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A set of multiple-choice questions and answers related to medical surgical nursing. It covers various aspects of the field, including community health nursing, case management, discharge planning, and home care. The questions are designed to test knowledge and understanding of key concepts and practices in medical surgical nursing.
Typology: Exams
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A |nurse |who |is |considering |the |possibility |of |becoming |involved |in |home |care |asks |a |home |care | nurse |about |the |characteristics |needed |for |this |practice |area. |Which |of |the |following |would |the | home |care |nurse |be |least |likely |to |include? Nonjudgmental |attitude Need |for |control |over |a |situation Ability |to |improvise Respect |for |client's |differences |- |correct |answer |-Need |for |control |over |a |situation A |nursing |student |asks |an |instructor |to |explain |what |roles |are |involved |in |community |health | nursing. |Which |of |the |following |would |the |instructor |include? |Select |all |that |apply. Emergency |services |advisor Financial |consultant Case |manager Visiting |nurse Epidemiologist |- |correct |answer |-Epidemiologist Case |manager Visiting |nurse The |charge |nurse |is |making |assignments |for |a |group |of |clients |on |a |medical |unit. |When |reviewing | the |acuity |of |the |clients, |the |charge |nurse |assigns |the |RN |to |the |clients |with |higher |acuity |levels. | Why |would |the |charge |nurse |assign |the |RN |to |the |clients |with |a |higher |acuity? Higher |acuity |clients |may |request |the |services |of |an |RN |versus |other |care |providers. Assigning |an |LPN |would |allow |them |to |provide |care |out |of |their |scope |of |practice. A |higher |acuity |client |requires |a |greater |need |for |highly |skilled |care. LPNs |do |not |understand |how |to |care |for |clients |with |complex |disorders. |- |correct |answer |-A |higher | acuity |client |requires |a |greater |need |for |highly |skilled |care.
What |are |the |responsibilities |of |a |case |manager? supervise |the |tasks |carried |out |by |nursing |staff |assigned |to |a |specific |group |of |clients negotiate |with |health |insurance |carriers |to |obtain |coverage |for |experimental |diagnostic |or | treatment |procedures plan |and |coordinate |the |client's |progress |through |the |various |phases |of |care |and |maximize |fiscal | outcomes plan |and |coordinate |the |client's |progress |through |the |various |phases |of |care |and |provide | counseling |for |family |members |as |needed |- |correct |answer |-Plan |and |coordinate |the |client's | progress |through |the |various |phases |of |care |and |maximize |fiscal |outcomes A |male |client |recovering |from |a |stroke |is |receiving |anticoagulant |therapy. |Which |item |will |the | nurse |instruct |the |client |to |use |for |self-care? hard-bristled |toothbrush long-handle |shoe |horn loofah |sponge electric |razor |- |correct |answer |-Electric |razor A |nurse |is |evaluating |a |client's |discharge |collaboration |between |the |referring |agency |and |the |home |care |agency. |What |response |by |the |client |would |indicate |an |understanding |of |the |discharge | planning |process? "My |wife |sat |down |with |the |discharge |planner |and |established |realistic |and |measurable |goals |for | my |recovery." "The |nurse |helped |me |make |a |list |of |my |needs |and |goals |for |recovery |and |shared |them |with |the | home |care |team" "My |daughter |is |my |health |care |power |of |attorney |and |she |decided |when |I |left |the |hospital |and | selected |my |home |care |provider." "The |doctor |provided |a |list |of |behavioral |outcomes |for |me |and |the |nurse |faxed |them |to |the |home | care |agency." |- |correct |answer |-"The |nurse |helped |me |make |a |list |of |my |needs |and |goals |for | recovery |and |shared |them |with |the |home |care |team" A |nurse |acts |as |preceptor |to |a |student |nurse |who |is |performing |discharge |planning |for |a |client. | What |statement |made |by |the |student |nurse |about |discharge |planning |indicates |that |the |student | needs |additional |teaching? "Discharge |planning |begins |once |the |client |is |on |the |unit."
