Transitions FINAL EXAM practice questions with 100% correct answers.docx, Exams of Biology

Download Transitions FINAL EXAM practice questions with 100% correct answers.docx and more Exams Biology in PDF only on Docsity! Transitions FINAL EXAM practice questions with 100% correct answers What is a correct statement regarding a nurse who acts beyond the scope of practice? A. Provides enriched services to patients who would not otherwise receive them B. Demonstrates what a good nurse she or he can be C. May be disciplined by the board of nursing D. May make other nurses angry because of the increased expectations created - answer C. May be disciplined by the board of nursing What does the "scope of nursing practice" refer to? A. Acts that permit some overlap between nursing and medicine B. The specific duty the nurse owes to a patient C. Those activities for which a nurse can be held liable for malpractice D. The activities legally permissible for a nurse to perform in a particular state - answer D. The activities legally permissible for a nurse to perform in a particular state Which of the following is the most frequent reason for revocation or suspension of a nurse's license? A. alcohol or drug abuse B. criminal acts C. fraud The soon to graduate nurse would like information about what to expect on the NCLEX-RN exam and how to apply to take the exam. Where would the student find information? A. A nursing unit manager B. State Board of Nursing C. NCSBN website D. RWJ IOM report - answer C. NCSBN website What aspects define nursing as a profession? select all that apply A. Nurses have developed a Code of Ethics. B. Nurses are trusted by the public. C. Nurses possess a specialized body of knowledge. D. Nurses work around the clock. E. Nurses serve the public. - answer A. Nurses have developed a Code of Ethics. C. Nurse's possess a specialized body of knowledge. E. Nurses serve the public. According to the Utah Nurse Practice Act Rule, how many hours must a licensed nurse practice without an additional requirement of contact hours to renew their license? A. 200 B. 1,000 C. 40/week D. 400 - answer D. 400 After a nursing student has graduated from their program, what is the timeframe the applicant has to take and pass the NCLEX-RN? (According to the Utah Nurse Practice Act Rule) A. 1 year B. indefinite C. 90 days D. 5 years - answer D. 5 years How does the Utah Nurse Practice Act Rule define a Comprehensive nursing assessment? A. verification and evaluation of prescribed orders B. conducting extensive initial and ongoing data collection C. appraisal of a patient's status and the situation at hand D. assessing the patient's care plan - answer B. conducting extensive initial and ongoing data collection Which organization developed the most definitive statement on the competencies needed by the newly licensed RN? A. American Association of Colleges of Nursing (ACEN) B. National Council of State Boards of Nursing (NCSBN) C. Magnet Council for Nurses (MCN) D. Intermountain Health care (IHC) - answer B. National Council of State Boards of Nursing (NCSBN) A nurse is respected by peers for clinical skills and effective interpersonal relationships. The nurse has A nurse is interested in moving into a management position. Which action would assist with accomplishing this? A. Use of reward power B. Use of coercive power C. Use of legitimate power D. Use of expert power - answer D. Use of expert power Which of the following statement by the nurse reflect transformational leaders? (Select all that apply.) A. Value-driven visionaries B. Courageous change agents C. Slow to change D. Lifelong learners E. Hesitant to follow - answer A. Value-driven visionaries B. Courageous change agents D. Lifelong learners Which of the following describes reward power used by the nurse manager? (Select all that apply.) A. A nurse manager who uses fear of consequences to motivate staff B. A nurse manager who has information that others need to perform their jobs C. A nurse manager who is well liked by the majority of staff D. A nurse manager who uses salary increases to motivate staff E. A nurse manager who is perceived as an expert due to specialized knowledge - answer A. A nurse manager who uses fear of consequences to motivate staff D. A nurse manager who uses salary increases to motivate staff A nurse manager needs to purchase new thermometers for the nursing unit. What technique would demonstrate a laissez-faire style of leadership? A. Purchasing the brand that the nurse manager thinks is the best thermometer B. Having the nurses on the day shift order any thermometer that they want C. Having the nurses on the unit try several types and vote on their favorite D. Asking the nurses during staff meeting what they prefer in a thermometer - answer B. Having the nurses on the day shift order any thermometer that they want A charge nurse explains to a student: "I tend to act differently depending on which nurses are working that particular shift. Some nurses need more direction from me than others." What type of leadership style best