Nursing Transitions Final exam
What is the IPN?
The Intervention Project for Nurses (IPN) established in 1984 through legislative action to ensure public health and safety through a program that provides close monitoring of nurses who are unsafe to practice due to impairment as a result of misuse or abuse of alcohol or drugs, or both, or due to a mental or physical condition which could affect the licensee's ability to practice with skill and safety.
Professional accountability serves the following purpose: Select all that apply. 1. To provide a basis for ethical decision making 2. To respect the decision of the client 3. To maintain standards of health 4. To evaluate new professional practices and reassess existing ones 5. To belong to a professional organization.
1. To provide a basis for ethical decision making 2. To respect the decision of the client 3. To maintain standards of health 4. To evaluate new professional practices and reassess existing ones
. Which of the following represent the knowledge and skills expected of the professional nurse? Select all that apply. 1. Accountability 2. Advocacy 3. Autonomy 4. Social networking 5. Participation in nursing blogs
1. Accountability 2. Advocacy 3. Autonomy accountability for one's work and responsibilities, advocating for patients and families, autonomy in making decision within the scope of practice.
Effective nurse leaders: Select all that apply: 1. Are also good followers 2. Effectively work together with shared goals 3. Never act on their ideas 4. Have master's degrees
1. Are also good followers 2. Effectively work together with shared goals every leader is at time a follower and works with their team on shared goals
The Situational Leadership Model focuses on: 1. Both followers and the task 2. The task 3. The follower 4. The behavior of others
1. Both followers and the task situational leadership approach considers the complexity of a situation, which would include followers and the task at hand
An effective leader will have: Select all that apply. 1. Courage and integrity 2. A critical mind-set 3. The ability to set priorities 4. The ability to provide feedback
1. Courage and integrity 2. A critical mind-set 3. The ability to set priorities 4. The ability to provide feedback
Which of the following represents the "S" in a SWOT analysis? 1. Flexibility 2. Difficulty adapting to change 3. Nursing shortage 4. Competition among health-care facilities
1. Flexibility strengths include: relevant work experience, advanced education, product knowledge, good communication skills and people skills, computers skills, flexibility
APRNs generally: Select all that apply. 1. Function independently 2. Function as unit directors 3. Work in acute care settings 4. Work in the university setting 5. Hold advanced degrees
1. Function independently 5. Hold advanced degrees as guided by the nurse practice acts, are educated at the master's level or higher
A new graduate plans on moving into nursing administration. What steps should the graduate take to ensure this goal is reached? Select all that apply. 1. Further professional education. 2. Meet the specific requirements for the entry-level job position. 3. Seek new experiences. 4. Volunteer to work on committees. 5. Find a mentor.
1. Further professional education obtaining advanced degrees and certifications indicates to an organization that you want to move forward with your professional career
A nursing student is graduating in 3 months. The student is looking for a position. Where should the student begin the search? Select all that apply. 1. Health-care organizations 2. Online job boards 3. National Council of State Boards of Nursing 4. American Association of Colleges of Nursing 5. Recommendations from peers and professionals
1. Health-care organizations 2. Online job boards 5. Recommendations from peers and professionals
A nurse is providing care to a patient whose family has previously brought suit against another hospital and two physicians. Under which ethical principle should the nurse practice? 1. Justice 2. Veracity 3. Autonomy 4. Nonmaleficence
1. Justice all patients are entitled to the best possible care regardless of their situation
The ANA Code of Ethics With Interpretive Statements guides nurses in ethical behaviors. Provision 3 of the ANA Code of Ethics says: "The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient." Which of the following best describes an example of this provision? 1. Respecting the patient' s privacy and confidentiality when caring for him 2. Serving on a committee that will improve the environment of patient care 3. Maintaining professional boundaries when working with a patient 4. Caring for oneself before trying to care for another person
1. Respecting the patient' s privacy and confidentiality when caring for him
The nursing assistant tells a nurse that a patient who is receiving oxygen at a flow rate of 6 L/min by nasal cannula is complaining of nasal passage discomfort. What intervention should the nurse suggest to improve the patient's comfort for this problem? 1. Suggest that the patient's oxygen be humidified. 2. Suggest that a simple face mask be used instead of a nasal cannula. 3. Suggest that the patient be provided with an extra pillow. 4. Suggest that the patient sit up in a chair at the bedside.
