PrepU Fundamentals of Nursing N1 Quiz 4

A nursing instructor is discussing a nursing student's social media post about an interesting client situation that happened during clinical. The student states, "I didn't violate client privacy because I didn't use the client's name." What response by the nursing instructor is most appropriate? "You may continue to post about a client you cared for during clinicals, as long as you do not use the client's name." "All aspects of the clinical experience are confidential and should not be discussed." "The information being posted on social media is inappropriate. Make sure to discuss information about clients privately with friends and family." "Any information that can identify a person is considered a breach of client privacy."

"Any information that can identify a person is considered a breach of client privacy."

A nurse is reviewing a client's laboratory values. Which laboratory value would be indicative of a client's level of malnutrition? Creatinine Hemoglobin Oxygen saturation Serum albumin

Serum albumin

Which is the nurse's best legal safeguard? competent practice collective bargaining client education written or implied contracts

competent practice

A client is requesting to view all medical record information regarding the care received while hospitalized. What right does the client have regarding accessing the medical record according to HIPAA regulations? Select all that apply. To see the health record To cross out sections of the health record To restrict certain disclosures of the health record To copy the health record To make additions to the health record

To see the health record To copy the health record To restrict certain disclosures of the health record

A nurse is considering accepting a new position in an ambulatory care center. What roles does the nurse understand are likely in this setting? Select all that apply. Teaching clients about wellness and illness Triaging walk-in clients Prescribing medications Assisting with minor surgical procedures Performing physical assessments

Triaging walk-in clients Teaching clients about wellness and illness Assisting with minor surgical procedures Performing physical assessments

The student nurse is having difficulty feeling the pedal pulse of the client with a fractured leg. What should the nurse do next? Ask another student nurse to check it for him. Connect the client to the oxygen saturation monitoring device. Use the Doppler ultrasound device. Use the Bell side of the stethoscope to listen.

Use the Doppler ultrasound device.

A nurse is reading an article about malpractice and nursing. The nurse demonstrates understanding of the article when the nurse identifies which element as necessary to prove malpractice? Select all that apply. duty damages breach of duty disclosure causation

duty damages breach of duty causation

The nurse is participating in a discussion about controlled substances. Which statement by the nurse indicates she is aware of laws governing the distribution of controlled substances? "An impaired nurse is promptly punished by being terminated and having his or her license suspended." "The nurse is only at risk if she diverts medication from the client; using personal drugs decrease your risk." "When a nurse misuses controlled substances in the workplace and gets help, she will not be charged with a criminal act." "Nurses are responsible for adhering to specific documentation about controlled substances."

"Nurses are responsible for adhering to specific documentation about controlled substances."

In order to maintain effective hand hygiene, what is the minimal amount of time that a nurse should scrub hands that are not visibly soiled? 30 seconds 20 seconds 1 minute 5 minutes

20 seconds

During a nursing shift, which events warrant completion of an incident report? Select all that apply. A client falls while being transferred from the bed to the chair. An intravenous antibiotic was administered 2 hours late because the IV site infiltrated. A registered nurse asks an unlicensed assistive personnel (UAP) to feed a client. A nurse reports that a client is crying and distraught over a diagnosis of metastatic cancer. A visitor slipped and fell in the hallway, but was not injured.

An intravenous antibiotic was administered 2 hours late because the IV site infiltrated. A visitor slipped and fell in the hallway, but was not injured. A client falls while being transferred from the bed to the chair.

While the student nurses are orienting to the subacute facility where the they will do their clinical rotation, they ask their instructor why extended care facilities have proliferated in the past decade. Which of the following is the instructor's best response? "Subacute and other extended care facilities are primarily for clients who have decided against home health care, and there are many clients." "Subacute facilities primarily provide care to patients who lack caregivers at home. Because many clients have no extended family to care for them, there are a number of extended care facilities taking the place of family." "These days, clients are discharged from the hospital far too early to care for themselves, so we have seen a rise in the number of these facilities." "With the scarcity of health care dollars, clients are discharged to a lower level of care that is also less expensive when they no longer meet guidelines for acute care."

