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Nursing Exam 1 concepts
what are some contributions Florence Nightingale made to nursing that are still used today? -
verified answer Documentation, data collection, hand hygiene, evidence-based practice
Match the following contributions to the name of the nursing leader who made them - verified
answer Nightingale: data collection, started nursing schools
Clara Barton: formalized nursing education, founded the American Red Cross Dorothea Dix: mental health awareness, indigenous rights Eddie Bernice Johnson: U.S. Congressional representative, created opportunities for minorities Ildaura Murillo-Rohde: founded the National Association of Hispanic Nurses
Give a nursing example that meets the definition of evidence-based practice? - verified answer A
nurse searches the recent research literature to revise a nursing procedure.
What are some responsibilities of a nurse manager? - verified answer Budgeting, scheduling,
resolving conflicts, client safety
What are some ways a nurse act as a change agent? - verified answer Serve on the quality
improvement committee Provide the nurse manager with information on a more efficient cardiac monitor Introduce a new process to discharge clients Give an example of the following nursing roles:
leader, researcher, case manager, educator - verified answer Leader: inspires and motivates a
group toward achieving a common goal or cause Researcher: seeks factual evidence-based information for nursing practice Case manager: communicates and coordinates care for the client with all team members Educator: teaches nursing students Define the following ANA Professional Standards with the correct definition: code of ethics for nurses, nursing scope and standards of practice, ANA position statement, ANA
principles for nursing practice - verified answer Code of Ethics for Nurses: identifies behaviors and
practices nurses should abide by to provide quality, ethical care
Nursing Scope and Standards of Practice: identifies where, when, why, and how nursing occurs and the actions that all nurses are expected to perform competently ANA Position Statement: provides and explanation and suggested course of action when there is a change in practice, practice concerns, or a topic related to nursing that needs to be addressed ANA Principles for Nursing Practice: provides practice information regarding issues such as social media, staffing, and pay for nursing staff
Give an example of something that has a positive effect on nurse staffing shortages? - verified
answer More nurses furthering their education
What are the requirements for becoming a member of the NSNA? - verified answer NSNA
membership is open to any nursing student or pre-nursing student in a state-approved program who is preparing for licensure as a registered nurse.
What are the advantages of becoming involved in the NSNA? - verified answer Advantages of
involvement in the NSNA include generating excitement about the profession; connecting to other nurses across the nation; opportunities for leadership and political experiences; the ability to have papers published in NSNA's magazine; generating confidence; gaining experience working with nursing leaders; subscription to Imprint magazine; discounts on study tools, clothes, and conferences; awards programs; and scholarship opportunities. A nurse is providing education about a new prescription for nitroglycerin (NitroQuick) to a client who is diagnosed with angina. Which of the following statements by the client indicates a need for further teaching?
- I'll make sure that the medication container is kept tightly sealed
- I'm lucky I have a prescription plan that allows me to buy pills in bulk quantities
- I'll keep my pills in the medicine cabinet when I'm home
4. I'll go to the emergency room if my chest pain doesn't go away - verified answer I'm lucky I have
a prescription plan that allows me to buy pills in bulk quantities. A nurse is caring for a client who is diagnosed with anemia. Which of the following skin color variations is caused by a reduced amount of oxyhemoglobin? cyanosis
- Jaundice
- living wills ensure hospitals provide emergency care regardless of health coverage
4. living wills detail treatment wishes of the client in the event of terminal illness - verified answer
- living wills detail treatment wishes of the client in the event of terminal illness A nurse is assisting with preparation of a teaching program about healthy nutrition for a group of clients who are tactile learners. What kind of activity should be included as a learning strategy in the
program - verified answer Prepare a health meal to serve at the end of class
A nurse is collecting data on a recently admitted client. Which of the following techniques should the nurse use to measure tissue perfusion
- determining the client's respiratory rate
- measuring the client's chest diameter
- obtaining the client's level of oxygen saturation
4. checking the client's depth of respirations - verified answer obtaining the client's level of oxygen
saturation A nurse is collecting data on a client who has received a preoperative dose of morphine. Give an
example of an adverse effect of the medication - verified answer Urinary retention
A nurse preceptor is orienting a newly licensed nurse. Which of the following actions by the newly licensed nurse indicates a breach of confidentiality and requires intervention by the nurse preceptor?
