POTTER AND PERRY FUNDAMENTALS OF NURSING MIDTERM QUESTIONS AND ANSWERS A COMPLETE EXAM SOL, Exams of Nursing

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MIDTERM QUESTIONS AND ANSWERS A COMPLETE EXAM

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Which method of data collection will the nurse use to establish a patients database? A. Reviewing the current literature to determine evidence-based nursing actions B. Checking orders for a diagnostic and laboratory tests C. Performing a physical examination D. Ordering medications - CORRECT ANSWERS C. Performing a physical examination The 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 done in a few minutes D. Tell the patient "I will be back to administer medications in one hour" - CORRECT ANSWERS B. Ask about chief concerns or problems The nurse is attempting to prompt the patient to elaborate on the reports of determine fatigue which question should the nurse ask first? A. Is there anything that you are stressed out about right now that I should know B. What reasons do you think are contributing to your fatigue C. What are your normal work hours D. Are you sleeping eight hours a night - CORRECT ANSWERS B. What reasons do you think are contributing to your fatigue A nurse is conducting a nursing health history which component with the nurse address A. Nurses concerns B. patient expectations C. Current treatment orders D. Nurses goals for the patient - CORRECT ANSWERS B. Patient expectations

MIDTERM QUESTIONS AND ANSWERS A COMPLETE EXAM

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Which scenario best illustrates the nurse using data validation when making a nursing clinical decision for a patient? A. The nurse determines to remove a wound dressing when the patient reveals the Time of the last dressing change and notices old and new drainage B. The nurse administers pain medicine do you at 1700 at 1600 because the patient reports increased pain and the family wants something done C. The nurse immediately asks the healthcare provider for an order of potassium when a patient reports leg cramps D. The nurse elevates a leg cast when the patient reports decreased mobility - CORRECT ANSWERS A. The nurse determines to remove a wound dressing when a patient reveals the time of the last dressing change in notices old and new drainage A new nurse writes the following nursing diagnoses on a patient's care plan which nursing diagnosis will cause the nurse manager to intervene? A. Wandering B. Hemorrhage C. Urinary retention D. Impaired swallowing - CORRECT ANSWERS B. Hemorrhage Which question would be most appropriate for a nurse to ask a patient to assist in establishing a nursing diagnosis of diarrhea? A. What types of food do you think caused your upset stomach B. How many bowel movements a day have you had C. Are you able to get to the bathroom on time D. What medications are you currently taking - CORRECT ANSWERS B. How many bowel movements a day have you had A registered nurse is the group leader of practical nurses in nursing assistive personnel which nursing care model is the RN using? A. Case management

MIDTERM QUESTIONS AND ANSWERS A COMPLETE EXAM

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B. Total patient care C. Primary nursing D. Team nursing - CORRECT ANSWERS D. Team nursing A staff nurse delegates a task to a nursing assistant personnel knowing that the nursing assistant personnel has never performed the task before. As a result the patient is injured and the nurse defend Sibley states that the nursing assistant personnel should have known how to perform such a simple task. Which element of that decision making process is the nurse lacking? A. Authority B. Autonomy C. Responsibility D. Accountability - CORRECT ANSWERS D- Accountability A nurse is reviewing research studies for evidence-based practice. Which article should the nurse use for qualitative research? A. An article about the number of falls after use of no side rails B. An article about infection rates after use of a new wound dressing. C. An article about the percentage of new admissions on a new floor D. An article about the emotional needs of dying patients and their families. - CORRECT ANSWERS D- an article about the emotional needs of dying patients and their families A nurse identifies a clinical problem with pressure ulcers. which step should the nurse take next in the research process A. analyze results B. Conduct the study C. Determine method. D. Develop a hypothesis - CORRECT ANSWERS D. Develop a hypothesis

MIDTERM QUESTIONS AND ANSWERS A COMPLETE EXAM

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A nurse is developing a care delivery at girls research project which population will the nurse study? A. Nurses B. Patients C. Administrators D. Healthcare providers - CORRECT ANSWERS B. Patients A nurse is teaching about the goals of healthy people 2020. which information should the nurse include in the teaching session. A. Eliminate health disparities in America B. Eliminate health behaviors in America C.Eliminate quality of life in America D. Eliminate healthy life in America - CORRECT ANSWERS A. Eliminate health disparities in America A nurse is following the goals of healthy people 2020 to provide care. which action should the nurse take? A. Allow people to continue current behaviors to reduce the stress of change B. Focuses only on health changes that will lead to better local communities C. Create social and physical environments that promote good health D. Focuses on illness treatment to provide fast recuperation - CORRECT ANSWERS C. Create social and physical environments that promote good health The nurse is working on a committee to evaluate the need for increasing the levels of fluoride in the drinking water of the community. Which concept is the nurse fostering? A. Illness prevention. B. Wellness education C. Active health promotion D. Passive health promotion - CORRECT ANSWERS D. Passive health promotion

