Nursing Exam #1
What is the least amount of time the nurse will instruct for a sitz bath?
20-30 minutes
**What system reduces the number of employees but still provides quality care for patients?
Cross-training
When must the nurse remember to use an electric razor when shaving a patient?
When a bleeding tendency is present : A patient with a bleeding disorder should use an electric razor
How frequently should the nurse clean the nares of patients who have a nasogastric tube or are receiving oxygen by nasal cannula?
When receiving oxygen by a nasal cannula or when a nasogastric tube is in place, the nurse should cleanse the nares every 8 hours
The nurse is caring for an unconscious patient with a risk for skin impairment. How often will the nurse plan to change the position of this patient?
every 2 hours (120 minutes)
Patient care emphasis on wellness, rather than illness, begins as a result of:
increased education concerning causes of illness
The nurse is assessing a patient's skin for signs of impaired skin integrity. Which finding by the nurse is considered a major manifestation?
A major manifestation of impaired skin integrity is a pressure injury
What type of fire extinguisher should the nurse use when the oxygen concentrator machine malfunctions and causes an electric fire?
Electric fires require type C fire extinguishers
The nurse discovers a reddened area over a patient's hip. What should be the nurse's first intervention?
Press the area gently to assess for blanching : If the area is a stage 1 decubitus injury, the area will not blanch
The nurse is preparing to bathe a patient. What should the room temperature be set at?
The recommended room temperature is 68° to 74°F (20° to 23.3°C).
How may a newly licensed LPN/LVN practice?
Under the supervision of a health care provider or RN
** What is a cost-effective delivery of care used by many hospitals that allows the LPN/LVN to work with the RN to meet the needs of patients?
case management
a violent or dangerous act used to intimidate or coerce a person or government to further a political or social agenda
terrorism
What organization, established during World War II, provided nursing education and training?
Cadet Nurse Corps
What should the nurse do when offering a cup of hot coffee to a frail, older adult patient?
Filling the cup half full promotes safety and does not change the flavor of the beverage, nor does it demean the patient as would making him or her wear a bib or apron.
Which organization specifically supports and meets the needs of the LVN/LPN?
National Association for Practical Nurse Education and Service (NAPNES) is the professional organization that is specifically for LVN/LPNs.
What is the name of the licensing law that defines the title and regulations governing the practice of nursing and states the requirements for licensure?
Nurse Practice Act
What is the wellness/illness continuum defined as?
the range of a person's total health
** What should the water temperature be when preparing a tepid bath for a patient?
The tepid bath is taken in water that is 98.6°F (37°C).
What must the nurse realize when assessing physical and social environmental factors affecting health and illness?
They affect one another
The nurse attempts to avoid a pressure injury for a bedridden patient by turning the patient frequently. What is the most favorable position for the nurse to move this patient into?
30-degree lateral
** A nurse assesses an area of sustained redness on the coccyx area of a resident in long-term care. What is the most likely cause of this pressure area?
A pressure injury occurs when there is sufficient pressure to collapse the blood vessels.
** What needs must be met first in Maslow's hierarchy of needs?
Basic needs must be met before the next level of needs can be met
How often should the nurse cleanse the meatal-catheter junction of a patient with an indwelling catheter?
Catheter care should be performed at least two times daily
What must the nurse do before applying a safety reminder device (SRD)?
Get a health care provider's order : Initially, an order is necessary that specifies the type of SRD and the duration of its application.
** What is important for the nurse to determine in order to decrease the risk for injury to a patient?
If the patient is left-handed : patients requiring the assistance to ambulate are at an increased risk for injury
The nurse manager is providing an in-service regarding a "safe hospital environment." What will this education mainly focus on preventing?
Injury
the PASS acronym for fire extinguisher use is
P- pull pin A- aim S- squeeze S- sweep
What is the title of the American Hospital Association's 1972 document that outlines the patient's expectations to be treated with dignity and compassion?
Patient's Bill of Rights
** According to Maslow's hierarchy of needs, what is an individual's most basic need?
Physiologic
The nurse is providing hand and foot care to a patient and notices the patient has extremely hard nails. Who is the person best prepared to provide nail care for patients with extremely hard nails?
Podiatrist
What is required by the health care team to identify the needs of a patient and to design care to meet those needs?
an individualized care plan
** What is a nursing program considered when certified by a state agency?
approved
How will the nurse correctly replace a patient's dentures after cleaning when a patient is unable to complete the task?
inserting the upper denture first
The nurse assesses a red blister over the right superior iliac area of a patient. What stage is this decubitus injury?
A pressure injury demonstrating blisters is a stage 2 decubitus injury.
A new graduate who has achieved the goal of getting others to do something that is believed necessary has demonstrated what skill?
Leadership
**What is the purpose of licensing laws for LPN/LVNs?
Protection of the public from unqualified people
A nurse instructs a unlicensed assistive personnel about the proper use of a gait belt and is observing a return demonstration. What action by the unlicensed assistive personnel should cause the nurse to intervene?
Unlicensed assistive personnel is walking on the patient's strong side : A gait belt should be securely applied around the patient's waist. It has handles attached for the nurse to grasp while the patient ambulates. The nurse should walk on the patient's weaker side so that assistance may be given if the patient starts to fall.
** What is the most effective process to ensure that the care plan is meeting the needs of the patient?
communication
How should the nurse cleanse the meatal opening when performing male perineal care?
from the meatus outward
the purpose of a sitz bath is to
reduce inflammation in the perineal and anal area.
