NUR 1100 Nursing Fundamentals Quiz #1

You are floated to work on a nursing unit where you are given an assignment that is beyond your capability. Which is the best nursing action to take first? A. Call the nursing supervisor to discuss the situation B. Discuss the problem with a colleague C. Leave the nursing unit and go home D. Say nothing and begin your work

A. Call the nursing supervisor to discuss the situation

Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles and responsibilities. Which of the following are examples? (Select all that apply) A. Caregiver B. Autonomy and accountability C. Patient Advocate D. Health Promotion E. Lobbyist

A. Caregiver B. Autonomy and accountability C. Patient Advocate D. Health Promotion

The nurse spends time with teh patient and family reviewing the dressing change procedure for the patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in which professional role? A. Educator B. Advocate C. Caregiver D. Case Manager

A. Educator

When designing a plan for pain management for a postoperative patient, the nurse assesses that the patient's priority is to be as free of pain as possible. The nurse and patient work together to identify a plan a manage the pain. The nurse continually reviews the plan with the patient to ensure that the patient's priority is met. Which principle is used to encourage the nurse to monitor the patient;s response to the pain? A. Fidelity B. Beneficence C. Nonmaleficence D. Respect for autonomy

A. Fidelity - agreement to keep a promise

A nurse is providing restorative care to a patient following an extended hospitalization for an acute illness. Which of the following is an appropriate goal for restorative care? A. Patient will be able to walk 200 feet without shortness of breath B. Wound will heal without signs of infection C. Patient will express concerns related to return to home D. Patient will identify strategies to improve sleep habits

A. Patient will be able to walk 200 feet without shortness of breath

A nurse is preparing to assist an older adult client with ambulation following bed rest for 3 days. Which of the following actions should the nurse take to decrease the risk of a fall? A. Use a gait belt during ambulation B. Ensure the client is wearing socks before ambulating C. Instruct the client to sit on the edge of the bed for 15 seconds before ambulating D. Walk 2 ft behind the client during ambulation

A. Use a gait belt during ambulation -This helps keep the client's center of gravity midline and decreases the risk of fall

A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient's wishes with them. The nurse is acting as the patient's? A. Educator B. Advocate C. Caregiver D. Case Manager

B. Advocate

Using Maslow's hierarchy of needs, identify the priority for a patient who is experiencing chest pain and difficulty breathing. A. Self actualization B. Air, Water and nutrition C. SAfety D. Esteem and Self-esteem needs

B. Air, Water and nutrition

A nurse on a telemetry unit is caring for a client who had a myocardial infarction. The client states, "All this equipment is making me nervous." Which of the following responses should the nurse offer? A. You won't need the equipment for very long B. All of this equipment can be frightening C. Why does the equipment bother you? D. Let me tell you about what each machine does.

B. All of this equipment can be frightening -This statement is therapeutic because the nurse is reflecting the client's statement. The client is feeling fearful, and this response shows the nurse understands those feelings, which will encourage the client to communicate more.

A muslim woman enters the clinic to have a woman's health examination for the first time. Which nursing behavior applies Swanson's caring process of "knowing the patient"? A. Sharing feelings about the importance of having regular examinations B. Gaining an understanding of what a woman's health examination means to the patient C. Recognizing that the patient is modest; and obtaining gender-congruent caregiver D. Explaining the risk factors for cervical cancer

B. Gaining an understanding of what a woman's health examination means to the patient

An 18-year-old women is in the emergency department with fever and cough. The nurse obtains her vital signs, listens to her lung and heart sounds, determines her level of comfort, and collects blood and sputum samples for analysis. Which standard of practice is performed? A. Diagnosis B. Evaluation C. Assessment D. Implementation

C. Assessment

A nurse meets with the registered dietitian and physical therapist to develop a plan of care that focuses on improving nutrition and mobility for a patient. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? A. Patient-centered care B. Safety C. Teamwork and collaboration D. Informatics

C. Teamwork and collaboration

A nurse is caring for a client who has osteoarthritis. The client states she does not want to perform her prescribed exercises because of the pain. Which of the following responses should the nurse make? A. The exercises are important. The quicker we do them, the sooner they will be done. B. The pain will go away once you start doing the exercises regularly C. Think of something pleasant while exercising, and you will not have pain D. Tell me more about the pain you experience during exercise

