fundamentals midterm previous quizzes

Which is an example of a closed-ended question or statement?

"Did you take those drugs?"

A client tells the nurse that he is very worried about his surgery. Which response by the nurse is a cliché?

"Don't worry, everything will be fine."

The nurse maintains a journal in which she reflects on her clinical practice. Which entry is an example of reflection for action?

"Next time I will assess the client before obtaining the medication."

An adult with diabetes receives 20 units of insulin each morning and evening. How will the nurse teach the client to administer the insulin?

"Use an insulin syringe and give 20 units."

A nurse is educating a client about regional anesthesia. Which statement is accurate about this type of anesthesia?

"You will be awake and will not have sensation of the procedure."

A physician has ordered peak and trough levels of a medication. When would the nurse schedule the trough level specimen?

30 minutes before the next dose

The home health nurse is performing fall risk assessments. Which client is identified by the nurse as being a high risk for falls? Select all that apply.

A client taking benzodiazepines A client with poor lighting in the home A client with scatter rugs throughout the home A client with a history of previous falls

In which of the following situations would the SBAR technique of communication be most appropriate?

A nurse is calling a physician to report a client's new onset of chest pain.

The nurse observes a client independently move all the joints through their normal motions. Which range of motion has the client demonstrated?

Active range of motion

Which nursing intervention is most likely to be allowed within the parameters of a protocol or standing order?

Administering a glycerin suppository to a constipated client who has not responded to oral stool softeners

A client is having problems with insurance reimbursement. The home health care nurse discusses the client's need for home health services with the insurance company. What role is the nurse demonstrating?

Advocate

The nurse has received an order to apply a saline-moistened dressing to a client's wound. Which action should the nurse perform?

Apply dry gauze pads over the wet gauze and place the abdominal pad over the gauzes.

What is the most important safety concept that a nurse should include in the teaching plan for a family with a newborn infant in the household?

Avoid stuffed animals and blankets in the crib.

After graduating from an accredited program in nursing and successfully passing the NCLEX, the nurse must take which action to obtain the legal right to practice?

Be licensed by the State Board of Nursing

The Quality and Safety Education for Nurses (QSEN) initiative has identified which key competencies for nurses? Select all that apply.

Client-centered care Teamwork and collaboration Evidence-based practice Quality improvement

The nurse has prepared to educate a client about caring for a new colostomy. When the nurse begins the instruction, the client states, "I am not ready to deal with this now. I am feeling overwhelmed." What is the nurse's most appropriate action?

Discontinue the education and attempt at another time.

A nurse writes the following nursing diagnosis for a client with Alzheimer disease: Disturbed Thought Processes related to Alzheimer disease as evidenced by incoherent language. Which part of this diagnosis is considered the problem statement?

Disturbed Thought Processes

A nurse has administered an intramuscular injection. What will the nurse do with the syringe and needle?

Do not recap the needle; place it in a puncture-resistant container.

Before developing a procedure, a nurse reviews all current research-based literature on insertion of a nasogastric tube. What type of nursing will be practiced based on this review?

Evidence-based practice

A nurse is preparing an injection by withdrawing the solution from a multidose vial. What is necessary to facilitate withdrawing a medication from the vial?

First, inject an equal amount of air into the vial.

Who is considered to be the founder of professional nursing?

Florence Nightingale

The nurse is preparing to administer a medication via a nasogastric tube. Which guideline is appropriate for the nurse to follow when administering a drug via this route?

Flush the tube with water between each drug administered.

An expected client outcome is, "The client will remain free of infection by discharge." When evaluating the client's progress, the nurse notes the client's vital signs are within normal limits, the white blood cell count is 12,000/µL (12 × 109/L), and the client's abdominal wound has a half-inch gap at the lower end with yellow-green discharge. Which statement would be an appropriate evaluation statement?

Goal not met; white blood cell count elevated, presence of yellow-green discharge from wound.

A child is playing soccer and is involved in a head-to-head collision with another player. Which assessment findings should the nurse be alert to that may indicate a concussion? Select all that apply.

Headache Vomiting Drowsiness

The nurse is preparing to bathe a client using a self-contained bathing system that has premoistened, disposable washcloths. Which method for warming the premoistened cloths is correct?

Heat the entire package in the microwave, following the manufacturer's recommendation.

A client is scheduled for hip replacement surgery this morning but admits to the nurse that he had a small piece of toast and some water after waking up. What is the nurse's most appropriate response?

Inform the anesthesiologist or surgeon of this fact

A nurse is administering a medication to a client for acute pain. Of the various routes for drug administration, which would be chosen because it is absorbed most rapidly?

Injected medications

A nurse is assessing a client with constipation and severe rectal pain. Which action should the nurse perform to determine the presence of fecal impaction?

Insert a lubricated, gloved finger into the rectum.

A nurse is conducting an abdominal assessment. What is the rationale for palpating the abdomen last in the sequence when conducting an abdominal assessment?

It disturbs normal peristalsis and bowel motility

Which attributes of the PACE program are true? Select the correct answer.

PACE provides an approach using multiple health care professions.

What activity is carried out during the implementing step of the nursing process?

Planned nursing actions (interventions) are carried out.

