Fundamentals Final 2.0

A provider prescribes clonidine 300 mcg PO daily. Available is 0.3 mg/tablet. How many tablets should the nurse administer?

1 tablet

If a Patient's temperature is 113° F (45° C) with hot, dry skin, they have...

heatstroke

If a Patient's temperature is 93.2° F (34° C), they have...

hypothermia

A nurse is assessing a client who is experiencing anxiety. Which of the following findings should the nurse expect? -Hyperventilation -Peripheral vasodilation -Drowsiness -Bradycardia

Hyperventilation

If a patients blood pressure went from 126/76 to 90/50, they have...

Shock/hypotension

When looking at these ABG values, what do these labs indicate about the patients acid-base balance? pH: 7.32 PaCO2: 37 mmHg HCO3: 18 mEg/L

Metabolic acidosis

A nurse is teaching a client about nutritional supplements. Which of the following supplements is used to promote heart health? -Folic acid -Lutein -Vitamin D -Omega-3 fatty acids

Omega-3 fatty acids

A nurse is caring for a patient with stress incontinence. Teaching has been effective if the patient states: -"I need to do Kegel exercises to help strengthen the muscles that control the urine." -"I need to drink fluids with my meals but not in between meals." -"I should not do sit-ups because that will increase my abdominal pressure." -"I should avoid things that make me sneeze or cough."

"I need to do Kegel exercises to help strengthen the muscles that control the urine."

A nurse is caring for a patient with chronic pain. Which statement by the nurse indicates an understanding of pain management? -"This patient says the pain is a 5 but is not acting like it. I am not going to give any pain medication." -"I need to reassess the patient's pain 1 hour after administering oral pain medication." -"It wasn't time for the patient's medication, so when it was requested, I gave a placebo." -"The patient is sleeping, so I pushed the PCA button."

"I need to reassess the patient's pain 1 hour after administering oral pain medication."

A nurse is creating a discharge plan. Which of the following nursing statements indicates the nurse understands when discharge planning should be implemented? -"I will begin 48 hr before the client's discharge." -"I will begin once the client's discharge order is written." -"I will begin upon the client's admission to the facility." -"I will begin once the client's insurance company approves discharge coverage."

"I will begin upon the client's admission to the facility."

A nursing instructor is educating a student nurse about methods to prevent orthostatic hypotension. The nursing instructor recognizes that further teaching is needed when the student states: -"I will encourage the patient to remain flat in bed." -"I will change the patient's position in bed frequently" -"I will encourage dorsal and plantar flexion of the feet." -"I will perform passive range-of-motion exercises if the patient can't move"

"I will encourage the patient to remain flat in bed."

A nurse intercepts a messenger at the nurses' station who has a flower delivery for a client on the unit. As the nurse accepts the flowers, the messenger says, "I know Mrs. Welch from the neighborhood. What happened to her?" Which of the following responses should the nurse provide? -"You know it's not appropriate for you to ask me that." -"It's my responsibility to remind you that we have to respect our clients' privacy." -"It's a minor injury. I'm sure you'll see her back in the neighborhood soon." -"Oh, what lovely flowers. She will enjoy these."

"It's my responsibility to remind you that we have to respect our clients' privacy."

A nurse is teaching a client who reports insomnia. Which of the following statements should the nurse make? -"Take a 1 hr nap each day." -"Remove the television from your bedroom." -"Stop exercising at least 30 minutes before bedtime." -"Keep your bedroom at a warm temperature."

"Remove the television from your bedroom."

A nurse is providing preoperative teaching for a client about coughing and deep breathing. Which of the following statements should the nurse make? -"Repeat your breathing exercise every 2 hrs." -"Exhale through your nose." -"Inhale through your mouth." -"Hold your breath for 5 seconds."

"Repeat your breathing exercise every 2 hrs."

