concepts midterm- questions from ATI website & NCLEX book

An RN is planning an in-service for a group of staff nurses about spiritual care. Which of the following situations should the RN identify as appropriate for a consultation with pastoral staff? (Select all that apply.) A. ethical dilemma B. Terminal illness C. Death of a client D. Financial arrangements E. Hardship

A, B, C, E

An RN is teaching a class about citing references to use for evidence-based changes. Which of the following requires citing a reference to avoid plagarism? (Select all that apply.) A. direct quotations from a journal article. B. A photograph depicting equipment C. Ideas published in a theoretical paper D. A personal website used to initiate a PICOT question E. Paraphrased sentence from an article

A, B, C, E

An RN is reviewing the medical record of an adolescent who is a lesbian. The RN should identify that which of the following findings are likely caused by he client being marginalzied by others? Select all that apply. A. having a large group of close friends B. being bullied at school C. depression D. using illicit drugs E. working an after school job

B, C, D

The RN is completing the admission assessment of a client who is intellectually disabled. Which part of the client encounter may require more time to complete? 1. The history 2. The physical assessment 3. The nursing plan of care 4. The readmission risk assessment

1 Rationale: Intellectually disabled clients tend to have difficulty trying to remember their medical history. The RN may have to take more time to ask questions in a variety of different ways when collecting patient's history. The physical assessment, nursing plan of care, and readmission risk assessment rely on the health history and take less time because they require less client questioning.

The RN caring for a refugee considers which health care need a priority for this client? 1. access to housing 2. access to clean water 3. access to transportation 4. access to mental health care services

4 Rationale: mental health issues are the primary issue for this population as a result of difficult events. While all other options are important for all clients, they do not address the specific needs of this special population. Test taking strategy: Note the word "priority." This indicates that all options are important and are most likely correct. It is necessary to recall that due to the potential trauma experienced by refugees, mental health is a priority.

An RN 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 RN teaching to the client? A. Health promotion B. Disease prevention C. Nonmodifiable risk factors D. Tertiary prevention

A Rationale: Health promotion involves encouraging clients to take steps to improve their overall health. Disease prevention is incorrect because disease prevention focuses on measures taken to limit exposure or effects of illness or disease (such as immunizations or hand washing).

An RN 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 like diabetes care

A. Coordinating and overseeing the care the client is receiving

An RN 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 E. The neighborhood environment

A. economic stability

An RN is reviewing factors that can affect a client's self-concept. The RN should identify that empathy, motivation, and self-awareness are domains of which of the following factors? A. Emotional intelligence B. Body image C. Self-efficacy D. Role performance

A. emotional inteligence

An RN is collecting data from a group of clients regarding their feelings and experiences of living with congestive heart failure. In which of the following types of research studies is the RN participating? A. Translational research B. Quantitative C. Mixed methods D. Qualitative

D. qualitative Rationale: Qualitative research explores experiences and feelings from the perspective of the client. Data from qualitative research do not undergo statistical analysis that is associated with other types of research.

An RN is assisting with teaching a class about sentinel events. The RN should include that which of the following situations is a sentinel event? A. An RN infused an incompatible blood product into a client. B. A client fell getting out of bed. C. A client who is confused walks out of the nursing unit. D. An RN receives a needlestick injury from a contaminated needle

A Rationale: a sentinel event is a serious, reportable event that results in death, permanent harm, or severe injury to a client. Examples include wrong site surgery, client suicide while in a health care facility, or infusion of incompatible blood product

What are the responsibilities of a nurse manager? (Select all that apply). A. Budgeting B. Scheduling C. Resolving conflicts D. Client safety

A, B, C, D

An RN is teaching a client who has a new prescription for an antihypertensive medication. The RN 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 Rationale: Tertiary prevention is the effort to control a health issue that has already occurred by slowing the spread or decreasing the effect of the health issue.

An RN at a clinic is providing free blood pressure screenings for clients. Which of the following levels of health prevention is the RN demonstrating? A. Tertiary prevention B. Secondary prevention C. Primary prevention D. Quaternary prevention

B Rationale: The goal of secondary prevention is discovering disease processes before they progress. Secondary prevention includes screenings. Client may be asymptomatic when screening is performed, but early detection and discussion of treatment allows valuable time to consider options.

