Exam #1 (weeks 1 + 2) practice questions & Answers 2024, Exams of Nursing

Download Exam #1 (weeks 1 + 2) practice questions & Answers 2024 and more Exams Nursing in PDF only on Docsity! Exam #1 (weeks 1 + 2) practice questions & Answers 2024 nursing is defined as a profession because nurses: a. perform specific skills b. practice autonomy c. utilize knowledge from the medical discipline d. charge a fee for services rendered \correct Ansb. practice autonomy case study: ming graduated with an associate's degree in nursing last year and received his RN credential. he currently works in a long-term care facility. although ming enjoys his work and has been promoted to shift supervisor on his unit, he finds that he'd like to pursue a nursing career that offers a regular schedule and more autonomy. ming considers returning to school for an advanced degree. ming is particularly drawn to the idea of becoming an advanced practice rn. (APRN). - ming's career options for becoming an APRN include which of the following? (select all that apply) a. physicians assistant (PA) b. clinical nurse specialist (CNS) c. certified nurse midwife (CNM) d. certified RN anesthetist (CRNA) \correct Ansb. clinical nurse specialist c. certified nurse midwife d. certified RN anesthetist if ming decides to choose a career as a critical care CNS, then his specialty is identified by which means? a. population b. setting c. disease specialty d. type of care e. type of problem \correct Ansb. setting professional nursing specialty organizations seek to: a. improve standards of practice b. expand nursing roles c. improve the welfare of nurses in specialty areas d. all of the above \correct Ansd. all of the above you are invited to attend the weekly unit patient care conference. the staff discusses patient care issues. this type of communication is: a. public b. intrapersonal c. transpersonal d. small group \correct Ansd. small group helping relationships serve as the foundation of clinical nursing practice. contracts for a therapeutic helping relationship are formed during the: a. orientation phase b. working stage c. termination phase d. preinteraction phase \correct Ansa. orientation phase while admitting a patient, during the initial interview, a family member tells you, " my mom really means that she does not understand her medical diagnosis." the communication form used by the family member is: a. focusing b. clarifying c. summarizing d. paraphrasing \correct Ansb. clarifying you are caring for a non-english speaking male patient. when preparing to assist him with personal hygiene, you should: a. use soap and water on all types of skin b. ensure that culture and ethnicity influence hygiene practices c. shave facial hair to make the patient more comfortable d. know that all patients need to be bathed daily \correct Ansb. ensure that culture and ethnicity influence hygiene practices a young girl with long hair is experiencing a problem with matting. the most appropriate action to take would be: a. cutting the matted hair away b. braiding the hair to reduce tangles c. using a grease-type product to tame the hair d. keeping the hair oil free by applying powder every morning \correct Ansb. braiding the hair to reduce tangles a patient is admitted to a medical unit for a home-acquired pressure ulcer. the patient has alzheimer's disease and has been incontinent of urine. the nurse inserts a foley catheter. you will identify a link in the infection chain as: a. restraints b. poor hygiene c. foley catheter bag d. improper positioning \correct Ansc. foley catheter bag you are caring for a patient who underwent surgery 48 hours ago. on physical assessment, you notice that the wound looks red and swollen. the patient's WBCs are elevated. you should: a. start antibiotics b. notify the provider c. document the findings and reasses in 2 hours health care reform will bring changes in the emphasis of care. which of these models is expected from health care reform? a. moving from an acute illness to a health promotion, illness prevention model b. moving from an illness prevention to a health promotion model c. moving from hospital-based to community-based care d. moving from an acute illness to a disease management model \correct Ansa a nurse meets with the registered dietician and physical therapist to develop a plan of care that focuses on improving nutrition and mobility for a patient. this is an example of which Quality and Safety in the Education of nurses (QSEN) competency? a. patient-centered care b. safety c. teamwork and collaboration