo should be used as the first line of treatment for the patient. b. A placebo should never be used to test the person's truthfulness about pain. c. A positive response to a placebo indicated that the person's pain is not real d. A placebo effect is an indication that the person does not have pain
B
Which of the following is at the center of the process of clinical reasoning and clinical judgement? A) research B) critical thinking C) basic problems solving D) use of opinions to evaluate situations
B
Which of the following nursing interventions should a nurse perform when caring for a patient who is prescribed opiate therapy for pain? a. Monitor weight, vital signs, and serum glucose level. b. Do no administer if respirations are less than 12 per minute c. Monitor blood counts and liver function tests d. Avoid caffeine or other stimulants such as decongestants
B
nurse with 20 years' experience attends a hospital-required training session and learns a new method for assessing nasogastric (NG) tube placement. During the training the nurse educator provides the nurse with a bibliography of peer reviewed articles related to NG tube placement. The nurse recognizes the change in procedure developed from which of the following methods? A) Core measures B) Evidence-based practice C) Knowledge, skills, and attitude D) Institute of Medicine (IOM) research
B
For which of the following reasons are nonpharmacologic pain management techniques employed? Select all that apply. a. They can successfully replace pain medications b. They allow patients to match the technique to their own individual and cultural preferences c. They help decrease the sensation of pain d. They help decrease the distress the patient experiences from pain e. They lower the risk of patients becoming addicted to pain medications
B, C, D
The nurse understands the definition of pain as "an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such s-damage." Which of the following comments when made by the patient confirms patient understanding of the fundamental concepts of pain? Select all that apply. a. "I will depend on you and your experience to treat my pain, as you feel appropriate." b. "I used to walk every day to exercise; pain in my knee made me stop walking." c. "I feel good in knowing that my doctor will determine when and how I get pain medication." d. I would love to go to church, but my back pain is too uncomfortable to make it through the service." e. "I am tired of living with this nagging pain' I'm not sure how much longer I can go on."
B, D, E,
Based on the nurse's knowledge of the increased risk for bleeding in a patient undergoing chemotherapy or radiation, which of the following interventions does the nurse need to include in the patient's plan of care? Select all that apply. A) instructing the patient to add low-does aspirin to daily medication regimen B) instructing the patient to use a soft toothbrush C) increasing the patient's injections for pain control D) monitoring the platelet count E) instructing the patient to use an electrical razor F) monitoring for signs of abnormal bleeding
B, D, E, F
A nurse working in the intensive care unit (ICU) refers to the institute for health improvement (IHI) ventilator bundle prior to planning patient care. The nurse realizes nursing interventions outlined in the bundle will improve patients' outcomes. Which of the following statement best describes how IHI established nursing interventions should be included in each bundle? A) Nurse case managers serving as patient advocates recommended nursing intervention to be included in the IHI bundles based on patient preference. B) Nursing interventions found within the IHI bundles were selected based on the ability to provide optimal time management for the nurse C) Best practice derived from valid and reliable research studies guided nursing interventions begin added to the IHI bundles D) Hospitals, physicians, and nurses worked collaboratively to design patient care activities included in IHI bundles
C
A patient has been admitted in the emergency unit with conditions of respiratory distress, coupled with pneumonia. The patient's condition worsens and he is placed on mechanial ventilation. While visiting this patient in the hospital, his family observes the members of the healthcare team washing their hands when entering and leaving the room. By implementing recommended hand hygiene measures which of the following organizations is the healthcare team is supporting? A) The National Council of State Boards of Nursing B) Agency for Healthcare Research and Quality C) The Joint Commission D) Institute of Medicine `
C
A patient has been prescribed a fentanyl patch for pain control. The nurse understands that this patch should be replaced how often? a. Every 36 hours b. Every 24 hours c. Every 72 hours d. Every 48 hours
C
A student nurse observes a nurse case manager coordinating discharge for a patient diagnosed with congestive heart failure (CHF). Which of the following statements made by the patient indicates to the student that the patient understands the role of case manager? A) "The nurse case manager organized my daily nursing care during my hospitalization and arranged for the dietitian to teach me the importance of following a diet low in sodium." B) "The nurse case manager worked with my physician to coordinate my admission from his office to the hospital." C) The nurse case manager contacted my insurance company and has arranged for the home health nurse and physical therapy to visit me as soon as I get home." D) The nurse case manager arranged to have a wheelchair waiting to take me to my room. I was so short of breath I could not walk very far."
