Test 8

What are the key factors in your final preparation? SATA 1. Remain focused on study plan 2. Visualize the RN after your name 3.Avoid studying the day before and relax 4. Know where the testing center is and how long it takes to get there

1234

7. The murse working in a community outreach program for foster children plans care knows that which health con- ditions are common in this population? Select all that apply. 1. Asthma 2. Claustrophobia 3. Sleep problems 4. Bipolar disorder 5. Aggressive Dehavior 6. Attention-deficit hyperactivity disorder (ADHD)

3 4 5 6

A client is brought to the emergency department by EMS after being hit by a car. the name of the client is unknown and the client has sustained a severe head injury and multiple fractures and is unconscious. an emergency craniotomy is required. regarding informed consent for surgical procedure, which is the best action? 1. obtain court order 2. ask the EMS to sign informed consent 3. transport to operation room 4. call police to ID client and locate family

3.

5. A nurse manager is providing information about the audit process to members of the nursing team. Which of the following information should the nurse manager include? (Select all that apply.) a. a structure audit evaluates the setting and resources available to provide care. b. an outcome audit evaluates the results of the nursing care provided. c. a root cause analysis is indicated when a sentinel event occurs. d. Retrospective audits are conducted while the client is receiving care. e. after data collection is completed, it is compared to a benchmark.

a, b, c, e

13. Rehospitalization has become an increasingly costly issue in the health care system. What are the some of causative factors for rehospi- talization within 30 days of discharge?

Some of the causative factors for rehospitalization within 30 days of discharge are problems in discharge planning processes, patients' inability to manage their own care, and poor communication between the hospital and the next level of care.

4. a nurse manager is developing an orientation plan for newly licensed nurses. Which of the following information should the manager include in the plan? (Select all that apply.) a. Skill proficiency b. assignment to a preceptor c. Budgetary principles d. Computerized charting e. Socialization into unit culture f. Facility policies and procedures

a, b, d, e, f

1. A nurse is advocating for local leaders to placea newly‐approved community health clinic in an area of the city that has fewer resources than other areas. The nurse is advocating for the leaders to uphold which of the following ethical principles? a. Distributive justice b. Fidelity c. Respect for autonomy d. veracity

a

1. A nurse is working with a client who has systemic lupus erythematosus and recently lost their health insurance. which of the following actions should the nurse take in the implementation phase of the case management process? a. Coordinating services to meet the client's needs b. Comparing outcomes with original goals c. Determining the client's financial constraints d. Clarifying roles of interprofessional team members

a

1. A nurse witnesses an assistive personnel (AP) they are supervising reprimanding a client for not using the urinal properly. The AP threatens to put a diaper on the client if the urinal is not used more carefully next time. Which of the following torts is the AP committing? a. Assault b. Battery c. False imprisonment d. Invasion of privacy

a

1. What steps can the nurse take to present the need for a change in care practice to her peers? a. Determine best practices from valid research studies b. Inform the nurses that they need to further their education c. Tell the nurse manager that she needs to implement the changes d. Have the physician write prescriptions for all patients at risk for VAP

a

2. An RN on a medical‐surgical unit is making assignments at the beginning of the shift. Which of the following tasks should the nurse delegate to the PN? a. Obtain vital signs for a client who is 2 hr post procedure following a cardiac catheterization. b. Administer a unit of packed red blood cells (RBCs) to a client who has cancer. c. Instruct a client who is scheduled for discharge in the performance of wound care. d. Develop a plan of care for a newly admitted client who has pneumonia.