An RN 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 that doctor said." Which of the following actions should the RN 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

An RN is teaching a class about barriers to interprofessional collaboration between healthcare professionals. The RN 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.

B. Unresolved conflicts between team members. Rationale: Unresolved conflicts is a barrier to interprofessional collaboration because it can lead to mistrust, miscommunication, and can result in fragmented care and medical errors.

An RN enters a client's room and finds the client crying. The RN sits beside the bed in silence. Which of Swanson's five categories of caring behaviors is the RN demonstrating? A. Knowing B. Being with C. Doing for D. Maintaining belief

B. being with

An RN is collaborating with an interdisciplinary team to develop a plan of care for a client. Which of the following tools should the RN use to guide the delivery of care? A. a PICOT question B. Critical pathway C. Qualitative research D. Hierarchy of evidence

B. critical pathway Rationale: A critical pathway is a guide used to standardize a client's medications, exams, procedures, and rehabilitation during acute care through discharge home. Critical pathways provide evidence for comprehensive treatment.

An RN is teaching a newly licensed RN about health literacy. Which of the following info should the RN include? A. The client's signature on the discharge instructions ensures they understood the instructions. B. Clients who can read and write demonstrate health literacy. C. A client's comprehension of education can be affected by low health literacy. D. Health literacy affects only a small portion of clients who are cared for within the health system.

C Rationale: A low level of health literacy can negatively impact the effectiveness of health teaching.

An RN in a clinic is caring for a client who is going to require 7 days of IV antibiotics and dressing changes for cellulitis. Which of the following care facilities should the RN anticipate the client being admitted to? A. Skilled nursing facility B. Long-term care hospital C. Acute care hospital D. Assisted living facility

C Rationale: Acute care facilities specialize in clients who require short term treatment such as IV medications, diagnostic procedures, and dressing changes.

An RN is discussing hospice care with a newly licensed RN. Which of the following should the RN identify as the goal of hospice care? A. Provide comfort measures for clients who are receiving active treatments for illness. B. Allow a client's caregiver to take a break from caring for their loved one. C. Provide care for a client who has less than 6 months left to live. D. Offer services such as strength exercies for the client within the client's home.

C Rationale: hospice care is provided when the provider has determined that the client has less than 6 months left to live. The goal is not to treat or cure the client's illness but to provide comfort and supportive services. Palliative care services provide comfort measures for clients who are receiving active treatment for their illness.

An RN is teaching a client who has end-stage kidney disease and a new sacral pressure injury. The client's provider has requested a plastic surgery consultation. Which of the following statements by the client indicates an understanding of the consultation? A. "The plastic surgeon might adjust my renal diet." B. "The plastic surgeon will assist me with financial counseling." C. "The plastic surgeon might change my wound care treatment." D. "The plastic surgeon will coordinate my health care team."

C. "The plastic surgeon might change my wound care treatment."

An RN is providing an in-service about research methods for a group of RNs. Which of the following methods provides the most credible evidence to support practice changes? A. a qualitative research study B. A randomized control study C. A systematic review summarizing findings of studies D. A presentation by an expert at an international conference

C. A systematic review summarizing findings of studies Rationale: According to evidence-based practice, the RN should identify that a systematic review or meta-analysis, which summarizes findings of multiple peer-reviewed studies, provides the most credible evidence to support practice changes. A meta-analysis of research studies uses statistics to determine conclusions.

An RN is assisting a quality improvement team that is using the Plan-Do-Study-Act (PDSA) model to address an increase in pressure injuries on a medical unit. Which of the following actions shoud the RN identify as an example of the "Do" step in the PDSA model? A. Reviewing data collected on clients who received the new protocol B. Developing a plan to initiate a change in client care C. Implementing a new evidence based practice protocol D. Accepting the new protocol in the unit's policy and procedure guidelines

C. Implementing a new evidence based practice protocol

An RN is caring for a client who asks about healthy choices to lose weight. The RN shares info 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 Americans. D. It is a rehab program for clients who have substance use disorder.

C. It is a set of objectives for improving the health of Americans.

An RN is assisting with developing quality improvement (QI) plan to reduce the incidence of medication errors in an acute care unit. The RN should recognize that which of the following actions is included in the identifying step of the QI process? A. Developing a plan to implement change B. Evaluating the results of the change C. Recognizing a need for a change D. Implementing the plan of change

C. Recognizing a need for a change

An RN is using evidence-based practice to develop a PICOT question. Which of the following describes the "O" in PICOT? A. the plan of action intended to solve the problem desribed. B. The group of clients who are the focus of the study. C. The desired result of the intervention to the problem. D. The current way of addressing the problem.