describes this charge nurse's approach? A. Situational B. Transformational C. Interactional D. Transactional - answer A. Situational D. Sitting at the bedside of a confused patient to keep them from wandering - answer A. Discussing the importance of deep breathing to a pre- operative patient The nurse understands that delegation and supervision are two concepts that go hand-in-hand. Which is the best example of the concept of supervision? A. Assigning a urinary catheterization and collection of sterile culture to an LPN B. Assigning nursing care for a group of five patients to an RN C. Scheduling the LPN to administer medications on the unit for the afternoon D. Following up with a CNA on the assigned task of ambulation and feeding of two patients - answer D. Following up with a CNA on the assigned task of ambulation and feeding of two patients Which situation could lead to performance inadequacy? A. The person who delegated the task confirmed the recipient's ability to perform the task. B. The person to whom the task was assigned did not understand what the task involved. C. The person to whom the task was assigned had appropriate educational qualifications to complete the task. D. The task was assigned to a person capable of carrying out the assignment. - answer B. The person to whom the task was assigned did not understand what the task involved. Which of the following represents appropriate feedback for an assignment to an LPN? A. "The patient in Room 430 looks much better, and you did a good job of making her comfortable." B. "Have you completed the urinary catheterization and care of the new patient?" C. "I know you are busy; however, you need to get caught up with your pain medications." D. "Did you understand the assignment that you received in the staff report?" - answer A. "The patient in Room 430 looks much better, and you did a good job of making her comfortable." The nurse on the unit is determining which activities may be delegated to assistive personnel. Assuming that the nurse assistant is competent, which one of the following activities may be safely delegated by the registered nurse? A. Initial transfer of a postoperative client B. An admission history on a new client C. Administration of medications prepared by the nurse D. Vital signs on a stable client - answer D. Vital signs on a stable client Which of the following actions best reflects maintaining accountability for the nursing process? A. Reassessing a client's BP when the reported value is higher than usual B. Asking the CNA to take vital signs on a patient who just received pain medication C. Asking a client's daughter to bring her father's non-skid slippers to the hospital the primary cause of untoward events in the hospital setting? A. "unclear chain of communication for reporting." B. "lack of consistent supervision of nursing staff." C. "unclear, ineffective communication." D. "ineffective reporting of the untoward event." - answer C. "unclear, ineffective communication." The nurse is receiving a phone order from a health care provider. How will the nurse make sure that the provider's order is received without error? A. Write the order without using any unclear or unapproved abbreviations. B. Advise the health care provider that the order must be written on the chart within the next 24 hours. C. Ask the nurse in charge to come to the phone to take the order. D. Repeat the order, write the order verbatim, and read it back to the provider. - answer D. Repeat the order, write the order verbatim, and read it back to the provider. How is assertive behavior described? A. Apologetic B. Direct C. Self-denying D. Coercive - answer B. Direct What is the primary role of The Joint Commission (TJC)? A. granting magnet status to excellent hospitals. B. ensuring medical facilities meet patient safety guidelines. C. lobbying Congress on behalf of Medicare/Medicaid patients. D. inspecting hospitals for compliance of infection control standards. - answer B. ensuring medical facilities meet patient safety guidelines. A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first? A. Review the events leading up to each medication administration error. B. Provide an inservice on medication administration to all the nurses. C. Develop a quality improvement program for nurses involved in medication administration errors. D. Require staff nurses to demonstrate competency by passing a medication administration examination. - answer A. Review the events leading up to each medication administration error. The nurse is reviewing categories for improving client safety. Which categories should the nurse review? Select all that apply A. Tubing misconnections B. Facilitating information transfer and clear communication The new graduate nurse is working to create culture of safety on the unit. What actions will exemplify a culture of safety? Select all that apply A. Adopt a work around when the system is not functioning to save time. B. Using the I-SBARR when collaborating with a provider. C. Overriding the smart IV pump to save time. D. Refusing