3303 Fundamental Lecture: ATI
A nurse is talking with a client about the electronic health record at the facility. Which of the following client statements indicates an understanding of EHRs? a. "I will be able to track my health information." b. "My personal information will be entered into a national database." c. "I will have one EHR that will encompass the health care I've received over my lifetime." d. "The goal of EHRs is to improve insurance coding."
a. "I will be able to track my health information."
A nurse is discussing the history of electronic health records (EHRs) during a staff in-service. The nurse should identify that which of the following agencies advocated for nationwide use of EHRs? a. the institute of medicine b. department of veteran affairs c. american hospital association d. the joint commission
a. the institute of medicine
A nurse is planning to teach new assistive personnel how to use a bedside glucose monitor to check a clients blood glucose level. The nurse will include a 30 minute face-to-face lecture and a written copy of the step-by-step procedure. Which of the following modes of communication is the nurse using in her teaching plan? (select all that apply) a. verbal b. written c. electronic d. nonverbal e. assertive
a. verbal b. written d. nonverbal
A nurse is reviewing the documentation of a newly licensed nurse. Which of the entries should the nurse identify as meeting the American Nurses Association (ANA) standards of documentation? a. "The client is now asleep, and they ate most of their breakfast a few hours ago." b. "The client vomited 240 mL of clear emesis but denies pain or nausea." c. "The client reports not feeling good, but they look fine." d. "The client has 8 to 10 sores on their body."
b. "The client vomited 240 mL of clear emesis but denies pain or nausea."
A staff nurse is evaluating a newly licensed nurse's understanding of telephone prescriptions. Which of the following statements by the newly licensed nurse indicates an understanding of the information?A. "I can take a telephone prescription if a provider is making routine rounds in another area of the facility." B. "I can take a telephone prescription if a provider is directing a code for an unresponsive client." C. "If a client requires an over-the-counter medication for relief of nausea, it is okay to accept a telephone prescription." D. "If a client requires pain control for a terminal condition, it is okay to accept a telephone prescription."
B. "I can take a telephone prescription if a provider is directing a code for an unresponsive client."
A nurse is caring for a client following a stroke. The nurse should recognize that which of the following individuals is allowed access to the client's medical record without obtaining special consent from the client first? (select all that apply) a. the admitting provider b. the charge nurse on the unit c. the clients sibling d. the client e. the clients spiritual advisor
a. the admitting provider b. the charge nurse on the unit d. the client
A nurse in an emergency department overhears a provider say they will not accept any more clients who do not have health insurance. Which of the following is the provider violating? a. the emergency medical treatment and labor act b. the health insurance portability and accountability act of 1996 c. tort law d. good samaritan laws
a. the emergency medical treatment and labor act
A nurse is reviewing documentation principals with a group of newly hired assistive personnel (AP). Which of the following should the nurse include? a. Providers designate to other staff which abbreviations cannot be used. b. A nurse who delegates a task to an AP will review the charting for that task. c. Providers read and cosign nursing documentation for accuracy. d. Licensed personnel should document out-of-range vital signs for AP.
b. A nurse who delegates a task to an AP will review the charting for that task.
A nurse in an emergency department is caring for four clients. Which of the following clients requires mandatory reporting? a. an adolescent client who has a fractured tibia following a football game b. a young adult client who is positive for tuberculosis c. an older adult client who has dementia, a history of falls, and bruising on their knees d. a preschooler who has frequent enuresis
b. a young adult client who is positive for tuberculosis
A nurse in a provider's office is speaking with a client who needs a refill for a prescription that has expired. The nurse should identify that which of the following team members can assist the client with the refill? a. social worker b. advanced practice registered nurse c. physician assistant d. pharmacist e. physician
b. advanced practice registered nurse c. physician assistant e. physician
A nurse is a member of the facility's quality improvement committee. The committee is concerned with the increase in the number of catheter-associated urinary tract infections (CAUTI) at the facility. Which of the following agencies should the nurse use to find best-practice guidelines for the care of clients with indwelling urinary catheters? a. food and drug administration b. centers for disease control c. state health department d. occupational safety and health administration
b. centers for disease control
A nurse is caring for a Parkinson's patient and needs assistance for their ADLs. Which of the following referrals should the nurse anticipate the provider to prescribe? (select all that apply) a. social worker b. dietician c. physical therapist d. occupational therapist
b. dietician c. physical therapist d. occupational therapist
A nurse receives a phone call from a client who is discharged yesterday. The client asked the nurse to email them a copy of their discharge instructions. Which of the following responses should the nurse make? a. the nurse manager will need to email the discharge instructions to you b. i am unable to send your discharge instructions via email due to the HIPAA Privacy Act c. you will need to ask your provider to email the discharge instructions to you d. sending the discharge instructions to you via email would be a violation of the Affordable Care Act
b. i am unable to send your discharge instructions via email due to the HIPAA Privacy Act
a nurse is admitting a client who has hypertension. using the nursing process, which of the following actions should take first? a. develop nursing diagnosis b. perform physical assessment c. administer prescribed assessment d. develop goals and outcomes
b. perform physical assessment
A nurse is teaching a newly licensed nurse about Medicare reimbursement. Which of the following should the nurse include in the teaching? a. diagnosis-related groups establish reimbursement amounts based on the client's length of hospitalization b. reimbursement amounts will be adjusted for clients who contract hospital acquired conditions c. clients must recover before the facility can be reimbursed d. the inpatient prospective payment system allows for facilities to be reimbursed in advance for client care
b. reimbursement amounts will be adjusted for clients who contract hospital acquired conditions