- faxing lab results to a client's provider
- discussing changes in a client's plan of care with his friend who is a nurse on another unit
- describing a client's level of independence to the case manager arranging home health services
4. remaining in the room with the client while he reviews his own medical records - verified answer
discussing changes in a client's plan of care with his friend who is a nurse on another unit A nurse is caring for a client who is diagnosed with rheumatoid arthritis and is prescribed dexamethasone (Prednisone). Which of the following indicates the client is experiencing an adverse effect of the medication?
- Hypomagnesemia
- Hyperglycemia
- Hyponatremia
4.hyperkalemia - verified answer Hyperglycemia
A nurse is caring for a male client who has been prescribed an indwelling urinary catheter. In which of the following positions should the client be placed for insertion of the catheter?
- dorsal recumbent
- Orthopneic
- Side-lying
4. supine - verified answer supine
A nurse is caring for a client who tells the nurse they want to quit smoking. The nurse provides the client with information about smoking cessation and other ways to improve their health. Which of the following nursing roles is the nurse demonstrating? (Select all that apply)
- Advocate
- collaborator
- change manager
- health promotion
- nurse educator - verified answer health promotion nurse educator A nurse is explaining to a newly licensed nurse that caring for clients involves lifelong learning by the nurse. The nurse should include which of the following as examples of learning opportunities for nurses? (select all that apply).
- nursing blogs or opinions
- online continuing education journal articles
- nursing skill refresher opportunities
- continuing education presentations
- participating in healthcare research - verified answer - online continuing education journal articles
- nursing skill refresher opportunities
- continuing education presentations
- client states they understand their health care information and treatment
- client requests a meeting w/ nurse, physical therapist and provider - verified answer - client states they understand their health care information and treatment A nurse is caring for a client who asks about healthy choices to lose weight. The nurse shares information from Healthy People 2030 to address the client's questions. Which of the following describes the Healthy People Initiative?
- program for health care practitioners to get healthy
- social media platform for nurses
- set of objectives for improving the health of Americans
- rehabilitation program for clients who have substance use disorders - verified answer - set of objectives for improving the health of Americans A nurse educator is planning a presentation for nurses about the opioid epidemic. Which of the following is a strategy promoted by the U.S. Department of Health and Human Services to address this epidemic?
- continue to evaluate to determine if the use of opioids improves on its own
- educate nurses and other health care personnel about naloxone
- keep the issue private to avoid embarrassment
- reduce efforts to explore alternative pain management practices until the opioid epidemic is over -
verified answer - educate nurses and other health care personnel about naloxone
A nurse is describing to another nurse how to use social media in client care. Which of the following examples should the nurse include as an acceptable use of social media?
- posting a comment on social media about facility staffing shortage
- reviewing the use of a fitness application w/ a client
- accepting a social media friend request from a client
- sharing client information w/ a coworker in a private social media message - verified answer - reviewing the use of a fitness application w/ a client A nurse is reviewing historical nursing data & how it has impacted nursing care. The nurse should identify that which of the following nurse pioneers is credited w/ first using evidence based practice in caring for clients?
- Clara Barton
- Dorthea Dix
- Eddie Bernice Johnson
- Florence Nightingale - verified answer - Florence Nightingale A nurse is reviewing the Institute of Medicine (IOM) Future of Nursing report to better understand proposed educational requirements of nurses. Which of the following organizations is responsible for publishing this report?
- American Nurses Association
- National Academy of Medicine
- State Board of Nursing
- American Association of Colleges of Nursing - verified answer - National Academy of Medicine A nurse is performing the role of case manager for a client. Which of the following actions demonstrates this nursing role?
