Fundamentals Exam One (Prep U's)
Two nurses are discussing a well-known adverse event in the hospital in which a wrong site surgery was performed. One of the nurses states, "someone had better lose their job over this. How that could happen is beyond me." What is the other nurses MOST appropriate response?
"I understand what you're saying, but a focus on punishment doesn't really make things safer in the future"
The poison control nurse receives a call from the parent of a 2-year-old child. The parent states, "I just took a quick shower, and when I finished, I walked into the kitchen and found my child with an open bottle of household cleaner." What is the poison control nurse's appropriate response?
"Is your child breathing at this time?"
The nurse is caring for an older adult client who has difficulty walking. The client states, "I hate that I can barely walk. I'm such a burden to my family." What is the appropriate nursing response?
"Let's talk about how mobility can increase your independence."
A neonate was born by vaginal birth and initial assessment revealed no distress. However, the infant soon developed dyspnea and then apnea. The care team in the room attempted to manage the infant's distress independently and neglected to call an emergency code, which was later determined to be necessary. Root cause analysis of this event should begin by asking what question?
"Why did no one in the room choose to call the code?"
The nurse is performing care for a client in the end stage of cancer. How can the nurse BEST facilitate the client and family's ability to cope?
1. Assist the client with activities of daily living 2. Assist the client and family with the preparation for end of life 3. Refer the client and family to hospice services
The nurse is caring for a client whose cultural practices and beliefs regarding health care differ from the nurse's. In which manner can the nurse ensure health disparities are reduced and the client receives equitable care?
Adapt care to encourage a collaborative, client-centered relationship that ensures safe practice.
A nurse must possess several characteristics to be successful in this profession. Secondary to critical thinking skills, which is of great value?
Advocating for the client at all times
What organization has established standards that help determine which clinical actions fall under the scope of nursing practice?
American Nurses Association
A nurse is considering relocating to another state to practice nursing. What is the MOST appropriate action by the nurse to ensure ability to practice in the new state?
Applying for a reciprocal license in the new state
What quality in a nurse helps the nurse to become effective in providing for a client's needs while remaining compassionately detached?
Empathy
New IV access ports are being introduced in a hospital that are being described as being "mistake proof". The nurse should understand that these new ports may:
Have a design that makes it difficult to attach incorrect tubing to the ports
What teaching will the community health nurse include for parents of toddlers?
Household cleaners must be kept out of reach
What is a current trend affecting nursing education and practice?
Increase in chronic health conditions
A nurse is providing care to a 3-year-old child admitted with a diagnosis of infectious diarrhea. The nurse needs to insert an intravenous catheter in order to administer prescribed intravenous fluids. In an attempt to foster communication, the nurse's BEST way to communicate with the 3-year-old is to:
Involve the child's stuffed animal in the educational session
The meal tray has been delivered to the client's room. The client needs to be repositioned higher in the bed with the head raised. The client is unable to assist with moving in the bed. What action is best for the nurse to perform to prevent injury to the nurse and/or the client?
Obtain assistance from another nursing staff member.
Which age group in the population is expanding MOST rapidly, resulting in changes in the delivery of health care?
Older adults
What illustrates the activity of acting in values clarification?
Respecting the human dignity of all clients
The nurse is performing range-of-motion exercises on a client's arm. The nurse starts by lifting the arm forward to above the head of the client. Which action would the nurse perform next?
Return the arm to the starting position at the side of the body.
A client who is cognitively impaired is scheduled to undergo surgery, the nurse demonstrates understanding of the principle of autonomy and checks the client's health record to ensure that consent has been obtained from which person?
Surrogate decision-maker
Nurses complete incident reports as dictated by the agency protocol. What is the primary reason nurses fill out an incident report?
To improve quality of care
Professional regulations and laws that govern nursing practice are in place for which reason?
To protect the safety of the public
T/F? A nurse enters a client's room and observes that the client is hunched over and appears to be breathing rapidly. The nurse should ask a Yes or No question as opposed to an open ended question.
True
A group of students are reviewing information about important components of the nurse-client relationship. What does the students state as the definition of positive regard?
Viewing the client unconditionally
A nurse is assessing the musculoskeletal system of a client during an initial visit to the clinic. The assessment reveals insufficient joint lubrication in the knees. The nurse documents this finding as:
crepitus
A nurse is a caring for a diabetic client whose right leg had to be amputated due to the development of gangrene. The client uses crutches to ambulate and is waiting to be fitted with a prosthetic leg. What gait should the nurse observe in this client?
swing-through
A group of nurse researchers has proposed a study to examine the efficacy of a new wound care product. Which of the following aspects of the methodology demonstrates that the nurses are attempting to maintain the ethical principle of nonmaleficence? a) The nurses have organized the study in such a way that the foreseeable risks and benefits are distributed as fairly as possible. b) The nurses have completed a literature review that suggests the new treatment may result in decreased wound healing time. c) The nurses have given multiple opportunities for potential participants to ask questions, and have been following the informed consent process systematically. d) The nurses are taking every reasonable measure to ensure that no participants experience impaired wound healing as a result of the study intervention.
d) The nurses are taking every reasonable measure to ensure that no participants experience impaired wound healing as a result of the study intervention.