A nurse is providing education to a group of newly licensed nurses regarding the development of an identity as a nurse as well as the behavioral characteristics associated with nursing. Which of the following components of practice addresses the identity and characteristics of nursing? a. standards to plan nursing care b. standards of professional performance c. standards of care d. clinical practice guidelines
b. standards of professional performance
A nurse is caring for a client whose neighbor works on another unit. The neighbor calls the unit and asks the client's nurse, "What happened to the client?" Which of the following actions should the nurse take? a. give the neighbor the clients admitting diagnosis b. tell the neighbor they cannot give them that information c. tell the neighbor to access that clients electronic medical record d. give the neighbor the clients home phone number
b. tell the neighbor they cannot give them that information
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
b. tertiary prevention
A nurse is teaching a class about the Hospital-Acquired Condition Reduction Program (HACRP). Which of the following information should the nurse include? a. the HACRP reimburses a medical facility based on the client's primary diagnosis b. the HACRP links medicare payments to health care quality c. the HACRP determines the length of hospitalization for clients who have the same diagnosis d. the HACRP is not used in the acute care setting
b. the HACRP links medicare payments to health care quality
A nurse is reviewing the Institute of Medicine (IOM) Future of Nursing report to better understand proposed educational requirements of nurses. Which of the following organizations is responsible for publishing this report? a. the american nurses association b. the national academy of medicine c. states board of nursing d. american association of colleges of nursing
b. the national academy of medicine
A nursing student expresses a desire to become more involved with the nursing profession on a national level. Which of the following organizations should the student join? a. the national leaque for nursing b. the national students nurses' association c. the national academy of medicine d. the international council of nurses
b. the national students nurses' association
A nurse has accepted a position at a hospital in the state where they live. The nurse should identify that which of the following regulates the nurse's actions when they begin working? a. american nurses association (ANA) code of ethics for nurses with interpretive statements b. the states nurse practice act c. the national student nurses association (NSNA) d. the national league for nursing
b. the states nurse practice act
A nurse in a long-term care facility took a picture of a client and posted it on the internet. This action by the nurse is an example of which of the following? a. serving as an advocate for the client b. violating the code of ethics for nurses c. participating in the healthy people 2030 program d. demonstrating collaboration
b. violating the code of ethics for nurses
A nurse is discussing computerized provider order entry systems with staff. Which of the following statements from a staff member indicates an understanding of a CPOE system? a. "CPOE systems are associated with a slightly higher error rate." b. "CPOE use does not include medication prescriptions." c. "CPOE systems can increase the speed of care delivery." d. "CPOE use is mandated by HIPAA under the Privacy Rule."
c. "CPOE systems can increase the speed of care delivery."
A charge nurse is reviewing soap documentation with a group of newly licensed nurses. Which of the following chart entries should the nurse include as an example of objective data? a. The client states, "I've had abdominal pain for the past 3 days." b. The client reports consuming about 1,500 mL of water per day. c. Rebound tenderness noted in RLQ of the abdomen. d. Recommend client referral to a registered dietitian.
c. Rebound tenderness noted in RLQ of the abdomen.
A nurse is caring for a client who is going to require 7 days of IV antibiotics and dressing changes for cellulitis. Where is this client going to be admitted to? a. skilled nursing facility b. long-term care hospital c. acute care hospital d. assisted living facility
c. acute care hospital
A school nurse who works in a low-income school district is assisting with planning a community program to improve healthy eating habits of school-age students in the district. Which of the following organizations should the school nurse contact to provide funding? a. food and drug administration b. agency for health care research and quality c. administration for children and families d. childrens health insurance program
c. administration for children and families
A nurse is talking with a client who arrived at the clinic over an hour ago and states, "Doesn't anyone care that I care that I am sick? Why do I have to wait so long?" The nurse listens to the client and notifies the provider, relaying the needs of client. In which of the following roles is the nurse performing? a. educator b. case manager c. advocate d. leader
c. advocate
A newly licensed nurse is reviewing Benner's Novice to Expert Model for nursing competence. At which of the following stages does the nurse first develop the ability to prioritize tasks by drawing on experience? a. advanced beginner b. proficient c. competent d. novice
c. competent
A nurse who has a multistate nursing license receives a request from a facility in a neighboring state about providing care in their facility during an emergency disaster. Which of the following actions should the nurse take prior to responding to the request? a. contact the joint commission b. contact the american nurses association c. contact the state board of nursing in the neighboring state d. contact the nurse manager of the facility in the neighboring state
c. contact the state board of nursing in the neighboring state
A nurse is teaching a client who is newly diagnosed with diabetes mellitus. The client tells the nurse, "Thank you. I never really knew what caused diabetes." Using the Schramm model of communication, the nurse should recognize the client's statement as an example of which of the following components of the model? a. sender b. channel c. feedback d. receiver
c. feedback
A nurse is caring fro a client who asks about healthy choices to lose weight. The nurse shares information from Healthy People 2030 to address the client's questions. Which of the following describes the Healthy People initiative? a. it is a program for health care practitioners to get healthy b. it is a social media platform for nurses c. it is a set of objectives for improving the health of American lives d. it is a rehabilitation program for clients who have substance use disorders
c. it is a set of objectives for improving the health of American lives
A nurse is providing client care using the nursing process. The nurse should identify that which of the following standards or guidelines includes this criterion? a. standards of care b. clinical practice guidelines c. standards of practice d. standard to plan nursing care
c. standards of practice
A nurse is teaching about the Hospital Consumer Assessment of Health Care Providers and Systems (HCAHPS). What should she include? a. the HCAHPS tool is provided to clients upon admission to a facility b. the HCAHPS tool is issued to every client who is admitted to the facility c. the HCAHPS tool is issued to measure client satisfaction with the health care service d. the HCAHPS tool is emailed to clients
