Intro to Nursing Final review Qs

A nurse is caring for a client who is unconscious and has a living will. The client's family asks if they can make changes to lifesaving measures now that the client is unconscious. Which of the following statements should the nurse make?

"The living will states the client's wishes regarding lifesaving measures." rationale: living wills provide information about the client's choices regarding their end-of-life care. the living will has created when the client was able to make their own decision about their treatment. family members cannot make changes to this document.

When reviewing the role of a change agent, which of the following examples should a nurse identify as part of this role?

-Provide information on a newly developed insulin pump. -Introduce the latest form of a medication for cardiac clients.

A nurse administers the wrong medication to a client. After assessing the client, the nurse contacts the provider and completes an incident report. Which of the following components of professionalism is the nurse demonstrating?

Accountability rationale: accountability is taking responsibility for one's own actions. it is being liable for one's own decisions, actions, and outcomes. the nurse is demonstrating accountability by taking responsibility for the medication error.

A nurse is teaching a class about incident reports. The nurse should include that which of the following situations requires completion of an incident report?

A client falls getting out of bed.

A nurse is caring for four clients who are all requesting assistance. Which of the following clients should the nurse assist first?

A client who reports they have fallen while ambulating.

Which of the following factors could present a barrier to the nurse effectively communicating with the client? Select all that apply.

Adverse effects of opioid analgesic Using earphones while listening to music Client's hearing deficit Volume of the client's television - numerous visitors??

A nurse is caring for a client who states, "My doctor was just here, but I still do not understand my diagnosis." The nurse contacts the provider to return to speak with the client. Which of the following principles is the nurse demonstrating?

Advocacy rationale: the nurse is demonstrating advocacy. the nurse is advocating for the client by notifying the provider that the client has questions and concerns about their diagnosis. as a client advocate, the nurse should act on behalf of the client to protect their rights, health, and safety.

A nurse is teaching a class about the steps of critical thinking. The nurse should include that interpreting data is included in which of the following steps?

Analysis

A nurse is caring for a client who reports frequent headaches. Which of the following statements by the nurse uses holistic nursing?

Are you feeling stressed before you have a headache?"

A nurse is discussing types of communication styles with a group of staff nurses. Which of the following information should the nurse include?

Assertive communicators are confident in their communications.

A nurse is documenting assessment findings on a client. Which of the following entries should the nurse identify as subjective data?

Client reports dull, aching pain in lower right calf.Subjective data Client's oral temperature is 38.4° C (101.2° F).O Client has a vesicular rash on their upper back.O Client reports nausea following administration of pain medication. Subjective Client reports the rash on their back is itchy. Subjective

Which of the following is a component of clinical decision-making that the nurse should use to make an evidence-based decision?

Clinical Judgement Rationale: the clinical judgement model is designed to be used by nurses to think critically and make decisions based on evidence-based practice.

A nurse is teaching a class about National Patient Safety Goals (NPSGs). Which of the following goals should the nurse include?

Correctly identify clients prior to administering medications. Improve communication among staff members. Prevent catheter-associated urinary tract infections in clients.

A nurse is caring for a client who is a member of a marginalized sexual group . The nurse should recognize the client is at risk for which of the following conditions?

Depression rationale: a client who is a member of a marginalized sexual group is vulnerable to prejudice, social stigma, and discrimination. these clients are at risk for depression, PTSD, unemployment, poor relationships, and chronic health problems.

A nurse is admitting a client who reports they are currently unemployed. Which of the following factors of the social determinants of health (SDOH) is challenging for the client?

Economic stability

A nurse is teaching a class about nonpharmacological therapies to decrease stress. The nurse should include which of the following therapies?

Electromagnetic therapy Yoga Biofeedback

A nurse is caring for a client who reports chronic pain. Which of the following actions by the nurse uses holistic nursing?

Encourage the client to take slow, deep breaths rationale: holistic approach to nursing empowers clients to employ therapeutic techniques to relieve pain and promote health. Encouraging the client to take deep breaths utilizes holistic nursing to promote relaxation and reduce pain

A nurse is providing an in-service on the Healthy People 2030 framework. Which of the following information should the nurse include?

Establishes health objectives for Americans

A nurse is planning to use research and scientific data to improve client care. Which of the following processes is the nurse planning to use?

Evidence-based practice rationale: evidence-based practice uses evidence from credible scientific research to guide nursing interventions to improve client care

A nurse is teaching a class on professionalism. The nurse should include that which of the following is an example of accountability?

Following the rights of medication administration to administer a medication to a client. rationale: the nurse is demonstrating accountability by following the standard of care to reduce the risk for medication errors and client injury

A nurse is teaching a class on health care regulation to a group of newly hired nurses. The nurse should include that which of the following agencies enforces laws to ensure medications go through strict testing before being sold to the public?

Food and Drug Administration (FDA)

A traveling nurse is taking a temporary assignment out of state. Which of the following information should the nurse identify is the purpose of the Nursing Licensure Compact (NLC)?