- coordinating & overseeing the care the client is receiving
- helping to develop nursing knowledge for clinical interventions
- providing knowledgeable & compassionate care to promote health & address illness
- instructing the client on specialized topics such as diabetes care - verified answer - coordinating & overseeing the care the client is receiving A nurse is reviewing the contributions of various nursing organizations that provide support in caring for clients. The nurse should identify that which of the following agencies provides The Nursing Scope and Standards of Practice?
- American Nurses Association (ANA)
- American Academy of Nursing
- National StudentNurses Association (NSNA)
- National Academy of Medicine - verified answer ANA A nurse in a long-term care facility took a picture of a client and posted it on the internet. This action by the nurse is an example of which of the following?
- serving as an advocate for the client
- violating the code of ethics for nurses
- participating in the Healthy People 2030
- demonstrating collaboration - verified answer - violating the code of ethics for nurses
Passing score on NCLEX examination Self-disclosure of any substance use in the past 5 years A nurse is providing client care using the nursing process. The nurse should identify that which of the following standards or guidelines includes this criterion? Standards of care Clinical practice guidelines Standards of practice
Standard to plan nursing care - verified answer Standards of practice
A nurse holds a single state nursing license and is preparing to move to another state. For the nurse to apply for reciprocity, which of the following actions should the nurse take? (select all that apply) Present a current and valid nursing license Submit an application Pay the fees for new license Retake the NCLEX
Reapply for specialty nursing certifications held in their previous home state - verified answer
Present a current and valid nursing license Submit an application Pay the fees for new license A nurse is educating a group of nurses about the nurse practice act. Which of the following statements should the nurse include? (select all that apply) The NPA contains current laws and regulations for nursing practice The NPA is the same for all states The NPA contains standards and scope of practice The federal government enforces the NPA for each state
The nurse is responsible to know current roles and responsibilities as defined by the NPA - verified
answer The NPA contains current laws and regulations for nursing practice
The NPA contains standards and scope of practice The nurse is responsible to know current roles and responsibilities as defined by the NPA
A nurse receives a license renewal notification from the board of nursing. The nurse should identify that a license renewal requires the disclosure of which of the following? Medical history Substance use within the past 5 years Certifications received
Current salary - verified answer Substance use within the past 5 years
A nurse is reviewing the scope of nursing practice. Which of the following is the purpose of the nursing scope of practice? Provides recommendations for nursing practice Provides competencies for the nurse to achieve before receiving initial licensure Serves as a contractual document between the nurse and their employer
Specifies the actions a nurse can perform - verified answer Specifies the actions a nurse can
perform A nurse is reviewing the licensing laws in the state of residency. Which of the following statements should the nurse use to define licensure? Licensure increases state revenue Licensure limits the number of practicing nurses Licensure protects the health and welfare of the public
Licensure protects a nurse from a malpractice lawsuit - verified answer Licensure protects the
health and welfare of the public A newly licensed nurse is reviewing electronic information about the NCLEX exam from the national Council of state board of nursing website. Which of the following information should the nurse identify as passing criteria for the NCLEX computerized adaptive test? The computer will stop giving items using the 95% confidence interval rule The board of nursing for each state determines the passing grade for the NCLEX exam The candidate receives the maximum number of items available
The candidate runs out of time before answering the minimum number of items - verified answer
The computer will stop giving items using the 95% confidence interval rule A newly licensed nurse is reviewing the standards of care when performing client care. Which of the following describes a standard of care?