a

2. What underlying focus in any definition of nursing is the registered nurse's responsibility in practice? a. Appraise and enhance an individual's health-seeking perspective b. Coordinate a patient's total health man- agement with all disciplines c. Diagnose acute pathology d. Treat acute clinical reactions to chronic illness

a

4. A nurse developing a community health program is determining barriers to community resource referrals. which of the following factors should the nurse include as an example of a resource barrier? a. Costs associated with services b. Decreased motivation c. Inadequate knowledge of resources d. Lack of transportation

a

7. A nurse is hired to replace a staff member who has resigned. after working on the unit for several weeks, the nurse notices that the unit manager does not intervene when there is conflict between team members, even when it escalates. Which of the following conflict resolution strategies is the unit manager demonstrating? a. avoidance b. Smoothing c. Cooperating d. negotiating

a

which health promotion model does the nurse id is the reason some people choose actions to foster health and others refuse to participate? a. health belief model b. resource model of preventative health c. achieving health for all d. social learning theory

a

The nurse is aware that the Institute for Healthcare Improvement (IHI) Ventilator Bundle has determined interventions that can improve patient outcomes. What interven- tions can the unit adopt to improve this care for the patients on ventilators? (Select all that apply.) a. Provide oral care with chlorhexidine b. Place the patient in the prone position c. Keep the head of the bed elevated at all times d. Keep the patient sedated .e. Turn the patient every 4 hours

a c e

3. A patient who adheres to the dietary laws of Judaism is in traction and confined to bed. The patient needs assistance with the evening meal of chicken, rice, beans, a roll, and a carton of milk. Which nursing approach is most representative of promoting wellness? a. Remove items from the overbed table to make room for the dinner tray b. Push the overbed table toward the bed so that it will be within the patient's reach when the dinner tray arrives c. Ask a family member to assist the patient with the tray and the overbed table, then Straighten the area in an attempt (o provide a pleasant atmosphere for eating d. Ask whether the patient would like to make any substitutions in the foods and fluids received

d

4. The home health nurse and the parish nurse have separate roles in health care. What is the common factor that all community-based nurses share? a. They all take care of patients in a commu- nity setting. b. They all take care of patients after they are discharged from the hospital. c. They all take care of the patients in their home setting. d. They focus on community needs as well as the needs of individual patients.

d

5. A nurse manager is providing information to the nurses on the unit about ensuring client rights. Which of the following regulations outlines the rights of individuals in health care settings? a. American Nurses Association Code of Ethics b. HIPAA c. Patient Self‐Determination Act d. Patient Care Partnership

d

7. A nurse is caring for a client who is medically unstable. The client's adult child informs the nurse that the client has a DNR prescription with their primary care provider. Which of the following actions should the nurse take? a. Assume that the client does not want to be resuscitated and take no action if they experience cardiac arrest. b. Write a note on the front of the provider prescription sheet asking that the DNR be represcribed. c. Write a DNR prescription in the client's medical record. d. Call the provider to verify the existence of an active DNR prescription.

d

Which identifies accurate nursing documentation notations? Select all that apply. 1. The client is resting in bed with the eyes closed. 2. Abdominal wound dressing is dry and intact without drainage. 3. The client seemed angry when awakened for vital sign measurement. 4. The client appears to become anxious when it is time for respiratory treatments. 5. The client's left lower medial leg wound is 3 cm in length without redness, drainage, or edema.

1 2 5

The charge nurse is planning the assignment for the day. Which factors should the nurse remain mindful of when planning the assignment? Select all that apply. 1. The acuity level of the clients 2. Specific requests from the staff 3. The clustering of the rooms on the unit 4. The number of anticipated client discharges 5. Client needs and workers' needs and abilities

1 5

The nurse has just assigned a client back to bed after a fall. the nurse and PHCP have assessed the client and have determined that the client is not injured. after completing the occurrence report, the nurse should implement which action next? 1. Reassess client 2. Conduct staff meeting about the fall 3. Contact nursing supervisor to update info 4. document in nurses note that occurrence report was completed.

1.