"Discharge |planning |occurs |when |the |patient |is |discharged." "Discharge |planning |involves |a |multidisciplinary |team." "Discharge |planning |involves |the |client." |- |correct |answer |-"Discharge |planning |occurs |when |the | patient |is |discharged." A |client |receiving |home |care |observes |the |visiting |nurse |place |a |bag |on |a |paper |barrier |at |the | beginning |of |the |visit. |To |avoid |misunderstanding, |what |does |the |nurse |teach |the |client |about |the | practice |of |placing |the |supplies |on |the |barrier? The |placement |of |the |barrier |is |a |method |to |prevent |the |spread |of |blood-borne |illness. The |placement |of |a |barrier |is |a |method |to |prevent |the |spread |of |droplet |infections. The |placement |of |the |barrier |is |an |example |of |insect-based |precautions. The |placement |of |the |barrier |is |to |follow |universal |precautions. |- |correct |answer |-The |placement |of |the |barrier |is |to |follow |universal |precautions. Which |element |is |least |likely |to |be |a |characteristic |of |an |expected |outcome |of |a |nursing | intervention? Behavior-centered Realistic Measurable Nurse-centered |- |correct |answer |-Nurse-centered A |novice |nurse |is |learning |the |difference |between |community-based |nursing |and |community- oriented |nursing. |Which |scenario |does |the |nurse |recognize |as |a |role |of |the |community-oriented | nurse? Pediatric |nurse |teaching |a |group |of |parents |on |the |treatments |for |cystic |fibrosis Occupational |health |nurse |immobilizing |a |fractured |extremity |of |an |injured |employee Nurse |working |at |a |wound |care |clinic |performing |irrigation |of |a |chronic |wound Nurse |working |a |booth |at |a |health |fair |performing |blood |pressure |and |glucose |screenings |- |correct | answer |-Nurse |working |a |booth |at |a |health |fair |performing |blood |pressure |and |glucose |screenings A |student |nurse |asks |the |nursing |instructor, |"What |will |my |role |as |a |nurse |encompass |after |I | graduate?" |What |is |the |best |response |by |the |nursing |instructor?
"You |will |take |care |of |clients |who |are |ill |in |a |hospital |or |long-term |care |facility." "You |will |care |for |a |variety |of |clients |of |all |ages |when |they |are |ill." "You |will |care |for |individuals |and |families |and |play |a |role |in |health |education, |illness |prevention, | and |promotion." "It |will |all |depend |on |where |you |want |to |work |when |you |graduate. |Nurses |do |different |things |in | healthcare." |- |correct |answer |-"You |will |care |for |individuals |and |families |and |play |a |role |in |health | education, |illness |prevention, |and |promotion." What |should |the |school |nurse |working |in |the |elementary |school |setting |be |aware |is |one |of |the | most |frequent |health |care |problems |to |affect |this |population? Infections Eating |disorders Drug |abuse Emotional |problems |- |correct |answer |-Infections A |client |with |multiple |sclerosis |is |unable |to |independently |complete |activities |of |daily |living. |Which | recommendation |will |the |nurse |make |when |the |spouse |refuses |to |participate |in |providing |the | client's |personal |care? "It |is |something |that |you |will |have |to |do." "A |personal |caregiver |might |be |a |good |idea." "It |is |not |hard |to |do |but |does |take |time." "Watching |me |is |one |way |to |learn." |- |correct |answer |-"A |personal |caregiver |might |be |a |good |idea." Which |setting |has |been |the |traditional |site |for |the |nursing |workforce? Inpatient |units Same-day |surgery |units Clinics Industrial |environments |- |correct |answer |-Inpatient |units A |nurse |educator |for |a |local |home |care |company |is |teaching |staff |nurses |on |the |use |of |the | Outcome |and |Assessment |Information |Set |(OASIS). |What |statement |will |the |nurse |include |when | teaching |about |the |OASIS?