d. quality improvement \correct Ansc a critical care nurse is using a new research-based intervention to correctly position her ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. this is an example of which QSEN competency? a. patient-centered care b. evidence-based care c. teamwork and collaboration d. quality improvement \correct Ansb the nurses on an acute care medical floor notice an increase in pressure injury formation in their patients. a nurse consultant decides to compare two types of treatments. the first is the procedure currently used to assess for pressure injury risk. the second uses a new assessment treatment to identify at-risk patients. given the information, the nurse consultant exemplifies which career? a. clinical nurse specialist b. nurse administrator c. nurse educator d. nurse researcher \correct Ansd when working with an older adult who is hearing impaired, the use of which techniques would improve communication? (select all that apply) a. check for needed adaptive equipment b. exaggerate lip movements to help the patient lip-read c. give the patient time to respond to questions d. keep communication short and to the point e. communicate only through written communication \correct Ansa, c, d nurses must communicate effectively with the health care team for which of the following reasons? (select all that apply) a. To improve the nurse's status with the health team members b. To reduce the risk of errors to the patient c. To provide an optimum level of patient care d. To improve patient outcomes e. To prevent issues that need to be reported to outside agencies \correct Ansb, c, d Motivational interviewing (MI) is a technique that applies understanding a patient's values and goals in helping the patient make behavioral changes. When using motivational interviewing, what outcomes does the nurse expect? (Select all that apply.) a. gaining an understanding of the patient's motivations b. Directing the patient to avoid poor health choices c. Recognizing the patient's strengths and supporting his or her efforts d. Providing assessment data that can be shared with families to promote change e. Identifying differences in patient's health goals and current behaviors \correct Ansa, c, e The nurse therapeutically responds to an adult patient who is anxious by: (Select all that apply.) a. Matching the rate of speech to be the same as that of the patient b. Providing good eye contact c. Demonstrating a calm presence d. Spending time attentively with the patient e. Assuring the patient that all will be well \correct Ansb, c, d A nurse prepares to contact a patient's physician about a change in the patient's condition. Put the following statements in the correct order using SBAR (Situation, Background, Assessment, and Recommendation) communication. 1. "She is a 53-year-old female who was admitted 2 days ago with pneumonia and was started on levofloxacin at 5 PM yesterday. She states she has a poor appetite; her weight has remained stable over the past 2 days." 2. "The patient reported feeling very nauseated after her dose of levofloxacin an hour ago." 340 3. "Is it possible to make a change in antibiotics, or could we give her a nutritional supplement before her medication?" 4. "The patient started to complain of nausea yesterday evening and has vomited several times during the night." \correct Ans2, 1, 4, 3 The patient states, "I don't have confidence in my doctor. She looks so young." The nurse therapeutically responds: (Select all that apply.) 1. Tell me more about your concern. 2. You have nothing to worry about. Your doctor is perfectly competent. 3. You are worried about your care? 4. You can go online and see how others have rated your doctor. I do that. 5. You should ask your doctor to tell you her background. \correct Ans1, 4 The nurse applying effective communication skills throughout the nursing process should: (Place the following interventions in the correct order.) 1. Validate health care needs through verbal discussion with the patient. 2. Compare actual and expected patient care outcomes with the patient. 3. Provide support through therapeutic communication techniques. 4. Complete a nursing history using verbal communication techniques. \correct Ans4, 1, 2, 3 A nurse works with a patient using therapeutic communication and the phases of the therapeutic relationship. Place the nurse's statements in order according to these phases. 1. The nurse states, "Let's work on learning injection techniques." 2. The nurse is mindful of his/her own biases and knowledge in working with the patient with B12 deficiency. 