c. the HCAHPS tool is issued to measure client satisfaction with the health care service
a nurse is caring for a client who reports new onset of abdominal pain. the nurse should assign the client's condition to which of the following categories when prioritizing care? a. chronic b. minimal c. urgent d. expectant
c. urgent
A nurse is teaching a newly licensed nurse about professional values. The nurse should include that which of the following is an example of autonomy? a. a nurse provides the same quality care for every client b. a nurse maintains client confidentiality c. a nurse admits they forgot to change a clients dressing d. a nurse respects a clients wish to discontinue a treatment
d. a nurse respects a clients wish to discontinue a treatment
A school nurse notifies the guardian of a school-age child who has failed the vision screening and recommends the child see an optometrist. The guardian reports that they cannot afford private health insurance. Which of the following programs should the nurse recommend the guardian contact? a. women, infants, and children program b. local medicare office c. accountable care organization d. children's health insurance program
d. children's health insurance program
A nurse is reviewing historical nursing data and how it has impacted nursing care. The nurse should identify that which of the following nursing pioneers is credited with first using evidence-based practice in caring for clients? a. clara barton b. dorthea dix c. eddie bernice johnson d. florence nightingale
d. florence nightingale
A nurse is teaching about the Affordable Care Act. What should she include? a. the ACA does not provide coverage for pre-existing conditions b. the ACA enforces a lifetime limit to covered benefits c. clients who have insurance pay a fee for preventable screenings d. focus of the ACA is disease prevention
d. focus of the ACA is disease prevention
A nurse is caring for a client who tells the nurse they want to quit smoking. The nurse provides the client with information about smoking cessation and other ways to improve their health. Which of the following nursing roles is the nurse demonstrating? (select all that apply) a. advocate b. collaborator c. change manager d. health promotor e. nurse educator
d. health promotor e. nurse educator
A home health nurse is visiting a client who lives in an older home and is concerned about their child's exposure to lead paint in the house. The nurse should identify that which of the following is a potential health risk from exposure to lead paint? a. strabismus b. dental caries c. accelerated growth and development d. learning disabilities
d. learning disabilities
A community health nurse is teaching about social determinants of health. What should she identify as a physical determinant or health? a. limited income to purchase food b. poor quality school system c. inability to read food labels d. poor air quality
d. poor air quality
A nurse in a provider's office is calling a client's insurance company to obtain permission prior to scheduling a magnetic resonance imaging (MRI) test. Which of the following is the nurse obtaining? a. fee-for-service b. diagnosis-related group (DRG) c. retrospective review d. precertification
d. precertification
A nurse who completed their shift realized they forgot to take a client's vital signs as frequently as prescribed. Which of the following actions should the nurse take to uphold the American Nurses Association's Code of Ethics for Nurses with Interpretive Statements? a. take the client's vital signs now and document them as being completed 8 hr earlier b. document vital signs that are the same as those obtained earlier c. make a reminder note to be more diligent when returning the next day d. report this omission to the charge nurse and the nurse on the next shift
d. report this omission to the charge nurse and the nurse on the next shift
A nurse is planning to reconcile medications for a client who speaks a different language than the nurse. Which of the following actions should the nurse take? a. ask a staff member who speaks the same language as the client to interpret b. ask a family member of the client to interpret the information c. search the internet for an electronic application to use for translating d. request assistance from the facility's interpreter
d. request assistance from the facility's interpreter
A nurse is caring for a client who refused to have a biopsy. The client states, "I don't need the biopsy I wouldn't do anything about it anyways if it's cancer." The nurse replies, "you don't want to have the biopsy because you would not seek treatment if it was cancer. Is that correct?" Which of the following therapeutic communication techniques is the nurse using? a. affirmation b. open-ended question c. reflection d. restating
d. restating
A nurse is reviewing the scope of nursing practice. Which of the following is the purpose of the nursing scope of practice? a. provides recommendations for nursing practice b. provides competencies for the nurse to achieve before receiving initial licensure c. serves as a contractual document between the nurse and their employer d. specifies the actions a nurse can perform
d. specifies the actions a nurse can perform
A newly licensed nurse is reviewing the standards of care when performing client care. Which of the following describes a standard of care? a. explanatory statements that describe the competent level of care for all nurses to follow in practice b. a component of the nursing scope of practice that specifies the competent level of behavior expected in the professional role c. part of the nursing scope of practice that specifies the nurse's role in alleviating client suffering and promoting client healing d. the level of care a nurse provides that is the same for all nurses who have comparable education, competency and experience
d. the level of care a nurse provides that is the same for all nurses who have comparable education, competency and experience
A nurse is taking an admission history from a client who is concerned about the facility using an electronic documentation system. Which of the following should the nurse include as a benefit of electronic documentation? A. The system alerts providers of possible actions that could cause client harm. B. An electronic system prevents breaches of confidentiality of client data. C. Providers can document client information in the electronic record during system downtime. D. System encryption eliminates the need for security firewalls.
A. The system alerts providers of possible actions that could cause client harm.
A nurse is discussing problem-oriented medical records with a group of newly licensed nurses. Which of the following information should the nurse include? A. A problem-oriented medical record is created using the PIE model for documentation entries. B. A problem-oriented medical record contains separate sections for laboratory and diagnostic information. C. A problem-oriented medical record promotes information sharing among members of the interdisciplinary team. D. A problem-oriented medical record is rarely used in acute care settings.