"This |document |is |required |but |is |only |used |for |reimbursement." "Results |are |used |to |improve |overall |quality |improvement |efforts." "This |document |is |optional |but |provides |important |data." "Demographic |information |remains |confidential |as |required |by |HIPAA." |- |correct |answer |-"Results | are |used |to |improve |overall |quality |improvement |efforts." Which |capability |corresponds |with |home |health |care? Uses |a |wide |variety |of |supplies |and |equipment Retains |maximal |control |over |the |client's |lifestyle Is |unable |to |care |for |those |living |in |substandard |conditions Improvises |when |providing |care |- |correct |answer |-Improvises |when |providing |care The |nurse |is |making |an |initial |home |visit |to |assess |a |patient |for |home |health |services. |Which | patients |most |frequently |require |home |health |services? Young |adults |on |prolonged |intravenous |therapy The |frail |and |elderly |who |need |skilled |care Children |with |chronic, |debilitating |disorders Newborns |who |are |sent |home |with |apnea |monitors |- |correct |answer |-The |frail |and |elderly |who | need |skilled |care A |community |health |nurse |is |helping |develop |teaching |on |the |role |of |the |community |health |nurse | and |how |this |discipline |can |help |the |community. |What |does |the |nurse |describe |as |a |key | component |of |community-based |care? Improving |quality |improvement Improving |hospital |compliance Improving |quality |of |life Improving |hospital |payer |reimbursement |- |correct |answer |-Improving |quality |of |life A |home |care |nurse |is |visiting |a |new |client |and |notes |that |the |client's |home |is |very |messy. |There | are |dirty |dishes |piled |everywhere, |the |house |smells |of |garbage, |and |there |are |very |few |surfaces | that |are |clean. |How |should |the |nurse |respond?
Ask |the |client |nicely |to |clean |the |home |prior |to |another |visit. Enter |the |home |and |continue |to |treat |the |client. Leave |the |home |and |call |adult |protective |services. Stand |at |the |door |and |assess |the |client. |- |correct |answer |-Enter |the |home |and |continue |to |treat | the |client A |client |in |an |acute |care |facility |is |assigned |a |case |manager |to |oversee |and |coordinate |care. |What | important |function |does |a |case |manager |have? Make |home |visits |to |see |that |the |client |is |taken |care |of |after |discharge. Provide |care |to |the |client |who |is |terminally |ill |and |has |less |than | 6 |months |to |live. Provide |early, |thorough |discharge |planning. Make |sure |the |client |is |administered |medications. |- |correct |answer |-Provide |early, |thorough | discharge |planning. A |client |is |being |treated |for |injuries |resulting |from |a |skateboarding |accident |and |is |very |agitated |as |the |nurse |cleans |several |gashes |on |the |client's |head. |Which |of |the |nursing |responsibilities |outlined |by |the |American |Nurses |Association |is |the |nurse |fulfilling? administering |medications, |wound |care, |and |numerous |other |personal |interventions performing |physical |exams |and |health |histories providing |health |promotion, |counseling, |and |education interpreting |client |information |and |making |critical |decisions |about |needed |actions |- |correct |answer |-Administering |medications, |wound |care, |and |numerous |other |personal |interventions A |community |health |nurse |is |aware |that |restoration |of |health |often |depends |on |appropriate | interventions |performed |early |in |the |course |of |a |disease. |Which |client |is |most |likely |to |seek |health | care |late |in |the |course |of |his |or |her |disease |process |and |deteriorate |more |quickly |than |other | clients? A |teenage |boy A |client |who |has |been |homeless |for |an |extended |period |of |time A |client |who |is | 88 |years |old |and |who |has |enjoyed |relatively |good |health A |client |who |is |a |second-generation |immigrant |- |correct |answer |-A |client |who |has |been |homeless | for |an |extended |period |of |time