A nurse is teaching a client who has diabetes mellitus about diabetic retinopathy. Which of the following statements should the nurse make to the client? -"It is caused by an increase in intraocular pressure." -"Have an eye exam every 2 years." -"Seeing spots is a manifestation of diabetic retinopathy." -"Clouding of the lens is a manifestation of diabetic retinopathy."

"Seeing spots is a manifestation of diabetic retinopathy."

Which of the following vitamins as water-soluble? Select all that apply -Vitamin A -B-Complex vitamins -Vitamin C -Vitamin D -Vitamin E -Vitamin K

-B-Complex vitamins -Vitamin C

A nurse is teaching a client about the sleep-wake cycle. The nurse should include that which of the following factors can interfere with the sleep-wake cycle? -Drinking caffeinated beverages in the evening -Emotional stress -A bright light -A 20 min nap during the day -A regular bedtime schedule

-Drinking caffeinated beverages in the evening -Emotional stress -A bright light

A nurse is preparing to move a patient who is able to assist. Which principles will the nurse consider when planning for safe patient handling? -Keep the body's center of gravity high. -Face the direction of the movement. -Keep the base of support narrow. -Use the under-axilla technique. -Use proper body mechanics. -Use arms and legs.

-Face the direction of the movement. -Use proper body mechanics. -Use arms and legs.

The nurse is reviewing nursing research literature related to a potential practice problem on the nursing unit. What is the rationale for the nurse's action? (Select all that apply.) -Nursing research ensures the nurse's promotion. -Nursing research identifies new knowledge. -Nursing research improves professional practice. -Nursing research enhances effective use of resources. -Nursing research leads to decreases in budget expenditures.

-Nursing research identifies new knowledge. -Nursing research improves professional practice. -Nursing research enhances effective use of resources.

A home health nurse is assessing the home for fire safety. Which information from the family will cause the nurse to intervene? (Select all that apply) -Smoking in bed helps me relax and fall asleep. -We never leave candles burning when we are gone.We never leave candles burning when we are gone. -We use the same space heater my grandparents used. -We use the RACE method when using the fire extinguisher. -There is a fire extinguisher in the kitchen and garage workshop.

-Smoking in bed helps me relax and fall asleep. -We use the same space heater my grandparents used. -We use the RACE method when using the fire extinguisher.

The nurse is preparing to insert a urinary catheter. The nurse is using open gloving to apply the sterile gloves. Which steps will the nurse take? SELECT ALL THAT APPLY -While putting on the first glove, touch only the outside surface of the glove -With gloves dominant hand, slip fingers underneath the cuff of the second glove -Remove outer glove package by tearing the package open -Lay glove package on a clean flat surface above the waistline -Glove the dominant hand of the nurse first -After second glove is on, interlock hands

-With gloves dominant hand, slip fingers underneath the cuff of the second glove -Lay glove package on a clean flat surface above the waistline -Glove the dominant hand of the nurse first

A nurse is providing a bath. In which order will the nurse clean the body, beginning with the first area? 1. Face 2. Eyes 3. Perineum 4. Arm and chest 5. Hands and nails 6. Back and buttocks 7. Abdomen and legs -1, 2, 5, 4, 7, 6, 3 -2, 1, 4, 5, 7, 3, 6 -2, 1, 5, 4, 6, 7, 3 -1, 2, 4, 5, 3, 7, 6

2, 1, 4, 5, 7, 3, 6

A provider prescribes metronidazole 2g PO before discharge. Availableis 500 mg/tablet. How many tablets should the nurse administer?

4 tablets

A nurse is caring for a group of clients. Which of the following clients should the nurse identify is at highest risk for developing a pressure injury? -A client who is receiving enteral feeding and can change position independently. -A client who alert and responsive and eats 25% of each meal. -A client who is unresponsive to verbal commands and changes position occasionally. -A client who makes frequent slight changes in position and walks occasionally.

A client who is unresponsive to verbal commands and changes position occasionally.