"With the scarcity of health care dollars, clients are discharged to a lower level of care that is also less expensive when they no longer meet guidelines for acute care."

A nurse is involved in ethical decision-making. Place the steps in the order that the nurse would follow to achieve an ethical decision. 1 Identify options and explore short- and long-term consequences. 2 Clarify that the issue is ethical in nature. 3 Determine the effectiveness of the decision and implications for the future. 4 Make the decision. 5 Describe the situation and factors associated with the ethical problem.

5, 2, 1, 4, 3 Describe the situation and factors associated with the ethical problem. Clarify that the issue is ethical in nature. Identify options and explore short- and long-term consequences. Make the decision. Determine the effectiveness of the decision and implications for the future.

The nurse receives a client assignment. Which client should the nurse see first? A client with right-sided heart failure with crackles in the lower lung bases bilaterally and 1+ pitting edema to the lower extremities A client with a history of stroke and right-sided weakness admitted for a new urinary tract infection A client admitted for chronic angina who is scheduled for an angiogram this afternoon A client admitted with pneumonia, who is restless and diaphoretic with an oxygen saturation of 90%

A client admitted with pneumonia, who is restless and diaphoretic with an oxygen saturation of 90%

Which circumstance likely requires the most documentation and communication on the part of the nurse? A client is being transferred from one medical unit of the hospital to another in order to accommodate a client on isolation precautions. A geriatric client is being transferred from a subacute medical unit to a new long-term care facility following his recovery from pneumonia. A client is returning to her assisted-living facility following her colonoscopy earlier that day. A client is being discharged home following a laparoscopic appendectomy 2 days earlier

A geriatric client is being transferred from a subacute medical unit to a new long-term care facility following his recovery from pneumonia.

A nurse has drafted an SBAR communication before contacting the primary care provider of a client whose condition has worsened suddenly. How should the nurse best conclude this communication? Ask the care provider to come and assess the client. Provide the most likely diagnosis of the problem. Ask the care provider if he or she is familiar with this client. Provide the client's most recent vital signs

Ask the care provider to come and assess the client.

A nurse is helping a client on hospice make an informed decision about his own health and life. Which nursing role has this nurse performed? Counselor Communicator Caregiver Advocate

Advocate

Medicare reimburses in-hospital costs based on a set payment for diagnosis-related groups (DRGs). When can the hospital achieve a profit for the care of the client using DRGs? Select all that apply. The client receives incompatible blood that requires a longer hospitalization. The client is discharged before the approved discharge date. The client reaches recovery outcomes without complication after the projected timetable. The client had a surgical procedure and experienced a pressure injury after the surgery. All of the hospitalization charges are less than projected

All of the hospitalization charges are less than projected. The client is discharged before the approved discharge date.

A client refuses to have pain medication administered by injection. The nurse states, "If you don't let me give you the shot, I will get help to hold you down and give it." What crime may the nurse be committing? battery defamation assault negligence

Assault

Which ethical principle is related to the idea of self-determination? Autonomy Nonmaleficence Confidentiality Beneficence

Autonomy

Which ethical principle refers to the obligation to do good? Nonmaleficence Fidelity Beneficence Veracity

Beneficence

A client with chronic pain uses a machine to monitor his physiologic responses to pain. The unit transforms the data into a visual display and through seeing the pain responses, the client is taught to regulate his physiologic response and control pain through relaxation, imagery, or breathing exercises. This technique for pain control is known as: Therapeutic Touch (TT). biofeedback. hypnosis. transcutaneous electrical nerve stimulation (TENS).

Biofeedback

Standard precautions apply to which items? Select all that apply. Intact skin Nonintact skin Mucous membranes Sweat Body fluid secretions Blood

Blood Body fluid secretions Mucous membranes Nonintact skin

A client in the last stages of pancreatic cancer tells the nurse, "I am tired of fighting. I am ready to die." What is the nurse's best action? Research other treatment options available for the client. Ask if the client would like to speak with a spiritual adviser. Remind the client that positive thoughts are essential for recovery. Collaborate with other disciplines to plan end-of-life care for the client.

