Nursing Quiz: Safe Implementation of Evidence-Based Practices and Patient Care, Exams of Nursing

Download Nursing Quiz: Safe Implementation of Evidence-Based Practices and Patient Care and more Exams Nursing in PDF only on Docsity! lvn 121 midterm questions and Answers 2024 In which of the following ways is critical thinking useful to the nursing process? 1 It highlights the solution to a problem. 2 It can lead to a better outcome for the patient. 3It simplifies the process. 4 It helps the nurse arrive at a solution more quickly. Correct Answer is 2 Which nurse is exhibiting intellectual humility? 1The nurse who is an expert at wound care 2The nurse who reports an error to the supervisor 3The nurse who tries to empathize with the patient 4The nurse who asks a coworker about a new procedure Correct Answer is 4 Which of the following pieces of information is considered objective data? 1 The patient's respiratory rate is 28. 2 The patient states, "I feel short of breath." 3 The patient is short of breath. 4 The patient is feeling panicky. Correct Answer is 1 The nurse is collecting data on a newly admitted patient who has an ulcerated area on his left hip. It is 2 inches in diameter and 1 inch deep, with yellow exudate. Which of the following statements best documents the findings in the patient's database? 1 Wound on left hip, 2 inches diameter, 1 inch deep, infected 2 Left hip wound, large, deep, with yellow drainage 3 Pressure injury on left hip, yellow drainage 4 Wound on left hip, 2 inches in diameter, 1 inch deep, yellow exudate Correct Answer is 4 A 34-year-old mother of three is newly admitted to a respiratory unit because she has pneumonia. She has all the following problems. Based on the Maslow hierarchy of human needs, place the problems in order of priority. 1 Frontal headache related to stress of hospital admission 2 Anxiety related to concern about leaving children 3 Shortness of breath related to newly diagnosed pneumonia 4 Deficient knowledge related to discharge plan Correct Answer is 3,1,2,4 Place the steps of the nursing process in correct chronological order of use. Use all options. 1 Nursing diagnosis 2 Evaluation 3 Data collection 4 Planning care 5 Implementation Correct Answer is This is the answer the book gives (3, 4, 1, 5, 2) It is a typo. The book also states: collecting data, formulating nursing diagnoses, and planning, implementing, and evaluating care. Correct answer : 3, 1, 4, 5, 2 Which of the following parts of the nursing process can be carried out independently by a licensed practical nurse/licensed vocational nurse? 1 Implementation of interventions 2 Nursing diagnosis 3 Analysis of data 4 Evaluation of outcomes Correct Answer is 1 The nurse teaches a patient the importance of stopping smoking. Which of the following patient responses provides the best evidence that the teaching was effective? 1"I have a brother who died of lung cancer. I know smoking is bad." 2 "I tried to quit 5 years ago, and I really would like to, but it is very hard." 3 "Thank you for the information. I will call the Smoke Stoppers organization today." 4 "I know you are right. I should stop smoking." Correct Answer is 3 The nurse requests the competency evaluated nursing assistant to help the patient with oral care. Which of the following methods requested by the nurse would be most appropriate to achieve evidence-based care? 1 Instruct the competency evaluated nursing assistant to have the patient rinse the mouth with water after dinner. 2 Instruct the competency evaluated nursing assistant to give oral care using oral swabs to clean the teeth and mouth. 3 Ask the competency evaluated nursing assistant to instruct the patient to use a mouthwash rinse for the oral care. 4 Explain that oral care is best done by brushing the teeth and tongue with a toothbrush and toothpaste. Correct Answer is 4 3 Supervising the registered nurse and licensed practical nurse/licensed vocational nurse staff on a surgical unit 4 Interviewing a new graduate registered nurse for a staff position Correct Answer is 1 The nurse is caring for an adult patient admitted for an appendectomy who asks the nurse not to disclose any personal health information, including a positive human immunodeficiency virus status. The patient's mother arrives to visit and asks the nurse to explain why her child must take so many medications. Which of the following responses does the nurse use to apply the principle of veracity? 1 "You will have to talk to the health care provider." 2 "The medications are for recovery after a surgical procedure." 3 "The medications are to treat an infection." 4 "You will need to ask the patient directly about the medications." Correct Answer is 4 A patient with cancer who is having chemotherapy has decided to stop receiving it because the patient has accepted mortality. What is the most ethical action by the nurse to address this situation? 