A charge nurse is anticipating the admission of four clients and planning their room assignments. Which of the following clients should the nurse assign to the room closest to the nurses' station? -A client who sustained a head injury and is having periods of confusion -A client who reports a severe migraine headache -A client who has a suspected diagnosis of tuberculosis (TB) -A client who has a history of atrial fibrillation and is on continuous ECG monitoring.

A client who sustained a head injury and is having periods of confusion

A nurse is teaching a class about self-concept. The nurse should include that which of the following is an example of self-concept incongruence? -A client who thinks they are an honest person but often lies to their boss -A client who thinks they are a good friend and calls their friends frequently -A client who thinks they are a generous person and donates to the food bank -A client who thinks they are a kind person and volunteers at a homeless shelter

A client who thinks they are an honest person but often lies to their boss

The nurse is caring for a group of medical-surgical patients. Which patient is most at risk for developing an infection? -A patient who is in observation for chest pain -A patient who has been admitted with dehydration -A patient who is recovering from a right total hip surgery -A patient who has been admitted for stabilization of heart problems

A patient who is recovering from a right total hip surgery

A nurse is caring for a client who has a terminal diagnosis and states, "I am ready to update my will." The nurse should identify that the client is experiencing which of the following Kubler-Ross stages of grief? -Acceptance -Denial -Bargaining -Anger

Acceptance

The patient reports to the nurse of being afraid to speak up regarding a desire to end care for fear of upsetting spouse and children. Which principle in the nursing code of ethics ensures that the nurse will promote the patient's cause? -Advocacy -Responsibility -Confidentiality -Accountability

Advocacy

A confused older-adult patient is wearing thick glasses and a hearing aid. Which intervention is the priority to facilitate communication? -Focus on tasks to be completed. -Allow time for the patient to respond. -Limit conversations with the patient. -Use gestures and other nonverbal cues.

Allow time for the patient to respond.

The nurse is caring for patients with ostomies. In which ostomy location will the nurse expect very liquid stool to be present? -Sigmoid -Transverse -Ascending -Descending

Ascending

While completing an admission database, the nurse is interviewing a patient who states "I am allergic to latex." Which action will the nurse take first? -Immediately place the patient in isolation. -Ask the patient to describe the type of reaction. -Proceed to the termination phase of the interview. -Document the latex allergy on the medication administration record.

Ask the patient to describe the type of reaction.

The nurse is working on an orthopedic rehabilitation unit that requires lifting and positioning of patients. Which personal injury will the nurse most likely try to prevent? -Arm -Hip -Back -Ankle

Back

A nurse is assisting with teaching a class about expected physiological changes in older adult clients. Which of the following changes should the nurse include? -Feelings of shame -Inability to form healthy relationships -Bedwetting -Overeating

Bedwetting

A nurse is teaching a class about stress. The nurse should include that which of the following is an example of acute stress? -Experiencing poverty -Being a victim of a crime -Being part of a dysfunctional family -Experiencing racism

Being a victim of a crime

A nurse is caring for a client who is scheduled for surgery and who reports they smoke cigarettes. The nurse should identify that tobacco use increases the client's risk for which of the following postoperative complications? -Nausea -Blood clots -Malignant hyperthermia -Bleeding

Blood clots

A nurse is assessing a client who has peripheral neuropathy. Which of the following findings should the nurse expect? -Increased ability to detect temperature -Hyperreflexia -Burning sensation in feet -Loss of sensation to pressure

Burning sensation in feet

A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye. The nurse should identify that this is a manifestation of which of the following visual impairments? -Diabetic retinopathy -Cataracts -Glaucoma -Macular degeneration

Cataracts

A nurse is admitting a client to the post-anesthesia care unit. Which of the following actions should the nurse take first? -Check the client's airway. -Check the client's level of consciousness. -Check the client's blood pressure. -Check the client's level of pain.

Check the client's airway.

A nurse is teaching a client about consuming a healthy diet to reduce stress. Which of the following instructions should the nurse include? -Limit alcohol intake to 3 drinks per day. -Increase intake of saturated fats. -Choose complex carbohydrates each day. -Consume less than 3000 mg of sodium per day.