C. A problem-oriented medical record promotes information sharing among members of the interdisciplinary team.
A nurse is discussing culturally competent care with another nurse. Which of the following statements should the nurse include? a. "use a medical interpreter for a client who does not speak the same language" b. "provide the client with information in print only so they can have it as a resource" c. "provide standard educational materials to all clients for continuity" d. limit communication with the client if there is a language barrier"
a. "use a medical interpreter for a client who does not speak the same language"
A nurse is preparing to administer morphine 15 mg PO every 4 hr PRN pain for a client who has a new prescription. By which of the following routes should the nurse plan to administer the medication? a. By mouth b. Intramuscularly c. Per rectum d. Intravenously
a. By mouth
A newly licensed nurse is orienting to a facilities documentation process. The facility requires staff to on,y document variations from an expected set of findings when performing a physical assessment. The nurse should identify this system as which of the following documentation methods? a. Charting by exception b. Subjective, objective, assessment, plan format c. Problem, intervention, evaluation model d. Data, action, response charting
a. Charting by exception
A nurse in a provider's office is caring for a client who has hypertension during a follow up appointment and is focused on the client's ability to make healthy behavior changes. Which of the following statements by the nurse is an example of the use of affirmations? a. I am glad you decided to continue your fitness routine b. you could achieve better results if you applied yourself more c. you are adjusting very well for your age d. reducing your caffeine intake is good, but you really need to shop completely
a. I am glad you decided to continue your fitness routine
A charge nurse is discussing health records with a newly licensed nurse. Which of the following information should the nurse identify as a component of a health record? a. Immunization data b. Record of client health care payments c. Complete medical information for household members d. Facility policies
a. Immunization data
A nurse is reviewing documentation guidelines with a newly licensed nurse. Which of the following abbreviations should the nurse note as being on the joint commissions do not use list? (select all that apply) a. MSO4 b. IU c. PO d. qhs e. NKA
a. MSO4 b. IU d. qhs
A nurse in the clinic is reviewing a clients prescriptions prior to discharge. The nurse should instruct the client that which of the following abbreviations indicates the medication can be taken as needed a. PRN b. NPO c. AC d. Ad lib
a. PRN
A charge nurse is reviewing characteristics of electronic documentation with staff at a providers office. Which of the following characteristics should the charge nurse plan to include? (select all that apply) a. Reduces medical errors b. Improves listening skills among interdisciplinary team members c. Less convenient than paper-based charting d. Makes client medical history more easily available e. Increases accuracy of coding procedures
a. Reduces medical errors d. Makes client medical history more easily available e. Increases accuracy of coding procedures
A nurse manager is reviewing the documentation of for newly licensed nurses. Which of the following medication entries should the nurse identify as being written correctly? a. Synthroid 100 mg PO every morning ac b. Enoxaparin 75 mg SQ bid c. Digoxin 0.25 mg PO qd d. Metformin 500.0 mg PO with evening meal
a. Synthroid 100 mg PO every morning ac
A newly licensed nurse is reviewing information about the National Council of State Board of Nursing (NCSBN) Transition to Practice (TTP) program. Which of the following factors should the nurse expect? a. TTP programs increase job retention b. TTP programs decrease the ability to provide safe client care c. TTP programs increase stress in the workplace d. TTP programs decrease competency
a. TTP programs increase job retention
A graduate nurse notes that a hospital with Pathway to Excellence recognition is hiring staff. What should the nurse expect from this facility? a. The facility has practices in place that lead to a health workplace environment. b. The facility must have underwent an on-site review to receive the pathway to Excellence award. c. The facility emphasizes shared governance. d. The facility emphasizes practices that positively affect the nurse well being. e. The facility focuses on improving clinical quality indicators
a. The facility has practices in place that lead to a health workplace environment. c. The facility emphasizes shared governance. d. The facility emphasizes practices that positively affect the nurse well being.
A nurse is reviewing standards of care with a group of newly hired nurses. The nurse should include which of the following incidents as an example of breach of standards of care? a. a nurse did not read back a verbal medication prescription to a provider b. a nurse did not return to a clients room with a promised blanket c. a nurse documents client care as soon as it is completed d. a nurse forgot to call a clients family after performing a procedure
a. a nurse did not read back a verbal medication prescription to a provider
A nurse is discussing social determinants of health with a newly licensed nurse. The nurse should include which of the following factors contribute to the neighborhood and built environment determinant category? (select all that apply) a. access to foods that support healthy eating patterns b. access to health care c. crime and violence d. environment conditions e. civic participation
a. access to foods that support healthy eating patterns c. crime and violence d. environment conditions
A nurse is reviewing the contribution of various nursing organizations that provide support in caring for clients. The nurse should identify that which of the following agencies provides the Nursing Scope and Standards of Practice? a. american nurses association (ANA) b. american academy of nursing c. national student nurses association (NSNA) d. national academy of medicine
a. american nurses association (ANA)
A nurse is performing the role of case manager for a client. Which of the following actions demonstrates this nursing role? a. coordinating and overseeing the care the client is receiving b. helping to develop nursing knowledge for clinical interventions c. providing knowledgeable and compassionate care to promote health and address illness d. instructing the client on specialized topics such as diabetes care
a. coordinating and overseeing the care the client is receiving
A hospice nurse is caring for a client who states that they want to have their last rights for before they die. The nurse recognizes that which of the following factors is influencing the clients request? a. cultural factor b. developmental factor c. environmental factor d. physiological factor
a. cultural factor
A nurse is preparing to administer a PRN pain medication to a client but withholds the medication because the client is sleeping. Which of the following actions should the nurse take to provide the expected standard of care? a. document that the medication was not administered b. document that the client is not experiencing pain c. contact the provider to change the PRM prescription d. fill out an incident report about the situation
a. document that the medication was not administered
A nurse is caring for a client who reports that they have lost their job and do not have insurance. 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
a. economic stability
A nurse in a provider's office is speaking with a client about a Press Ganey survey. The nurse should inform the client that this survey will be conducted by which of the following methods? a. email b. automated phone attendant c. postal mail d. telephone call
a. email
A nurse is planning a presentation about skin care for a group of older adult clients at a senior center. Which of the following actions should the nurse take to enhance client learning? a. ensure the room is well lit b. have soft music playing in the background c. hand out sample of products during the teaching d. speak quickly during the teaching
a. ensure the room is well lit
