Concepts final practice questions

Which task can be delegated to nursing assistive personnel (NAP)? A. Turn and reposition the client every 2 hours. B. Assess the client's skin condition. C. Change pressure ulcer dressings every shift. D. Apply hydrocolloid dressing to the pressure ulcer.

A

A nurse has volunteered to give influenza immunizations at a local clinic. What level of care is the nurse demonstrating? a. Tertiary b. Secondary c. Primary d. Promotive

C

The nursing instructor is explaining​ evidence-based practice​ (EBP) to nursing students. Which statements are appropriate to include in the​ explanation?​(Select all that​ apply.) A. "EBP tests hypotheses about​ health-related conditions." B. "EBP promotes generalization of client care." C. "EBP considers the client​'s ​needs, values, and choices." D. "EBP is reflective of the best evidence from current research." E. "EBP incorporates the nurse​'s clinical expertise."

C,D,E

A document that lists the medical treatment a person chooses to refuse if unable to make decisions is the: A Durable power of attorney B Informed consent C Living will D Advance directives

D

The nurse would write which of the following outcome statements for a client starting an exercise program? A. Client will walk quickly three times a day B. Client will be able to walk a mile C. Client will have no alteration in breathing during the walk D. Client will progress to walking a 20-minute mile in one month

D

Which of the following nursing activities is a direct-care intervention A. Consulting with the nurse practitioner about a patient's medication B. Telephoning the physician when a pain medication is not relieving the patient's pain C. Checking and stocking the unit's resuscitation cart daily D. Sitting with a patient who is anxious about his upcoming surgery

D

During which step of the teaching process does the nurse determine the outcomes of teaching and measure a patient's level of achievement of learning objectives? A. Assessment B. Diagnosis C. Planning D. Implementation E. Evaluation

E

Careful hand-washing and using sterile techniques are ways in which nurses meet which basic human need? a. Physiologic b. Safety & Security c. Self-esteem d. Love & belonging

b

during clinical judgement, a nurse makes conclusions about what...( select the best answer) a) patient's preferences, competencies, goals b) patient's needs, concerns, or health problems c) ways to incorporate the nursing process d) what is best to consult with the physician

b

in clinical judgement, there is a understanding that nursing care is not (select best answer) a) always effective b) linear c) cyclical d) standardized

b

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 the family. The nurse is acting as the patient's: 1. Educator 2. Advocate 3. Caregiver 4. Case manager

2

An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her vital signs, auscultates her lung sounds, listens to her heart sounds, determines her level of comfort, and collects blood and sputum samples for analysis. Which standard of practice is performed? 1. Diagnosis 2. Evaluation 3. Assessment 4. Implementation

3

A patient in the emergency department has developed wheezing and shortness of breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice performed? 1. Planning 2. Evaluation 3. Assessment 4. Implementation

4

A 62-year-old male patient has just been told he has a terminal illness. Which of the following statements supports a nursing diagnosis of spiritual distress related to diagnosis of terminal illness?A: "I have nothing to live for now." B: "What will happen to my wife when I die?" C: "How much longer do I have to live?" D: "I need to go to church and pray for a miracle."

A

A caregiver asks a nurse to explain respite care. How would the nurse respond? a. "Respite care is a service that allows timeaway for caregivers." b. "Respite care is a special service for theterminally ill and their family." c. "Respite care is direct care provided topeople in a long-term care facility." d. "Respite care provides living units forpeople without regular shelter."

A

A client comes to the walk-in clinic with reports of abdominal pain and diarrhea. While taking the client's vital signs, the nurse is implementing which phase of the nursing process? A. Assessment B. Diagnosis C. Planning D. Implementation

A

A facility is using ___________ nursing care when scientifically sound research data are used to make nursing care decisions. A. Evidence-based B. Standardized C. Individualized D. Theoretical

A

A nurse practices beneficence when teaching a class of adolescents about the risks of drinking and driving. Beneficence is best described as: A The actions one takes should promote good. B Always telling the truth C The right to self-determination D Do no harm and safeguard the client.