1 Explain to the patient that it would be silly to stop the last two treatments. 2 Explain that this will be reported to a family member. 3 Ensure that the patient understands the consequences of discontinuing treatment. 4 Ensure that the patient knows that, without treatment, death will occur. Correct Answer is 3 A patient with terminal cancer has an advance directive indicating that a feeding tube is not to be inserted. After the patient becomes unconscious, the patient's family requests that a feeding tube be inserted. Based on a deontological perspective and supporting the patient's autonomy, what action will the nurse anticipate the health care provider will take? 1 Withhold the feeding tube. 2 Insert the feeding tube. 3 Order an electroencephalogram to determine if the patient will wake up. 4 Place a "Do Not Resuscitate" bracelet on the patient's wrist. Correct Answer is 1 The nurse is assisting in the health clinic in offering immunizations for school children. A mother asks the nurse why her children need to be immunized for communicable diseases. The nurse explains that when more children are immunized, more people are protected from the communicable diseases. Which ethical theory supports the nurse's reply? 1 Deontological perspective 2 Utilitarian perspective 3 Theological perspective 4 Autonomy perspective Correct Answer is 2 A patient in a long-term care facility states that her family does not visit very often. She asks the nurse to give her extra medication so she can die. She says that she's old and no one will mind anyway. What is the nurse's best response? 1 "Now that is just silly! Go to the activity room. They are playing bingo." 2 "I'm sorry, but I cannot do that. Do you want to talk about how you are feeling?" 3 "I can give you a sedative with lunch so that you can relax more." 4 "My kids don't visit me often either. I understand how you feel." Correct Answer is 2 The nurse is caring for a team of patients. Which of the following practice guidelines does the nurse follow to ensure appropriate patient care is provided? Select all that apply. 1 An institution's policies 2 A national organization's code of ethics 3 State practice laws for nurses 4 National association nursing standards 5 Local nursing standards Correct Answer is 1, 3, 5; The nurse provides nursing care to prevent liability. Which of these actions would the nurse take to prevent liability? Select all that apply. 1 Breach the duty of care. 2 Document accurately. 3 Follow current nursing practice standards. 4 Protect patient rights. 5 Pursue continuing education. 6 Utilize organizational policies. Correct Answer is 2, 3, 4, 5, 6 Which action does the Health Insurance Portability and Accountability Act of 1996 require the nurse to take while caring for patients? 1 Maintain continuing nursing education credit hours. 2 Ensure the privacy of patients' protected health information. 3 Limit nursing work hours to no more than 35 per week. 4 Avoid membership in a union or collective bargaining agreement unit. Correct Answer is 2 The nurse is collecting data on a patient in a health care clinic. Which of the following observed data contributes to the suspicion that the patient is a victim of human trafficking and not safe? Select all that apply. 1 Physical bruising and marks 2 Below normal weight range 3 Emotionally depressed 4 Unmanaged chronic health issues 5 Personal identification available on request 6 Excellent health history Correct Answer is 1, 2, 3, 4 Which of the following characteristics is exhibited by a nurse who assumes that all patients have the same cultural beliefs as his or her own? 1 Stereotyping 2 Ethnocentrism 3 Cultural sensitivity 4 Cultural dominance Correct Answer is 2 A 12-year-old patient is admitted for an appendectomy. The parents bring in a priest from their church to pray over the child. The prayers are continuing when it is time to take the child to surgery. How should the nurse respond? 1 Gently tell the parents that they must stop praying so the child can be taken to surgery. 2 Give the parents and priest as much time as they need for prayers before surgery. 3 Tell the parents that the child could die of a ruptured appendix if surgery is delayed. 4 Permit the parents and priest to stay and pray as the child goes into surgery. Correct Answer is 4 A postsurgical patient is refusing a dinner tray, saying that it contains food not eaten in the patient's culture. Which response by the nurse is best? 1 Take the tray away. 2 Advise the patient that eating is essential to healing. 3 Ask the patient whether there are other foods that would be acceptable. 