C
According to Maslow's hierarchy of human needs, which of the following is the highest level of needs? A) Physiological needs B) Safety and security C) Self-actualization D) Belongingness
C
An increase in the number of new cells in an organ or tissue that is reversible when the stimulus for production of new cells is removed is which of the following? a. Atrophy b. Neoplasia c. Hypertrophy d. Hyperplasia
C
Progressive muscle relaxation, relaxation with guided imagery, and the Benson Relaxation Response share which of the following elements? a. Analgesic preparation b. Physician's order c. A mental device (something on which to focus the attention) d. Nutritional function
C
The advance practice nurse is treating a patient experiencing a neuropathic pain syndrome. Which of the following statements when made by the patient demonstrates an understanding of concepts related to neuropathic pain? a. "Neuropathic pain is the body's normal response to tissue damage causing pain." b. "Neuropathic pain will only last a few days and is easily treated with COX-2 analgesic agents." c. "My phantom limb pain serves no purpose, and I may need to take antidepressants to help." d. "When the inflammation in my foot resolves I will no longer have pain from neuropathy.
C
The nurse is attending a patient with chronic renal failure. The patient says that of late, he has lost his appetite and feels like everyday situations have become more stressful. He reports feeling disappointed and frustrated with his condition, and says that he has not been of any help to his family. What is the most important nursing intervention that the nurse needs to carry out at this point? A) administer drug therapy to restore renal functions B) administer immunosuppressant C) coordinate with resources for client support D) offer nutritional counseling
C
The nurse need to perform an admission on a patient that does not speak the same language as the nurse. The patient's wife is fluent in both language of the nurse and the patient. When completing the physical assessment is critical in planning patient care, how should the nurse proceed? A) plan nursing care on the objective physical findings from the admission assessment B) ask the patient's wife to assist with interpretation during the admission assessment C) obtain a translator to assist with interpretation during admission assessment D) complete the admission assessment, provide patient privacy, and document the language barrier
C
The nursing care for a HIV patient diagnosed with acute pneumonia demonstrates understanding of the nurse's role in the current focus on management of chronic illness and disability in which of the following situations A) Reviewing the patient's CD4 count B) Making a referral to an HIV support group C) Teaching the patient to avoid crowds D) Administering prescribed antibiotics
C
The nursing student overhears a patient talking with the rehabilitation nursing stating, "I plan to recover to the best of my ability after having a stroke. I know I will always have some limitations; however, I will not let the limitations slow me down." Which description of health is the patient exemplifying in this situation? A) The wellness promotion strategy of risk reduction B) The World Health Organization's definition of health C) The concept of health wellness-illness continuum D) Hood and Leddy's definition of health
C
Which of the following is an important role for a nurse in the health care delivery system? A) participation in the diagnosis and treatment of the disease B) balance of work with leisure activities C) participation in disease prevention and health promotion activities D) participation in treatment decisions regarding health restoration
C
Which of the following is true regarding population demographics? A) Decrease in life span B) Increase in birth rate C) Increase in the culturally diverse population D) Decrease in homelessness
C
Which of the following route of medication administration should the nurse consider first in NPO (nothing by mouth) postoperative patient following IV removal? a. Intrathecal b. Subcutaneous c. Rectal d. Topical
C
Which of the following situations would require the nurse to use critical thinking and decision-making skills in providing genetics-related nursing care? A) providing family counseling to a same sex couple that just adopted a 5 year old with ADHD B) providing a blended family with children of different ages education related growth and development C) providing fertility counseling to a young family with a 2 year old child with cystic fibrosis D) providing a single parent of a 44 yer old child education related to lead poisoning
C
Which of the following would be included as a goal of case management? A) Utilization of the nursing process B) Attainment of fixed-price reimbursement C) Appropriateness of service D) Prescriptive authority
C
Which or the following statements when made by a cancer patient with moderate to severe pain prescribed oxymorphone (opana IR) indicates further instruction is required? a. "I will stop drinking beer while I'm on this medication. b. "The IR indicates I will get fast relief when I take the medication" c. "I will take this medication with breakfast for the best results." d. "I can also have this medication in an extended release tablet.
C
Which type of cells has a latent ability to regenerate? a. Labile b. Permanent c. Stable d. Epithelial
C
The acute care nurse practitioner planning care for a patient with rheumatoid arthritis reviews treatment guidelines developed by the American Nurses' Association (ANA). Which of the following AN documents is the nurse accessing? A) Social policy statement B) Code of ethics C) Nursing's standards of practice D) Standards of professional performance
D
A 75 year old patient has surgery for her hip fracture yesterday. She is under stress due to the pain, the medications, sleep deprivation, and hospital surroundings. Which of the following nursing interventions to treat the patient's pain when ordered by the doctor should the nurse question? a. Use of transelectrical nerve stimulator (TENS) b. Acetaminophen for pain management c. Morphine rather than Advil for pain management d. Advil for pain management
D
About which of the following issues should the nurse inform patients who use pain medications on a regular basis? a. Consume the medication just before or along with meals b. Avoid harsh sunlight for 2 hours after administering analgesic agents or salicylates c. Minimize the intake of fiber during the therapy d. Inform the primary health care provider about the use of salicylates before any procedure, and avoid OTC analgesics consistently without consulting a physician.
