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A series of multiple-choice questions and answers related to medical-surgical nursing. It covers topics such as delegation of tasks, nursing diagnoses, maslow's hierarchy of needs, consultation types, evidence-based practices, infection control, and telephone orders. The questions are designed to test the knowledge and understanding of nursing principles and practices in a medical-surgical setting.
Typology: Exams
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(B) |Unlicensed |personnel |make |observations, |collect |clinical |data, |and |report |findings |to |the |nurse. | Option |A |is |incorrect |because |the |registered |nurse, |who |has |learned |critical |thinking |skills, | interprets |the |data. |Option |C |is |incorrect |because |although |unlicensed |assistants |are |trained |to | perform |skills, |they |don't |learn |the |nursing |process. |Option |D |is |incorrect |because |unlicensed | assistants |don't |function |independently; |they're |assigned |tasks |by |a |registered |nurse |who |retains | overall |responsibility |for |the |patient. |- |correct |answer |-The |registered |nurse |has |an |unlicensed | assistant |working |with |her |for |the |shift. |When |delegating |tasks, |the |nurse |understands |that |the | unlicensed |assistant: A. |interprets |clinical |data B. |collects |clinical |data C. |is |trained |in |the |nursing |process D. |can |function |independently (B) |Impaired |physical |mobility |is |a |limitation |of |physical |movement |and |is |defined |by |the |patient's | signs |and |symptoms. |Options |A, |C, |and |D |are |nursing |diagnoses |with |different |defining |signs |and | symptoms. |- |correct |answer |-When |performing |as |assessment, |the |nurse |identifies |the |following | signs |and |symptoms: |impaired |coordination, |decreased |muscle |strength, |limited |range |of |motion, | and |reluctance |to |move. |These |signs |and |symptoms |indicate |which |nursing |diagnosis? A. |Health-seeking |behaviors B. |Impaired |physical |mobility C. |Disturbed |sensory |perception
D. |Deficient |knowledge (C) |In |Maslow's |hierarchy |of |needs, |pain |relief |is |on |the |first |layer. |Activity |(Option |B) |is |on |the | second |layer. |Safety |(Option |D) |is |on |the |third |layer. |Love |and |belonging |(Option |A) |are |on |the | fourth |layer. |- |correct |answer |-When |prioritizing |a |patient's |care |plan |based |on |Maslow's |hierarchy | of |needs, |the |nurse's |first |priority |would |be: A. |allowing |the |family |to |see |a |newly |admitted |patient B. |ambulating |the |patient |in |the |hallway C. |administering |pain |medications D. |using |two |nurses |to |transfer |the |patient (A) |Patient-centered |case |consultation |(Option |A) |provides |expert |advice |advice |on |handling |a | particular |patient |or |group |of |patients. |Consultee-centered |case |consultation |(Option |B) |focuses |on | work |difficulties |with |patients, |which |are |used |as |a |learning |opportunity. |Program-centered | administrative |consultation |(Option |C) |provides |expert |advice |on |developing |new |programs |or | improving |existing |ones. |Consultee-centered |administrative |consultation |(Option |D) |considers |work | problems |in |the |areas |of |programs |in |the |areas |of |program |development |and |organization. |- | correct |answer |-When |a |nurse |asks |another |nurse |for |advice |on |handling |a |particular |patient | problem, |she's |seeking |what |type |of |consultation? A. |Patient-centered |case |consultation B. |Consultee-centered |case |consultation C. |Program-centered |administrative |consultation D. |Consultee-centered |administrative |consultation