D. "Tell me more about the pain you experience during exercise" -This is the therapeutic communication response because the nurse is acknowledging the client's feelings

Which activity performed by a nurse is related to maintaining competency in nursing practice? A. Asking another nurse about how to change the settings on a medication pump B. Regularly attending unit staff meetings C. Participating as a member of the professional nursing council D. Attending a review course in preparation for a certification examination

D. Attending a review course in preparation for a certification examination

During the completion of a health history with a nurse, a client reports intermittent chest pain for the past week. Which of the following questions is the nurse's priority? A. Did you report the chest pain episodes to your physician? B. Is there a history of heart disease in your family? C. Have you had this pain before? D. Can you tell me what the pain felt like and show me exactly where it was?

D. Can you tell me what the pain felt like and show me exactly where it was? -The nurse is questioning the client to determine whether this pain is urgent or non-urgent. This will help the nurse determine what action to take next.

You are preparing a presentation for your classmates regarding the clinical care coordination conference for a patient with terminal cancer. As part of the preparation you have your classmates read the Nursing code of Ethics for Professional Registered Nurses. Your instructor asks the class why this document is important. Which of the following statements best describes this code? A. Improves self-health care B. Protects the patient's confidentiality C. Ensures identical care to all patients D. Defines the principles of right and wrong to provide patient care

D. Defines the principles of right and wrong to provide patient care

A critical care nurse is using a computerized decision support system to correctly position her ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? A. Patient-centered care B. Safety C. Teamwork and collaboration D. Informatics

D. Informatics

During the insertion of a urinary catheter for a client, the tip of the catheter brushes against the nurse's arm. Which of the following actions should the nurse take? A. Wipe the catheter with povidone-iodine and continue the catheter insertion B. Soak the catheter in chlorhexidine for 15 minutes and then reattempt insertion C. Continue with the catheter insertion D. obtain a new catheter and reattempt insertion

D. Obtain a new catheter and reattempt insertion -A urinary catheter is a sterile procedure, to avoid contamination a new catheter should be obtained

A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse perform first? A. Open all sterile supplies & solutions B. Stabilize the tracheostomy tube C. Put on sterile gloves D. Perform Hand Hygiene

D. Perform Hand Hygiene -this is vital because contamination of the nurse's hands is a primary source of infection

The examination for registered nurse (RN) licensure is exactly the same in every state in the United States. This examination... A. Guarantees safe nursing care for all patients B. Ensures standard nursing care for all patients C. Ensures that honest and ethical care is provided D. Provides a minimal standard of knowledge for an RN in practice

D. Provides a minimal standard of knowledge for an RN in practice

A child's immunization may cause discomfort during administration, but the benefits of protection from disease, both for the individual and society, outweigh the temporary discomforts. Which principle is involved in this situation? A. Fidelity B. Beneficence C. Nonmaleficence D. Respect for autonomy

B. Beneficence

Following a community assessment that focused on adolescent health behaviors, a nurse determines that a large number of adolescents smoke and designs a smoking cessation program at the youth community center. This is an example of which nursing role? A. Education B. Counselor C. Collaborator D. Case manager

B. Counselor

A nurse is caring for a middle-aged adult client. The nurse should identify which of the following statements as an indication that the client has completed Erikson's developmental task for her age group? A. I am comfortable with my decision to choose a lifelong partner B. I think I have done a good job with my children since they are all independent now C. As i look back over my life, i can see that i have achieved most of the goals i set for myself D. I love my work so much that it is difficult to think about retirement

B. I think I have done a good job with my children since they are all independent now -The developmental task for middle adults is generativity vs. stagnation. Middle adults help shape future generations.

A nurse is preparing a client for discharge and providing instructions about performing dressing changes at home. Which of the following statements should the nurse identify as an indication that the client understands medical asepsis? A. I'll wrap the old dressing in a paper bag and put it in the trash B. I'll wash my hands before i remove the old dressing and again before putting on the new one C. I'll need to take a pain pill 30 minutes before changing the dressing D. I'll wear sterile gloves when applying the new dressing

B. I'll wash my hands before I remove the old dressing and again before putting on the new one -Hand hygiene is essential when handing wounds

A nurse is caring for a client who has a suspected brain tumor and is scheduled for a computerized axial tomography (CAT) scan. After the procedure is explained, the client expresses fear about entering the enclosed space of teh scanner. Which of the following statements should the nurse offer? A. I thnk you should request a Magnetic Resonance Image instead B. Let me review some breathing exercises with you C. It is scary to go into an enclosed space D. This is a routine test, so there is no reason to worry.