C. The desired result of the intervention to the problem.

An RN is talking with a client who arrived at the clinic over an hour ago and states "Doesn't anyone care that I am sick? Why do I have to wait so long?" The RN listens and notifies the provider, relaying the needs of the 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 RN first develop the ability to prioritize tasks by drawing on experience? A. Advanced beginner B. Proficient C. Competent D. Novice

C. competent

An RN is assisting on a quality improvement committee to decrease the number of client falls occurring at night. After identifying the problem, which of the following is the next step the RN should take? A. implement the practice change B. Evaluate the results of the change C. Complete a literature review D. Communicate the outcomes with others

C. complete a literature review

A home health nurse is caring for a client who is receiving hospice care. The client's partner reports feeling overwhelmed from caring for the client. Which of the following types of facilities should the RN recommend? A. Skilled nursing facility (SNF) B. Long term care hospital (LTCH) C. Respite care D. Assisted living

C. respite care

A newly licensed RN 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 RNs 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 nurses role in alleviating client suffering and promoting client healing. D. The level of care a nurse provides that is the same for all RNs who have comparable education, competency, and experience.

D Rationale: A standard of care is defined as the level of care an RN provides that is the same for all RNs who have comparable education, competency, and experience.

A nurse is caring for a client who tells the nurse they want to quit smoking. The RN provides the client with info 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 promoter E. Nurse educator

D, E

An RN is speaking to a client who smokes tobacco and has a child living in the home. The RN 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 community health nurse is teaching a newly licensed RN about social determinants of health. Which of the following should the newly licensed RN identify as a physical determinant of 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

An RN is caring for a client who reports an improved diet, exercising 30 minutes a day for 5 days a week, and an overall sense of improved health. The RN 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

An RN is interviewing a client to assess their self-concept and asks "What are some of the accomplishments that make you feel good about yourself?" The RN is assessing which of the following components of self-concept? A. body image B. Role performance C. Self-esteem D. Identity

c. self-esteem

Which is most appropriate when communicating with a transgender person? 1. using preferred pronouns 2. using their first name to address them 3. using pronouns associated with birth sex 4. anticipating the client's needs and making suggestions

1 Rationale: The RN needs to address the client with the name and pronouns that the client prefers, and the first name may not be their preference. Anticipating the client's needs and making suggestions may be seen as passing judgement, so the RN should refrain fro doing this. Test taking strategy: Recalling that clarification regarding name preference for any client helps you eliminate option 2. Recalling that use of pronouns associated with birth sex is inapproprate helps you eliminate option 3. Noting the words "making suggestions" in option 4 will help you eliminate this option.

Which teaching method is most effective when providing instruction to members of special populations? 1. teach-back 2. video instruction 3. written materials 4. verbal explination

1 Rationale: when providing education to members of special populations, return explination and demonstration (teach-back) are important to ensure safety and understanding. This method is the most reliable in confirming client understanding of the instructions. Video instructions, written materials, and verbal explination are helpful and may be incorporated with the teach-back method. Test taking strategy: The teach-back method is the umbrella option, which means it encompasses all other options.

Which action by the RN will best facilitate adherence to the treatment regimen for a client with chronic illness? 1. arranging for home health care 2. focusing on managing a single illness at a time 3. communicating with one provider only to avoid confusion for the client 4. allowing to teach a support person about their treatment regimen

1 rationale: RN follow-up visits are important in promoting health for individuals with chronic illness; therefor arranging for home health care is an important strategy.

The RN is working in a correctional facility and is caring for a new prisoner. The client asks about health risks associated with living in prison. How would the RN respond? 1. "Health care is very limited in the prison setting." 2. "Living in prison isn't different than living at home." 3. "Living in a prison can predispose a person to different health conditions." 4. "Living in a prison is similar to living in a condo or a dormitory."

3 Rationale: The environment of a prison can predispose a person to different health conditions. Option 1 does not address the client's question. Options 2 and 4 convey incorrect information. Test taking strategy: Remember that a prison is a confined environment, and a variety of health problems including infectious diseases are prevelant.