MIDTERM QUESTIONS AND ANSWERS A COMPLETE EXAM

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The patient is admitted to the emergency department of the local hospital from home with reports of chest discomfort and shortness of breath the patient is placed on oxygen has labs and blood gases drawn and is given an electrocardiogram and breathing treatments. which level of preventive care is this patient receiving? A. Primary B. Secondary C. Tertiary D. Health promotion - CORRECT ANSWERS B. Secondary The nurse is caring for a patient who has been trying to quit smoking. The patient has been smoke-free for two weeks but had two cigarettes last night and at least two this morning. What should the nurse anticipate? A. The patient does not want to and will never quit smoking B. The patient must pick up the attempt right where the patient left off C. The patient will return to the contemplation or precontemplation phase D. The patient will need to adopt A new lifestyle for a change to be effective. - CORRECT ANSWERS C. The patient will return to the contemplation or precontemplation phase Which action should the nurse take when using critical thinking to make clinical decisions? A. Make decisions based on intuition B. Except one established a way to provide care C. Consider what is important in a given situation D. Read and follow the healthcare providers orders - CORRECT ANSWERS C- consider what is important in a given situation Which patient scenario of the surgical patient in pain is most indicative of critical thinking. A. Administering pain relief medication according to what was given last shift B. Offering pain relief medication based on the healthcare providers order

MIDTERM QUESTIONS AND ANSWERS A COMPLETE EXAM

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C. Asking the patient what pain relief methods pharmacological and nonpharmacological have worked in the past D. Explaining to the patient that self reporting of severe pain is not constant with a minor procedure that was performed - CORRECT ANSWERS C. asking the patient what pain relief methods for Pharmacological and nonpharmacological have worked in the past A nursing Instructor needs to evaluate students abilities to synthesize data and identify relationships between nursing diagnoses. Which learning assessment is best suited for this instructors needs? A. Concept mapping B. Reflective journaling C. Lecture and discussion D. Reading assignment with a written summary - CORRECT ANSWERS A-concept mapping A nurse is using critical thinking model to provide care. Which component is first that helps a nurse make clinical decisions? A. Attitude B. Experience C. Nursing process D. Specific knowledge base - CORRECT ANSWERS D- specific knowledge base Which action by a nurse indicates application of the critical thinking model to make the best clinical decisions. A. Drawing on a past clinical experiences to formulate standardized care plans B. Relying on recall of information from past lectures and textbooks C. Depending on the charge nurse to determine priorities of care D. Using the nursing process - CORRECT ANSWERS D. Using the nursing process

MIDTERM QUESTIONS AND ANSWERS A COMPLETE EXAM

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While caring for a hospitalized older adult female post hip surgery the nurse is faced with the task of inserting an indwelling urinary catheter which involves rotating the hip into a contraindicated position which action should the nurse take first? A. Postpone character insertion until next shift B. Adapt the positioning technique to this situation C. Notify the healthcare provider for a urologist consult D. Follow textbook procedure with contraindicated position - CORRECT ANSWERS B. Adapt the positioning technique to the situation A nurse is pulled from the surgical unit to work on an oncology unit which action by the nurse displays humility and responsibility. A. Refusing the assignment B. Asking for an orientation to the unit C. Admitting lack of knowledge and going home D. Assuming that patient care will be the same as on other units - CORRECT ANSWERS B. Asking for an orientation to the unit The nurse is using the problem oriented approach to data collection which action will the nurse take first? A. Complete the questions in chronological order B. Focus on the patients presenting situation C. Make accurate interpretations of the data D. Conduct an observational overview - CORRECT ANSWERS B. Focus on the patients presenting situation A nurse has transactional leader as a manager. Which binding will the nurse anticipate from working with this leader? A. Increased turnover rate B. Increased patient mortality rate