What are the factors needed to ensure a productive study environment SATA 1. Secure a location that offers solitude 2. Plan breaks during your study session 3. Establish a realistic study schedule that includes your goals 4. Continue with the study pattern that works best for you

1234

What key points do the "pathway to success" emphasize to help ensure your excess? SATA 1. A strong positive attitude 2. Believing in your ability to succeed 3. Being proud and confident in your achievements 4. Maintaining control of your mind, surrounding environment and physical being

1234

The nurse has made an error in a narrative documentation of an assessment finding on a client and obtains the client's record to correct the error. The nurse should take which actions to correct the error? Select all that apply. 1. Document a late entry in the client's record. 2. Draw 1 line through the error, initialing and dating it. 3. Try to erase the error for space to write in the correct data. 4. Use whiteout to delete the error to write in the correct data. 5. Write a concise statement to explain why the correction was needed. 6. Document the correct information and end with the nurse's signature and title.

2 6

Nursing staff members are sitting in the lounge taking their morning break. An unlicensed assistive personnel (UAP) tells the group that she thinks that the unit secretary has acquired immunodeficiency syndrome (AIDS) and proceeds to tell the nursing staff that the secretary probably contracted the disease from her husband, who is supposedly a drug addict. The registered nurse should inform the UAP that making this accusation has violated which legal tort? 1. Libel 2. Slander 3. Assault 4. Negligence

2.

The nurse arrives at work and is told to report to the intensive care unit for the day because ICU is understaffed and needs help. The nurse has never worked in the ICU. the nurse should take which best action? 1. Refuse to float to the ICU based on lack of unit orientation. 2. Clarify with the team leader to make a safe ICU client assignment. 3. Ask the nursing supervisor to review the hospital policy on floating. 4. Submit a written protest to nursing administration, and then call the hospital lawyer.

2.

The nurse employed in a hospital is waiting to receive a report from the laboratory via the facsimile (fax) machine. The fax machine activates and the nurse expects the report, but instead receives a sexually oriented photograph. Which is the most appropriate initial nursing action? 1. Call the police. 2. Cut up the photograph and throw it away. 3. Call the nursing supervisor and report the incident. 4. Call the laboratory and ask for the name of the individual who sent the photograph.

3.

The nurse hears a client calling out for help, hurries down the hallway to the client's room, and finds the client lying on the floor. The nurse performs an assessment, assists the client back to bed, notifies the health care provider of the incident, and completes an incident report. Which statement should the nurse document on the incident report? 1. The client fell out of bed. 2. The client climbed over the side rails. 3. The client was found lying on the floor. 4. The client became restless and tried to get out of bed.

3.

The nurse who works on the night shift enters the medication room and finds a co-worker with a tourniquet wrapped around the upper arm. The co-worker is about to insert a needle, attached to a syringe containing a clear liquid, into the antecubital area. Which is the most appropriate action by the nurse? 1.Call security. 2.Call the police. 3.Call the nursing supervisor. 4.Lock the co-worker in the medication room until help is obtained.

3.

8. The nurse planning care for a military veteran must prioritize nursing interventions targeted at managing which condition, it present, that commonly occurs in this population? 1Hypertension 2. Hyperlipidemia 3Substance abuse disorder 4Post-traumatic stress disorder

4

A client scheduled for surgery states to the nurse " Im not sure i should have surgery". which response by the nurse is appropriate ? 1. Its your decision 2. "Don't worry everything will be fine" 3. why don't you want to have this surgery 4. tell me what your concerns are about this surgery

4.

A hospitalized client tells the nurse that an instructional directive is being prepared and that the lawyer will be bringing the document to the hospital today for witness signatures. The client asks the nurse for assistance in obtaining a witness to the will. Which is the most appropriate response to the client? 1. "I will sign as a witness to your signature." 2. "You will need to find a witness on your own." 3. "Whoever is available at the time will sign as a witness for you." 4. "I will call the nursing supervisor to seek assistance regarding your request."

4.