A

One of the roles of the registered nurse in terms of informed consent is to: A. Serve as the witness to the client's signature on an informed consent. B. Get and witness the client's signature on an informed consent. C. Get and witness the durable power of attorney for health care decisions' signature on an informed consent. D. None of the above

A

The nurse is participating at a health fair at the local mall giving influenza vaccines to senior citizens. What level of prevention is the nurse practicing? A) Primary prevention B) Secondary prevention C) Tertiary prevention D) Quaternary prevention

A

The nurse is providing health education about injury and poisoning prevention to a group of young mother's at a health fair. What type of prevention is the nurse conducting? A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Limited prevention

A

The patient is fearful concerning upcoming surgery. Which statement by the nurse is most therapeutic? A) "Sometimes anxiety is not easy to deal with. Can you tell me what is bothering you the most about your upcoming surgery?" B) "Dont worry. Everyone has some anxiety about having surgery." C) "Just try to think about the positive results from the surgery. You'll recover quickly." D) "I had surgery once, and it still scares me to think about it, so I know how you feel."

A

The scope of Nursing Practice, the established educational requirements for nurses, and the distinction between nursing and medical practice is defined by: A. Nurse practice acts B. Common law C. Civil law D. Statutory law

A

When acting as a patient advocate, the nurse should: A. Focus on protecting a patient's rights B. Force a patient to take his or her medicine C. Allow family members to make decisions for the patient D. Tell the patient why the doctor's instructions are important E. Share his or her own opinions with the patient

A

Which communication technique is considered appropriate in all interactions? A) Active Listening B) Silence C) Touch D) Eye Contact

A

Which is most closely aligned with ethics? A. Morals B. Laws C. Statutes D. Client rights

A

Which statement accurately describes delegation? A. Transferring authority to another person to perform a task in a selected situation B. Collaborating with other caregivers to make decisions, and plan care C. Scheduling treatments and activities with other departments D. Performing a planned intervention from a critical pathway

A

Which statement would best explain the role of the nurse when planning care for a culturally diverse population? The nurse will plan care to: A. Provide care while aware of one's own bias, focusing on the client's individual needs rather than the staff's practices B. Blend the values of the nurse that are for the good of the client and minimize the client's individual values and beliefs during care C. Focus only on the needs of the client, ignoring the nurse's beliefs and practices D. Include care that is culturally congruent with the staff from predetermined criteria

A

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,B,C,D

A nurse is performing health promotion activities for clients at a local health care clinic. Which nursing actions exemplify the focus of secondary preventive care? Select all that apply. a) Scheduling a mammogram for a client b) Referring a client to family counseling c) scheduling immunizations for a child d) performing range-of-motion exercises on a client e) Screening clients for hypertensionf) educating parents about child safety in the home

A,B,E

The nurse and nursing assistive personnel (NAP) are caring for a group of patients on the medical-surgical floor. For which of the following patients can the nurse delegate to the NAP the task of bathing? Choose all that apply. A. 75-year-old patient newly admitted with dehydration B. 65-year-old patient hospitalized for a stroke, whose blood pressure is 189/90 mm Hg C. 92-year-old patient with stable vital signs who was admitted with a urinary tract infection D. 56-year-old patient with chronic renal failure who has vital signs within his normal range

A,C,D

1. A nurse is asked about the goal of patient education. What is the nurse's best response? The goal of educating others is to help people a. Meet standards of the Nurse Practice Act. b. Achieve optimal levels of health. c. Become dependent on the health care team. d. Provide self-care only in the hospital.

B

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

A nurse is caring for a newly admitted diabetic patient and is performing the initial assessment. What statement made by the nurse demonstrates use of a closed question? A. How do you feel about taking insulin? B. What time do you take your insulin? C. Tell me about your support system. D. How do you feel about having diabetes?

B

A nurse is handing off a patient to a nurse in an extended-care facility using the ISBAR framework of communication. Which step is performed correctly? A. The nurse introduces the patient to the new nurse. B. The nurse discusses the patient's background. C. The nurse assesses the patient's vital signs. D. The nurse questions the patient about comfort level.

B

A patient had hip surgery 16 hours ago. During the previous shift the patient had 40 mL of drainage in the surgical drainage collection device for an 8 hour period. The nurse refers to the written plan of care, noting that the health care provider is to be notified when drainage in the device exceeds 100 mL for the day. On entering the room, the nurse looks at the device and carefully notes the amount of drainage currently in it. This is an example of: A. Planning B. Evaluation C. Intervention D. Diagnosis

B

The nurse and the patient have the same religious affiliation. Because of this, the nurse a. Can assume that they have the same spiritual beliefs. b. Should not impose her personal values on the patient. c. Must use an assessment tool to assess the patient's beliefs. d. Can skip the spiritual belief assessment.

