NR222 Exam 1 Practice Questions & Answers, Exams of Laboratory Practices and Management

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NR222 Exam 1 Practice Questions &

Answers 2023-24 Latest Update

1. While providing care to a patient, the nurse is responsible, both professionally and legally. Which concept does this describe? A. Autonomy B. Accountability C. Patient advocacy D. Patient education - Correct answer B. Accountability
2. A nurse is using a guide that provides principles of right and wrong to provide care to patients. Which guide is the nurse using? A. Standards of practice B. Standards of professional performance C. Quality and safety education for nurses D. Code of ethics - Correct answer D. Code of ethics
3. A patient is scheduled for surgery. When getting ready to obtain the informed consent, the patient tells the nurse, "I have no idea what is going to happen. I couldn't ask any questions." The nurse does not allow the patient to sign the permit and notifies the health care provider of the situation. Which role is the nurse displaying? A. Manager B. Patient educator C. Patient advocate D. Clinical Nurse Specialist - Correct answer C. Patient advocate

4. Which nurse most likely kept records on sanitation techniques and the effects on health? A. Florence Nightingale B. Mary Nutting C. Clara Barton D. Lillian Wald - Correct answer A. Florence Nightingale
5. Technological advances in health care: A. Make a nurses' job easier B. Depersonalize bedside patient care C. Threaten the integrity of the health care industry D. Do not replace sound personal judgement - Correct answer D. Do not replace sound personal judgement
6. A patient who needs nursing and rehabilitation following a stroke would most benefit from receiving care at: A. Primary care center B. Restorative care setting C. Assisted-living center D. Respite center - Correct answer B. Restorative care setting
7. A nurse is providing a community service by taking blood pressure at a local grocery store. What level of prevention is the nurse practicing? A. Primary B. Secondary C. Tertiary D. Behavioral - Correct answer A. Primary

8. A patient who had an MI 4 weeks ago... is now participating in a daily cardiac rehabilitation session at a local gym. What levell of prevention is the patient participating in? A. Primary B. Secondary C. Tertiary D. Quaternary prevention - Correct answer C. Tertiary
9. After evaluating a patient's external variables, the nurse concludes that the health benefits and practices can be influenced by: A. Emotional factors B. Intellectual Background C. Developmental stage D. Socioeconomic factors - Correct answer D. Socioeconomic factors
10. According to Maslow's hierarchy of needs, which of these needs would the patient seek to meet first? A. Self-actualization B. Self-esteem C. Shelter D. Love and Belonging - Correct answer C. Shelter
11. A 22 year-old is diagnosed with syphillis. What intervention would be an example of secondary prevention? A. Administer a dose of Penicillin IM B. Interviewing the patient about his sexual activity

C. Testing for chlamydia D. Educating the patient on the use of condoms - Correct answer C. Testing for chlamydia

12. Sally has decided to set aside 30 minutes a day to walk after work next week. Sally is in what risk factor modification? A. Pre-contemplation B. Contemplation C. Preparation D. Action E. Maintenance - Correct answer C. Preparation
13. A nurse identifies multiple risk factors for her elderly patient. Which of the following would be considered a modifiable risk factor? A. Smoking 2 packs a day B. Widowed and lives alone C. History of falls D. Family history of heart disease - Correct answer A. Smoking 2 packs a day
14. The nursing process organizes your approach while delivering nursing care. To provide the best professional care to patients, nurses need to incorporate nursing process and: A. Decision making B. Problem solving C. Intellectual standards D. Critical thinking skills - Correct answer D. Critical thinking skills

15. Which action should the nurse take when using critical thinking to make clinical decisions? A. Make decisions based on intuition B. One established way to provide care C. Consider what is important in a given situation D. Read and follow the health care provider's orders - Correct answer C. Consider what is important in a given situation
16. Which action indicates a registered nurse is being responsible for making clinical decisions? A. Applies clear textbook solutions to patients' problems B. Takes immediate and thoughtful or contemplative action when a patient's condition worsens C. Uses only traditional methods of providing care to patients D. Formulates standardized care plans for solely for groups of patients - Correct answer B. Takes immediate and thoughtful or contemplative action when a patient's care worsens
17. A patient continues to report post surgical incision pain at a level of 9 out of 10 after pain medication is given. The next dose of pain medicine is not due for another hour. What should the critically thinking nurse do first? A. Explore other options for pain relief B. Discuss the surgical procedure and reason for the pain C. Explain to the patient that nothing else has been ordered D. Offer to notify the health care provider after morning rounds are completed - Correct answer A. Explore other options for pain relief

18. A patient is admitted to the hospital with shortness of breath. As the nurse assesses this patient, the nurse is using the process of: A. Evaluation B. Data collection C. Problem identification D. Testing a hypothesis - Correct answer B. Data collection
19. The nursing process organizes your approach to delivering nursing care. To provide care to your patients, you will need to incorporate nursing process and: A. Decision making B. Problem solving C. Interview process D. Intellectual standards - Correct answer B. Problem solving
20. A nurse has already set the agenda during a patient-centered interview. What will the nurse do next? A. Begin with introductions B. Ask about the chief concerns or problems C. Explain that the interview will be over in a few minutes D. Tell the patient "I will be back to administer medications in 1 hour." - Correct answer A. Begin with introductions
21. While completing an admissions database, the nurse is interviewing a patient who states, "I am allergic to latex." Which action will the nurse take first? A. Immediately place the cation in isolation

B. Ask the patient to describe the type of reaction C. Proceed to the termination phase of the interview D. Document the latex allergy on the medication administration record - Correct answer B. Ask the patient to describe the type of reaction

