practice exam 1

which of the following factors could present a barrier to the nurse effectively communicating with the client

client's hearing deficit, volume of the client's TV, numerous visitors in the client's room, increase in pain after ambulation, adverse effects of opioid analgesic, using earphones while listening to music

a nurse is using evidence-based research to care for a client who has diabetes mellitus. which of the following resources should the nurse use to manage the delivery of care? a. an article published in a non-peer-reviewed journal b. clinical practice guidelines c. an insulin manufacturer website d. a podcast about living with DM

clinical practice guidelines

There has been a recent increase in the number of adverse incidents at a hospital and plans are in place to address this problem. The need to foster a culture of safety has been identified. Which statement most closely relates to a culture of safety?

safety is a collective responsibility shared by all members of the care team

a nurse is documenting assessment findings. which finding would the nurse include as objective data?

blood pressure (vitals except pain), weight, bowel sounds active in all 4 quadrants, lung sounds, anything the patient DOES NOT report

a nurse is teaching an in-service about zero-tolerance for bullying and incivility in the health care facility. which of the following information should the nurse include? a. bullying can result in an increase in productivity b. incivility can result in improved communication in the workplace c. incivility can result in reduction of medical errors d. bullying can result in an increase in nursing turnover

bullying can result in an increase in nursing turnover

a nurse is caring for 4 clients who are all requesting assistance. which should the nurse assist first? a. a client who reports they have fallen while ambulating b. a client who reports their IV pump is beeping c. a client who is requesting a bedpan d. a client who is postoperative and is reporting nausea

a client who reports they have fallen while ambulating

a nurse is teaching a newly licensed nurse about health literacy. which of the following information should the nurse include?

a client's comprehension of education can be affected by low health literacy

a nurse and an AP disagree about how to move a client from the bed to a stretcher. which of the following statements should the nurse make to promote conflict resolution? a. i'm the nurse, you are the AP, so do what I say b. you always need to get your own way c. let's discuss how we can work together d. if you do not help me, I will report you to the charge nurse

let's discuss how we can work together

a nurse at a hospital is interviewing a newly admitted client. the client tells the nurse they would like to adhere to their cultural beliefs during their hospitalization. which of the following actions should the nurse take to provide the client with culturally competent care?

limit to the client's request with respect and compassion, reassure the client that they can practice their cultural beliefs if safe to self and others, provide resources to meet the client's cultural needs

nurse is caring for a patient with c diff

gown, gloves, mask, pt in private room

a nurse is teaching a client about the benefits of a healthy diet and regular exercise to achieve weight loss. which of the following topics is the nurse teaching to the client? a. health promotion b. disease prevention c. nonmodifiable risk factors d. tertiary prevention

health promotion

a nurse is teaching a client about the international self-care foundation's seven pillars of self-care. which of the following client statements indicate an understanding of the teaching?

"I will perform moderate exercise several times each week"

a nurse has entered a client's room and the client is lying on the floor next to her bed. what is the nurse's PRIORITY action? a. assess the client's health status b. inform the primary care provider c. document the adverse event d. complete an incident report

ASSESS the client's health status

a nurse at a clinic is providing free blood pressure SCREENINGS for clients. which of the following levels of health prevention is the nurse demonstrating? a. tertiary prevention b. secondary prevention c. primary prevention d. quaternary care

Secondary prevention

a nurse is preparing to administer an influenza vaccine to a client. the client states that they understand being immunized will help protect them against the influenza virus. which of the following concepts is the nurse demonstrating by administering the vaccine? a. health promotion b. disease prevention c. health outcomes d. wellness

disease prevention

A nurse is caring for a client who reports that they have recently lost their job and do not have insurance coverage. Which of the following social determinants of health is challenging for this client? a. economic stability b. education c. social and community context d. the neighborhood environment

economic stability

a nurse is speaking to a client who smokes tobacco and has a child living in the home. the nurse should identify that the child's exposure to second-hand smoke is an example of which of the following types of risk factors? a. cultural b. societal c. heredity d. environmental

environmental

a nurse is caring for a client who has diabetes mellitus and does not adhere to the prescribed diet. which of the following interventions by the nurse demonstrates collaborative health care? a. requesting a referral to a dietitian to work with the client b. instructing the client's family not to bring in snacks for the client c. asking the client why they are not adhering to the prescribed diet d. informing the client that they will get used to eating the prescribed diet

requesting a referral to a dietitian to work with the client

a nurse is providing care to a client. Prior to exiting the client's room, the nurse ensures the client's bed is locked and their call light is within reach. which QSEN competencies is the nurse demonstrating? a. safety b. quality improvement c. teamwork and collaboration d. patient centered care

safety

a nurse is teaching a group of guardians about primary prevention techniques. Which of the following topics should the nurse include as an example of primary prevention?

taking measures to decrease the risk of childhood injuries within the home

a nurse is teaching a client who has a new prescription for an antihypertensive medication. the nurse should identify that antihypertensive medications are used for which of the following types of prevention? a. secondary prevention b. tertiary prevention c. primary prevention d. quaternary prevention

tertiary prevention

a charge nurse is supervising a nurse providing care to several clients. for which of the following actions by the nurse should the charge nurse intervene

the nurse alters the steps in the procedure established in the clinical practice guidelines

a nurse is teaching a client about modifiable risk factors to their health. which of the following should the nurse include as an example of a modifiable risk factor? a. tobacco use b. age c. family history d. race

tobacco use

a nurse is teaching a class about barriers to interprofessional collaboration between health care professionals. the nurse should include that which of the following is a barrier? a. trust in the ability of a team member b. unresolved conflicts between team members c. effective communication between team members d. cultural competency within team members

unresolved conflicts between team members

a nurse is caring for a client who reports an improved diet, exercising 30 min a day for 5 days a week, an overall sense of improved health. the nurse should identify that the client is describing a positive state of health known as which of the following? a. health promotion b. disease prevention c. health outcomes d. wellness

wellness

The nurse is preparing to give the client a bath early in the morning. The client states, "I prefer to take my bath at night. It helps me sleep." What is the nurse's best response? a. work with the evening shift to possibly reschedule b. ask the client for permission to give the bath in the morning c. inform the client the evening shift will not have time to give the bath in the morning d. tell the client that health care provider has prescribed sleep medication if necessary

work with the evening shift to possibly reschedule