MIDTERM QUESTIONS AND ANSWERS A COMPLETE EXAM

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C. Increased rate of medication errors D. Increased level of patient satisfaction - CORRECT ANSWERS D. Increased level of patient satisfaction For patients in labor all request epidural analgesia to manage their pain at the same time. Which ethical principle is most compromised when only one nurse anesthetist is on call? A. Justice B. Fidelity C. Beneficence D. Nonmaleficence - CORRECT ANSWERS A. Justice When the professionals work together to solve ethical dilemmas nurses must examine their own values. What is the best rationale for the step? A. So fact is separated from opinion B. So different perspectives are respected C. So judgmental attitudes can be provoked D. So the group identifies the one correct solution - CORRECT ANSWERS B. So different perspectives are respected A newly hired experienced nurse is preparing to change a persons abdominal dressing and hasn't done it before at this hospital. Which action by the nurse is best? A. Have another nurse do it so if the correct method can be viewed B. Change the dressing using the method taught in nursing school C. Ask the patient how the dressing change has been recently done D. Check the policy and procedure manual for the facilities method - CORRECT ANSWERS D. Check the policy and procedure manual for the facilities method A patient with sepsis is a result of long-term leukemia dies 25 hours after admission to the hospital. A full code was conducted without success. The patient had a urinary catheter in

MIDTERM QUESTIONS AND ANSWERS A COMPLETE EXAM

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intravenous lines in oxygen cannula in nasogastric tube. Which question is the priority for the nurse to ask the family before beginning postmortem care? A. Is an autopsy going to be done? B. Which funeral home do you want to use? C. Would you like to assist in beating your loved one? D. Do you want me to remove the lines in tubes before you see your loved one? - CORRECT ANSWERS A. Is an autopsy going to be done? The nurses standing beside the patient's bed. Nurse: how are you doing? Patient: I don't feel good. Which element will the jurse identity as feedback? A. Nurse B. Patient C. How are you doing? D. I don't feel good. - CORRECT ANSWERS D. I don't feel good A nurse uses SBAR when providing a hands off report to the oncoming shift. What is the rationale for the nurses action? A. To promote autonomy B. To use common courtesy C. To establish trustworthiness D. To standardize communication - CORRECT ANSWERS D. To standardize communication I confused older adult patient is wearing the glasses and a hearing aid. Which intervention is the priority to facilitate communication? A. Focus on tasks to be completed B. Allow time for the patient to respond

MIDTERM QUESTIONS AND ANSWERS A COMPLETE EXAM

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C. Limit conversations with a patient D. Use gestures and other nonverbal cues - CORRECT ANSWERS B. Allow time for the patient to respond A nurse is teaching a patient's family member about permanent tube feedings at home. Which purpose of patient education is the nurse meeting? A. Health promotion B. Illness prevention C. Restoration of health D. Coping with impaired functions - CORRECT ANSWERS D. coping with impaired functions The nurses goal is to provide teaching for restoration of health. Which situation indicates the nurse is meeting this goal? A. Teaching a family member to provide a passive range of motion or a stroke patient B. Teaching a woman who recently had a hysterectomy about possible adoption C. Teaching expected to parents about changes in childbearing women D. Teaching a teenager with a broken leg how to use crutches - CORRECT ANSWERS D. Teaching a teenager with a broken leg how to use crutches A nurse attends a seminar on teaching/learning. Which statement indicates the nurse has a good understanding of teaching/learning? A. Teaching and learning can be separated B. Learning is an interactive process that promotes teaching C. Teaching is the most effective when it responses to the learns needs D. Learning consists of conscious deliberate set of actions designed to help the teacher - CORRECT ANSWERS C. Teaching is most effective when it responds to the learners needs A nurse is trying to help a patient begin to except the chronic nature of diabetes. Which learning technique should the nurse used to enhance learning?

MIDTERM QUESTIONS AND ANSWERS A COMPLETE EXAM

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A. Lecture B. Role-play C. Demonstration D. Question and answer session - CORRECT ANSWERS B. Role play Which assessment finding it will cause the nurse to begin teaching a patient because the patient is ready to learn? A. A patient has the ability to grasp and apply the elastic bandage B. A patient has sufficient upper body strength to move from bed to a wheelchair C. A patient with a below the knee amputation is motivated about how to work with assistive devices D. A patient has normal eyesight to identify the markings on a syringe and coordination to handle a syringe - CORRECT ANSWERS C. A patient with a blow the knee amputation is motivated about how to work with assistive devices A nurse is assessing the ability to learn of a patient who has recently experienced a stroke. Which question/statement will best assess the patient's ability to learn? A. What do you want to know about strokes B. Please read this handout and tell me what it means C. Do you feel strong enough to perform the tasks I will teach you D. On a scale from 1 to 10 tell me where you rank your desire to learn - CORRECT ANSWERS B. Please read this handout and tell me what it means A nurse has provided care to a patient. Which entry should the nurse document in the patient's record A. Patient status and change doing well B. Patient seems to be in pain states I feel uncomfortable C. Left knee incision 1 inch in length without redness drainage or Edema D. Patient is hard to care for and refuses all treatment and medications family is present - CORRECT ANSWERS C. Let me incision 1 inch in length without redness drainage or edema