1. Suggest that the patient's oxygen be humidified. O2 flow rate higher than 4L/min should be humidified
Nursing practice in the 21st century is an art and science that focuses on: 1. The client 2. The nursing process 3. Cultural diversity 4. The health-care facility
1. The client Healthcare reform and nursing practice focus on client or patient centered care
. A nurse is caring for a patient who has a pulmonary embolus. The patient is receiving anticoagulation with IV heparin. What instructions should the nurse give the NAP who will help the patient with activities of daily living? Select all that apply. 1. Use a lift sheet when moving and positioning the patient in bed. 2. Use an electric razor when shaving the patient each day. 3. Use a soft-bristled toothbrush or tooth sponge for oral care. 4. Use a rectal thermometer to obtain a more accurate body temperature. 5. Be sure the patient 's footwear has a non-slip sole when the patient ambulates.
1. Use a lift sheet when moving and positioning the patient in bed. 2. Use an electric razor when shaving the patient each day. 3. Use a soft-bristled toothbrush or tooth sponge for oral care. 5. Be sure the patient's footwear has a non-slip sole when the patient ambulates.
Which of the following is unique to a professional standard of decision making? Select all that apply. 1. Weighs benefits and risks when making a decision 2. Analyzes and examines choices more independently 3. Concrete thinking 4. Anticipates when to make choices without others' assistance
1. Weighs benefits and risks when making a decision 2. Analyzes and examines choices more independently professionals look at risks and benefits before making decisions, and analyze choices in order to make sound decisions.
A nurse's significant other undergoes exploratory surgery at the hospital where the nurse is an employee. Which practice is most appropriate? 1. The nurse is an employee; therefore, access to the chart is permissible. 2. Access to the chart requires a signed release form. 3. The relationship with the client provides the nurse special access to the chart. 4. The nurse can ask the surgeon to discuss the outcome of the surgery.
2. Access to the chart requires a signed release form. unless the significant other has authorized any access to information, the only people entitled to information without written consent are the client and those providing direct care.
A nursing student who is graduating in a few weeks is preparing a résumé. What should the nursing student highlight first? Select all that apply. 1. Family status 2. Educational degrees 3. Community service 4. Employment experience 5. Leadership experiences in school
2. Educational degrees 4. Employment experience
What is the STAR method of interviewing? 1. Focuses on communication 2. Emphasizes behaviors 3. Allows the employer to ask personal questions 4. Creates a relaxed interviewing environment
2. Emphasizes behaviors be prepared to discuss a situation and describe the task, the action taken and the result situation, task, action, result
A unit team leader who fails to provide direction to his or her nursing care team is a(n): 1. Democratic leader 2. Laissez-faire leader 3. Autocratic leader 4. Situational leader
2. Laissez-faire leader these leaders are passive, inactive leaders who would not provide direction
Which of the following organizations supports nursing education? 1. NINR 2. NLN 3. AMA 4. ANA
2. NLN National League for Nursing supports education
Which best describes the difference between patient privacy and patient confidentiality? 1. Confidentiality occurs between persons who are close, whereas privacy can affect anyone. 2. Privacy is the right to be free from intrusion into personal matters, whereas confidentiality is protection from sharing a person 's information. 3. Confidentiality involves the use of technology for protection, whereas privacy uses physical components of protection. 4. Privacy involves protection from being watched, whereas confidentiality involves protection from verbal exchanges.
2. Privacy is the right to be free from intrusion into personal matters, whereas confidentiality is protection from sharing a person 's information. privacy is the condition of being free from being observed, confidentiality has to do with sharing someone else's information.