3. The nurse summarizes progress made during the nursing relationship. 4. After providing introductions, the nurse defines the scope and purpose of the nurse- patient relationship. \correct Ans2, 4, 1, 3 Which strategies should a nurse use to facilitate a safe transition of care during a patient's transfer from the hospital to a skilled nursing facility? (Select all that apply.) 1. Collaboration between staff members from sending and receiving departments 2. Requiring that the patient visit the facility before a transfer is arranged 3. Using a standardized transfer policy and transfer tool 4. Arranging all patient transfers during the same time each day 5. Relying on family members to share information with the new facility \correct Ans1, 3 The nurse uses silence as a therapeutic communication technique. What are the purposes of the nurse's silence? (Select all that apply.) 1. Allows the nurse time to focus and avoid saying the wrong thing 2. Prompts the patient to talk when he or she is ready 3. Allows the patient time to think and gain insight 4. Allows time for the patient to drift off to sleep 5. Determines whether the patient would prefer to talk with another staff member \ correct Ans2, 3 What is the proper position to use for an unresponsive patient during oral care to prevent aspiration? (Select all that apply.) 1. Prone position 2. Sims' position 3. Semi-Fowler's position with head to side 4. Trendelenburg position 5. Supine position \correct Ans2, 3 The student nurse is teaching a family member the importance of foot care for his or her mother, who has diabetes. Which safety precautions are important for the family member to know to prevent infection? (Select all that apply.) 1. Cut nails frequently. 2. Assess skin for redness, abrasions, and open areas daily. 3. Soak feet in water at least 10 minutes before nail care. 5. The overbed table with the patient's glasses is positioned against the wall opposite the end of the bed. \correct Ans3, 4, 5 A nurse working on a medicine unit in the hospital hears the fire alarm go off. As the nurse walks down the hallway, there is smoke coming from the family waiting area. Which of the following steps should the nurse take? (Select all that apply.) 1. Immediately phone in to the hospital alert system the exact location of the fire. 2. Direct the nurse technician to place empty stretchers behind the fire doors. 3. Go to each patient room, and direct ambulatory patients to walk themselves to a safe area. 4. Work with the nurse technician to help move patients requiring wheelchairs from their rooms. 5. Close the room doors of patients who cannot get out of bed, and keep them in their rooms. \correct Ans1, 3, 4 Match the threats to safety on the right to the category of risk factors on the left. A. Individual Risks B. Developmental Risks 1. An older adult has limited finances. 2. A young toddler likes to explore objects by placing them in his mouth. 3. A 55-year-old patient has a residual gait change due to a stroke. 4. A school-age child chooses to play ice hockey. 5. A patient newly diagnosed with diabetes has low health literacy. \correct Ans1a, 2b, 3a, 4b, 5a A nurse working on a surgery floor is assigned four patients. The nurse assesses each patient, noting behaviors and physical signs and symptoms. Which of the following patients is more likely to be violent toward the nurse? 1. The first patient maintains eye contact with the nurse, is calm during the nurse's assessment, and asks questions frequently. 2. The second patient is very drowsy, loses attention span when the nurse asks questions, and mumbles when speaking. 3. The third patient moves nervously in bed, swears and grimaces when trying to cough, and speaks in a low volume. 4. The fourth patient speaks in a loud voice and becomes irritable when the nurse arrives to help walk the patient. \correct Ans4 A nurse working the night shift is assigned a patient who has a history of having fallen in the hospital during a previous admission. The nurse wants to review the admission assessment completed by the nurse on the day shift. Which of the following sections in the assessment are most likely to provide information about the patient's current fall risks? (Select all that apply.) 1. Allergy history 2. Medication history 3. Patient age 4. Patient's occupation 5. Physical exam of neuromuscular function \correct Ans2, 3, 5 Match the intervention for promoting child safety on the left with the correct developmental stage on the right. A. School-age child B. Preschooler 1. Teach children proper bicycle and skate board safety. 