22. The nurse is using critical thinking skills during the first phase of the nursing process. Which action indicates the nurse is in the first phase? A. Completes a comprehensive database B. Identifies pertinent nursing diagnoses C. Intervenes based on priorities of patient care D. Determines whether outcomes have been achieved - Correct answer A. Completes a comprehensive database
23. After assessing a patient, a nurse develops a standard formal nursing diagnosis. What is the rationale for the nurse's action? A. To form a language that can be encoded only by nurses B. To distinguish the nurse's role from the physician's role C. To develop critical judgement based on other's intuition D. To help nurses focus on the scope of medical practice - Correct answer B. To distinguish the nurse's role from the physician's role
24. A nursing diagnosis: A. Identifies nursing problems B. Does not change during the course of a patient's hospitalization C. Is derived from the physician's history and physical examination D. Is a statement of a patient response to a health problem that requires nursing intervention. - Correct answer A. Identifies nursing problems

25. When planning patient care, a goal can be described as: A. A statement describing the patient's accomplishments without a time restriction. B. A realistic statement predicting any negative responses to treatments C. A specific statement describing a desired change in patient behavior with a time frame D. An identified long-term nursing diagnosis - Correct answer C. A specific statement describing a desired change in patient behavior with a time frame
26. The following statements are on a patient's nursing care plan. Which of the following statements is written as an outcome? A. The patient will verbalize a decreased pain level less than 3 on a 0 to 10 scale by the end of this shift B. The patient will demonstrate increased mobility in 2 days C. The patient will demonstrate increased tolerance to activity by discharge D. The patient will understand needed dietary changes by discharge - Correct answer A. The patient will verbalize a decreased pain level less than 3 on a 0 to 10 scale by the end of this shift
27. The nurse recognizes that another term for a collaborative nursing intervention is _____ intervention. A. Dependent B. Independent C. Interdependent D. Physician-initiated - Correct answer Interdependent

28. A registered nurse administers pain medication to a patient suffering from fractured ribs. What type of nursing intervention is this nurse implementing? A. Collaborative B. Independent C. Interdependent D. Dependent - Correct answer D. Dependent
29. Mr. Bagley is placed on isolation precautions. Isolation precautions as a treatment intervention are an example of which type of care? A. Direct B. Indirection C. Prevention D. Safety - Correct answer B. Indirect
30. A nurse is caring for a patient and performs several interventions. Which action by the nurse is an independent nursing intervention? A. Turning every 2 hours B. Administering a medication C. Inserting an indwelling catheter D. Starting an intravenous line - Correct answer A. Turning every 2 hours
31. A nurse is providing nursing care to patients after completing a care plan from diagnoses. In which step of the nursing process is the nurse? A. Assessment

B. Planning C. Implementation D. Evaluation - Correct answer C. Implementation

32. A patient is recovering from a leg fracture after a fall reports having dull pain in the affected leg and rates it as a 7 on a 0 to 10 scale. The patient is not able to walk around the room with crutches because of leg discomfort. Which nursing intervention is priority? A. Assist the patient to walk in the room with crutches B. Obtain a walker for the patient C. Consult physical therapy D. Administer pain medication - Correct answer D. Administer pain medication
33. Which action indicates a nurse is using critical thinking for implementation of nursing care to patients? A. Determines whether an intervention is correct and appropriate for the given situation B. Reads over the steps and performs a procedure despite lack of clinical competency C. Establishes goals for a particular patient without assessment D. Evaluates the effectiveness of interventions - Correct answer A. Determines whether an intervention is correct and appropriate for the given situation
34. A nurse determines that the patient's condition has improved and has met expected outcomes. Which step of the nursing process is the nurse exhibiting?

A. Assessment B. Planning C. Implementation D. Evaluation - Correct answer D. Evaluation

35. The nurse is evaluating whether a patient's turning schedule was effective in preventing the formation of pressure ulcers. Which finding indicates success of the turning schedule? A. Staff documentation of turning the patient every 2 hours B. Presence of redness only on the heels of the patient C. Prevent's eating 100% of all meals D. Absence of skin breakdown - Correct answer D. Absence of skin breakdown
36. A nurse has instituted a turn schedule for a patient to prevent skin breakdown. Upon evaluation, the nurse finds that the patient has a stage II pressure ulcer on the buttocks. Which action will the nurse take? A. Reassess the patient and situation B. Revise the turning schedule to increase the frequency C. Delegate turning to the nursing assistive personnel D. Apply medication to the area skin that is broken down - Correct answer A. Reassess the patient and situation
37. The nursing process involves which of the following steps in the clinical decision-making process? (select all that apply) A. Identifying patient needs B. Diagnosing the disease process C. Determining priorities of care

D. Setting goals E. Performing nursing interventions F. Evaluating effectiveness of medical treatments - Correct answer A, D, E

38. Gathering, verifying, and communicating data about the patient to establish a database is an example of which competent of the nursing process? A. Evaluation B. Diagnosis C. Planning D. Assessment - Correct answer D. Assessment
39. A nurse is completing an assessment. Which findings will be the nurse report as subjective data? (select all that apply) A. Patient's temperature B. Patient's wound appearance C. Patient describing excitement about discharge D. Patient pacing the floor while awaiting test results E. Patient's expression of fear regarding upcoming surgery - Correct answer C. Patient describing excitement about discharge F. Patient's expression of fear regarding upcoming surgery
40. The nurse is gathering data on a patient. Which data will the nurse report as objective data? A. States "doesn't feel good" B. Reports a headache C. Respirations 16 D. Nauseated - Correct answer C. Respirations 16