A client scheduled for surgery states to the RN "I'm not sure if I should have this surgery." Which response by the RN is appropriate. 1. "It's your decision." 2. "Don't worry, everything will be fine." 3. "why don't you want to have this surgery?" 4. "Tell me what concerns you have about the surgery."

4 Rationale: Use therapeutic communication techniques to answer communication questions and remember to focus on the client's thoughts, feelings, concerns, anxieties, and fears. The correct option is the only option that addresses the client's concern. Option 3 can make the client feel defensive and uses the nontherapeutic communication technique of asking "why?"

An RN is meeting with a client at a community health center to assess their self-concept. Which of the following factors should the RN consider during the assessment? (Select all that apply.) A. Life experiences B. Societal and cultural attitudes C. Health status D. Academic achievement E. Meditation

A, B, C, D Rationale: Self-concept is influenced by life experiences, cultural and societal attitudes, academic achievements, and health status.

A charge nurse is preparing info material for the RN staff on cultural competence. Which of the following should she include when discussing components of cultural congruent behavior? Select all that apply. A. assess the client's belief system B. determine the client's familial involvement C. evaluate the client's preferences D. understand the client's decision making role E. meditate the client's health preferences

A, B, C, D Rationale: meditating the client's health practices is not an example of cultural competency

An RN is caring for a client who is 4 days postoperative following a below-the-knee amputation related to a work injury. The RN should identify that which of the following are components of the client's self-concept that this injury can impact? (Select all that apply). A. Body image B. Role performance C. Identity D. Health promotion E. Self-esteem

A, B, C, E Rationale: The four main concepts of self-concept are body image, self-esteem, role performance, and identity.

An RN at a community health center is providing an in-service for a group of residents about the Healthy People program. Which of the following info should the RN include? (Select all that apply). 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, B, D Rationale: C and E are incorrect because they are not components of the Healthy People program.

An RN is completing the minimum Data Set (MDS) assessment for a resident in a skilled-nursing facility. Which of the following info should the RN include in the assessment? (Select all that apply). A. Input from the 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 activities of daily living

A, B, D, E

An RN is discussing social determinants of health with a newly licensed RN. The RN should include that 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. Environmental conditions E. Civic participation

A, C, D

An RN is reviewing the plan of care for a client who was recently divorced. Which of the following interventions should the RN include to promote the client's positive self-concept? (Select all that apply). A. Encourage the client to identify past and current accomplishments. B. Contact delivery services to provide the client with in-home meals. C. Encourage the client to verbalize perceptions that indicate a healthy self-esteem. D. Assist the client to identify healthy coping strategies and support systems. E. Collaborate with the client, family, and members of the health care team to ensure successful implementation of the plan of care.

A, C, D, E

An RN at a hospital is interviewing a newly admitted client. The client tells the RN they would like to adhere to their cultural beliefs during their hospitalization. Which of the following actions should the RN take to provide the client with culturally competent care? (Select all that apply.) A. Listen to the client's 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 place. E. Provide resources to meet the client's cultural needs.

A, C, E

An RN is teaching a client about hospice care. Which of the following statements by the client indicates an understanding of the teaching? A. "I understand that services 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 have passed away."

A. "I understand that services provided will include just what is needed to keep me comfortable."

An RN is caring for a client who has a new diagnosis of cancer. The client states "I don't understand what my treatment options are." Which of the following statements by the RN demonstrates advocacy? A. "I will contact your provider to review your treatment options." B. "Why don't you understand your options?" C. "Your provider thinks you need an operation." D. "You will need to cut living costs so you can pay for the treatment."

A. "I will contact your provider to review your treatment options."

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 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 required level of care.

An RN is reviewing a health care facility's policy that states to use a gauze dressing over IV insertion sites. After completing a literature review, the RN discovers that EBP indicates to use a transparent dressing over IV sites. Which of the following actions should the RN take next? A. Recommend changing the procedure to the policy and procedure committee. B. Evaluate the results of the change in procedure. C. Implement the change into clinical practice. D. Communicate the outcomes of the procedure change with others.

A. Recommend changing the procedure to the policy and procedure committee.

An RN is caring for a client who has diabetes and does not adhere to the perscribed diet. Which of the following interventions by the RN 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 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.