Benefits of membership in the ANA include all but which one of the following? 1. Advocacy for nurses' rights 2. Provision of lower-cost health insurance 3. Work toward a safer workplace 4. Improvement of patient safety
2. Provision of lower-cost health insurance ANA has nothing to do with health insurance
Effective followers are those who are: 1. Passive employees 2. Skilled and self-directed employees 3. Less valuable employees 4. Employees who are never supportive of new ideas
2. Skilled and self-directed employees
When conducting a SWOT analysis, the "T" represents: 1. Time spent in education 2. Threats to obtaining a position 3. Terminal degree expectations 4. Talking points for the interview
2. Threats to obtaining a position SWOT= Strengths, weaknesses, opportunities, threats
An important competency that nurse leaders need to develop in order to lead effectively is the: 1. Ability to be fi rm and inflexible 2. Ability to be close-minded and to ignore negative feedback 3. Ability to communicate effectively with others 4. Ability to follow orders without questioning them
3. Ability to communicate effectively with others
A nursing student is preparing for a first job interview. What should the nursing student research about the organization before going to the interview? 1. Review the salary scale. 2. Research the benefits package offered to employees. 3. Become familiar with the organization's mission and core values. 4. Ask nurses who work at the agency how many patients they are assigned.
3. Become familiar with the organization's mission and core values. before attending an interview, review the organization, this demonstrates you have an interest
Autocratic leaders: 1. Postpone decision making as long as possible 2. Share leadership with members of the team 3. Give orders and make decisions without consulting the team 4. Encourage creativity when problem solving
3. Give orders and make decisions without consulting the team
Nurses at a community hospital are in an education program to learn how to use a new pressure-relieving device for patients at risk for pressure ulcers. This is which type of education? 1. Continuing education 2. Graduate education 3. In-service education 4. Professional registered nurse education
3. In-service education it takes place within an institution or agency. It is usually directed at teaching nurses who work in the institution about a new policy, standard, or type of equipment.
A nurse is caring for a patient who feels that life should not be prolonged when hope is gone. She has decided that she does not want extraordinary measures taken when her life is at its end. She has discussed her feelings with her family and health-care provider. The nurse realizes that this is an example of: 1. Affirming a value 2. Choosing a value 3. Prizing a value 4. Reflecting a value
3. Prizing a value it means being satisfied with a choice and being willing to declare the choice to others.
Nursing has its origins with : 1. Florence Nightingale 2. Th e Knights of Columbus 3. Religious orders 4. Wars and battles
3. Religious orders such as the Sisters of Mercy assumed the role of nursing the sick and infirm.
A nurse is caring for a patient who is diagnosed with coronary artery disease and sleep apnea. Which action should the nurse delegate to the NAP? 1. Discuss weight-loss strategies such as diet and exercise with the patient. 2. Teach the patient how to set up the CPAP machine before sleeping. 3. Remind the patient to sleep on his side instead of his back. 4. Administer modafinil (Provigil) to promote daytime wakefulness.
3. Remind the patient to sleep on his side instead of his back.
A democratic nurse leader consistently works to: 1. Move the group toward the leader's goals 2. Make little or no attempt to move the group 3. Share leadership with the group 4. Dampen creativity
3. Share leadership with the group democratic (participative) leaders are characterized by their inclusion of team members in important decisions
Who stated that the "function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death)"? 1. Henderson 2. Rogers 3. Robb 4. Nightingale
4. Florence Nightingale She defined nursing function in both the sick and well state.
An emotionally intelligent nurse leader: 1. Seeks the emotional support of others 2. Cannot juggle multiple demands 3. Works alone without help 4. Welcomes constructive criticism
4. Welcomes constructive criticism emotionally intelligent leaders can welcome criticism that is constructive and acknowledge other team members perspectives
Several studies have shown that although care planning and advance directives are available to clients, only a minority actually complete them. Which of the following has been shown to be related to completing an advance directive? Select all that apply. 1. African American race 2. Younger age 3. History of chronic illness 4. Lower socioeconomic status 5. Higher education
5. Higher education
What are the 4 main principles that are part of the nursing code of ethics.
Autonomy Beneficence Justice Non-maleficence
Will a nurse still be able to practice nursing while participating in the Intervention Project for Nurses (IPN)?