Choose complex carbohydrates each day.

A nurse is assessing a preschooler whose parent has recently died. Which of the following findings should the nurse expect? -Clings to their caregiver -Depends on their friends for emotional support -Reports tightness in their chest -Displays high-risk behavior

Clings to their caregiver

A nurse is receiving change-of-shift report for a group of assigned clients. The nurse anticipates which of the following activities first in delivering client care using the nursing process? -Critically analyze client data to determine priorities. -Collect and organize client data. -Set client-centered, measurable and realistic goals. -Determine effectiveness of interventions

Collect and organize client data.

A nurse is assessing a client who has an inadequate dietary intake of fiber. Which of the following findings should the nurse expect? -Constipation -Bleeding gums -Memory loss -Brittle hair

Constipation

A patient is receiving opioids for pain. Which bowel assessment is a priority? -Clostridium difficile -Constipation -Hemorrhoids -Diarrhea

Constipation

Which behavior indicates the nurse is using a team approach when caring for a patient who is experiencing alterations in mobility? -Delegates assessment of lung sounds to nursing assistive personnel -Becomes solely responsible for modifying activities of daily living -Consults physical therapy for strengthening exercises in the extremities -Involves respiratory therapy for altered breathing from severe anxiety levels

Consults physical therapy for strengthening exercises in the extremities

A nurse is caring for a client who is at the end of life and is unresponsive. Which of the following actions should the nurse take? -Continue to talk to the client as if they are awake. -Whisper when talking in the client's room. -Limit the client's visitors to one at a time. -Avoid touching the client.

Continue to talk to the client as if they are awake.

A nurse is assessing a client who has dehydration. Which of the following findings should the nurse expect? -Dark-colored urine -High blood pressure -Distended neck veins -Moist skin

Dark-colored urine

A nurse is assessing a client who has chronic kidney disease. Which of the following findings is a manifestation of hyperkalemia? -Cerebral edema -Wheezing -Decreased deep tendon reflexes -Hypoactive bowel sounds

Decreased deep tendon reflexes

A nurse is caring for a client who is experiencing postoperative nausea and vomiting. The nurse should monitor the client for which of the following complications of vomiting? -Diarrhea -Urinary frequency -Peripheral edema -Dehydration

Dehydration

A nurse is admitting a client who has a partial hearing loss. Which of the following is the priority action by the nurse? -Speak using his usual tone of voice. -Stand directly in front of the client. -Rephrase statements the client does not hear. -Determine if the client uses hearing aids.

Determine if the client uses hearing aids.

A nurse is teaching a class about the effects of a negative body image. The nurse should include that which of the following is an adverse effect of a negative body image? -Mistrust -Development of an eating disorder -Role performance overload -Self-absorption

Development of an eating disorder

A nurse is teaching a newly licensed nurse about client education. The nurse should include that which of the following is the role of the nurse in client education? -Prescribe medications -Describe the steps of a surgical procedure -Diagnose client illnesses -Encourage clients to advocate for themselves.

Encourage clients to advocate for themselves.

A nurse is caring for a client who has metabolic alkalosis. Which of the following actions should the nurse take? -Encourage the client to breath slowly. -Place the client on seizure precautions. -Have the client breath into a paper bag. -Plan to administer sodium bicarbonate to the client.

Encourage the client to breath slowly.

A nurse is teaching a class about nutrients. The nurse should include that which of the following is a function of fats? -Regulates nerve cell transmission -Facilitates the absorption of vitamins -Builds and repairs tissue -Convert to sugar to provide energy

Facilitates the absorption of vitamins

Which nurse most likely kept records on sanitation techniques and the effects on health? -Florence Nightingale -Mary Nutting -Clara Barton -Lillian Wald

Florence Nightingale

The nurse is observing the way a patient walks. Which aspect is the nurse assessing? -Activity tolerance -Body alignment -Range of motion -Gait

Gait

A nurse is assisting a client who has a spinal cord injury with bathing. Which of the following actions should the nurse take? -Offer the client bar soap. -Give the client a long-handled sponge. -Provide the client with a fixed showerhead. -Fill the client's bathtub with water at 48° C (118.4° F).