to be interrupted during medication administration. E. Using Universal Protocol 3 steps prior to surgery and procedures. F. look at systems and processes to identify areas that need to be changes - answer B. Using the I- SBARR when collaborating with a provider. D. Refusing to be interrupted during medication administration. E. Using Universal Protocol 3 steps prior to surgery and procedures. F. look at systems and processes to identify areas that need to be changes What are the factors that contribute to medication errors? Select all that apply A. overly tired nurses B. computerized drug monitoring and electronic dispensing systems C. high nurse-client ratios D. inadequate staffing E. he use of Computerized Physician/ Provider Entry CPOE - answer A. overly tired nurses C. high nurse-client ratios D. inadequate staffing The nurse is implementing fall prevention protocol. What would be included in the protocol? (Select all that apply) A. bed and chair alarms B. placing the client bed is a high position C. toileting every 2 hours and visual hourly checks D. assessment of medication side effects E. thorough and sound assessment of clients abilities and limitations - answer A. bed and chair alarms C. toileting every 2 hours and visual hourly checks D. assessment of medication side effects E. thorough and sound assessment of clients abilities and limitations According to the American Hospital Association, what is a basic right of patients? A. Considerate and respectful care from all care providers B. Information from nurses about diagnosis and prognosis C. Medical care regardless of ability to pay D. Choice of diet to be eaten during hospitalization - answer A. Considerate and respectful care from all care providers George the construction worker tells the Ameritech students preparing for a quiz on ethics: "I find it easy to make the right decision. All life is sacred, and all decisions must be made with the intent to A. The client's insurance company review board B. The nurse's religious leader C. The hospital Ethics Committee D. The hospital legal department - answer C. The hospital Ethics Committee George the construction worker fell off a crane while working on the Ameritech roof. The students rushed to his aid, and decided not to move him in case he had sustained a neck injury. What ethical principle were the students following? A. Fidelity B. Justice C. Autonomy D. Non-Maleficence - answer D. Non-Maleficence George was taken to the emergency room after falling off a crane in the Ameritech construction site. George's buddies came to the emergency room to visit. A doctor told George's buddies that George is HIV-positive. What ethical principle did the doctor violate? A. Fidelity B. Beneficence C. Justice D. Veracity - answer A. Fidelity George the construction worker decided to leave the emergency room against medical advice. His nurse is an incredibly ethical Ameritech graduate. What did the nurse do in this situation? A. Tied George to the bed so he wouldn't leave B. Hid George's clothes so he couldn't get dressed and walk away C. Called George's girlfriend to come and talk some sense into him D. Informed George that he could return to the hospital if he changes his mind - answer D. Informed George that he could return to the hospital if he changes his mind George and his fellow construction workers were listening to the Trends class study for a quiz on ethics. What is NOT an ethical dilemma that the students are discussing? A. Abortion B. Parking C. Passiive euthanasia D. Quality of life - answer B. Parking What is a correct statement regarding a nurse who acts beyond the scope of practice? A. Demonstrates what a good nurse she or he can be B. Provides enriched services to patients who would not otherwise receive them C. May make other nurses angry because of the increased expectations created D. May be disciplined by the board of nursing - answer D. May be disciplined by the board of nursing In a malpractice suit, how may a breach of duty be established? D. Those activities for which a nurse can be held liable for malpractice - answer B. The activities legally permissible for a nurse to perform in a particular state A nurse is being sued for assault and battery. What does this mean? A. The nurse, without consent, touched the patient in an offensive, insulting, or injurious way. B. The nurse threatened to put the patient in restraints if he did not stay in bed. C. The nurse told the patient he could not leave until his bill was paid. D. The nurse failed to perform an act expected of a reasonable nurse. - answer A. The nurse, without consent, touched the patient in an offensive, insulting, or injurious way. What is the best definition of malpractice? A. A criminal act committed against society B. Doing something a reasonable person or nurse would not do C. An intentional professional act of negligence D. A professional act or failure to act that leads to injury of a patient - answer D. A professional act or failure to act that leads to injury of a patient A nurse tells a patient, "If you don't