A. Requesting a referral to a dietitian to work with the client.

An RN is caring for a client who is emotionally distraught. Which of the following uses of touch should the RN implement to convey caring? A. briefly holding the client's hand B. a lengthy front facing hug C. Rubbing the client's shoulders D. Sitting beside the client and touching their thigh

A. briefly holding the client's hand Rationale: rubbing the client's shoulders, touching their thigh, and front facing hugs can be seen as sexual advances.

An RN is caring for a client who reports experiencing chills and not feeling well. The RN informs the client that they will need to have their temperature taken to monitor the manifestations. Which of the following terms describes that the RN's actions are grounded in research? A. Evidence-based practice B. Competencies C. Lifelong learning D. Change-agent

A. evidence-based practice

An RN is using evidence-based practice to address the incidence of catheter-associated infections on a surgical unit. According to EBP, which of the following actions should the RN take first? A. Identify a clinical problem B. Collect best evidence relevant to the question C. Evaluate studies to determine validity D. Share the findings with others

A. identify a clinical problem

An RN is caring for a client who states the health care provider recommends treatment to provide comfort because a cure is not possible. To which of the following concepts is the provider referring? A. Palliative care B. Medically futile care C. Potentially inappropriate treatment D. Quality of life

A. palliative care Rationale: palliative care involves providing treatments that offer pain relief or enhance the quality of life, but do not provide a cure.

An RN is teaching a client about modifiable risk factors to their health. Which of the following should the RN include as an example of a modifiable risk factor? A. Tobacco use B. Age C. Family history D. Race

A. tobacco use

An RN 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 RN 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 Rationale: Long-term care hospitals specialize in hospitalization for long-term care, such as clients who have severe burns, trauma, or ventilation needs. These hospitals provide a higher level of care than a skilled nursing facility, such as is required for a client who is receiving mechanical ventilation.

An RN is caring for a client who has Parkinson's disease and needs assistance with ADLs. Which of the following referrals should the nurse anticipate the provider to prescribe? (Select all that apply). A. Social worker B. Dietitian C. Physical therapist D. Occupational therapist

B, C, D

An RN is discussing nursing roles with a newly licensed RN. The RN should include which of the following is a role of the nurse? (Select all that apply.) A. Diagnostician B. Caregiver C. Advocate D. Change agent E. Dispenser of medications

B, C, D

An RN in a community clinic sees clients experiencing health disparities within vulnerable populations. The RN should consider which of the following clients as belonging to a vulnerable population? Select all that apply. A. a white male who has no chronic illness B. an african american adolescent who is pregnant C. a low-income family D. a female who is latina and has type 2 diabetes E. a middle class male who lives in a large city

B, C, D Rationale: examples of vulnerable populations include immigrants, the elderly, minority ethnic groups, poverty-striken individuals, clients with chrnoic illness, and veterans.

Which of the following ways could a nurse act as a change agent? (Select all that apply). A. Maintain the client's privacy B. Serve on the quality improvement committee C. Provide the nurse manager with info on a more efficient cardiac monitor D. Provide care for the client E. Introduce a new process to discharge clients

B, C, E

A nurse manager is planning an in-service about culturally competent care. Which of the following cultural competencies should the manager describe as enabling an RN to interact with clients from other cultures? A. cultural awareness B. cultural encounters C. Cultural knowledge D. Cultural desire

B. cultural encounters

An RN is assisting with using the plan-do-study-act (PDSA) model to decrease client falls in a long term care facility. The RN should identify that developing guidelines to decrease falls is included in which of the following steps of the PDSA model? A. Do B. Plan C. Study D. Act

B. plan Rationale: developing guidelines to decrease falls is part of planning

An RN 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 RN demonstrating by administering the vaccine? A. Health promotion B. prevention C. Health outcomes D. Wellness

B. prevention

An RN is using evidence-based practice to reduce pain during venipunctures for adolescent clients by asking a PICOT question: "Does providing music to adolescent clients during venipunctures decrease their discomfort compared to those clients who do not listen to music?" Which of the following is a component of the "I" in this PICOT question? A. Adolescent clients B. Providing music C. Decrease comfort D. Clients who do not listen to music

B. providing music

An RN is teaching a group of guardians about primary prevention techniques. Which of the following topics should the RN 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 Rationale: This is an example of primary prevention because this intervention is intended to decrease risk for medical conditions and injuries by changing behaviors and minimizing exposures. Emphasizing the importance of well-child visits is an example of secondary prevention because well-child visits are intended to screen children for the development of alterations in health

An RN is reviewing the health history of a client during a routine office visit. Which of the following observations by the RN is an example of the client demonstrating health literacy? A. The client states they want to improve their current knowledge about their health. B. The client asks for info that will help them improve their eating habits. C. The client states they understand their health care info and treatments. D. The client requests a meeting with the nurse, physical therapist, and the provider.