The |nurse |is |transitioning |to |a |home |health |setting. |What |factor |has |resulted |in |a |shift |in |the | health |care |delivery |setting? fewer |insurance |regulations growing |number |of |elderly |clients increased |hospital |revenues consistent |federal |regulations |- |correct |answer |-Growing |number |of |elderly |clients Which |of |the |following |are |considered |the |primary |concepts |of |community-based |nursing? |Select | all |that |apply. Preventive |care |within |the |context |of |culture |and |community Use |of |non-Western |treatments Cost |containment Self-care Focus |on |cure |over |care |- |correct |answer |-Self-care Preventive |care |within |the |context |of |culture |and |community The |nurse |is |working |in |an |ambulatory |health |clinic. |What |is |the |focus |of |community-based |nursing |practice? Providing |rehabilitation |and |restorative |services Promoting |and |maintaining |population |health |and |preventing |and |minimizing |disease |progress Adapting |hospital |care |to |the |home |environment |for |less |cost Delivery |of |hospice |services |for |clients |with |terminal |illness Monitoring |clients |at |home |because |clients |do |not |have |hospital |insurance |coverage |- |correct | answer |-Promoting |and |maintaining |population |health |and |preventing |and |minimizing |disease | progress A |community |health |nurse |understands |the |importance |and |impact |of |cultural |competence |when | caring |for |clients |in |the |community. |In |what |situation |will |the |nurse |find |that |cultural |competence | is |particularly |important? When |the |nurse |works |in |a |larger |city |versus |a |small |community
When |members |of |the |community |share |a |heritage |that |is |unfamiliar |to |the |nurse When |the |nurse |is |new |to |the |job |and |the |role |within |the |community When |members |of |the |community |request |religious |resources |- |correct |answer |-When |members |of | the |community |share |a |heritage |that |is |unfamiliar |to |the |nurse An |urban, |community-based |nurse |is |looking |for |community |resources |for |a |client |who |has | complex |rehabilitation |needs |and |several |comorbid, |chronic |health |conditions. |Where |is |the |best | place |for |the |nurse |to |search |for |appropriate |resources? A |hospital |directory The |hospital |intranet The |nurse's |own |personal |network A |community |directory |- |correct |answer |-A |community |directory A |client |presenting |with |symptoms |of |left-sided |heart |failure |has |been |admitted |to |a |health |care | center. |Which |statement |accurately |reflects |the |priority |in |this |client's |nursing |care |at |admission | and |the |days |immediately |after |discharge |from |the |acute |care |setting? Initial |nursing |care |at |the |hospital |provides |O2 |at | 2 |L/min |via |a |nasal |cannula; |after |discharge, |the | home |nurse |explains |measures |to |prevent |left-sided |heart |failure. Initial |nursing |care |requires |the |nurse |to |complete |a |cardiac |assessment; |after |discharge, |the |home | care |nurse |instructs |the |client |about |early |detection |of |left-sided |heart |failure. Initial |nursing |care |in |the |acute |care |center |includes |a |referral |to |the |clergy; |after |discharge, |the | caseworker |makes |a |hospice |referral |for |spiritual |support. Initial |nursing |care |at |the |hospital |includes |a |respiratory |assessment; |after |discharge, |the |home | nurse |provides |education |related |to |medical |managemen |- |correct |answer |-Initial |nursing |care |at | the |hospital |includes |a |respiratory |assessment; |after |discharge, |the |home |nurse |provides |education | related |to |medical |management |of |heart |failure. The |nurse |is |providing |a |community |education |program |about |sexually |transmitted |infections |for |a | group |of |13- |to |16-year-olds. |What |type |of |prevention |is |the |nurse |targeting? Secondary |prevention Tertiary |prevention Community |prevention Primary |prevention |- |correct |answer |-Primary |prevention