D
According to hood and leddy (2007), which of the following are components of wellness? A) Inability to adapt to changing situation B) Inability to obtain personal goals C) Expression of disharmony D) Feelings of well-being
D
Cells in which of the following organs are unable to regenerate? a. Pancreas b. Kidney c. Liver d. Brain
D
Consuming which of the following is a strategy to enhance health as part of health promotion? A) diet rich in proteins B) diet rich in vitamin C C) diet rich in vitamin A D) diet rich in grains
D
In which of the following situations is the nurse demonstrating the ethical principle of beneficence? A) refusing to give an ordered medication based on assessment findings B) providing truthful and accurate information to a patient about a procedure C) ensuring adequate staffing to provide care to all patients D) volunteering to provide vaccinations at the local health center
D
Prostaglandins are chemical substances with which of the following properties? a. Inhibition of the transmission of noxious stimuli b. Inhibition of the transmission of pain c. Reduction of the perception of pain d. Increase sensitivity of pain receptors
D
The advance nurse practitioner treating a patient diagnosed with neuropathic pain decides to start adjuvant analgesic agent therapy. Which of the following medications is appropriate for the nurse practitioner to prescribe? a. Hydromorphone (dilaudid) b. Ketamine (ketalar) c. Tramadol (ultracet) d. Gabapentin (Neurontin)
D
The nurse is conducting a community education program on stress. The nurse includes which of the following? a. Effective stress adaptation is a disease precursor. b. Short term stress increases susceptibility to illness. c. Stressors elicit a state of homeostasis. d. Excessive stress response increases susceptibility to illness.
D
The nurse is evaluating a patient's social support network. The nurse evaluates that the network will assist the patient in coping with stress when which of the following is notes? a. Patient's friends ask her for advice b. Son does not acknowledge his mother's diagnosis c. Patient avoids situations exposing her to new people d. Daughter helps mother with laundry
D
The nurse is teaching the Benson Relaxation Response to a patient for stress reduction. The nurse instructs the patient to do which of the following? a. Maintain an active demeanor b. Think of a comforting scene c. Practice the technique daily d. Select a focus word
D
The nurse needs to carefully monitor a patient with traumatic injuries. Which of the following actions by the nurse demonstrates understanding of the most essential component of the patient's pain assessment? a. The nurse validates the patient's report of pain by assessing the patient's blood pressure b. The nurse assesses the response to medication after every meal consumed by the patient c. The nurse administers pain medication based on the patient's reported pain level d. The nurse administers ketorolac (toradol) on admission to the unit
D
What ethics theory focuses on ends or consequences of action? A) deontological theory B) adaption theory C) formalist theory D) utilitarian theory
D
What pain assessment scale would be best to use with a 5 year old? a. A numerical pain scale b. A visual analog scale c. A pain assessment scale is inappropriate for a 5 year old child d. The FACES scale
D
Which communication technique is helpful in health teaching about relevant aspects of a patient's well-being and self-care? A) humor B) reflection C) silence D) informing
D
Which of the following is a traditional definition of nursing by American Nurses Association (ANA)? A) helping people to carry out activities contributing to health, recovery, or a peaceful death B) putting the patient in the best condition for nature to act upon him or her C) discussing what nurses would do for themselves if they had the necessary strength, will or knowledge D) diagnosing and treating human responses to actual or potential health problems
D
Which of the following is an important function of accurate and thorough documentation? A) involving purposeful and outcome-directed thinking B) making judgement based on evidence C) requiring knowledge, skill, and experience D) providing a foundation for evaluation and quality improvement
D
Which of the following nursing actions demonstrates that the nurse understands the nursing process? A) reviewing health record, documenting patient goals, identifying etiology of the nursing problem, and evaluating treatment outcome. B) prioritizing patient goals, documenting all health records precisely, conducting the health history, and documenting the nursing diagnosis C) assessing for allergies, administering analgesic, obtaining baseline vital signs, and documenting nursing diagnosis as acute pain. D) obtaining vital signs, documenting nursing diagnosis as acute pain, and evaluating comfort level
D
Which of the following, approved by the United States Food and Drug Administration, is the only use for lidocaine 5% patch (Lidoderm)? a. General anesthesia b. Epidural anesthesia c. Diabetic neuropathy d. Postherpetic neuralgia
D
Which step of the nursing process entails analyzing data related to the patient's health status A) evaluation B) implementation C) diagnosis D) assessment
D
While collecting assessment information for a patient in labor, the nurse learns that the patient's surgical history includes an elective abortion prior to meeting her husband. The patient asks the nurse not to tell her husband about the previous abortion. Face with the moral uncertainty, how should the nurse proceed? A) encourage the patient to share this information with her husband B) do not include this information in the patient's electronic health record C) consult with an experienced staff nurse on how to proceed D) uphold the patient's wishes, ensuring patient confidentiality
D