Collaborate with other disciplines to plan end-of-life care for the client.

The nurse works on a busy unit at the hospital and maintains client confidentiality. What actions would the nurse take to ensure client information remains confidential? Select all that apply. Access client information on the portable computer in the hallway where visitors are present. Dispose of client SBAR forms in a secured container for shredding of documents at the end of the shift. Verify the number in the fax machine as correct prior to transmission. Print client information to a printer shared with another unit. Exit the client's room when called on the hospital-issued cell phone about another client on the team.

Dispose of client SBAR forms in a secured container for shredding of documents at the end of the shift. Exit the client's room when called on the hospital-issued cell phone about another client on the team. Verify the number in the fax machine as correct prior to transmission

A clinical nurse specialist is preparing a presentation for a group of colleagues about the current state of the health care delivery system. As part of the presentation, the nurse is planning to address trends that may play a role in shaping health care delivery in the near future. Which information would the nurse most likely include? Select all that apply. Abundance of key health care professionals available Rise in accessible health information due to technology Greater numbers of informed persons using health care services Reduction in the numbers of diverse individuals seeking care Increased focus on the treatment of disease

Greater numbers of informed persons using health care services Rise in accessible health information due to technology

The local community hospital is hosting a seminar on trends in healthcare and healthcare cost reduction. The nurse-presenter is discussing cost reduction techniques that also emphasize improved client outcomes. Which cost-cutting changes is most likely to facilitate improved client outcomes? Improving transitions across settings Comparative effectiveness analysis Increased emphasis on capitation and managed care A prospective payment system such as DRGs

Improving transitions across settings

In the delivery of care, the nurse acts in accordance with nursing standards and the code of ethics and reports a medication error that the nurse has made. The nurse is most clearly demonstrating which professional value? Human dignity Integrity Social justice Altruism

Integrity

A nurse finds that her client is not achieving the set outcomes for care and reviews the plan. Which actions are appropriate changes for the nurse to make in the plan of care? Select all that apply. Modify the nursing diagnosis. Make no changes to the plan of care Adjust the time limits on the outcome statement. Make the outcome statement more realistic. Increase the complexity of the outcome statement.

Modify the nursing diagnosis. Make the outcome statement more realistic. Adjust the time limits on the outcome statement. Increase the complexity of the outcome statement.

A client is being prepared for discharge from the hospital after an exacerbation of heart failure. The client needs assessment of cardiac status, instruction in medications and diet therapy as well as exercises to increase endurance and stamina. The client also needs assistance with self-care, both in performing it now and learning how to adapt to the limitations to maintain independence. The client also lives alone with an older adult, frail spouse. In addition to the client's physician, which members of the interdisciplinary team would need to be involved? Select all that apply. Physical therapist Respiratory therapist Nurse Unlicensed assistive personnel Occupational therapist Social worker

Nurse Physical therapist Occupational therapist Unlicensed assistive personnel Social worker

A nurse is admitting a client to a geriatric medicine unit. Which nursing action would the nurse perform to reduce the client's risk for a fall? Orient the client to the room and environment upon admission. Place the client in a shared room with a client who is stable and oriented. Administer pain medications sparingly in order to minimize any cognitive side effects. Provide the client with a bedpan to reduce ambulating to the restroom

Orient the client to the room and environment upon admission.

The family of a terminally ill client asks the nurse about respite care. What does the nurse educate the family about regarding respite care? Respite care requires a referral by a health care provider Respite care is provided primarily by the RN in the client's home Respite care is often provided by volunteers Respite care is covered by Medicare and Medicaid.

Respite care is often provided by volunteers

The client is having difficulty breathing. The respiratory rate is 44 and the oxygen saturation is 89% (0.89 L). The nurse raises the head of the bed and applies oxygen at 3 L/min per nasal cannula. How does the nurse determine the effectiveness of the interventions? Select all that apply. The client's oxygen saturation level increases. The client's family asks if the client is going to be okay. The client states, "I can breathe easier now." The client is watching television. The client's respiratory rate decreases.