4 Leave the tray and hope that the patient gets hungry enough to eat the food. Correct Answer is 3 A patient has been admitted for reconstructive orthopedic surgery of the knee. His wife brings jars of special blends of spices that the patient wants to use because the hospital food is too bland. The patient is on a general diet. What action should the nurse take? 1 Check that the spices do not interact with the patient's medications and, if not, let the patient use them. 3 A middle-aged man who has just had surgery 4 An older adult patient receiving intravenous therapy Correct Answer is 4 A patient gains 2 pounds in 24 hours, weighed on the same scale at 7 a.m. Approximately how much water weight is represented by the 2 pounds? 1)8 ounces 2)16 ounces 3)24 ounces 4)32 ounces Correct Answer is 4 When caring for a patient with fluid excess, which of the following interventions will best help relieve respiratory distress? 1)Elevate the head of the bed. 2)Encourage the patient to cough and deep breathe. 3)Increase fluids to promote urine output. 4)Perform percussion and postural drainage. Correct Answer is 1 A patient is being discharged following hospitalization for fluid imbalance. Which instruction by the nurse should take priority? 1 "Weigh yourself at the same time three times a week and report changes." 2 "Call your doctor immediately if you feel weak or fatigued." 3 "Drink eight glasses of water a day." 4 "Measure everything you drink, and measure how much you urinate each day." Correct Answer is 1 A patient is being treated for hypokalemia. When evaluating response to potassium replacement therapy, which of the following assessment findings should the nurse observe for? 1 Improving visual acuity 2 Worsening constipation 3 Decreasing serum glucose 4 Increasing muscle strength Correct Answer is 4 A patient is being placed on a potassium-losing diuretic. Which foods are high in potassium and should be recommended to the patient by the nurse? Select all that apply. 1 Bread 2 Potato 3 Yogurt 4 Banana 5 Gelatin Correct Answer is 2,3,4 Which patient is at risk for respiratory acidosis? 1 The patient with uncontrolled diabetes mellitus 2 The patient with chronic pulmonary disease 3 The patient who is very anxious 4 The patient who overuses antacids Correct Answer is 2 Which pH value represents acidosis? 1) 7.26 2) 7.35 3) 7.4 4) 7.49 Correct Answer is 1 Which is the best resource for the nurse who has a question about the process and implementation of intravenous therapy for a specific patient? 1 An experienced nurse 2 Institution policy 3 The physician 4 Infusion Nurses Society standards of practice Correct Answer is 2 Which patients have a need for intravenous therapy? Select all that apply. 1) An 88-year-old man admitted to the hospital with dehydration 2) A 21-year-old woman with an eating disorder and severe weight loss 3 )A 58-year-old woman with pneumonia who has been unresponsive to oral antibiotics 4 )A 37-year-old man recovering from a fall and broken arm 5 )A 4-year-old brought to the emergency room because of prolonged vomiting 6) A patient with fluid overload who requires fast-acting diuretic therapy Correct Answer is 1, 2, 3, 5, 6 A patient receiving intravenous therapy via a central line develops hypotension, cyanosis, and dyspnea. The nurse notes a crack in the intravenous tubing. After calling for help, what should the nurse do next? 1 Raise the head of the bed. 2 Clamp the tubing and administer oxygen. 3 Monitor vital signs. 4 Place tape over the tubing crack. Correct Answer is 2 Which of the following solutions can be administered with a blood component? 1)Lactated Ringer's solution 2)5% dextrose/0.2% sodium chloride (normal saline) 3)5% dextrose/0.45% sodium chloride (normal saline) 4)0.9% sodium chloride (normal saline) Correct Answer is 4 A patient is receiving a subcutaneous infusion of 0.9% sodium chloride. While assessing the infusion, what infusion rate should the nurse expect to observe? 1) 1 mL/minute 2) 5 mL/minute 3) 10 mL/minute 4) 15 mL/minute Correct Answer is 1 While assessing a patient, the nurse notes a silicone catheter taped to the patient's chest and can feel the catheter under the skin. Which type of catheter does the patient have? 1 Peripherally inserted central catheter 2 Implanted port 3 Tunneled catheter 4 Nontunneled catheter Correct Answer is 3 The health care provider orders 5% dextrose in water at 100 mL per hour. What is the drip rate using tubing with a drop factor of 20? Round to the nearest whole number. Answer: ______________ gtt per minute Correct Answer is 33 A patient is to receive 1,000 mL normal saline over 12 hours. How many milliliters per hour should be set on the electronic infusion device? Answer: ______________ mL per hour Correct Answer is 83 Place the links in the chain of infection in their order of occurrence to result in an infection. 1 Portal of entry care. Which of the following would be an appropriate nursing diagnosis for the nurse to include? 1 Caregiver Role Strain 2 Hopelessness 3 Powerlessness 4 Risk for Caregiver Role Strain Correct Answer is 1 A 64-year-old patient goes to a clinic for a yearly physical. The patient has a history of hypertension and osteoarthritis. Which of the following would be a priority action for the nurse to take to promote wellness for this patient who has chronic illnesses? 