As a circulating nurse caring for a 45-year-old man undergoing left knee arthroscopic exploratory surgery, which task ensures that the team is on the same page and will perform the procedure on the right client and at the right site?

Procedural pause (time-out)

A nurse researcher must decide on the method for conducting the research. The researcher that plans to emphasize collection of numerical data and analysis would select which method of research?

Quantitative research

A nurse smells smoke and subsequently discovers a fire in a garbage can in a common area on the hospital unit. What is the nurse's priority action in this situation?

Rescue anyone who is in immediate danger.

A nurse is preparing discharge education for a client with a newborn baby. What is the highest priority item that must be included in the education plan?

Restrain the baby in a car seat.

A nurse is reviewing the medical orders for a client who has had a stroke and is at high risk for aspiration. The orders state to place the client in a high Fowler's position for eating and drinking. How would the nurse position the client?

Sitting upright at 90 degrees

While performing a bed bath, the nurse notes an area of tissue injury on the client's sacral area. The wound presents as a shallow open injury with a red-pink wound bed and partial thickness loss of dermis. What is the correct name of this wound?

Stage II pressure injury

The wound care clinical nurse specialist has been consulted to evaluate a wound on the leg of a client with diabetes. The wound care nurse determines that damage has occurred to the subcutaneous tissues. How would the nurse document this wound?

Stage III pressure injury

A female client age 54 years has been scheduled for a bunionectomy (removal of bone tissue from the base of the great toe) which will be conducted on an ambulatory basis. Which characteristic applies to this type of surgery?

The client will be admitted the day of surgery and return home the same day.

Nurses make common errors in the identification and development of outcomes. What is a common error made when writing client outcomes?

The nurse expresses the client outcome as a nursing intervention.

During a home health care visit, the nurse identifies a nursing diagnosis of Caregiver Role Strain for a parent who is caring for a child dependent on a ventilator. What subjective assessment data would support the nurse's diagnosis?

The parent states, "I cannot allow anyone else to help because they won't do it right."

Which of the following is categorized as a psychomotor outcome?

Within 2 days of education, the client's wife will demonstrate abdominal dressing change. Correct response:

Which client receives a drug that requires parenteral route?

a woman who has been ordered intravenous antibiotics

The orderly progression of steps of the nursing process is:

assessment, diagnosis, planning, implementation, and evaluation.

A student wants to attend a nursing program that prepares its graduates for both staff and managerial positions. Which type of nursing program should the nurse suggest for this student?

baccalaureate nursing program

What is the nurse's best defense if a client alleges nursing negligence?

client's record

The nurse caring for a client diagnosed with melanoma has identified a nursing diagnosis of "Ineffective Coping." What subjective assessment data would provide evidence for this nursing diagnosis?

client's report of increased consumption of alcohol

The nursing student uses evidence-based practice findings in the development of a care plan. This is an example of which type of nursing skill?

cognitive skill

A client with terminal cancer is taking high doses of a narcotic for pain. The nurse will teach the client or family about which common side effect of opioids?

constipation

A nurse caring for older adult clients in an assisted-living facility encourages clients to eat a diet high in fiber to avoid which developmental risk factor for this group?

constipation

The nurse is assisting a client with a history of vancomycin resistant enterococcus (VRE). What precaution should the nurse implement?

contact precautions

An older woman who is a resident of a long-term care facility has to get up and void several times during the night. This can be the result of what physiologic change with normal aging?

diminished ability of the kidneys to concentrate urine

It is acceptable for the nurse to accept a verbal order from the physician in which situation?

during a medical emergency

Which phrase best describes continuity of care?

facilitating transition between settings

When the nurse inspects a postoperative incision site for infection, which one of the following types of assessments is being performed?

focused

A nurse is providing perineal care to a female client. In which direction would the nurse move the washcloth?

from the pubic area toward the anal area

A client has developed edema in her lower legs and feet, prompting her physician to prescribe furosemide, a diuretic medication. After the client has begun this new medication, what should the nurse anticipate?

increased output of dilute urine

A nurse at a health care facility has to instill ear drops in a client. The nurse knows that which technique varies for an adult and child client?

manipulation of the client's ear to straighten the auditory canal

Of the following information collected during a patient assessment, which are subjective data?

nausea, abdominal pain

What type of order would a physician most likely write to treat a client whose pain levels vary widely throughout the day?

p.r.n.

A camp nurse is educating a group of adolescent girls on the importance of regular physical exercise. Which level of preventive care does this activity represent?

primary

A physician writes an order for ampicillin 1 gram every 6 hours for a client. What is missing in this order?

route

The nurse manager is developing a plan to decrease the transmission of health care associated infections. What would be the best to implement?

staff education on utilizing hand hygiene

When the client who has been diagnosed with hepatitis B has been hospitalized, the type of isolation the nursing staff should observe is:

standard precautions.

Which definition best describes acute illness?

the rapid onset of symptoms lasting a relatively short time

Which anatomic site is recommended for intramuscular injections for adults?

ventrogluteal muscles

A nurse is discussing a surgical procedure with a client who needs to sign his informed consent. Which of these tasks is part of the nursing role?

witnessing the client signature with their consent for surgery