A nurse is caring for a client who reports experiencing chills and not feeling well. The nurse informs the client that they will beed to have their temperature taken to monitor the manifestations. Which of the following terms describe that the nurse's action is grounded in research? a. evidence-based practice b. competencies c. lifelong learning d. change agent
a. evidence-based practice
A nurse is hired to be a case manager in a facility. Which of the following services should the nurse expect to perform? a. facilitate transfer of clients to meet the required level of care b. perform physical assessments on clients c. administer medications to clients d. provide wound care to clients
a. facilitate transfer of clients to meet the required level of care
A nurse is documenting information in a clients chart and makes the entry quotation mark client reports "abdominal pain on exertion". Which of the following documentation format describes this entry? a. The "I" in PIE b. The "S" in SOAP c. The "R" in DAR d. The "E" in PIE
b. The "S" in SOAP
A nurse is teaching a group of newly licensed nurses about professional values. Which of the following statements by a newly licensed nurse demonstrates an understanding of social justice? a. health care should be a right for everyone b. all clients should have a private room in a health care facility c. i plan to volunteer at the local homeless shelter on my days off d. i will respect a clients right to refuse a procedure
a. health care should be a right for everyone
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
a. health promotion
A nurse is providing privacy for a client who has incontience. The nurse is demonstrating which of the following professional values? a. human dignity b. altruism c. social justice d. autonomy
a. human dignity
A nurse is teaching a group of nurses and asks which of the NLN integrating competencies is defined as having respect for diversity, holistic care, client-centered approach, and client advocacy. Which of the following competencies does this describe? a. human flourishing b. nursing judgment c. patient-centered care d. spirit of inquiry
a. human flourishing
A nurse is teaching about hospice care to a client. What statement shows that the client understands? a. i understand that service provided will include just what is needed to keep me comfortable b. while i am receiving hospice care I will continue treatment for my illness c. i need to be in the hospital to receive hospice care d. the hospice team will no longer support my family after i pass away
a. i understand that service provided will include just what is needed to keep me comfortable
A nurse is teaching a client about the International Self-Care Foundation's seven pillars of self-care. Which of the following client statements indicates an understanding of the teaching? a. i will perform moderate exercise several times each week b. i will wash my hands for 10 seconds before i eat c. i will increase my dietary intake of simple sugars d. i will limit my sun exposure to 1 hour in the middle of the day
a. i will perform moderate exercise several times each week
A nurse at a community health center is providing an in-service for a group of residents about the Healthy People program. Which of the following information should she include? a. initiatives to reduce health care disparities b. activities to improve social determinants of health c. providing prevention care services d. improving access to health care e. reducing the infection rate
a. initiatives to reduce health care disparities b. activities to improve social determinants of health d. improving access to health care
A nurse is completing the Minimum Data Set assessment for a resident in a skilled nursing facility. Which of the following information should the nurse include in the assessment? a. input from members of the client's interdisciplinary team b. the client's cognitive status c. description of the client's home environment d. each physical therapy visit e. the client's need for assistance with ADLs
a. input from members of the client's interdisciplinary team b. the client's cognitive status d. each physical therapy visit e. the client's need for assistance with ADLs
A nurse notifies their supervisor that they accidentally administered the wrong medication to a client. The nurse is demonstrating which of the following professional values? a. integrity b. human dignity c. altruism d. social justice
a. integrity
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? (Select all that apply.) a. listen to the clients request with respect and compassion b. let the client know that their cultural beliefs will be checked on after the assigned nursing break c. reassure the client that they can practice their cultural beliefs if safe to self and others d. explain to the client that this is not possible in a public space e. provide resources to meet the clients cultural needs
a. listen to the clients request with respect and compassion c. reassure the client that they can practice their cultural beliefs if safe to self and others e. provide resources to meet the clients cultural needs
A nurse is assessing a client who came to the emergency department reporting chest pain. The client tells the nurse they have hearing loss and forgot to bring their hearing aid with them. Which of the following actions should the nurse take to improve communication with the client? (select all that apply) a. move the client to a quiet area or private room b. speak at a slower pace c. delay the assessment until the clients family brings the hearing aid d. have a sign language interpreter translate the communication with the client e. stand next to the client when talking f. avoid using medical terminology
a. move the client to a quiet area or private room b. speak at a slower pace f. avoid using medical terminology
A nurse is teaching a newly licensed nurse about an OSHA standard that is engineer controlled to minimize needlestick injuries. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? a. needleless IV tubing for IV infusions is an example of an OSHA standard that is engineer controlled b. documenting the number of needlestick injuries in the facility is an example of an OSHA standard that is engineer controlled c. wearing gloved when administering IM injections is an example of an OSHA standard that is engineer controlled d. recapping the needle on a syringe after administering an injection is an example of an OSHA standard that is engineer controlled
a. needleless IV tubing for IV infusions is an example of an OSHA standard that is engineer controlled
A nurse holds a single state nursing license and is preparing to move to another state. For the nurse to apply for reciprocity, which of the following actions should the nurse take? (select all that apply) a. present a current valid nursing license b. submit an application c. pay the fees for new license d. retake the NCLEX e. reapply for specialty nursing certifications held in their previous home state
a. present a current valid nursing license b. submit an application c. pay the fees for new license
A nurse is reviewing the contributions made by various nursing organizations that have impacted the nursing profession. The nurse should identify that which of the following are contributions made by the American Nurses Association (ANA)? (select all that apply) a. providing a definition of nursing b. lobbying for whistle blower protection c. providing objective data to improve the health of society d. providing all registered nurses with competency expectations e. providing the nursing magazine Imprint
a. providing a definition of nursing b. lobbying for whistle blower protection d. providing all registered nurses with competency expectations
A nurse is caring for a client who has a new prescription for dialysis three times a week. The client avoids eye contact while talking to the nurse and explains that they were two jobs to support their partner and two children. The client also states, "I don't know how I am going to have time for dialysis." Which of the following factors are influencing the clients communication? (select all that apply) a. psychosocial factors b. cognitive factors c. situational factors d. environmental factors e. physiological factors
a. psychosocial factors c. situational factors
A nurse is educating a group of nurses about the Nurse Practice Act (NPA). Which of the following statements should the nurse include? (select all that apply) a. the NPA contains current laws and regulations for nursing practice b. the NPA is the same for all states c. the NPA contains standards and scope of practice d. the federal government enforces the NPA for each state e. the nurse is responsible to know current roles and responsibilities as defined by the NPA