The client's respiratory rate decreases. The client states, "I can breathe easier now." The client's oxygen saturation level increases

What would describe clients as health care consumers today? Select all that apply. Most clients are less concerned about health care costs as long as they receive good care. The clients express concern regarding access to care and the quality of service. The clients have helped develop clients' rights and cost-containment measures. The clients prefer to control the decisions made about their own health care. The clients often have health information obtained from the Internet

The clients often have health information obtained from the Internet. The clients prefer to control the decisions made about their own health care. The clients express concern regarding access to care and the quality of service. The clients have helped develop clients' rights and cost-containment measures

Which nurses are acting as an advocate for the client? Select all that apply. The nurse informs the family of a terminally ill client that the client does not want further treatment and wants to go to hospice care. The client is taking oxycodone/acetaminophen for pain and reports the pain is unrelieved. The nurse states, "There is nothing else we can do for your pain." The primary care provider (PCP) informed the client about needing to have a surgical procedure performed. After the PCP left, the nurse asked the client, "What are you feeling after being told you need surgery?" The stable client is hospitalized on a religious holy day and requests to talk to a minister. The nurse states to the client, "The ministers are too busy to see you today. I'll request the minister to see you tomorrow." The postoperative client expresses an inability to void in the urinal in bed. The client believes that standing would allow the client to void. The nurse assists the client to a standing position.

The nurse informs the family of a terminally ill client that the client does not want further treatment and wants to go to hospice care. The postoperative client expresses an inability to void in the urinal in bed. The client believes that standing would allow the client to void. The nurse assists the client to a standing position. The primary care provider (PCP) informed the client about needing to have a surgical procedure performed. After the PCP left, the nurse asked the client, "What are you feeling after being told you need surgery?"

In which situation is an alcohol-based rub an inappropriate option for hand hygiene? When the nurse is caring for a client with an active infection When the nurse leaves the room of an immunocompromised client When the nurse anticipates contact with the client's skin When the nurse's hands are visibly soiled

When the nurse's hands are visibly soiled

The nurse is caring for a client with a new diagnosis of cancer, and allows the client to verbalize fears relating to how to tell the children. The nurse's intervention reflects which aspect of nursing? evidence-based practice art of nursing application of research science of nursing

art of nursing

A nurse consults with a nurse practitioner trained to perform acupressure to teach the method to a client being discharged. What process is involved in this pain relief measure? percutaneous electrical nerve stimulation patient controlled analgesia cutaneous stimulation biofeedback

cutaneous stimulation

The unit manager at a long-term care facility is concerned with the recent weight loss of several residents. The nurse plans a staff in-service to discuss weight loss in older adults, including identifying what possible causes? Select all that apply. decreased thirst and smell alterations in taste lack of diversional activities lack of good food choices decline in physical activity

decreased thirst and smell alterations in taste lack of good food choices decline in physical activity

The nurse is caring for clients in a hospital setting. Which situations encountered by the nurse have a significant ethical component? Select all that apply. deciding how to reassign staff in light of budget cuts deciding which continuing education offerings should be chosen deciding when to stop cardiopulmonary resuscitation (CPR) on a client in cardiac arrest helping a client make end-of-life decisions addressing a suspected breach in confidentiality

helping a client make end-of-life decisions addressing a suspected breach in confidentiality deciding how to reassign staff in light of budget cuts deciding when to stop cardiopulmonary resuscitation (CPR) on a client in cardiac arrest

The nurse has collected data related to the recent occurrence of several Health Care Associated Infections (HCAIs) in the acute care facility. What nursing interventions should be implemented to decrease Health Care Associated Infections (HCAIs)? Select all that apply. recommend that the provider consider preventative antibiotic use select appropriate Personal Protective Equipment (PPE) for all isolation patients cluster patients with similar conditions encourage clients to receive vaccinations wash hands before and after client care

wash hands before and after client care encourage clients to receive vaccinations cluster patients with similar conditions select appropriate Personal Protective Equipment (PPE) for all isolation patients