Give the client a long-handled sponge.

A nurse is teaching a class about oxygen transport in the cardiopulmonary system. Which of the following transports oxygen in the blood? -Platelets -Neutrophils -Lymphocytes -Hemoglobin

Hemoglobin

A nurse is teaching a newly licensed nurse about hospice care. Which of the following information should the nurse include? -Hospice care is limited to clients who are in a health care facility. -Hospice care cannot be discontinued once it is initiated. -The goal of hospice care is to prolong life. -Hospice care is restricted to clients who are terminally ill.

Hospice care is restricted to clients who are terminally ill.

A nurse is performing an assessment on a patient who has not had a bowel movement in 3 days. The nurse will expect which other assessment finding? -Hypoactive bowel sounds -Increased fluid intake -Soft tender abdomen -Jaundice in sclera

Hypoactive bowel sounds

A nurse is conducting a self-concept interview for a client. The nurse asks, "What words might others use to describe you?" The nurse is assessing for which of the following components of self-concept? -Self-esteem -Role performance -Body image -Identity

Identity

A nurse is teaching a class about stress. The nurse should include that which of the following is a manifestation of prolonged stress? -Hypoglycemia -Decreased blood pressure -Impaired immune function -Anemia

Impaired immune function

A nurse is teaching a class about cultural bias in health care. The nurse should include that which of the following can occur as a result of cultural bias? -Increased amount of time spent with each client -Improved assessment of clients -Impaired therapeutic relationship with clients -Reduced health care disparities

Impaired therapeutic relationship with clients

A nurse is assessing a child who has attention-deficit/hyperactivity disorder (ADHD). Which of the following findings should the nurse expect? -Lethargy -Childhood obesity -Aversion to being touched -Impulsive actions

Impulsive actions

A nurse is caring for a client whose family wishes to actively participate in the client's care. The nurse encourages and values the family's contribution. The nurse is demonstrating which of the following concepts? -Inclusion -Emic knowledge -Assimilation -Acculturation

Inclusion

A nurse is teaching a class about physical manifestations that occur during the fight-or-flight response to stress. Which of the following manifestations should the nurse include? -Increased blood glucose level -Constricted pupils -Decreased blood pressure -Bronchial Airway constriction

Increased blood glucose level

A nurse is teaching a class about vulnerable populations that are at risk for health disparities. The nurse should include that a client who lives in a crowded apartment building is at risk for which of the following conditions? -Rheumatoid arthritis -Weight gain -Deep vein thrombosis -Infectious diseases

Infectious diseases

A nurse is preparing to teach a group of newly licensed nurses about the first phase of wound healing. Which of the following processes should the nurse plan to discuss? -Maturation -Proliferation -Remodeling phase -Inflammation

Inflammation

The nurse recently administered oral medications to a client who notified the assitive personnel (AP) that theu just vomited. Which of the following actions should the nurse take first? -Notify the provider and obtain further direction -Inspect the vomitus for any presence of the medication -Document that the client vomited after medication administration -Instruct the AP to provide mouth care to the client

Inspect the vomitus for any presence of the medication

A nurse is teaching a class about minerals. Which of the following minerals is needed for transport of oxygen? -Magnesium -Iron -Potassium -Phosphorus

Iron

A nurse is assessing a client who has respiratory acidosis. Which of the following findings should the nurse expect? -Abdominal pain -Dry skin -Lethargy -Numbness of fingers

Lethargy

A nurse is assessing a client who has bradycardia. Which of the following findings should the nurse expect? -Elevated temperature -Fluid volume deficit -Anxiety -Lightheadedness

Lightheadedness

A nurse is teaching a class about the function of cells in the epidermis. The nurse should include that which of the following cells determine skin color? -Merkel cells -Langerhans cells -Melanocytes -Keratinocytes