Initially, the nurse may be required to refrain from nursing practice during the evaluation phase and any resulting treatment. The nurse may resume nursing practice when given authorization to do so by IPN or the Florida Board of Nursing
The ANA ' s mission is :
Nurses advancing our profession to improve health for all
The ANA advances the profession by
fostering high standards of nursing practice, promoting a safe and ethical work environment, bolstering the health and wellness of nurses, and advocating on health-care issues that affect nurses and the public
A nursing student is preparing a résumé to send to prospective employers. What qualities should the nursing student emphasize? Select all that apply. 1. Responsibility and accountability 2. Integrity 3. Interpersonal skills 4. Social skills 5. Family values
1. Responsibility and accountability 2. Integrity 3. Interpersonal skills responsibility, integrity and interpersonal skills along with written and oral communication skills are most sought
What is the purpose of a cover letter when applying for a position? 1. Introduces the applicant 2. States the employment goal 3. Outlines the applicant's position in the community 4. Describes the reason for entering nursing
1. Introduces the applicant
A nurse is working on an ethics committee to determine the best course of action for a patient who is dying. The nurse considers the positive and negative outcomes of the decision to assist with choices. Which best describes the distinction of using a list when making an ethical decision? 1. The nurse can back up her reasons for why she has decided to provide a certain type of care. 2. The nurse can compare the benefits of one choice over another. 3. The nurse can communicate the best choice of action to the interdisciplinary team. 4. The nurse can provide care based on developed policies and standards.
2. The nurse can compare the benefits of one choice over another creating a list of positive and negatives helps when difficult choices need to be made, allowing you to compare the benefits of making a choice versus the potential disadvantages.
Will participation in the Intervention Project for Nurses (IPN) protect my nursing license from discipline by the Florida Board of Nursing?
Being unable to practice nursing safely due to use of drugs, alcohol, chemicals, a mental condition, or the possession or distribution of controlled drugs for other than legitimate purposes is a violation of the Nurse Practice Act that can result in disciplinary action taken against a nurse's license by the Florida Board of Nursing.
Th eNCLEX® for nurses is exactly the same in every state in the United States. The examination: 1. Guarantees safe nursing care for all patients 2. Ensures standard nursing care for all patients 3. Ensures that honest and ethical care is provided 4. Provides a minimal standard of knowledge for a registered nurse in practice
4. Provides a minimal standard of knowledge for a registered nurse in practice The NCLEX exam ensures that the registered nurse has achieved the minimum knowledge and skills necessary to enter practice.
What type of résumé is useful in showing stable employment without gaps or many job changes? 1. Standard 2. Chronological 3. Functional 4. Combination
2. Chronological
The patient with COPD has a nursing diagnosis of Ineffective Breathing Pattern. Which is an appropriate action to delegate to the experienced LPN under your supervision? 1. Observe how well the patient performs pursed-lip breathing. 2. Plan a nursing care regimen that gradually increases activity intolerance. 3. Assist the patient with basic activities of daily living. 4. Consult with the physical therapy department about reconditioning exercises.
1. Observe how well the patient performs pursed-lip breathing. LPNs can use observation of patients to gather data regarding how well patients perform interventions that have already been taught
A nurse is helping an NAP provide a bed bath to a comatose patient who is incontinent. Which of the following actions requires the nurse to intervene? 1. The nursing assistant answers the phone while wearing gloves. 2. The nursing assistant log-rolls the client to provide back care. 3. The nursing assistant places an incontinence diaper under the client. 4. The nursing assistant positions the client on the left side, head elevated.
1. The nursing assistant answers the phone while wearing gloves. gloves are contaminated and should be removed before answering the phone
Health Insurance Portability and Accountability Act (HIPAA) regulations guard confidentiality. In several situations, confidentiality can be breached and information can be reported to other entities. Which of the following meet these criteria? Select all that apply. 1. The patient is from a correctional institution. 2. The situation involves child abuse. 3. An injury occurred from a firearm. 4. The patient is a physician. 5. The breach of information was unintentional.
