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Unit 1 Pearson Practice Questions
During a midterm evaluation, the nurse educator tells the students they need to work on improving their aesthetic knowing. What is a good way for the students to accomplish this? a. Study harder. b. Take better notes. c. Read about the same topic from a variety of sources. d. Spend time in the clinical area with seasoned nurses. - correct answer d. Spend time in the clinical area with seasoned nurses. The student nurse is following a preceptor on the assigned clinical shift. Which behavior of the nurse would the student interpret as caring? a. Making sure that all medications and treatments ordered for the client are completed on time b. Using aseptic technique correctly when performing all dressing changes ordered for the client c. Advising the physician that the client wants to speak to them prior to a procedure being performed d. Explaining an invasive procedure to the client, then asking whether it is alright to begin the procedure - correct answer d. Explaining an invasive procedure to the client, then asking whether it is alright to begin the procedure A nurse educator teaches students about caring nursing practice. Which situation shows that the nurse is able to best implement the whole idea of caring? a. The nurse is able to carve out time for a favorite hobby at least once a week. b. The nurse is a volunteer at church and school events. c. The nurse makes lists every morning so the day stays organized and planned.
d. The nurse takes care of aging parents in addition to providing care to the immediate family. - correct answer a. The nurse is able to carve out time for a favorite hobby at least once a week. A nurse preceptor is working with a newly licensed nurse in the newborn nursery. The newly licensed nurse asked if infants experience pain, and if so, how it is managed. What is the nurse preceptor's best response? a. "Research shows that infants do not experience pain so there is no need to provide any interventions to address this." b. "Infants experience pain, but the healthcare providers do not choose to treat it unless it is severe." c. "Infants experience pain, and there are several nursing interventions that can comfort the infant during a painful procedure." d. "The nursing staff can only intervene if the healthcare provider writes an order for an intervention." - correct answer c. "Infants experience pain, and there are several nursing interventions that can comfort the infant during a painful procedure." The nursing instructor is talking with the nursing students, explaining factors that have contributed to the nursing shortage. The faculty member would include which factor in the discussion? a. Lack of interest in the nursing profession by college students b. Lack of sufficient nursing faculty and clinical sites c. Nursing graduates not passing the RN-NCLEX exam d. Rise in the number of acute care days clients stay in the hospital - correct answer b. Lack of sufficient nursing faculty and clinical sites Which characteristic is thought to generally distinguish a profession from other kinds of occupations? a. Short, quick training to acquire a body of knowledge b. Independence without commitment to an organization c. Overall basic knowledge of many areas of science
The charge nurse on the night shift in the emergency room is notified by the police by telephone that there has been an explosion in the community that will bring a large number of clients to the hospital. What is the charge nurse's initial action in response to this phone call? a. Notify the physician in charge of the emergency room. b. Notify the nurse manager of the emergency department. c. Use the organizational chart to determine who manages disasters. d. Notify the charge nurses of the other units. - correct answer c. Use the organizational chart to determine who manages disasters. The ANA Standards of Practice for the Registered Nurse describe which level of nursing care? a. Mastery b. Advanced beginner c. Competent d. Expert - correct answer c. Competent While attending a continuing education seminar, several nurses from different states are discussing their individual state requirements for nursing licensure. Which one common thread exists in all of the states' departments of nursing? a. Protect the public b. Further nursing education c. Obtain continuing education contact hours d. Gain specialization - correct answer a. Protect the public The nurse functions as the RN who oversees care to children who are mentally challenged and live in a group home. Many of these children travel daily to a workshop to stuff envelopes for a local business. The owners are reducing the amount of money available for gas to transport the children. What is the nurse protecting when advocating against this change?
a. The children's jobs b. Dignity of the children c. Parents of the children d. Job of the nurse - correct answer b. Dignity of the children A client understands that in the coming months she will become gravely ill. The client would like to establish a relationship with a nurse so that the nurse can act as an advocate when the client has trouble with the complexities of the healthcare system. Which activity is a goal of being an advocate for a client? a. Protect the client's rights. b. Make decisions for the client. c. Talk the client out of a decision if it differs from the nurse's opinion. d. Report the client's decisions to the family. - correct answer a. Protect the client's rights. The school nurse has studied a potential health issue and identifies a need for a vaccination program in the school district. The nurse is seeking to effect change in what role? a. Advocate b. Opponent c. Reactionary d. Adversary - correct answer a. Advocate An expert nurse is interested in career progression through public advocacy. The nurse plans to follow which course of action? a. Conduct educational classes for respiratory therapists on the unit. b. Contact the local congressman about a new health law. c. Become a preceptor on the unit. d. Obtain a master's degree in nursing. - correct answer b. Contact the local congressman about a new health law.