Melanocytes

A nurse is teaching a class about sleep. The nurse should include that which of the following hormones regulates the sleep-wake cycle? -Progesterone -Cortisol -Melatonin -Insulin

Melatonin

A nurse is planning care for a client who is scheduled for a colonoscopy. The nurse should expect the client to receive which of the following types of anesthesia? -Moderate sedation -Local anesthesia -Regional anesthesia -General anesthesia

Moderate sedation

A nurse is assessing a client who has diarrhea. Which of the following findings is a manifestation of hypokalemia? -Muscle weakness -Hyperactive bowel sounds -Cerebral edema -Hypertension

Muscle weakness

A nurse asks a client to share personal stories. Which of the following types of intervention is the nurse using to promote the development of the nurse-client relationship? -Symbolic communication -Narrative interaction -Hand-off technique -Social conversation

Narrative interaction

A nurse is preparing to provide hygiene care. Which principle should the nurse consider when planning hygiene care? -Hygiene care is always routine and expected. -No two individuals perform hygiene in the same manner. -It is important to standardize a patient's hygienic practices. -During hygiene care do not take the time to learn about patient needs.

No two individuals perform hygiene in the same manner.

A nurse is caring for a patient with a large draining foot wound. Which of the following PPE equipment should the nurse don prior to entering the patient's room? -Sterile gloves and mask -Non-sterile gloves and gown -Mask and face shield -Gown and face shield

Non-sterile gloves and gown

The nurse asks a patient where the pain is, and the patient responds by pointing to the area of pain. Which form of communication did the patient use? -Verbal -Nonverbal -Intonation -Vocabulary

Nonverbal

A nurse is reviewing the medical history on a client who is preoperative for surgery. Which of the following findings places the client at risk for a postoperative complication? -Glucose level 75 mg/dL -BMI 24 -Fractured ankle -Obstructive sleep apnea

Obstructive sleep apnea

A nurse is providing care for a patient who just had surgery. The nurse understands that the patient's wound will need to be closely monitored for infection because it falls under the classification of -Open wounds -Contusion wounds -Eviscerated wounds -Closed wounds

Open wounds

If a Patient's blood pressure sitting is 130/60 and 110/40 standing, they have...

Orthostatic hypotension

A nurse is teaching a newly licensed nurse about palliative care. Which of the following information should the nurse include? -Palliative care is limited to clients who are in a health care facility. -The goal of palliative care is to prolong the life of a client. -Palliative care is not restricted to clients who are terminally ill. -Palliative care should be avoided for a client who is receiving a curative treatment.

Palliative care is not restricted to clients who are terminally ill.

A graduate of a baccalaureate degree program is ready to start working as an RN in the emergency department. Which action must the nurse take first? -Obtain certification for an emergency nurse. -Pass the National Council Licensure Examination. ( NCLEX-RN). -Take a course on genomics to provide competent emergency care. -Complete the Hospital Consumer Assessment of Healthcare Providers Systems.

Pass the National Council Licensure Examination. ( NCLEX-RN).

A patient is scheduled for surgery. When getting ready to obtain the informed consent, the patient tells the nurse, "I have no idea what is going to happen. I couldn't ask any questions." The nurse does not allow the patient to sign the permit and notifies the health care provider of the situation. Which role is the nurse displaying? -Manager -Patient educator -Patient advocate -Clinical nurse specialist

Patient advocate

A nurse is gathering information about a patient's habits and lifestyle patterns. Which method of data collection will the nurse use that will best obtain this information? -Carefully review lab results. -Conduct the physical assessment. -Perform a thorough nursing health history. -Prolong the termination phase of the interview.

Perform a thorough nursing health history.