B

The nurse hung a unit of blood on the wrong client, resulting in an anaphylactic reaction in the client. During the resuscitation, the nurse does not reveal that the wrong blood was given. Which moral principle was absent in the nurse's actions? A Human dignity B Veracity C Autonomy D Social justice

B

The nurse is conducting a home visit with an older adult couple. She assesses that the lighting in the home is poor and there are throw rugs throughout the home and a low footstool in the living room. She discusses removing the rugs and footstool and improving the lighting with the couple. The nurse is addressing which level of need according to Maslow? A) Physiological B) Safety and security C) Love and belonging D) Self-actualization

B

When communicating with a client who speaks a different language, which best practice should the nurse implement? A. Speak loudly and slowly B. Arrange for an interpreter to translate. C. Speak to the client and family together D. Stand close to the client and speak loudly.

B

Which action is the most important nursing responsibility when an ethical issue arises? A Remaining neutral and detached when making ethical decisions B Being able to defend the morality of one's own actions C Ensuring that a team is responsible for deciding ethical questions D Following the client and family wishes exactly

B

Which nonverbal communication technique is very therapeutic and effective but requires a conscious effort by the nurse to practice and squire skill in the use of this technique? A) Listening B) Silence C) Touch D) Converting Acceptance

B

Health promotion activities may occur on a primary, secondary, or tertiary level. Which activities are considered tertiary health promotion? Select all that apply. a) A nurse runs an immunization clinic in the inner city. b) A nurse teaches a patient with an amputation how to care for the residual limb. c) A nurse provides range-of-motion exercises for a paralyzed patient. d) A nurse teaches parents of toddlers how to childproof their homes. e) A school nurse provides screening for scoliosis for the students. f) A nurse teaches new parents how to choose and use an infant car seat.

B,C

A nurse assesses patients in a physician's office who are experiencing different levels of health and illness. Which statements best define the concepts of health and illness? Select all that apply. a) Health and illness are the same for all people. b) Health and illness are individually defined by each person. c) People with acute illnesses are actually healthy. d) People with chronic illnesses have poor health beliefs. e) Health is more than the absence of illness.f) Illness is the response of a person to a disease.

B,E,F

The nurse puts a restraint jacket on a client without the client's permission and without the physicians order. The nurse may be guilty of assault. A. True B. False

B. Rationale:Battery is physical in nature. Assault is a threat.

A client had a surgery for gastrointestinal problems and required a colostomy from the surgery. What type of preventive care would this client need at this stage? A. Primary B. Secondary C. Tertiary D. Limited

C

A nurse cares for dying patients by providing physical, psychological, social, and spiritual care for the patients, their families, and other loved ones. This service is known as: a) Respite care b) Palliative care c) Hospice care d) Extended care

C

A nurse cares for dying patients by providing physical, psychological, social, and spiritual care for the patients, their families, and other loved ones. What type of care is the nurse providing? a. Respite care b. Palliative care c. Hospice care d. Extended care

C

The nurse informs the physical therapy department that the client is too weak to use a walker and needs to be transported by wheelchair. Which step of the nursing process is the nurse engaged in at this time? A. Assessment B. Planning C. Implementation D. Evaluation

C

The nurse is sitting in a chair near the patients bed, leaning forward to hear what the patient is saying, and does not interrupt. What is the nurse demonstrating? a. Support b. Caring c. Active listening d. Interest

C

The nurse makes the following entry on the client's care plan: "Goal not met. Client refuses to ambulate, stating, 'I am too afraid I will fall.' " The nurse should take which of the following actions? A. Notify the physician B. Reassign the client to another nurse C. Reexamine the nursing orders D. Write a new nursing diagnosis

C

The nurse notes that an advance directive is in the client's medical record. Which of the following statements represents the best description of guidelines a nurse would follow in this case? A. A durable power of attorney for health care is invoked only when the client has a terminal condition or is in a persistent vegetative state B. A living will allows an appointed person to make health care decisions when the client is in an incapacitated state. C. A living will is invoked only when the client has a terminal condition or is in a persistent vegetative state. D. The client cannot make changes in the advance directive once the client is admitted into the hospital.

C

The nurse refers a new below-the - knee (BKA) amputation client to a support group for amputees. This is an example of what type of prevention? A. Primary B. Secondary C. Tertiary D. Terminal

C

The parents of a child with no apparent brain function refuse to permit withdrawal of life support. Which moral principle is applied with the nurse's action to support the family's decision? A Beneficence B Justice C Respect for autonomy D Nonmaleficence

C

When caring for a terminally ill patient, the nurse should focus on the fact that a. Spiritual care is possibly the least important nursing intervention. b. Spiritual needs often need to be sacrificed for physical care priorities. c. The nurse's relationship with the patient allows for an understanding of patient priorities. d. Members of the church or synagogue play no part in the patient's plan of care.