a. the NPA contains current laws and regulations for nursing practice c. the NPA contains standards and scope of practice e. the nurse is responsible to know current roles and responsibilities as defined by the NPA
A nurse in a provider's office is completing an admission history for a client. The client tells the nurse that they have not had their annual mammogram screening because their insurance plan does not include that test. Which of the following statements should the nurse make? a. the affordable care act requires all insurance plans to offer preventive services such as mammogram screenings b. you should write a letter to the insurance company requesting for them to include this test in your plan c. you should change your insurance plan to one that will include mammogram screenings d. the patient self-determination act requires all insurance plans to provide all testing prescribed by your provider
a. the affordable care act requires all insurance plans to offer preventive services such as mammogram screenings
A nurse manager is providing education to a group of newly licensed nurses about various nursing organizations. Which of the following information should the nurse manager include? a. the american nurses association's the code of ethics for nurses with interpretive statement guides nurses through difficult decisions b. the national academy of medicine developed the healthy people campaign to improve the health of all americans c. the american academy of nursing requires members to have doctorate degree in nursing to join the national student nurses' association is an organization created to encourage students to enter nursing
a. the american nurses association's the code of ethics for nurses with interpretive statement guides nurses through difficult decisions
A newly licensed nurse is reviewing electronic information about the NCLEX exam from the National Council of State Board of Nursing (NCSBN) website. Which of the following information should the nurse identify as passing criteria for the NCLEX computerized adaptive test (CAT)? a. the computer will stop giving items using the 95% confidence interval rule b. the board of nursing for each state determines the passing grade for the NCLEX c. the candidate receives the maximum number of items available d. the candidate runs out of time before answering the minimum number of items
a. the computer will stop giving items using the 95% confidence interval rule
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
a. tobacco use
A graduate nurse is offered a position in the emergency department upon the granting of initial licensure. Which of the following information should the graduation nurse identify as a requirement during the initial licensure process? (Select all the apply) a. verification of graduation b. criminal background check in certain states c. passing score on NCLEX examination d. submitting continuing education hours with the application e. self-disclosure of any substance use in the past 5 years
a. verification of graduation b. criminal background check in certain states c. passing score on NCLEX examination e. self-disclosure of any substance use in the past 5 years
A nurse is conducting a preoperative assessment of a client. Which of the following statements is an example of the nurse using motivational interviewing? a. you said that you are sad. what is making you feel sad b. if you want to lose weight, why do you keep eating fast food c. have you always struggled with depression d. do you have any health problems
a. you said that you are sad. what is making you feel sad
A nurse is teaching about Medicaid to a client who is concerned about paying for health care. Which of the following statements should the nurse make? a. your income will determine if you are eligible for Medicaid b. you must be age 65 or older to qualify for Medicaid c. laboratory services are not covered by Medicaid d. Medicaid is fully funded by the federal government
a. your income will determine if you are eligible for Medicaid
a nurse is caring for a client who is experiencing unexpected manifestations with several body systems. which of the following priority setting frameworks should the nurse use the prioritize client assessment? a. acute vs chronic b. ABCDE c. least restrictive/ least invasive d. survival potential
b. ABCDE
A nurse is reviewing a report by the Institute of Medicine (IOM). Which of the following competencies should the nurse identify health care professionals need in order to reduce errors? (Select all that apply.) a. Competition b. Cooperation c. Communication d. Resolution e. Coordination
b. Cooperation c. Communication e. Coordination
A nurse is caring for a client who is scheduled for surgery. Before the client has signed the informed consent form, the client states, "I didn't really understand what the doctor said." Which of the following actions should the nurse take? a. explain the procedure in detail to the client b. ask the provider to discuss the procedure with the client c. encourage the client to reread the consent form before signing d. tell the client that the surgeon will explain it to them in the operating room
b. ask the provider to discuss the procedure with the client
A nurse is caring for a client who is alone & has just received a serious diagnosis. The client asks the nurse if they can pray together, & the nurse agrees. The nurse is demonstrating which of the following ethical principles? a. autonomy b. beneficence c. nonmaleficence d. justice
b. beneficence
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
b. disease prevention
A nurse educator is planning a presentation for nurses about the opioid epidemic. Which of the following is a strategy promoted by the US Department of Health and Human Services to address this epidemic? a. continue to evaluate to determine if the use of opioids improves on its own b. educate nurses and other health care personnel about naloxone c. keep the issue private to avoid embarrassment d. reduce efforts to explore alternative pain management practices until the opioid epidemic is over
b. educate nurses and other health care personnel about naloxone
A nurse at the end of their shift realizes they forgot to give a client their scheduled vitamins. The nurse decides to document that the vitamins were administered. Which of the following describes the nurse's action? a. HIPAA violation b. falsification of records c. assault d. defamation
b. falsification of records
A nurse stops at the side of the road to provide care to a person involved in a motor-vehicle crash. Which of the following protects the nurse from liability when administering care at the scene of an accident? a. whistleblower protection b. good samaritan laws c. torts d. emergency medical treatment and labor act
b. good samaritan laws
A nurse working in an acute care facility is caring for a client who has a total brain injury and is receiving mechanical ventilation. Which of the following facilities should the nurse anticipate the client to be transferred to for further treatment? a. skilled nursing facility (SNF) b. long-term care hospital (LTCH) c. assisted living d. hospice care
b. long-term care hospital (LTCH)
A nurse is obtaining a health history from a client who is newly admitted. The nurse notices that the client does not make eye contact and that their arms are folded across the chest. The nurse should recognize that the client is using which of the following forms of communication? a. auditory b. nonverbal c. emotional d. energetic
b. nonverbal
A nurse is explaining to a newly licensed nurse that caring for clients involved lifelong learning by the nurse. The nurse should include which of the following as examples of learning opportunities for nurses (select all that apply) a. nursing blogs or opinions b. online continuing education journal articles c. nursing skill refresher opportunities d. continuing education presentations e. participating in healthcare research
b. online continuing education journal articles c. nursing skill refresher opportunities d. continuing education presentations e. participating in healthcare research