A nursing graduate is attending an agency orientation regarding the nursing model of practice implemented in the health care facility. The nurse is told that the nursing model is a team nursing approach. The nurse determines that which scenario is characteristic of the team-based model of nursing practice? 1. Each staff member is assigned a specific task for a group of clients. 2. A staff member is assigned to determine the client's needs at home and begin discharge planning. 3. A single registered nurse (RN) is responsible for providing care to a group of 6 clients with the aid of an unlicensed assistive personnel (UAP). 4. An RN leads 2 licensed practical nurses (LPNs) and 3 UAPs in providing care to a group of 12 clients.

4.

A nursing instructor delivers a lecture to nursing students regarding the issue of client's rights and asks a nursing student to identify a situation that represents an example of invasion of client privacy. Which situation, if identified by the student, indicates an understanding of a violation of this client right? 1. Performing a procedure without consent 2. Threatening to give a client a medication 3. Telling the client that he or she cannot leave the hospital 4. Observing care provided to the client without the client's permission

4.

The nurse manager has implemented a change in the method of the nursing delivery system from functional to team nursing. An unlicensed assistive personnel (UAP) is resistant to the change and is not taking an active part in facilitating the process of change. Which is the best approach in dealing with the UAP? 1. Ignore the resistance. 2. Exert coercion on the UAP. 3. Provide a positive reward system for the UAP. 4. Confront the UAP to encourage verbalization of feelings regarding the change

4.

5. How should the registered nurse be respon- sive to the changing health care needs of society? a. Focus care on the traditional disease- oriented approach to patient care, because hospitalized patients today are more acutely ill than they were 10 years ago b. Learn how to delegate discharge planning to ancillary personnel so that registered nurses can spend their time managing the "high-tech" equipment needed for patient care C.Place increasing emphasis on wellness, health promotion, and self-care, because the majority of Americans today suffer from chronic debilitative illness d. Stress the curative aspects of illness, especially the acute, infectious disease processes

C

6. Continuous quality improvement (CQI was mandated in health care organizations in 1992. What does the nurse understand is the primary purpose of CQI? a. Identify measures to ensure minimal expectations of care b. Assess the impact of financial decisions on patient care delivery C.Examine processes that affect patient care and the need for improvement d. Review medication errors for individual patients

C

6. The nurse is caring for a patient who is to be discharged from the acute care facility to a rehabilitation unit after having a stroke. What type of prevention is this considered to be? a. Primary b. Secondary c. Tertiary d. Rehabilitation

C

7. Which statement by the nurse shows an understanding of the focus of the quality assurance programs developed in the 1980s? a. "The quality assurance programs focus on individual incidents or errors and minimal expectations" b.The quality assurance programs focus on decreasing the cost of health care for the consumer" c. The quality assurance programs focus on processes used to provide care and improv- ing those processes" d. "The quality assurance programs focus on coordinating care for patients"

C

11. The three components that the Quality and Safety

Education for Nurses (QSEN) uses to prepare nurses for improving the quality and safety of the health care system are knowledge, skills, and attitudes

4. A nurse is serving as a preceptor to a newly licensed nurse and is explaining the role of the nurse as advocate. Which of the following situations illustrates the advocacy role? (Select all that apply.) a. Verifying that a client understands what is done during a cardiac catheterization b. Discussing treatment options for a terminal diagnosis c. Informing members of the health care team that a client has do‐not‐resuscitate status d. Reporting that a health team member on the previous shift did not provide care as prescribed e. Assisting a client to make a decision about their care based on the nurse's recommendations

a, c, d

1. A nurse is assisting with the discharge planning for a client. Which of the following actions should the nurse take? (Select all that apply.) a. Determine the client's need for home medical equipment. b. Provide a list of all the medications the client received in the facility. c. Obtain printed instructions for medication self‐administration. d. Provide the family with a list of community agencies that can provide assistance. e. Discuss the importance of attending follow‐up appointments