Asks a client for their name, date of birth, and scans their medical identification bracelet before administering medications Determines that a client's rash is a response to being overly stressed about a new diagnosis Suggests a client's family member translate medical information for a client who speaks a different language than the nurse Documents that a client's medication was administered when retrieving the medication from the
pharmacy - verified answer Asks a client for their name, date of birth, and scans their medical
identification bracelet before administering medications A nurse is preparing a presentation on the regulation of nursing practice. Place the hierarchy of the regulation of practice in the correct order beginning with the highest level (step one) and proceeding to the lowest level (step four). (Move the steps into the box on the right, placing them in the order of hierarchy. Use all the steps.) Organization policies and procedures Individual self-regulation Nurse regulatory board
Nurse practice act - verified answer Nurse regulatory board
Nurse practice act Organization policies and procedures Individual self-regulation A nurse follows the six rights of medication administration when caring for a client. Which of the following concepts is the nurse demonstrating? Laissez-faire Advocacy Professional identity
Accountability - verified answer Accountability
A charge nurse uses a transformational leadership style when working with other staff on the unit. Which of the following actions by the charge nurse demonstrates transformational leadership? Tells assistive personnel if the morning care for a group of clients is completed by noon they will receive a free lunch Challenges a nurse to investigate evidence-based approaches to reduce the client fall rate on the unit
Provides a nurse with the written protocol for changing a dressing and encourages them to work independently
Adjusts direction to nursing staff based on the nurses' experience and client needs - verified answer
Challenges a nurse to investigate evidence-based approaches to reduce the client fall rate on the unit A nurse is discussing shared governance with a newly licensed nurse. Which of the following components should the nurse include in the discussion? (Select all that apply.) Guides decisions toward accountability Improves client outcomes Assures money is being used for its intended purpose Promotes professional development
Monitors activities of directors - verified answer Guides decisions toward accountability
Improves client outcomes Promotes professional development A nurse is discussing professional commitment with their supervisor during an annual performance review. Which of the following actions by the nurse demonstrates professional commitment? The nurse attends an educational course to learn about the treatment and prevention of pressure ulcers. The nurse tries to improve their skills by starting an unnecessary IV on a client who has dementia. The nurse covers for another nurse who the nurse suspects is chemically impaired.
The nurse withholds information from a client to reduce the client's stress level. - verified answer
The nurse attends an educational course to learn about the treatment and prevention of pressure ulcers. A nurse is discussing leadership styles with a newly licensed nurse. The nurse should include that which of the following is a characteristic of situational leadership? Follows leadership directives exactly as stated Controls situations by paying attention to details Adjusts quickly to different circumstances
Refuses to allow staff to make exceptions to established guidelines - verified answer Adjusts quickly
to different circumstances
Informs a social worker that a client will require financial assistance with prescriptions at discharge Supports a client's decision to stop chemotherapy Checks a client to determine how well a pain medication worked
Ensures a client understands their treatment options - verified answer Checks a client to determine
how well a pain medication worked A nurse is planning a presentation about shared governance. Which of the following examples should the nurse plan to include? A supervisor at a home health agency makes a unilateral decision to cut staff. Two assistant directors at an ambulatory care center write the policy manuals for the center. A group of staff nurses in a clinic work together to recommend new equipment purchases for the unit.
Nurses on a medical-surgical floor follow instructions made by the charge nurse. - verified answer A
group of staff nurses in a clinic work together to recommend new equipment purchases for the unit. A nurse is teaching a newly licensed nurse about professional competence. Which of the following examples should the nurse include in the teaching? Documenting client care before it is completed Reviewing the charts of clients not assigned to the nurse Presenting a summary of an evidence-based journal
Performing a surgical procedure under the direction of a surgeon - verified answer Presenting a
summary of an evidence-based journal A nurse is discussing chain of command with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the discussion? "The use of the chain of command is reserved for natural disasters or acts of terrorism." "The steps for the chain of command consist of notifying my superiors starting from the top to the bottom." "I will wait to document the communication I used while following the chain of command until the end of the process." "The chain of command clarifies the steps I need to take when I have a concern about a client's
care." - verified answer "The chain of command clarifies the steps I need to take when I have a
concern about a client's care."