A nurse is preparing to provide education to a group of newly licensed nurses about methods to enhance communication with clients. Which of the following statements should the nurse include? (select all that apply) a. interrupt the client occasionally during the conversation b. respect the client during the conversation c. use complex terms when explaining with the client d. allow time for reflection during the conversation with the client e. show empathy during the conversation with the client
b. respect the client during the conversation d. allow time for reflection during the conversation with the client e. show empathy during the conversation with the client
A newly licensed nurse is assigned to care for a client who has a newly inserted chest tube. The nurse has not previously cared for a client who has a chest tube. Which of the following actions should the nurse take? a. decline the assignment b. review the facilitys policy and procedure manual c. review a nursing textbook d. search the internet for information about how to care for a chest tube
b. review the facilitys policy and procedure manual
A nurse manager is planning to introduce a new scheduling policy to the unit staff. Which of the following methods of communication should the nurse manager use? a. send an email to staff via the facilitys email system b. schedule a face-to-face unit staff meeting c. place a copy of the policy on a bulletin board in the hallway d. leave a voicemail on each staff member's phone
b. schedule a face-to-face unit staff meeting
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
b. secondary prevention
A nurse is providing discharge instructions to a client during a follow up telephone call. Based on the Shannon Weaver communication model, which of the following components of the model is the nurse demonstrating? a. receiver b. sender c. channel d. decoder
b. sender
A nurse receives a license renewal notification from the board of nursing. The nurse should identify that a license renewal requires the disclosure of which of the following? a. medical history b. substance use within the past 5 years c. certifications received d. current salary
b. substance use within the past 5 years
A nurse resides in a state that recently enacted the Nurse Licensure Compact (NLC). Which of the following information should the nurse identify as a part of the NLC? a. the NLC requires a nurse to obtain a license for each state in which they wish to practice b. the NLC allows a nurse to practice across state lines with one license c. the NLC allows a nurse to have suspended license when practicing under a multistate license d. the NLC is not a good option for telehealth nursing
b. the NLC allows a nurse to practice across state lines with one license
A nurse in the PACU is determining if a client has pain. The client is drowsy and opens their eyes to verbal stimuli but is unable to communicate their pain level. Which of the following actions should the nurse take? a. administer an antagonist to reverse the effects of the anesthesia b. use an alternative method for determining the clients pain level c. administer a pain medication as prescribed for severe pain d. wait until the client is awake, alert, and able to vocalize their pain level
b. use an alternative method for determining the clients pain level
A nurse is reviewing the licensing laws in their state of residence. Which of the following statements should the nurse use to define licensure? a. "Licensure increases state revenue" b. "Licensure limits the number of practicing nurses" c. "Licensure protects the health and welfare of the public" d. "Licensure protects a nurse from a malpractice lawsuit"
c. "Licensure protects the health and welfare of the public"
A nurse is preparing an in-service about HIPAA. Which of the following information should the nurse plan to include? a. "Accessing the medical record of clients on units other than where you are assigned is allowed." b. "There are large financial penalties for charting vital signs you obtain for another nurse's client." c. "Personnel can be terminated for breaching a client's confidentiality." d. "Once you have cared for a client, it is acceptable to look at their medical record on subsequent health care visits."
c. "Personnel can be terminated for breaching a client's confidentiality."
A nurse is teaching a newly licensed nurse about health literacy. Which of the following information should the nurse include? a. the clients signature on the discharge instructions ensures they understood the instructions b. clients who can read and write demonstrate health literacy c. a clients comprehension of eduction can be affected by low health literacy d. health literacy affects only a small portion of clients who are cared for within the health care system
c. a clients comprehension of eduction can be affected by low health literacy
A nurse is caring for a client who asks why they chose the nursing profession. The nurse states that it was because they wanted to help others. The nurse is referring to which of the following professional values? a. integrity b. human dignity c. altruism d. social justice
c. altruism
A nurse is teaching a newly licensed nurse about ethical principles. The nurse should include that a client who has chosen to sign a blood product refusal form is an example of which of the following ethical principles? a. veracity b. beneficence c. autonomy d. fidelity
c. autonomy
A nurse is reviewing the health history of a client during a routine office visit. Which of the following observations by the nurse is an example of the client demonstrating health literacy? a. client states they want to improve their current knowledge about their health b. client asks for information that will health them improve their eating habits c. client states they understand their health care information and treatments d. client requests a meeting with the nurse, physical therapist, and provider
c. client states they understand their health care information and treatments
A nurse is planning teaching for a client about wound care. Which of the following actions should the nurse take? a. use medical terminology during teaching b. sit across from the client at a table in the cafeteria during teaching c. ensure the client is wearing their glasses during teaching d. use the communication technique of probing during teaching
c. ensure the client is wearing their glasses during teaching
A nurse is instructing a client regarding heart healthy activities. This action represents which of the following phases of the nurse client relationship? a. identification b. orientation c. exploitation d. resolution
c. exploitation
A nurse has completed administering a controlled substance to a client. There is 1 mL of the medication left in the syringe. Which of the following actions should the nurse take to dispose of the unused medication? a. place the syringe with the unusual medication in the sharps container in the client's room b. return the syringe with the unused medication to the client's medication drawer c. have a second nurse witness the disposal of the client's unused medication d. place the syringe with the unused medication in their pocket to use for the clients next dose
c. have a second nurse witness the disposal of the client's unused medication
A nurse who has been working 12-hr shifts on a busy unit is experiencing nurse fatigue. Which of the following effects can result from nurse fatigue? a. increase in communication skills b. increase in effective clinical judgment c. increase in medication errors d. increase in productivity
c. increase in medication errors
A nurse is providing equal care to a group of clients who have varying economic statuses. Which of the following ethical principles is the nurse demonstrating? a. fidelity b. autonomy c. justice d. veracity
c. justice
A nurse is teaching a client about advance directives. Which of the following client statements indicates an understanding of the teaching? a. I need to choose a family member as my health care surrogate b. once I sign my advance directives, I cannot change my decisions c. my health care surrogate will make health care decisions for me if I am unable d. I need to have an attorney present to complete my advance directives
c. my health care surrogate will make health care decisions for me if I am unable
