1) Nursing research includes systematic inquiry into which of the following? All of the above Administration Clinical practice Education.
2) You are fully aware of the fact that some risk factors are correctable or modifiable and other risk factors are innate and not modifiable. Which of the following risk factors is the most likely able to be correctable? Lifestyle choices High-risk behaviors An external locus of control Genetic predisposition.
3) The nurse should initiate protective precautions for a client who has a: White Blood Cell Count (WBC) 2,500/mm3 Red Blood Cell Count (RBC) of 3,900/mm3 Hemoglobin (HgB) 9.0 g/dl Platelet count of 400,000H/L.
4) Of the following statements, which is truest of health and illness? Each person individually defines health and illness. People with chronic illness have poor health beliefs. People with acute illness are actually healthy Health and illness are the same for all people.
5) Which of the following are ethical and legal issues related to the research process that are evaluated by the IRB? Select all that apply: Blind participation Privacy and dignity Protection against mental and physical suffering Balance between benefits and risks.
6) The infection control nurse is doing rounds in a medical surgery unit. Which of the following, if observed by the nurse, requires immediate intervention? An RN is seen wearing a surgical mask while attending a client with tuberculosis (TB) in a negative pressure room. An LPN with gloves is observed wearing gloves while emptying a urine drainage bag An RN is observed wearing a gown, gloves and shoe covers while caring for a client with Ebola virus An LPN is observed wearing a gown and gloves while caring for a mental ill client with Clostridium Difficile toxin.
7) After properly positioning the client for a catheterization procedure, the nurse prepares the sterile field and locates the equipment to perform the procedure. Suddenly the nurse hears a warning for the high-voice system that requires him to go to attend another client who fell in the hallway. The nurse understands that which of the following should be the most appropriate action for this situation. Make sure the client is safe, cover the sterile field with a towel and respond to the other client's emergency. Ensure that the client is safe, discard the sterile equipment and respond to emergency of the other client. Continue performing the catheterization procedure quickly and then go to assist the other client. Explain the situation to the clients who needs the catheterization, leave the sterile field located in the place and respond to the emergency of the other client.
8) Which of the following is a characteristic sign of a localized infection? Increase heart rate. Swelling Vomiting Fever.
9) A nurse is assisting a postoperative patient with effective use of the incentive spirometer (IS). The nurse states that using the IS 10 times every hour while awake will help prevent atelectasis, enabling the patient to regain her baseline health and return home sooner to be with her children. Together, the patient and nurse develop a practice schedule that allows the patient to take a break for visitors in the afternoon. Then, the patient verbalize to the nurse what she has learned and demonstrates skill with the IS. Which patient education practices are evident in this scenario? Select all that apply:
Developing patient rapport Negotiation of plan of care Interactive education technique Individualizing education to patient.
10) During shift hand off, a patient is described as being non-compliant to her diabetes management. Her past medical history includes Bipolar Disorders, Depression, chronic back pain, and renal failure with hemodialysis. Upon talking to the patient, the nurse learns that the patient is from the Philippines, has no family locally, and has high levels of chronic pain. Which statement by the nurse is the most appropriate?
“It seems that she has a lot of issues that may be impacting her ability to be adherent" "No wonder she is depressed, she's running her life by not following medical advice" I get so frustrated with non-complaint patients; we treat them and they just come right back" "I think there may be some cultural issues that are leading her to be non-complaint.
11) After reviewing information about the four concepts common to nursing theories, the students demonstrate understanding of information when they identify which concept as most important? Environment Nursing Health Person.
12) A nurse sees a patient in the cardiology office for coronary artery disease and congestive heart failure. It has been recommended that the patient eat a diet low sodium, but he confesses that he has not consistently modified his diet, though he does understand that sodium intake increases fluid retention. Which of the following nursing diagnoses is most appropriate for this patient? Ineffective Health Maintenance Health-Seeking Behavior Deficient Knowledge Ineffective Therapeutic Regime Management.
The nurse should follow up if the newly hired nurse is observed: Washing the hands with the fingertips pointed downward before providing care for a client on protective precautions Removing the gloves before removing the gown when leaving room of a client who is on contact precautions Wearing gloves when taking the blood pressure of a client with disseminated varicella zoster Cleansing the wound from the outer surface to the inner surface for a client whose wound is infected with a multi-drug resistant organism.
14) A nurse is taking care of a client to whom the doctor diagnosed a very virulent bacterial infection, which is transmitted through close physical contact. To reduce the possibility of transmission of the microorganism, you acknowledge that you must implement, which of the following types of precautions to control this infection?
Drops precautions Contact Precautions Air precautions Protective insulation.
15) A nurse is teaching a postoperative patient how to change his leg bag prior to discharge. This skill demonstration by the patient displays which type of learning? Cognitive Psychomotor All of the above Affective.
16) A nurse needs to bathe a client who has an infection that spreads by droplets and 2p that is in a room with isolation due to precautions with drops. So, which of the following equipment has priority when the nurse prepares to offer care to this client? Gloves Gown Cap Goggles.