stop getting out of that chair, I'm going to put some restraints on you." What may this nurse be accused of? A. Assault B. Defamation C. Invasion of privacy D. Malpractice - answer A. Assault In a legal suit, what element is necessary to prove a tort has been committed? A. Intent B. Assault C. Injury D. Malpractice - answer C. Injury Which statement by the graduate nurse indicates understanding of the importance of a cover letter? A. "It is optional." B. "It is necessary only if your resume needs further explanation." C. "It should recapitulate all of the important points of your resume." D. "It should introduce you to the reader." - answer D. "It should introduce you to the reader." Which of the following actions by the graduate nurse would be advised during an interview campaign? A. For more exposure post your resume on the public internet. B. Research the prospective employer and evaluate their mission statement. C. Plan 3-4 interviews in a day to save time. D. Make note cards with details to take with you to use during the interview. - answer B. Research the prospective employer and evaluate their mission statement. Which statement by the nursing student indicates an understanding of the purpose in setting a career goal? A. "To keep you focused on your current job" B. "To help you define the direction of your career" C. "To guarantee you will achieve your goal" D. "To impress those part of the interview process" - answer B. "To help you define the direction of your career" A student in the last semester of nursing school has established a goal of making a successful role transition to graduate nurse. Which statement by the student indicates his/her understanding of how to achieve this goal during the capstone experience? A. "I will observe staff nurses as they perform nursing procedures to refine technique." B. "I will evaluate my progress every 6 months to allow time for growth." C. "I should care for increased numbers of patients to enhance work organization skills." D. "I should seek increasingly close guidance from the nursing instructor to reduce errors." - answer C. "I should care for increased numbers of patients to enhance work organization skills." A nurse manager is giving a presentation at a local community college. The nurse manager understands the job expectations of a new graduate when making which of the following statements? A. "A graduate nurse should be able to function in the role that was described in the curriculum for the school of nursing." B. "A graduate nurse should be able to function independently with ability to make clinical nursing judgments and set priorities and handle all emergencies during all shifts." C. "A graduate nurse should be able to function competently as an advanced beginner as a registered nurse at the entry level." D. "A graduate nurse should be able to perform as independently as was demonstrated the beginning of the last semester of nursing." - answer C. "A graduate nurse should be able to function competently as an advanced beginner as a registered nurse at the entry level." The new graduate nurse would like to pursue a career in the Intensive Care Unit (ICU). What goal might be appropriate for this career? A. Credentialing as a Certified Critical Care Nurse (CCRN) B. Obtain employment at only Magnet status facilities. C. Become a Family Nurse Practitioner (FNP) D. Complain to the Clinical Placement Team regarding their capstone assignment in a M/S unit - answer A. Credentialing as a Certified Critical Care Nurse (CCRN) What is expected of the new graduate across healthcare agencies? Select all that apply A. To work effectively with assistive personnel, delegating and supervising nursing care tasks in an appropriate manner. A. The woman does not like to eat with other residents of the home. B. The woman is using this as a means of going home. C. The food served may not be culturally appropriate. D. The food served may violate religious beliefs. - answer C. The food served may not be culturally appropriate. A nurse is caring for a patient from Taiwan who constantly requests pain medication. What should the nurse consider when assessing the patient's pain? A. Most people react to pain in the same way. B. Pain in adults in less intense than pain in children. C. The patient is a constant complainer. D. Pain is what the patient says it is. - answer D. Pain is what the patient says it is A nurse is gathering data on a patient of a different culture. Which action can the nurse take to enhance communication while gathering cultural data? A. Ignore the patient's culture and focus on the reason for hospital admission. B. Use hand gestures to get points across to a patient with poor English. C. Use close-ended questions to gather information. D. Determine the patient's level of fluency in English. - answer D. Determine the patient's level of fluency in English. When caring for a patient who is Native American, the best initial action by the nurse is to A. avoid all eye contact with the patient. B. observe the patient's use of eye contact. C. look directly