(B) |Options |A, |B, |and |C |are |correct |steps |in |planning |for |the |implementation |of |evidence-based | practices; |however, |Option |B |would |be |the |initial |step, |followed |by |Options |A |and |C. |Option |D |is | part |of |the |evaluation |phase |of |evidence-based |practice |implementation. |- |correct |answer |-When | planning |the |implementation |of |evidence-based |practices |to |prevent |falls, |which |of |the |following | step |should |the |nurse |take |first? A. |Identify |the |common |causes |of |falls B. |Gather |and |review |currently |existing |literature |and |guidelines |for |the |prevention |of |falls. C. |Identify |fall |prevention |practices |that |are |applicable |to |the |patient |care |setting. D. |Gather |data |to |identify |the |effectiveness |of |the |new |practice |guidelines. (A) |To |successfully |implement |an |evidence-based |nursing |program, |it's |important |to |obtain |the | support |of |management, |administration, |and |physicians. |Option |B |is |part |of |evaluating |evidence- based |nursing |program |implementation. |Option |C |is |part |of |the |first |step |of |the |evidence-based | nursing |program |process. |Option |D |is |part |of |the |critical |evaluation |process. |- |correct |answer |- When |implementing |an |evidence-based |nursing |program |to |decrease |the |incidence |of |pressure | ulcers |on |the |medical-surgical |unit, |which |of |the |following |is |the |most |important |to |ensure |its | success? A. |Obtaining |support |from |management, |administration, |and |physicians. B. |Determining |and |documenting |patient |outcomes. C. |Identifying |a |significant |problem |that |needs |to |be |addressed. D. |Evaluating |research |based |on |its |validity |and |reliability. (B) |Performing |hand |hygiene |in |compliance |with |the |World |Health |Organization |or |Centers |for | Disease |Control |and |Prevention |guidelines |is |the |most |effective |in |reducing |the |risk |of |health |care- associated |infections. |Keeping |employee |health |records |up-to-date |(Option |A), |providing |annual |
influenza |vaccinations |(Option |C), |and |always |wearing |a |mask |when |caring |for |patients |(Option |D) | aren't |the |most |effective |ways |to |reduce |the |risk |of |health |care-associated |infections. |- |correct | answer |-Which |measure |most |effectively |reduces |the |risk |of |health |care-associated |infections? A. |Keeping |employee |health |records |up-to-date B. |Performing |hand |hygiene | C. |Providing |annual |influenza |vaccinations D. |Always |wearing |a |mask |when |caring |for |patients (C) |When |receiving |a |telephone |or |other |verbal |order, |the |nurse |should |write |down |the |order |and | then |read |back |the |complete |order |to |the |physician |to |verify |its |accuracy. |Options |A, |B, |and |D | aren't |appropriate |actions |for |the |nurse |to |take |when |receiving |a |telephone |order |from |a | physician. |- |correct |answer |-Which |actions |should |the |nurse |take |when |receiving |a |telephone |order |from |physician? A. |Inform |the |physician |that |telephone |orders |are |not |permitted. B. |Write |the |order |in |the |patient's |medical |record |immediately. C. |Write |down |the |order |and |then |read |back |the |complete |order |to |the |physician. D. |Immediately |carry |out |the |order. (A) |A |secondary |latency |phase |that |occurs |in |some |diseases |that |is |commonly |followed |by |another | acute |phase |is |referred |to |as |remission. |Convalescence |(Option |B) |is |progression |toward |recovery. | The |acute |phase |(Option |C) |refers |to |the |disease |as |its |fullest |intensity, |possibly |with | complications. |The |subclinical |acute |phase |(Option |D) |occurs |when |the |patient |is |in |the |acute |phase |but |still |functions |as |if |the |disease |weren't |present. |- |correct |answer |-A |secondary |latency |phase | that |occurs |in |some |diseases |that |is |commonly |followed |by |another |acute |phase |is |referred |to |as:
A. |remission B. |convalescence C. |the |acute |phase D. |the |subclinical |acute |phase (A) |Bracketing |requires |the |researcher |to |lay |aside |what's |known |about |the |experience |being | studied |and |be |open |to |new |insights. |Saturation |(Option |B) |describes |the |point |at |which |data | collection |is |ended |because |continuing |would |result |in |acquiring |more |of |the |same |information |or | data. |Intuiting |(Option |C) |refers |to |the |focused |awareness |on |the |phenomena |being |studied. | Theoretical |sampling |(Option |D) |is |the |selecting |of |subjects |on |the |basis |of |concepts |that |have | theoretical |relevance |to |an |evolving |theory. |- |correct |answer |-Qualitative |research |emphasizes | developing |new |insights, |theories, |and |knowledge. |Which |term |in |qualitative |research |describes |the |researcher |laying |aside |what |is |known |about |the |experience |being |studied? A. |Bracketing B. |Saturation C. |Intuiting D. |Theoretical |sampling