A nurse is participating in a high school career day and is teaching about accreditation of nursing programs. Which of the following statements should the nurse make? a. graduates of non-accredited nursing programs will be limited in their scope of practice b. nurses who graduate from accredited nursing programs possess better nursing skills c. nurses who graduate from accredited nursing programs will have more employment opportunities d. graduated of non-accredited nursing programs are unable to take the licensure exam
c. nurses who graduate from accredited nursing programs will have more employment opportunities
A nurse calls the unit to say that they will be late for their shift. The charge nurse response, "don't worry, take your time and be safe." After hanging up the phone the charge nurse that stuff at the nurses station, "I'm tired of that nurse always being late. I wish someone would do something about their tardiness." Which of the following communication styles as a charge nurse demonstrating? a. assertive b. aggressive c. passive-aggressive d. passive
c. passive-aggressive
A nurse is discussing hospice care. What is the goal of hospice care? a. provide comfort measures for clients who are recieving active treatment for illness b. allow a client caregiver to take a break from caring for their loved one c. provide care for a client who has less than 6 months to live d. offer service such as strength exercises for the client within the client's home
c. provide care for a client who has less than 6 months to live
A home health nurse is caring for a client who is receiving hospice care. The clients partner reports feeling overwhelmed from care for the client. What facility should the nurse recommend? a. a skilled nursing facility (SNF) b. a long-term care hospital (LTCH) c. respite care d. assisted living
c. respite care
A nurse is describing to another nurse how to use social media in client care. Which of the following examples should the nurse include as an acceptable use of social media? a. posting a comment on social media about facility staffing shortages b. accepting a social media friend request from a client c. reviewing the use of a fitness application with a client d. sharing client information with a coworker in a private social media message
c. reviewing the use of a fitness application with a client
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? a. emphasizing the importance of well-child visits for the child b. encouraging children who have asthma to participate in extracurricular activities c. taking measures to decrease the risk of childhood injuries within the home d. promoting a healthy lifestyle for children who are overweight
c. taking measures to decrease the risk of childhood injuries within the home
A nurse is discussing the Healthy People initiative with a newly licensed nurse. Which of the following information should nurse include? a. the program focuses on decreasing the occurrence of cancer in people b. the program focuses upon issues related to global health c. the program focuses on providing goals and data for improved public health d. the program focuses on reducing the viruses acquired by people
c. the program focuses on providing goals and data for improved public health
a nurse is assessing a client using the ABCDE approach. the nurse has already assessed the client's airway and breathing status. which of the following assessments should the nurse perform next? a. body tempurature b. abdominal contour c. skin integrity d, blood pressure
d, blood pressure
A nurse is discussing legal regulations regarding medical records with a newly hired assistive personnel (AP). Which of the following information should the nurse include? a. American Nurse Association (ANA) standards prevent client records from being used for legal proceedings. b. HIPAA regulations vary from one state to another. c. Privacy regulations apply to electronic data transfer rather than verbal communication. d. Facilities can establish their own rules for documentation methods.
d. Facilities can establish their own rules for documentation methods.
A nurse is teaching a newly licensed nurse about The Joint Commission (TJC). Which of the following information should the nurse include? a. TJC is a for-profit organization b. accreditation by TJC is required for all in-patient facilities c. accreditation by TJC is restricted to inpatient facilities d. TJC ensures organizations remain up-to-date with state guidelines
d. TJC ensures organizations remain up-to-date with state guidelines
a nurse is assisting with client triage at the scene of a mass casualty event. which of the following clients should the nurse recommend for transport first? a. a client who reports a possible sprained wrist and is walking around b. a client who has an open forearm fracture without visible drainage c. a client who has a respiratory rate of 6/min and no pupil response d. a client who has an abdominal wound that is actively bleeding
d. a client who has an abdominal wound that is actively bleeding
A nurse is teaching a newly licensed nurse about ethical principles. The nurse should include that which of the following situations is an example of fidelity? a. a nurse involves a client in making decisions about their care b. a nurse implements fall precautions for a client who is at risk for falling c. a nurse tells the truth about forgetting to perform a procedure for a client d. a nurse keeps a promise to a client to tell a family about their diagnosis
d. a nurse keeps a promise to a client to tell a family about their diagnosis
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
d. environmental
A nurse is caring for a young adult client who is deceased and has a valid organ donation card. The client's parents have expressed a desire against having the client's organs donated. Which of the following actions should the nurse take? a. inform the parents that because their adult child did not have a living will, the organ donation card is not valid b. tell the clients parents to call the local organ donation center for information on organ donation c. explain to the parents that the omnibus reconciliation act allows them to revoke organ donation for their adult child d. inform the parents about the law that prohibits their ability to revoke the client's wishes to donate
d. inform the parents about the law that prohibits their ability to revoke the client's wishes to donate
A nurse enters a clients room and stands near the client to ask them if they need anything. The client continues to watch the television, which is that allowed volume. Which of the following actions should the nurse take? a. leave the client's room to go check on other clients b. ask the client why they are ignoring the question c. repeat the question in a loud voice d. lower the volume on the television
d. lower the volume on the television
a nurse is caring for a client who reports feeling inferior and states that they are not good enough. the nurse should recognize that these feeling fall under which of the following categories of Maslow's Hierarch of needs? a. love and belonging b. self-actualization c. safety d. self-esteem
d. self-esteem
A nurse is caring for a client who has dementia. Which of the following communication strategies should the nurse implement to communicate with the client? a. explain the daily schedule to the client in detail b. turn the overhead lights on in the client's room when speaking with them c. speak in a loud voice to the client d. speak to the client clearly and at a slow pace
d. speak to the client clearly and at a slow pace
A nurse is delivering client care in partnership with multidisciplinary members of the health care team. This is an example of which of the following QSEN competencies? a. safety b. patient-centered care c. quality improvement d. teamwork and collaboration
d. teamwork and collaboration
A nurse suspects their coworker might be under the influence of a chemical substance. Which of the following actions should the nurse take? a. counsel the coworker about substance abuse b. report the coworker to the ethics committee at the facility c. ask the coworker how long they have been using substances d. tell the charge nurse that the coworker might be impaired
d. tell the charge nurse that the coworker might be impaired
A nurse truthfully answers a client's questions about their laboratory results. The nurse is demonstrating which of the following ethical principles? a. justice b. nonmaleficence c. fidelity d. veracity
d. veracity
A nurse is caring for a client who reports an improved diet, exercising 30 min a day for 5 days a week, and 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
d. wellness