The nurse is working in a clinic that is designed to provide health education and immunizations. Which type of preventive care is the nurse providing? -Primary prevention -Secondary prevention -Tertiary prevention -Risk factor prevention

Primary prevention

A nurse is caring for a client whose partner died 3 years ago and reports that they are still unable to accept the loss. The nurse should identify that the client has manifestations of which of the following types of grief? -Prolonged grief -Anticipatory grief -Uncomplicated grief -Disenfranchised grief

Prolonged grief

A nurse teaches a group of nursing students about nurse practice acts. Which information is most important to include in the teaching session about nurse practice acts? -Protects the nurse -Protects the public -Protects the provider -Protects the hospital

Protects the public

What is the correct steps for the use of a fire extingusiher? -Pull pin, aim the nozzle, sweep across the area, squeeze the handle -Pull the handle, adjust the force, squeeze, sweep the area -Pull the pin, aim the nozzle, squeeze the handle, sweep across the area -Aim the nozzle, pull the pin, squeeze the handle, sweep the area

Pull the pin, aim the nozzle, squeeze the handle, sweep across the area

A patient has fecal impaction. Which portion of the colon will the nurse assess? -Descending -Transverse -Ascending -Rectum

Rectum

A nurse is providing preoperative teaching for a client. Which of the following outcomes should the nurse expect? -Increase in postoperative pain -Increased length of postoperative care in the health care facility -Reduced postoperative respiratory function -Reduced postoperative anxiety

Reduced postoperative anxiety

A nurse is assessing a child who has autism spectrum disorder. Which of the following findings should the nurse expect? -Repetitive movements -Malnourishment -Slow heart rate -Clinging to their caregiver

Repetitive movements

A nurse is teaching a class about motor skills that develop in the first year of life. The nurse should include that which of the following motor skills develops first? -Sitting upright unsupported -Standing holding on to furniture -Transferring an object from hand to hand -Rolling from side to side

Rolling from side to side

A nurse is preparing to perform hand hygiene with an alcohol-based hand sanitizer. Which of the following actions should the nurse plan to take? -Dry hands with a reusable towel. -Rub hand sanitizer around rings on fingers. -Use hot water to rinse hand sanitizer off. -Rub hands together for 20 seconds.

Rub hands together for 20 seconds.

A nurse is teaching a class about emotional intelligence. The nurse should include that which of the following is a component of emotional intelligence? -Self-esteem -Self-awareness -Body image -Role performance

Self-awareness

A nurse is caring for a client who reports work-related stress. The nurse should identify that the client is experiencing which of the following types of stressors? -Cultural -Developmental -Situational -Adventitious

Situational

At which of the following grade levels should patient educational materials be written? -Ninth -Eighth -Sixth -Twelfth

Sixth

A nurse is teaching a class about spirituality in clients who are near the end of life. Which of the following information should the nurse include? -Spirituality can increase depression. -Spirituality can increase the quality of life. -Spirituality can increase feelings of hopelessness. -Spirituality can increase the desire to hasten death.

Spirituality can increase the quality of life.

If a Patient's pulse is 110 beats/min, they have...

Tachycardia

A nurse is teaching a client who has obstructive sleep apnea (OSA) about continuous positive airway pressure (CPAP). Which of the following instructions should the nurse include? -The CPAP device should fit loosely on the face. -The CPAP device delivers less pressure during exhalation than inhalation. -The CPAP device requires an invasive ventilation tube. -The CPAP device should be placed over the nose.

The CPAP device should be placed over the nose.

A nurse is teaching a class about the epidermis. Which of the following information should the nurse include? -The epidermis contains adipose tissue. -The epidermis receives nutrition from the dermis. -The epidermis is composed of blood vessels. -The epidermis is made up of nerves.

The epidermis receives nutrition from the dermis.

The nurse is caring for an older-adult patient and notes that the temperature is 96.8° F (36° C). How will the nurse interpret this finding? -The patient has hyperthermia. -The patient has a normal temperature. -The patient is suffering from hypothermia. -The patient is demonstrating increased metabolism.

The patient has a normal temperature.