1 Demonstrate how to take a blood pressure. 2 Explain hypertension and osteoarthritis. 3 Encourage increased socialization. 4 Evaluate goal progress with the patient and family. Correct Answer is 2 The nurse is providing care for a patient who is chronically ill. Which of the following actions would the nurse take for the chronically ill patient? Select all that apply. 1 Limit educational information. 2 Encourage visits by family members. 3 Include family members in teaching sessions. 4 Set the goals for the patient. 5 Limit visits from friends. 6 Obtain patient input on plan of care. Correct Answer is 2, 3, 6 Which of the following actions would be most appropriate for the nurse to take for a patient with a chronic illness who is experiencing chronic sorrow? Select all that apply. 1 Provide quiet time. 2 Make time to listen. 3 Share information. 4 Limit interactions. 5 Use active listening. 6 Encourage hope. Correct Answer is 2, 3, 5, 6 The nurse would evaluate the patient with a chronic illness as responding positively to interventions for chronic sorrow if the patient stated which of the following? 1 "I have nothing left to accomplish." 2 "Maybe tomorrow will be a better day." 3 "I should not keep hoping for a cure." 4 "There is nothing I can do." Correct Answer is 2 When planning care for the older adult, the nurse understands the definition of aging as being which of the following? 1 A disease state that results in the death of a person's body cells all at once 2 A condition that starts for all people when they reach the age of 65 3 A maturational process with individual adaptations for physical and psychological changes over time 4 A state of accelerating decline in body functioning directly related to a disease process Correct Answer is 3 The nurse is collecting data on a patient who is 77 years old and says, "I am shorter now." The patient asks the nurse why this is occurring. Which of the following would be a correct reply by the nurse? 1 "Muscle contractions cause this." 2 "Bone degeneration over time is occurring in your legs." 3 "Hyperextension of your cervical spine has occurred." 4 "Water is lost from the intervertebral disks of the spine with age." Correct Answer is 4 Which of the following actions should the nurse take to protect skin integrity in the older adult? Select all that apply. 1 Inspect skin daily. 2 Apply moisturizer between toes. 3 Use gentle bathing techniques. 4 Massage nonreddened, intact skin sites gently. 5 Use hot water for bathing. Correct Answer is 1, 3, 4 Which of the following is the best approach for the nurse to make to encourage prescribed antihypertensive medication compliance? 1 The nurse says, "It is important that you take your blood pressure pill every day. Do you understand this?" 2 The nurse explains the medication and gives the patient a grid to record daily when the pill is taken. The nurse then asks, "How do you see this working for you?" 3 The nurse asks the patient, "Do you have a relative or friend who can call you every day to remind you to take your blood pressure pill? It is really important that you take it, and as you get older it is harder to remember things." 4 The nurse tells the patient, "If you don't take your blood pressure pill, you will probably have a heart attack or a stroke. You need to figure out a way that you don't forget to take it every day." Correct Answer is 2 The nurse is caring for an older patient who has difficulty sleeping. Which of the following actions could the nurse take to promote rest for the patient? Select all that apply. 1 Back rubs 2 Encourage afternoon nap 3 Foot rubs 4 Set an alarm clock 5 Warm towel bath 6 Warm milk Correct Answer is 1, 3, 5, 6 The nurse is planning care for an older patient with a history of constipation. Which of the following actions should the nurse include in the patient's plan of care to help prevent constipation? Select all that apply. 1 Increase dietary fiber intake. 2 Decrease water intake. 3 Encourage participation in activities of daily living. 4 Review medication effects. 5 Increase daily exercise. 6 Decrease fresh fruit intake. Correct Answer is 1, 3, 4, 5 Which of the following topics should the nurse include in the teaching plan for safety for a patient who has a decreased sense of smell? Select all that apply. 1 Carbon monoxide detector 2 Flashing doorbell light 3 Natural gas alarm 4 Read labels before ingesting anything 5 Security system 6 Smoke alarm Correct Answer is 3, 4, 6 The nurse is caring for a patient who is a fall risk. Which of these interventions should the nurse implement to prevent a fall? Select all that apply. 1 Ensure adequate vitamin D and calcium intake. 2 Perform a medication review. 3 Have resident stand quickly.