The |home |health |nurse |and |the |parish |nurse |have |separate |roles |in |health |care. |What |best | describes |the |common |factor |all |community-based |nurses |share? Community |health |nurses |take |care |of |patients |after |they |are |discharged |from |the |hospital. Community |health |nurses |take |care |of |the |patients |in |the |home |setting. Community |health |nurses |focus |on |community |needs |as |well |as |the |needs |of |individual |patients. Community |nurses |take |care |of |clients |with |family |and |friends. |- |correct |answer |-Community |health |nurses |focus |on |community |needs |as |well |as |the |needs |of |individual |patients. A |community |health |nurse |is |educating |a |group |of |community |stakeholders |on |the |importance |of | increased |outpatient |resources |in |the |community. |Which |factors |will |the |nurse |explain |directly | impact |the |shift |in |care |from |inpatient |to |outpatient |services? |Select |all |that |apply. Increased |hospital |revenues Changes |in |population |trends Decreased |number |of |older |adults Changes |to |federal |legislation Decreased |inpatient |services |- |correct |answer |-Changes |to |federal |legislation Changes |in |population |trends A |home |care |nurse |is |planning |to |visit |a |client |newly |diagnosed |with |diabetes. |Further |review |of | the |chart |reveals |the |client |is |of |Japanese |heritage. |Upon |arriving |at |the |home, |the |home |care | nurse |observes |several |pairs |of |shoes |on |a |mat |next |to |the |door. |Which |of |the |following |actions |by |the |nurse |demonstrates |cultural |competence? The |nurse |removes |her |shoes |and |announces |her |arrival. The |nurse |places |shoe |covers |on |her |shoes |and |proceeds |with |the |visit. The |nurse |removes |her |shoes |then |teaches |the |client |the |importance |of |wearing |shoes |because |of | peripheral |neuropathy. The |nurse |leaves |her |shoes |on |and |explains |standard |precautions |to |the |client. |- |correct |answer |- The |nurse |removes |her |shoes |and |announces |her |arrival. What |is |the |purpose |of |early |discharge |planning |as |explained |to |a |client? "To |ensure |the |hospital |gets |the |reimbursement |for |your |stay"
"To |ensure |you |have |the |resources |you |need |when |you |leave" "To |ensure |the |hospital |complies |with |quality |improvement" "To |ensure |you |have |learned |about |the |illness |that |brought |you |here" |- |correct |answer |-"To |ensure |you |have |the |resources |you |need |when |you |leave" A |home |care |nurse |has |just |completed |the |initial |visit |and |is |documenting |the |findings. |Which |of | the |following |would |best |support |reimbursement |by |the |client's |third-party |payer? Ankle |wound |with |quarter-sized |amount |of |yellow |drainage; |irrigated |with |normal |saline |and | redressed Vital |signs |within |expected |parameters; |client |alert |and |oriented |to |person, |place, |and |time Client |ambulates |with |cane |around |home; |able |to |go |up |and |down |a |flight |of |stairs |of | 8 |steps Limited |range |of |motion |of |upper |extremities; |client |requires |assistance |with |bathing |and |dressing |- |correct |answer |-Ankle |wound |with |quarter-sized |amount |of |yellow |drainage; |irrigated |with |normal | saline |and |redressed Results |from |the | 2013 |OASIS |data |study |revealed |that |data |from |the |study |can |be |used |to |identify | individuals |at |greatest |risk |for |readmission |to |the |hospital. |Using |this |data, |what |can |the |nurse | determine |will |decrease |the |readmission |rate |of |hospitalizations? Additional |paid |staff |in |the |home Shift |of |funds |to |the |hospital Longer |hospital |stays The |shift |of |resources |to |the |community |- |correct |answer |-The |shift |of |resources |to |the |community The |nurse |is |completing |passive |range-of-motion |exercises |with |a |client |recovering |from |an |acute | illness. |A |muscle |spasm |occurs |in |the |client's |left |arm |while |exercising |it. |Which |action |will |the | nurse |take? Avoid |application |of |pressure |until |after |the |pain |stops. Ask |the |client |to |avoid |the |activity |that |causes |the |muscle |spasm. Apply |strong, |direct |pressure |to |determine |the |client's |pain |tolerance. Move |the |joint |slowly |to |the |point |of |resistance |and |apply |gentle |pressure. |- |correct |answer |-Move |the |joint |slowly |to |the |point |of |resistance |and |apply |gentle |pressure.