MIDTERM QUESTIONS AND ANSWERS A COMPLETE EXAM

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A nurse is charting on a patient's record. Which action will the nurse take that is accurate legally? A. Charts legibly B. States the patient is belligerent C. Rates entry for another nurse D. Uses correction fluid to correct error - CORRECT ANSWERS A. Charts legibly A nurse is a member of an interdisciplinary team that uses critical pathways. According to the critical path way on day two of the hospital stay the patients should be sitting in the chair. It is day three and the patient cannot sit in the chair. What should the nurse do? A. Add this data to the problem list B. Focus chart uses DAR format C. Document the variance in the patient's record D. Report a positive variance in the next interdisciplinary team meeting - CORRECT ANSWERS C. Document the variance in the patient's record A nurse obtained a telephone order from a primary care provider for a patient in pain. Which chart entry should the nurse document? A. 12/16/20XX 0915 morphine 2mg IV Every four hours for incisional pain. VO dr. Day/J. Winds, RN, read back B. 12/16/20XX 0915 morphine 2mg IV Every four hours for incisional pain. TO J. Winds, RN, read back C. 12/16/20XX 0915 morphine 2mg IV Every four hours for incisional pain. TO Dr. Day/J. Winds, RN, read back. D. 12/16/20XX 0915 morphine 2mg IV Every four hours for incisional pain. TO J. Winds, RN - CORRECT ANSWERS C. 12/16/20XX 0915 morphine 2mg IV Every four hours for incisional pain. TO Dr. Day/J. Winds, RN, read back A nurse wants to reduce data entry errors on the computer system. Which action should the nurse take?

MIDTERM QUESTIONS AND ANSWERS A COMPLETE EXAM

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A. Use the same password all the time B. Share password with only one other staff member C. Print out and review computer nursing notes at home D. Turn on the computer immediately after care is provided - CORRECT ANSWERS D. Chart on the computer immediately after care is provided A home health nurse is performing a home assessment for safety. Which comment by the patient will cause the nurse to follow up? A. Every December is the time to change batteries on the carbon monoxide detector B. I will schedule an appointment with a chimney inspector next week C. I feel dizzy when using the heater I will need to have it inspected D. When it is cold outside in the winter I will use a non-vented furnace - CORRECT ANSWERS D. When it is cold outside in the winter I will use a non-vented furnace The nurse is teaching a group of older adults at an assisted living facility about age related physiological changes affecting safety. Which question would be most important for the nurse to ask this group? A. Are you able to hear the tornado sirens in your area B. Are you able to read your favorite book C. Are you able to taste spices like before D. Are you able to open a jar of pickles - CORRECT ANSWERS A. Are you able to hear the tornado sirens in your area The nurse is monitoring for the four categories of risk that have been identified in the healthcare environment. Which examples will alert the nurse that these safety risks are occurring? A. Tile floors cold food scratching linen and noisy alarms B. Dirty floors hallways blocked medication room locked in alarm set C. Carpeted floors ice machine empty unlocked supply cabinet and a call light

MIDTERM QUESTIONS AND ANSWERS A COMPLETE EXAM

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D. What floor is unmarked patient pinching fingers indoor failure to use Lyft for a patient and alarms not functionally properly. - CORRECT ANSWERS D. A confused patient is right for sLists and continues to try to remove the oxygen cannula and urinary catheter. What is the priority nursing diagnosis in intervention to implement for this patient? A. Risk for injury check on patient every 15 minutes B. Risk for suffocation place auction in use sign on door C. Disturbed body image encourage patient to express concerns about body D. Deficient knowledge explain the purpose of oxygen therapy and the urinary catheter - CORRECT ANSWERS A. Risk for injury check on patient every 15 minutes Which patient will the nurse see first? A. A 56-year-old patient with oxygen with a later on the bedside table B. A 56-year-old patient with oxygen using an electric razor for grooming C. A one month old infant looking at a shiny round battery just out of arms reach D. A one month old infant with a pacifier that has no string around the baby's neck - CORRECT ANSWERS B. A 56-year-old patient with oxygen using an electric razor for grooming A home health nurse is teaching a family to prevent electrical shock. Which information will be a nurse include in the teaching session? A. Runs wires under carpet B. Disconnect items before cleaning C. Grasp the cord when unplugging items D. Use masking tape to secure cords to the floor - CORRECT ANSWERS B. Disconnect items before cleaning