a, c, d, e

1. A nurse manager is observing the actions of a nurse they are supervising. Which of the following actions by the nurse requires the nurse manager to intervene? (Select all that apply.) a. Reviewing the health care record of a client assigned to another nurse b. Making a copy of a client's most current laboratory results for the provider during rounds c. Providing information about a client's condition to hospital clergy d. Discussing a client's condition over the phone with an individual who has provided the client's information code e. Participating in walking rounds that involve the exchange of client‐related information outside clients' rooms

a,b,c,e

1. A nurse is reviewing data on the rates of varicella zoster (chicken pox) for a county. If there were 416 cases of varicella in one year among a population of 32,000 people, what should the nurse record as the incidence rate per 1,000 people?

a. 13 cases per 1,000 people

1. A nurse is determining the attack rate following an E. coli outbreak at a restaurant. If 84 people ate contaminated lettuce, and 13 people developed an E. coli infection, what should the nurse conclude as the attack rate?

a. 15 percent

what primary nutritional nursing consideration should be included in the physical assessment of an older adult patient? a. Altered metabolism and nutrient use secondary to an acute and chronic illness b. Decreased appetite related to loneliness c. limited financial resources d. the pt ability to shop for an prepare food

a. Altered metabolism and nutrient use secondary to an acute and chronic illness

what does the patient have the right to know about the data collected by the nurse? (SATA) a. how the info will be used b. why the info is contained c. what type of document is being used d. whether the info will be held in confidence e. when the faculty will be held in confidence

a. how the info will be used c. what type of document is being used d. whether the info will be held in confidence

1. A newly licensed nurse is preparing to insert an IV catheter in a client. Which of the following sources should the nurse use to review the procedure and the standard at which it should be performed? a. Website b. Institutional policy and procedure manual c. More experienced nurse d. State nurse practice act

b

1. A nurse is reviewing the various roles of a community health nurse. which of the following actions is an example of a nurse functioning as a consultant? a. Advocating for federal funding of local health screening programs b. Updating state officials about health needs of the local community c. Facilitating discussion of a client's ongoing needs with an interprofessional team

b

3. A case manager is discussing critical pathways with a group of newly hired nurses. Which of the following statements indicates understanding? a. "The time to fill out the pathways often increases the cost of care." b. "The pathway shows an estimate of the number of days the client will be hospitalized." c. "Deviance from the pathway is a sign of improved care quality." d. "The pathway includes information about the client's history."

b

How can the ICU improve the care of the patients with VAP? a. Have respiratory therapy take care of all of the ventilator patients b. Incorporate evidence-based findings into patient care c. Have one of the nurses specialize in the care of patients that are on ventilators d. Adopt another facility's standards of care

b

Which question asked by the nurse will provide info about a pt lifestyle. (sata) a. have you always lived in this area b. do you have food preference c. how many hours of sleep do you require daily d. what type of exercise do you prefer e. what are the names of your children?

b, c, d

1. A nurse is creating partnerships to address health needs within the community. The nurse should be aware that which of the following characteristics must exist for partnerships to be successful? (Select all that apply.) a. Being a leading partner with decision‐making authority b. Flexibility among partners when considering new ideas c. Adherence of partners to ethical principles d. varying goals for the different partners e. willingness of partners to negotiate roles

b, c, e

5. A nurse is caring for a client who has chest pain. The client says, "I am going home immediately." Which of the following actions should the nurse take? (Select all that apply.) a. Notify the client's family of their intent to leave the facility. b. Document the client's intent to leave the facility against medical advice (AMA). c. Explain to the client the risks involved if they choose to leave. d. Ask the client to sign a form relinquishing responsibility of the facility. e. Prevent the client from leaving the facility until the provider arrives.