C

Which is an example of tertiary health promotion? a) Family counseling b) Pap tests c) Rehabilitation d) Water treatment

C

Which of the following is the best example of an outcome statement? The patient will: A. Use the incentive spirometer when awake. B. Walk two times during day and evening shift. C. Maintain an oxygen saturation above 92% while performing ADLs each morning. D. Tolerate 10 sets of range-of-motion exercises with physical therapy.

C

Select the legal term that is accurately paired with its description. A. Assault: Touching a person without their consent B. Battery: Threatening to touch a person without their consent C. Slander: False oral defamatory statements. D. Slander: False written defamatory statements.

C Slander is false oral defamatory statements; and libel is written defamation of character using false statements. Assault, an intentional tort, is threatening to touch a person without their consent; and battery, another intentional tort, is touching a person without their consent.

A confused client who fell out of bed because side rails were not used is an example of which type of liability? A. Assault B. Battery C. Felony D. Negligence

D

A critical care nurse is using a computerized decision support system to correctly position her ventilated patients to reduce pneumonia cause 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

A nurse communicates with a patient by maintaining eye contact and through the use of touch. What type of communication technique is the nurse demonstrating? a. Verbal b. Persuasive c. Directive d. Nonverbal

D

A nurse is teaching a culturally diverse patient about nutritional needs. What must the nurse do first before starting the teaching session?a. Obtain pictures of food. b. Get an interpreter. c. Establish a rapport. d. Refer to a dietitian.

D

A patient is fearful of upcoming surgery and a possible cancer diagnosis. He discusses his love for the Bible with his nurse, who recommends a favorite Bible verse. Another nurse tells the patient's nurse that there is no place in nursing for spiritual caring. The patient's nurse replies: A) "Spiritual care should be left to a professional." B) "You are correct, religion is a personal decision." C) "Nurses should not force their religious beliefs on patients." D) "Spiritual, mind, and body connections can affect health."

D

A patient needs to learn to use a walker. Which domain is required for learning this skill? A. Affective domain B. Cognitive domain C. Attentional domain D. Psychomotor domain

D

Although the client refused the procedure, the nurse insisted and inserted a nasogastric tube in the right nostril. The administrator of the hospital decides to settle the lawsuit because the nurse is most likely to be found guilty of which of the following? A. An unintentional tort B. Assault C. Invasion of Privacy D. Battery

D

Twenty minutes after administering pain medication to the client, the nurse returns to ask if the client's level of pain has decreased. The nurse documents the client's response as part of which phase of the nursing process? A. Diagnosis B. Planning C. Implementation D. Evaluation

D

What is the definition of wellness? a) being without disease b) a desire to be without disease c) maximizing the state in which you live d) an active state of being healthy

D

When signing a form as a witness, your signature shows that the client: A Is fully informed and is aware of all consequences. B Was awake and fully alert and not medicated with narcotics. C Was free to sign without pressure D Has signed that form and the witness saw it being done

D

You are caring for Mr. Smith, who is facing amputation of his leg. During the orientation phase of the relationship, what would you do? A. Summarize what you have talked about in the previous sessions B. Review his medical record and talk to other nurses about how he is reacting C. Explore his feelings about losing his leg D. Talk with him about his favorite hobbies

D

You are participating in a clinical care coordination conference for a patient with terminal cancer. You talk with your colleagues about using the nursing code of ethics for professional registered nurses to guide care decisions. A nonnursing colleague asks about this code. 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

Where do individuals learn their health beliefs and values? a. In the family b. In school c. From school nurses d. from peers

a. In the family(Healthcare activities, heal beliefs, and health values are learned within one's family)

ways a nurse makes judgements (select best answer) a)noticing, prioritizing, interpreting, concluding b)noticing, interpreting, responding, reflecting c)observing, concluding, internalizing, determining d)observing, detailing, inferring, projection

b

Critical thinking and __________ go hand-in-hand in making quality decisions about patient care. (select best answer) a)clinical judgement b)clinical reasoning c)nursing competencies d)the nursing process

d

Of all the physiologic needs, which one is the most essential? a. Food b. Water c. Elimination d. Oxygen

d