C Rationale: health literacy can be described as the capacity to obtain, communicate, and understand basic health info and services in order to make appropriate health decisions. This client is demonstrating health literacy by being knowledgeable about and understanding their health care info and treatments.

An RN is planning to use evidence-based practice to determine the best practice for dressing changes for clients. According to EBP, in what order should the RN perform the following steps? A. the RN conducts a literature search to determine the presence of nursing literature on how to perform dressing changes. B. The RN asks a clinical questions about methods to perform a dressing change. C. The RN notices another nurse changing a dressing and recognizes that they perform the same procedure differently. D. The RN reads, organizes, and compares the results of the scientific literature search. E. The RN implements changes for performing dressing changes and collects data to determine client outcomes. F. The RN develops recommendations about dressing changes to present to an interdisciplinary team to update the policy and procedure.

C, B, A, D, F, E

An RN is caring for a client who is from a different culture. To provide the best possible client care, which of the following actions should the RN take first? A. obtain a cultural health assessment B. develop cultural competence C. conduct a self-assessment D. create an individualized plan of care

C. Rationale: conducting a self-assessment allows the RN to identify self-bias and to understand their own cultural views, assumptions, and values.

An RN is assessing the self-concept of a client who recently lost their job, and as a result, might lose their home to foreclosure. Which of the following questions should the RN ask the client when gathering info regarding self-esteem? A. "what did your partner say when you lost your job?" B. "why do you think you were fired?" C. "how would you describe yourself and your situation?" D. "what are you going to tell your friends about losing your job?"

C. "how would you describe yourself and your situation?"

An RN is discussing the Healthy People initiative with a newly licensed RN. Which of the following info should the RN 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.

Which of the following descriptions meets the definition of evidence-based practice? A. A nurse collects data from the client's electronic health record B. A nursing student reads current journal articles to write an essay. C. A nurse completes a facility-based survey on staffing policies. D. A nurse searches the recent research literature to revise a nursing process.

D. A nurse searches the recent research literature to revise a nursing process

An RN is assisting with teaching a class about the types of research studies. The RN should include which of the following is an example of a randomized controlled trial (RCT)? A. A study examining environmental factors that lead to obesity B. A study comparing a group of people who have diabetes with a group of people who do not have diabetes. C. A study examining the cause of falls in a long term care facility. D. A study arbitrarily assigning people who smoke into either an experimental group or a control group to determine the effects of a new therapy to reduce smoking.

D. A study arbitrarily assigning people who smoke into either an experimental group or a control group to determine the effects of a new therapy to reduce smoking.

An RN is reviewing historical nursing data and how it has impacted nursing care. The RN 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 Nightengale

D. Florence Nightengale

An RN is a member of a committee that is using evidence-based practice to decrease the incidence of central line infections. The RN should identify that which of the following interventions is part of the implementation step of EBP? A. Recognize a high incidence of central line infections B. Evaluating whether the practice changes decreased the infection rates C. Researching best practices to reduce the rate of central line infections D. Incorporating the new practice into client care

D. Incorporating the new practice into client care

An RN 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 RN take? A. Inform the parent's that because their adult child did not have a living will, the organ donation card is not valid. B. Tell the client's parents to call the local organ donation center for info 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.

An RN 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 RN take to uphold the American Nurses Association's Code of Ethics? A. Take the client's vital signs now and document them as being completed 8 hours 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.

An RN is reviewing the scope of nursing practice. Which of the following is the purpose of the nursing scope of practice? A. Provides reccomendations for nursing practice B. Provides competencies for the RN to achieve before receiving license C. Serves as a contractual document between the RN and their employer. D. Specifies the actions an RN can perform.

D. Specifies the actions an RN can perform.

An RN is delivering client care in partnership with multidisciplinary members of the health care team. This is an example of which of the QSEN competencies? A. Safety B. Patient-centered care C. Quality improvement D. Teamwork and collaboration

D. Teamwork and collaboration