b, c,d

1. A nurse is preparing to transfer a client who is 72 hr postoperative to a long‐term care facility. Which of the following information should the nurse include in the transfer report? (Select all that apply). a. Type of anesthesia used b. Advance directives status c. Vital signs on day of admission d. Medical diagnosis e. Need for specific equipment

b, d, e

4. A nurse who has just assumed the role of unit manager is examining the skills necessary for interprofessional collaboration. Which of the following actions support the nurse's interprofessional collaboration? (Select all that apply.) a. Use aggressive communication when addressing the team. b. Recognize the knowledge and skills of each member of the team. c. Ensure that a nurse is assigned to serve as the group facilitator for all interprofessional meetings. d. Encourage the client and family to participate in the team meeting. e. Support team member requests for referral.

b, d, e

When obtaining health history from a pt, what should be the nurses primary focus? SATA a. The primary method of payment b. a comprehensive body systems review c. what the pt ate prior to coming to clinic d. current and past medical problems e. family history

b, d, e

1. A nurse is caring for a child who is being treated in the emergency department following a head contusion from a fall. History reveals the child lives at home with one parent. The provider's discharge instructions include waking the child every hour to assess for indications of a possible head injury. In which of the following situations should the nurse intervene and attempt to prevent discharge? a. The parent states they do not have insurance or money for a follow‐up visit. b. The child states, "My head hurts and I want to go home." c. The nurse smells alcohol on the parent's breath. d. The parent verbalizes fear about taking the child home and requests they be kept overnight.

c

2. A nurse is caring for a client who is scheduled for surgery. The client hands the nurse information about advance directives and states, "Here, I don't need this. I am too young to worry about life‐sustaining measures and what I want done for me." Which of the following actions should the nurse take? a. Return the papers to the admitting department with a note stating that the client does not wish to address the issue at this time. b. Explain to the client that you never know what can happen during surgery and to fill the papers out just in case. c. Contact a client representative to talk with the client and offer additional information about the purpose of advance directives. d. Inform the client that surgery cannot be conducted unless the advance directives forms are completed.

c

3. A PN ending their shift reports to the RN that a newly hired AP has not calculated the intake and output for several clients. Which of the following actions should the RN take? a. Complete an incident report. b. Delegate this task to the PN. c. ask the AP if they need assistance. d. notify the nurse manager.

c

6. A nurse is participating in a quality improvement study of a procedure frequently performed on the unit. Which of the following information will provide data regarding the efficacy of the procedure? a. Frequency with which procedure is performed b. Client satisfaction with performance of procedure c. incidence of complications related to procedure d. accurate documentation of how procedure was performed

c

what does the nurse determine is the single most important factor in determining health status an longevity? a. adherence to plan b. good nutrition c. motivation to change d. stress reduction

c

1. A nurse enters the room of a client and finds the client lying on the floor. Which of the following actions should the nurse take first? a. Call the provider. b. Ask a staff member for assistance getting the client back in bed. c. Inspect the client for injuries. d. Instruct the client to ask for help if they need to get out of bed.

c.

1. A case management nurse is preparing to initiate referrals for a client as part of discharge planning. which of the following actions should the nurse take first? a. monitor the client's satisfaction with the referral. b. Provide the client information to referral agencies. c. Review available resources with the client. d. Identify referrals that the client needs.

d

1. A patient with chronic obstructive pulmonary disease has asked an adult child to make medi- cal decisions in the event that the patient will not be able to make them. What type of advance directive should the patient sign? a. Ethical committee form b. Financial power of attorney c. Do not resuscitate order d. Durable power of attorney for health care

d

1. The registered nurse has a responsibility to practice nursing according to the Social Policy Statement (2015) of the American Nurses Association (ANA). What definition by the ANA best describes the role of registered nurses? a. To diagnose and treat medical conditions b. To prescribe medications in order to treat a variety of medical conditions c. To prevent illness and maintain health d. To diagnose and treat the human responses to health and illness

d

8. What is the primary focus of the nurse advo- cacy role in managing a clinical pathway? a. Continuity of care b. Cost-containment practices c. Effective utilization of services d A patient's progress toward desired outcomes

d