B. Let me review some breathing exercises with you -To help minimize anxiety, the nurse should encourage relaxation techniques prior to the procedure

A nurse on a medical-surgical unit is talking with a client who pauses while discussing his feelings about being in the facility. The nurse replies, "Please go on." Which of the following communication techniques is the nurse using? A. Reflecting B. Providing a general lead C. Focusing D. Seeking clarification

B. Providing a general lead -Encouraging the client to continue the conversation

A nurse is caring for an adolescent client who is overweight. The adolescent tells the nurse that classmates tease him about his weight. Which of the following responses should the nurse make? A. You shouldn't worry about what other people say B. Tell me how you feel when your classmates tease you C. Your friends will learn to like you for who you are inside, not what you look like D. It is important to begin to eat healthier so you can look the way you want to look

B. Tell me how you feel when your classmates tease you -This response is a form of therapeutic communication by providing general leads that encourage the client to express his feelings

A nurse is inserting an IV catheter for a client that results in a blood spill on her gloved hand. The client has no documented bloodstream infection. Which of the following actions should the nurse take? A. Wash the gloved hands and then throw the gloves away B. Prepare an incident report to document the event C. Carefully remove the gloves and proceed with hand hygiene D. Ask the provider to order a blood culture to determine the risk of infection

C. Carefully remove the gloves and proceed with hand hygiene -This would be the nurse following standard precautions

Vulnerable populations of patients are those who are more likely to develop health problem as a result of? A. Chronic diseases, homelessness, and poverty B. Poverty and limits in access to health care services C. Lack of transportation, dependence on other for care, and homelessness D. Excess risks, limits in access to health care services, and dependency on others for care

D. Excess risks, limits in access to health care services, and dependency on others for care

A patient in the emergency department has developed wheezing and shortness of breath. The nurse gives the ordered medication nebulizer treatment now and in 4 hours. Which standard of practice is performed? A. Planning B. Evaluation C. Assessment D. Implementation

D. Implementation

A nurse hears a colleague tell a nursing student that she never touches a patient unless she is performing a procedure or doing an assessment. The nurse tells the student that from a caring perspective: A. She does not touch the patients either. B. Touch is a type of verbal communication. C. There is never a problem with using touch. D. Touch forms a connection between nurse and patient.

D. Touch forms a connection between nurse and patient.

A nurse is admitting an older client who has chronic obstructive pulmonary disease. The client's daughter is present and states that her father will become uncooperative if he is not able to follow his usual routines. Which of the following actions should the nurse take? A. Assure the client that his usual routines will be followed B. Ask the daughter what routines her father follows at home C. Inform the daughter that the facility policies must be followed D. Ask the daughter to tell the provider how she wants her father's care organized

B. Ask the daughter what routines her father follows at home -The nurse is seeking more information in order to address the daughter's concerns. The nurse is providing general leads to encourage communication

A nurse is sued for negligence due to failure to monitor a patient appropriately after a procedure. Which of the following statements are correct about this lawsuit? (Select all that apply.) A. The nurse does not need any representation. B. The patient must prove injury, damage, or loss occurred. C. The person filing the lawsuit has to show a compensable damage, such as lost wages, occurred. D. The patient must prove that a breach in the prevailing standard of care caused an injury. E. The burden of proof is always the responsibility of the nurse.

B. The patient must prove injury, damage, or loss occurred. C. The person filing the lawsuit has to show a compensable damage, such as lost wages, occurred. D. The patient must prove that a breach in the prevailing standard of care caused an injury.

A nurse in a provider's clinic is taking a client's age, height, weight, and vital signs. The nurse should identify this action as part of which of the following components of the nursing process? A. Planning B. Evaluation C. Assessment D. Implementation

C. Assessment -The nurse should explore the client's health history and perform a physical examination