A client in a long-term care facility has been complaining of care that is being given by one of the nurses. A new nurse is assigned to the client and is asked by the family what options they have in making a formal complaint. What is the best action by the nurse? a. Refer them to the nurse manager. b. Refer them to the physician. c. Have them contact the risk manager. d. Offer to notify the agency's client advocate. - correct answer d. Offer to notify the agency's client advocate. The staff nurse is admitting a client to the nursing unit. The client received a copy of the client responsibilities upon admission to the facility. The nurse is aware that which aspect would be included in this document? a. The client should disclose only information that he or she feels is important to the healthcare team. b. The client should ask the healthcare team if he or she needs to change any medications before a test. c. The client should expect that all information from the healthcare team will be shared verbally. d. The client should follow the treatment plan as the client feels best suits his or her needs. - correct answer b. The client should ask the healthcare team if he or she needs to change any medications before a test. A nurse has defined the current research problem. What is the next step in the process? a. Formulate a hypothesis. b. Define variables. c. Review the literature. d. Select a design. - correct answer c. Review the literature.
The nurse is caring for a client who continues to develop pressure sores despite measures the nurses have taken to protect the client's skin. The nurses have participated in a client conference and outlined various methods for protecting this particular client's skin. What design of evidence-based research study is the nursing staff using? a. Cohort study b. Case study c. Meta-analysis d. Case control study - correct answer b. Case study During an interview, a nursing student asks the manager of the unit if the unit participates in any evidence-based practice projects. Which example stated by the nurse manager is an example of randomized controlled trial evidence-based practice project? a. The unit has implemented a new peri-care cleaning product and projecting a decrease in our urinary tract infection rate with clients with indwelling catheters. b. All nursing staff on the unit recently completed an online module on proper indwelling catheter care and the unit will look at the urinary tract infection rate for the unit. c. The unit has implemented a new peri-care cleaning product on one hall of the unit and we will compare the urinary tract infection rate of that hall with the other hall of the unit, not using the product. d. A literature review was completed on not inflating the balloon on the indwelling catheter before insertion, and our - correct answer c. The unit has implemented a new peri-care cleaning product on one hall of the unit and we will compare the urinary tract infection rate of that hall with the other hall of the unit, not using the product. A nurse preceptor is working with a graduate nurse and explains that the hospital uses evidence-based practice (EBP) as its approach to nursing because of what reason?
c. Resistant d. Noncompliant - correct answer a. Underinsured Healthy People 2020 has two primary prevention goals. Which option is in alignment with one of the goals? a. Providing free screening to schoolchildren b. Opening a wellness clinic c. Creating new pharmacological treatments d. Developing better insurance controls - correct answer b. Opening a wellness clinic Health policy is often shaped at the national level. The nurse explains to a group of clients some of the changes that have been made to improve health care to clients. The nurse includes which change in the explanation? a. Meals on Wheels b. Wheelchair ramps at health facilities c. Flu shots given at pharmacies d. Nursing diagnoses - correct answer b. Wheelchair ramps at health facilities The nurse manager of an intensive care unit would like to have in-service training on current and best practices for needle safety. Which resource would be most helpful for the nurse manager to gather information and support? a. Other healthcare facilities within the area b. The facility's quality management department c. Occupational Safety and Health Administration (OSHA) website d. Centers for Disease Control and Prevention (CDC) website - correct answer c. Occupational Safety and Health Administration (OSHA) website
A client with diabetes lives 50 miles from the endocrinologist who is following the client's care. The client is able to send information from the glucose meter via the phone to the endocrinologist. The client asks the home health nurse how this is useful for the client. Which response from the nurse would be the best choice? a. The client is getting up-to-the-minute monitoring. b. It saves the physician's time. c. The nurse does not have to visit as often. d. The system saves charting time for professionals. - correct answer a. The client is getting up-to-the-minute monitoring. The nurse is learning about the computer system at a new hospital job. The nurse expects to use which system when charting client care? a. DVD system b. Clinical information system (CIS) c. Geographic information system (GIS) d. Secondary memory storage system - correct answer b. Clinical information system (CIS) A client asks the nurse why the physician refers to the electronic health record (EHR) and the nurse refers to the electronic medical record (EMR). Which explanation by the nurse would be the best response? a. "The EHR is a small part of the EMR." b. "The EHR is your entire health history." c. "The EMR tracks only your medications." d. "The EMR is used only by physical therapy." - correct answer b. "The EHR is your entire health history." A nurse is caring for an older adult client in the emergency department (ED) who was brought in by an adult child for vague flulike symptoms. While helping the client change into a gown, the nurse notices numerous bruises on the client's back
a. Quality management program b. increased number of nursing audits c. Root cause analysis d. Criminal investigation - correct answer c. Root cause analysis The nurse is working with a nursing student. The nurse is discharging a client to a rehabilitation facility. The nursing student asks if nurses play a part in evaluating the quality of care that clients receive. Which statement would be the nurse's best response? a. "The hospital administration is responsible for determining quality." b. "We have a quality management program here." c. "We each contribute by collecting data for evaluation." d. "Nurses are responsible for monitoring nonprofessionals." - correct answer c. "We each contribute by collecting data for evaluation."