2. The situation involves child abuse. 3. An injury occurred from a firearm. although HIPAA provides protections for patient privacy, exceptions typically include care related to criminal acts
Transformational nursing leaders have the ability to: 1. Increase the negativity of the team 2. Work best alone 3. Define the group's mission and communicate that mission to others 4. Pay close attention to the weaknesses and shortcomings of others
3. Define the group's mission and communicate that mission to others they help their teams define their mission and see how their work helps them achieve their mission
A nurse is assigned to care for the following patients. Which patient should the nurse assess first? 1. A 60-year-old patient on a ventilator for whom a sterile sputum specimen must be sent to the laboratory 2. A 55-year-old with COPD and a pulse oximetry reading from the previous shift of 90% saturation 3. A 70-year-old with pneumonia who needs to be started on IV antibiotics 4. A 50-year-old with asthma who complains of shortness of breath after using a bronchodilator
4. A 50-year-old with asthma who complains of shortness of breath after using a bronchodilator patients needs are urgent, always ABCs in priority management and acute before chronic
A respiratory therapist performs suctioning on a patient with a closed head injury who has a tracheostomy. Afterward, the NAP obtains vital signs. The nurse should communicate that the NAP needs to report which vital sign value or values immediately? Select all that apply. 1. Heart rate of 96 beats/min 2. Respiratory rate of 24 breaths/min 3. Pulse oximetry of 95% 4. Tympanic temperature of 101.4°F (38.6°C)
4. Tympanic temperature of 101.4°F (38.6°C) patient has a trach and is at risk for infection, elevated temp indicates infection and should be reported immediately
Which of the following demonstrates a nurse as advocating for a patient? The nurse 1. calls a nursing supervisor in conflicting situations. 2. reviews and understands the law as it applies to the client's clinical condition. 3. documents all clinical changes in the medical record in a timely manner. 4. assesses the client's point of view and prepares to articulate this point of view.
4. assesses the client's point of view and prepares to articulate this point of view. you strengthen your ability to advocate for a client when you are able to identify personal values and accurately identify the values of the client and articulate their point of view
. 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 non-nursing colleague asks about this code. Which of the following statements best describes this code? 1. Improves communication between the nurse and the patient 2. Protects the patient ' s right of autonomy 3. Ensures identical care to all patients 4. Acts as a guide for professional behaviors in giving patient care
4.Acts as a guide for professional behaviors in giving patient care Codes of ethics provide guidelines for appropriate professional behaviors and guide practice.
A nurse is caring for a patient who has chronic obstructive pulmonary disease (COPD) and is 2 days postoperative after a laparoscopic cholecystectomy. Which intervention for airway management should the nurse delegate to an NAP? 1. Assisting the patient to sit up on the side of the bed 2. Instructing the patient to cough effectively 3. Teaching the patient to use incentive spirometry 4. Auscultating breath sounds every 4 hours
1. Assisting the patient to sit up on the side of the bed
An experienced LPN is working under the supervision of the RN. The LPN is providing nursing care for a patient who has a respiratory problem. Which activities should the RN delegate to the experienced LPN? Select all that apply. 1. Auscultate breath sounds. 2. Administer medications via metered-dose inhaler (MDI). 3. Complete in-depth admission assessment. 4. Initiate the nursing care plan. 5. Evaluate the patient's technique for using MDIs.
1. Auscultate breath sounds. 2. Administer medications via metered-dose inhaler (MDI).
A patient asks a nurse if he has to agree to the health provider' s treatment plan. The nurse asks the patient about his concerns. Which ethical principle is the nurse applying in this situation? Select all that apply. 1. Beneficence 2. Autonomy 3. Veracity 4. Justice
2. Autonomy when you ask about concerns, you're exploring the reasons and allowing the patient to make his own decision
An assistant nurse manager is making assignments for the next shift. Which patient should the assistant nurse manager assign to a nurse with 6 months of experience and who has been floated from the surgical unit to the medical unit? 1. A 58-year-old on airborne precautions for tuberculosis (TB) 2. A 68-year-old who just returned from bronchoscopy and biopsy 3. A 69-year-old with COPD who is ventilator dependent 4. A 72-year-old who needs teaching about the use of incentive spirometry
4. A 72-year-old who needs teaching about the use of incentive spirometry many surgical patients are taught about coughing, deep breathing and use of incentive spirometer