A charge nurse is overseeing an assistive personnel (AP) who has been assigned care for a group of clients. Which of the following actions by the charge nurse demonstrates accountability? Assigns the AP to provide care for clients who are in rooms next to each other Files an incident report when the AP performs a task that is outside their scope of practice Promises to write a letter of recommendation for the AP if they complete all their assigned tasks
Discusses advancing their education with the AP - verified answer Files an incident report when the
AP performs a task that is outside their scope of practice A charge nurse is preparing to discuss critical thinking skills with a group of newly licensed nurses. Which of the following skills should the nurse plan to include in the discussion? Inference Creativity inductive reasoning Implementation
Inspection - verified answer Inference
Creativity inductive reasoning A nurse is caring for a client who has been wheezing. The nurse asked an assistive personnel do use a stethoscope and listen to the clients lung sounds to determine if their wheezing has improved. This is an example of which of the following concepts? Delegation of the right circumstance Delegation of the wrong task delegation to the right person
delegation of the wrong time - verified answer Delegation of the wrong task
A nurse is reviewing the concept of critical thinking with a newly licensed nurse. Which of the following statements should the nurse make? Critical thinking is the foundation for clinical decision making Critical thinking takes into consideration nursing, scientific, and technological knowledge and client situations critical thinking is the visible or observed outcome while using evidence-based practice
critical thinking is necessary for the nurse to collect objective client data - verified answer Critical
thinking is the foundation for clinical decision making
A client who has a blood pressure of 128/86 mm Hg has stage I hypertension.
A client who has a blood pressure of 162/102 mm Hg has stage II hypertension. - verified answer A
client who has a blood pressure of 162/102 mm Hg has stage II hypertension. A charge nurse is reviewing documentation of vital signs by a newly licensed nurse. Which of the following pieces of documentation is correct? Pulse 52/min Respiratory rate 24 SaO2 97% right index finger, room air
Blood pressure 132/86 mm Hg - verified answer SaO2 97% right index finger, room air
A nurse is reviewing the vital signs for a group of clients obtained by an assistive personnel. The nurse should identify that which of the following clients requires a follow-up assessment due to bradycardia? school-age child who has an apical pulse rate of 78/min A young adult who has a radial pulse rate of 56/min An adolescent who has a radial pulse rate of 76/min
An older adult who has an apical pulse rate of 62/min - verified answer A young adult who has a
radial pulse rate of 56/min A nurse is planning care for a group of clients. For which of the following clients should the nurse direct an assistive personnel (AP) to obtain a rectal temperature? A toddler who has diarrhea A client who is 1 day postoperative following a hemorrhoidectomy and receiving pain medications via PCA pump An infant who is receiving intravenous fluids
A client who is diaphoretic and frequently chewing ice to relieve dry mouth - verified answer A
client who is diaphoretic and frequently chewing ice to relieve dry mouth A nurse is caring for a group of clients. Which of the following clients is experiencing an alteration in their respiratory rate that requires intervention? An adolescent who has a respiratory rate of 20/min An older adult who has a respiratory rate of 16/min An infant who has a respiratory rate of 52/min
A school-age child who has a respiratory rate of 14/min - verified answer A school-age child who
has a respiratory rate of 14/min A nurse is assessing a 3-month-old infant during a well-child visit. Which of the following actions should the nurse take when assessing the apical pulse? Count the number of beats heard in 15 seconds and multiply by 4. Notify the provider if the apical pulse rate is greater than 110/min. Place the stethoscope over the 4th intercostal space to the left of the sternum.
Auscultate the apical pulse for an S4 heart sound. - verified answer Place the stethoscope over the
4th intercostal space to the left of the sternum. A nurse and urgent care clinic is auscultating the lungs of a client who reports a cough and shortness of breath. Which of the following steps of the nursing process is the nurse using? Evaluation implementation analysis
Assessment - verified answer Assessment
A nurse is reviewing methods created to assist nurses in using evidence-based practice. Which of the following is a NCSBN model that can assist the nurse is critical thinking and decision making? Clinical judgment Critical thinking clinical reasoning
SMART goal - verified answer Clinical judgment
A nurse asked the client to write the current level of pain using a scale of 0 to 10 after administering a pain medication 30 minutes ago. Which of the following steps of the nursing process is the nurse performing? Implementation analysis planning
Evaluation - verified answer Evaluation