at the patient when interacting. D. ask the family about the patient's cultural beliefs. - answer B. observe the patient's use of eye contact. When performing a cultural assessment with a patient of a different culture, the nurse's first action should be to A. wait until a cultural healer is available to help with the assessment. B. obtain a list of any cultural remedies that the patient currently uses. C. ask the patient about any affiliation with a particular cultural group. D. tell the patient what the nurse already knows about the patient's culture. - answer C. ask the patient about any affiliation with a particular cultural group. A nurse is developing an education program for a community group about dietary intake of vitamins and minerals in the diet. The nurse should include which of the following foods as sources of vitamin C? (Select all that apply.) A. Green pepper B. Orange C. Cabbage exposure to and a possible infection with tuberculosis (TB)? A. 15 mm induration B. 10 mm wheal C. 5 mm induration D. 4 mm erythema - answer A. 15 mm induration Following an earthquake, patients are triaged by emergency medical personnel and are transported to the hospital. Which of these patients will the nurse need to assess first? A. A patient with a yellow tag B. A patient with a red tag C. A patient with a blue tag D. A patient with a green tag - answer B. A patient with a red tag A nurse is educating community members about how to prepare for a disaster. Which of the following supplies should the nurse instruct the clients to include in a disaster preparedness kit? (Select all that apply.) A. Three quarts of water per person B. Antibiotics C. Prescription medications D. Clean clothing E. 3 boxes of vodka F. Personal identification - answer A. Three quarts of water per person C. Prescription medications D. Clean clothing F. Personal identification A nurse is caring for a client involved in a suspected bioterrorism event involving exposure to cutaneous anthrax. Which of the following manifestations should the nurse anticipate? A. Flu-like symptoms B. Bloody diarrhea C. Respiratory distress D. Skin lesions with pruritus - answer D. Skin lesions with pruritus A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which of the following agents should the nurse plan to administer a vaccine following exposure? A. Anthrax B. Smallpox C. Plague D. Botulism - answer B. Smallpox A nurse is preparing to care for a client who has suspected exposure to plague as a result of bioterrorism. Which of the following actions should the nurse plan to take first? A. Notify the Centers for Disease Control and Prevention (CDC). B. Decontaminate the client. C. Prepare for drainage of lesions. the following clients should the nurse plan to care for first? A. A client who has full-thickness burns over 80% of his body B. A client who has a closed upper extremity fracture C. A client experiencing a tension pneumothorax D. A client who has agonal respirations - answer C. A client experiencing a tension pneumothorax A nurse is discussing emergency response with a newly licensed nurse. The nurse should identify which of the following as a triage officer during the time of a disaster? A. Representatives from the American Red Cross B. Responding law enforcement officers C. Nurses and other emergency medical personnel D. Members of the Federal Emergency Management Agency (FEMA) - answer C. Nurses and other emergency medical personnel A nurse is caring for a client who suspects recent exposure to inhalation anthrax. Which of the following findings indicate possible exposure? A. Flu-like symptoms B. Sloughing of skin C. Respiratory failure D. Vesicles on the skin - answer A. Flu-like symptoms A charge nurse is discussing staff nurses' responsibilities in preplanning for response to a disaster. Which of the following responsibilities should the nurse include in the discussion? A. Identify potential community disasters. B. Evaluate the impact of a disaster on the community. C. Link victims with support agencies to help with food, clothing, shelter, and counseling needs. D. Assess survivors of a disaster for levels of psychological stress. - answer A. Identify potential community disasters. A nurse is teaching a group of newly hired nurses about the requirements for disaster planning. Which of the following statements by one of the newly hired nurses indicates an understanding of the teaching? A. "An actual disaster cannot take the place of a disaster drill." B. "A staff nurse can function as the incident commander." C. "Disaster drills should be held on a regular basis." D. "A physician must triage victims of a disaster in the emergency department." - answer C. "Disaster drills should be held on a regular basis." A nurse is triaging clients injured during a tornado. The nurse assesses a client who has an open fracture of his arm. Which of the following tags would the nurse place on the client? A. Perform a rapid head-to-toe assessment. B. Place a red tag on the client's upper body. C. Have the client's wife drive him to the hospital.