Grants the nurse permission to practice in more than one state

A nurse is instructing a client who has heart disease about ways to improve their health such as eating a heart healthy diet. Which of the following concepts is the nurse demonstrating to the client?

Health Promotion rationale: the nurse is demonstrating the concept of health promotion by instructing the client on ways to improve their health such as eating a heart healthy diet. other forms of health promotion can include exercise, weight loss, limiting alcohol consumption, and smoking cessation.

A charge nurse is providing an in-service to a group of nursing staff about the components of a health record. Which of the following information should the nurse include?

Immunizations, Allergies, Medical history

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?

Impaired therapeutic relationship with clients rationale: implicit cultural bias in healthcare can cause a decrease in therapeutic rapport with clients and can result in inadequate care and potential client injury. Nurses who have implicit biases might treat clients differently. Nurses should conduct a self-evaluation regarding self-bias to understand their own cultural views, assumptions, and values

A charge nurse is reviewing legal guidelines for documentation with a newly licensed nurse. Which of the following should the charge nurse include in the teaching?

Information recorded in the client's medical record must be accurate and complete A medical record can be used as evidence in a court of law A nurse should ensure the documentation is organized and completed in a timely fashion

A nurse is discussing advancing interprofessional communication on the unit. Which of the following should the nurse identify as a barrier to this advancement?

Misunderstanding of roles rationale: the misunderstanding of others' roles is one of the main barriers to advancing interprofessional communication. a clear explanation of each member's role should be shared with the entire team.

A nurse is providing a presentation to a group of nurses on lifelong learning in nursing. Which of the following resources should the nurse include in the teaching?

Online continuing education Scholarly journals Workshops

A nurse is providing an in-service to a group of newly licensed nurses on the Nurse Practice Act (NPA). Which of the following is the first step in defining the scope of nursing in the NPA practice?

Pass a law to regulate nursing practice of a law within a state rationale: the nurse should include in the teaching that the first step in defining the scope of nursing practice the NPA is to pass a law to regulate the nursing practice within each state. each state passes a law to regulate nursing practice to provide safe and competent client care.

A nurse is admitting a new client. Which of the followings steps of the nursing process is the nurse performing when formulating goals for a positive outcome?

Planning

A nurse is providing an in-service to a group of newly licensed nurses on standards of practice and the role of the Board of Nursing (BON). Which of the following information should the nurse include?

Regulates and monitors laws set by the Nurse Practice Act. rationale: the nurse should include the BON regulates and monitors laws and rules set by the nurse Practice Act

For which of the following interprofessional team members should the nurse anticipate a provider's referral?

Respiratory Therapist & Physical Therapist?

A nurse checks a client to evaluate the effectiveness of a pain medication. Which of the following components of professionalism is the nurse demonstrating?

Responsibility rationale: responsibility is caring for clients in a reliable, dependable manner, and following through to evaluate the effectiveness of care provided

A nurse is preparing to delegate tasks to an assistive personnel (AP). The nurse should identify which of the following as one of the five rights of delegation?

Right communication

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- Awareness Rationale: a client who has emotional intelligence can identify their own emotions, strengths, and weaknesses and are empathetic to the emotions of others

A nurse is preparing a poster presentation about communicating with clients. Which of the following strategies should the nurse include to enhance communication?

Show respect for a client who is making decisions about treatment. Convey empathy for a client who voices painful emotions. Exhibit receptive body language when discussing difficult topics. Speak to a client using clear and simple words and phrases. rationale: the nurse should include that showing respect for a client is a basic strategy that can enhance communication, regardless of any potential communication barriers

A nurse is providing discharge instructions to a client who lives in subsidized housing and is concerned about being able to afford their medications. Which of the following factors should the nurse identify is affecting the client's health?

Socioeconomic

A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should further assess the client before administering medication?

The client reports dizziness when ambulating to the bathroom.

A nurse is assessing a client who is postoperative.. Which of the following findings should the nurse identify as objective data?

The client's current blood pressure is below their preoperative reading. The client's urine output has been 150 mL over the past 3 hr. Calf is swollen and warm to the touch

A nurse is reinforcing teaching with a client who has low health literacy. Which of the following actions should the nurse take?

Use the teach-back method. Encourage questions. Speak slowly.

A nurse is preparing an in-service about communication for a group of staff nurses. Which of the following techniques should the nurse include when discussing therapeutic communication?

Using silence rationale: the use of silence is a therapeutic communication technique. silence gives the nurse and client time to think, sort out feelings, and reflect on what has already been said. it also demonstrates the nurse's willingness to be patient and allow the client the time needed to formulate thoughts or make decisions. silence can be especially therapeutic when a client is grieving.

A nurse is instructing a newly licensed nurse about the scope and standard of nursing practice. Which of the following describes standards of practice?

lists a set of skills that all nurses should be competent performing. outlines responsibilities that every nurse is expected to provide regardless of their role. rationale: the nurse should include that standard of practice lists a set of skills that every nurse is expected to be competent performing. it also outlines responsibilities that every nurse is expected to provide regardless of their role, population, or area of specialty.