The nurse is assessing a patient for opioid tolerance. Which finding supports the nurse's assessment? -The patient needed a substantial dose of naloxone (Narcan). -The patient needs increasingly higher doses of opioid to control pain. -The patient no longer experiences sedation from the usual dose of opioid. -The patient asks for pain medication close to the time it is due around the clock.

The patient needs increasingly higher doses of opioid to control pain.

The nurse is administering pain medication for several patients. Which patient does the nurse administer medication to first? -The patient who needs to be premedicated before walking -The patient who has a PCA running that needs the syringe replaced -The patient who needs to take a scheduled dose of maintenance pain medication -The patient who is experiencing 8/10 pain and has an immediate order for pain medication

The patient who is experiencing 8/10 pain and has an immediate order for pain medication

The patient is brought to the emergency department with possible injury to the left shoulder. Which area will the nurse assess to best determine joint mobility? -The patient's gait -The patient's range of motion -The patient's ethnic influences -The patient's fine-motor coordination

The patient's range of motion

Which of the following statements is true regarding the breach notification rule? -A facility has to notify the patient of a breach withing 90 says -The rule requires notication of the breach to the patient through the mail -A faciltity must report a potential breach to the patient's insurance provider -The rule requires that a facility must provide a patient copy of their health record

The rule requires notication of the breach to the patient through the mail

A nurse is teaching a class about the physiology of sleep. The nurse should include that which of the following occurs as a result of sleep? -Increase in basal metabolic rate -Transfer of memory from short-term to long-term -Weakened immune system -Decreased ability to concentrate

Transfer of memory from short-term to long-term

Which of the following actions can nurse and providers use to prevent the accidental disclosure of an adolescent client's PHI to their parents? -Use a personal code to protect adolescent client's PHI -Share inforamtion with the adolescent's parents in private -Create a false name for adolscent clients' medical records -Text the adolecent's test results to their cell phone

Use a personal code to protect adolescent client's PHI

A nurse is providing care to a patient. Which action indicates the nurse is following the National Patient Safety Goals? -Identifies patient with one identifier before transporting to x-ray department -Initiates an intravenous (IV) catheter using clean techniques on the first try -Uses medication bar coding when administering medications -Obtain vital signs to place on a surgical patient's chart

Uses medication bar coding when administering medications

A nurse is teaching the patient and family about wound care. Which technique will the nurse teach to best prevent transmission of pathogens? -Wash hands -Wash wound -Wear gloves -Wear eye protection

Wash hands

A nurse is providing postmortem care for a client. Which of the following actions should the nurse take? -Remove the client's dentures. -Place the head of the client's bed flat. -Wash the client's body. -Increase the lights in the client's room.

Wash the client's body.

What is the single most effective way to slow the rate of transmission of infection -Wear a mask -Wearing gloves -Wear a gown -Washing hands

Washing hands

A nutse has been asked to perform an RCA of a medication error that resulted in the death of a patient. Which of the following questions shoudl the nurse ask during the RCA? -How are we doing overall regarding medication errors? -What can be done to prevent a medication error from occuring again? -Are we meeting expectations regarding medication errors? -How can we improve the process to prevent medication errors?

What can be done to prevent a medication error from occuring again?

A nurse is admitting a client from a long-term care facility. The nurse should use closed-ended questions when assessing which of the following factors? -When determining if the client is eating a well-balanced diet -When asking the client about his receptiveness to the transfer -When asking the client how he completes his ADLs -When asking if the client took his medications this morning

When asking if the client took his medications this morning

A nurse is receiving a telephone order from a provider for a new medication for a patient. Which of the following actions should the nurse take first? -Transcribe the order ot the patient's medication administration record -Check that the medication does is correct -Write down the order -Notify the pharmacy of the new prescription

Write down the order

You as the nurse walk into a paitent's room and find the patient on the floor next the the bed. Would you need to fill out an incident report? -yes -no

Yes

When looking at these ABG values, what do these labs indicate about the patients acid-base balance? pH: 7.33 PaCO2: 48 mmHg HCO3: 24 mEg/L

respiratory acicidosis