2. Teach children how to cross streets and walk in parking lot. 3. Teach children proper techniques for specific sports. 4. Teach children not to operate electric toothbrushes while unsupervised. 5. Teach children not to talk to or go with a stranger. 6. Teach children not to eat items found in the grass. \correct Ansa: 1, 2, 3. b: 4, 5, 6 The nurse finds a 68-year-old woman wandering in the hallway and exhibiting confusion. The patients says she is looking for the bathroom. Which interventions are appropriate for this patient? (Select all that apply.) 1. Ask the health care provider to order a restraint. 2. Recommend insertion of a urinary catheter. 3. Provide scheduled toileting rounds every 2 to 3 hours. 4. Institute a routine exercise program for the patient. 5. Keep the bed in high position with side rails down. 6. Keep the pathway from the bed to the bathroom clear. \correct Ans3, 4, 6 Place the following steps for applying a wrist restraint in the correct order: 1. Pad the skin overlying the wrist. 2. Insert two fingers under the secured restraint to be sure that it is not too tight. 3. Be sure that the patient is comfortable and in correct anatomical alignment. 4. Secure restraint straps to bedframe with quick-release buckle. 5. Wrap limb restraint around wrist or ankle with soft part toward skin and secure snugly. \correct Ans3, 1, 5, 2, 4 Match the fall prevention intervention on the left with the scientific rationale on the right. 1. Prioritize nurse call system responses to patients at high risk. 2. Place patient in a wheelchair with wedge cushion. 3. Establish elimination schedule with bedside commode. 4. Use a low bed for patient. 5. Provide a hip protector. 6. Place nonskid floor mat on floor next to bed. A. Maintains comfort and makes exit difficult B. Makes it difficult for patients with lower extremity weakness to stand C. Reduces slipping when walking D. Reduces fall impact E. Ensures rapid response for help F. Reduces chance of patient trying to get out of bed on own \correct Ans1e, 2a, 3f, 4b, 5d, 6c A patient who has been placed on Contact Precautions for Clostridium difficile (C. difficile) asks you to explain what he should 464know about this organism. What is the most appropriate information to include in patient teaching? (Select all that apply.) 1. The organism is usually transmitted through the fecal-oral route. 2. Hands should always be cleaned with soap and water versus alcohol-based hand sanitizer. 3. Everyone coming into the room must be wearing a gown and gloves. 4. While the patient is in Contact Precautions, he cannot leave the room. 5. C. difficile dies quickly once outside the body. \correct Ans1, 2, 3 A patient is diagnosed with meningitis. Which type of isolation precaution is most appropriate for this patient? 1. Reverse isolation 2. Droplet Precautions 3. Standard Precautions 4. Contact Precautions \correct Ans2 A patient is placed on Airborne Precautions for pulmonary tuberculosis. The nurse notes that the patient seems to be angry, but he knows that this is a normal response to isolation. Which is the best intervention? 1. Provide a dark, quiet room to calm the patient. 2. Reduce the level of precautions to keep the patient from becoming angry. 3. Explain the reasons for isolation procedures and provide meaningful stimulation. 4. Limit family and other caregiver visits to reduce the risk of spreading the infection. \ correct Ans3 Which type of personal protective equipment should the nurse wear when caring for a pediatric patient who is placed on Airborne Precautions for confirmed chickenpox/herpes zoster? (Select all that apply.) 1. Disposable gown 2. N95 respirator mask 3. Face shield or goggles 4. Disposable mask 5. Gloves \correct Ans1, 2, 5 The infection control nurse has asked the staff to work on reducing the number of iatrogenic infections on the unit. Which of the following actions on your part would contribute to reducing health care-acquired infections? (Select all that apply.) 1. Teaching correct handwashing to assigned patients 2. Using correct procedures in starting and caring for an intravenous infusion 3. Providing perineal care to a patient with an indwelling urinary catheter 4. Isolating a patient on antibiotics who has been having loose stool for 24 hours 5. Decreasing a patient's environmental stimuli to decrease nausea \correct Ans1, 2, 3 Which of the following actions by the nurse demonstrate the practice of core principles of surgical asepsis? (Select all that apply.)