17) The nurse at a health promotion fair has taught a group of parents about car seat and seat belt safety. Which of the following statements, if made by the parent, would indicate a correct understanding of the information given? "I will place my newborn infant in a rear facing car seat in the middle of the rear seat." "I can allow my six-year-old to use a seat belt in the front passenger seat." "I can use a front-facing car seat once my baby weighs 15 pounds." "I will wear a lap seat belt high on my belly since I am 8 months pregnant.".
18) The nurse is caring for several clients requiring isolation. There is one private room available on the unit. The nurse should place the highest priority on assigning which of the following clients to the private room. The client: With fever and diarrhea for 2 days after taking antibiotics Who is HIV + with a temperature of 101 With low grade fever and night sweats With Leukemia, whose temperature is 100?.
19) When describing the term "concept" to a group of students, which word would the instructor most likely use? Truth Science Idea Fact.
20) A nurse is caring for the following clients. Which client is the priority to be assigned to a private (2pts) room? A client with: Cirrhosis of the liver Pneumonia HIV Scabies.
21) A nurse is caring for the following clients. Which client is the priority to be assigned to a private room? A client with: Pediculosis Rubeola Rubella Klebsiella Pneumoniae.
22) A decrease in the WBC blood values of 3.5/mmm3 is indicative of infection: Bacterial Viral Acute Suppurative.
23) Which of these is a form of therapeutic communication? Probing for more information from the client Sublimation to determine hidden messages Providing privacy so the client is comfortable Silence to allow contemplation and thought.
24) A patient has just received a new cancer diagnosis after being hospitalized for fatigue and anemia. The nurse has information about how to improve red blood cell counts through appropriate nutrition. What is most important thing that the nurse should know prior to conducting this education? Patients: Current level of fatigue Age Cognitive status Emotional state.
25) You have been conducting a weekly outpatient stress management educational series for clients in the community who are hypertensive. The best way to evaluate the effectiveness of this educational series is to: Collect baseline blood pressure readings prior to the beginning of this educational series, then collect, compare blood pressure data during the series, and after the series is completed. Use a questionnaire at the end of the series that asks the participants how they liked the class and what they lea Collect baseline blood pressure readings prior to the beginning of this educational series and then collect and compare blood pressure data after the serie is completed. Ask the clients how often they use the stress management techniques that they have learned during this educational series. .
26) You are serving as the supervisory nurse for a home healthcare agency in the community. You (2pts) are doing an admission assessment for a 76-year-old male client who resides with his elderly wife. Which of the following assessments would indicate that the couple needs some education relating to home safety? The client has refrigerated foods labelled with an expiration date. You assess that the home is free of scatter rugs that many uses to protect the feet against hard floors. The client uses the FIFO method for ensuring food safety. The client assures you that the smoke alarm batteries are replaced annually to ensure that they work.
27) Your 87-year-old client has a history of heart disease and fibromyalgia. This client has an internal pacemaker and is a diabetic client. During your annual visit with this client, the client tells you that they would like to begin some alternative and homeopathic health care practices. What should you include in your teaching plan for this client? Research that suggests that prayer is an effective alternative method to relieve pain and stress that can be helpful to this client. Data to support the fact that magnets can be effective in terms of fibromyalgia pain, and as such, may be a good choice for this client. Information that contraindicates the use of biofeedback because this alternative complementary health practice can interfere with the clients pacemaker functioning. Information about the lack of scientific evidence regarding the effectiveness of all herbs.
28) Using the principles of normal precautions, a nurse decides to put on gloves when (2pts) it is done. Which of the following nursing interventions? Feed Brush hair Give a back massage Oral hygiene.
29) Several clients have been admitted to the hospital at the same time. Only one private room is available. Which of the following patients is priority to admit in that private room? To a client: DUDAS entre la 1 y la 4 With a large infected abdominal wound. Of an elective surgery that you want private room before your intervention. Under 12 years old. With a transmissible respiratory infection.
30) When conducting research, information is collected. This would be identified as which of the following? Subject Abstract Analysis Data.
31) A nurse has volunteered to give influenza injections at a local clinic. What level of care is he demonstrating? Primary Secondary Tertiary Promote.
32) A client develops an infection in the bloodstream through a central venous line that had been inserted several months ago. The results of the culture of the central line indicate that the infection is endogenous. The nurse concludes that, which of the following should be the potential source of the infectious organism. Bacteria of a contaminated intravenous fluid Hands of caregivers Normal flora of the client's skin cont. Airborne bacteria from another.
33) A nurse is evaluating the medical centers approach to mobilizing secretions in patients with tracheostomies. Which would be the benefit to using EBP? Select all that apply: Provide cost-saving, quality care. Hospitals can utilize experts in their facility EBP integrates clinical expertise with external evidence. EBP is evaluated based on outcome studies. Practitioner knowledge and personal experience are insufficient. Collect baseline blood pressure readings prior to the beginning of this educational series, then collect, and compare blood pressure data after the series is completed.
34) You are the nurse who is preparing the materials to suck the mouth and trachea of (2pts a client with a diagnosis of AIDS. This client has been spitting sputum with blood in previous suctions. You as a nurse plan to use, which of the following materials as part of the normal precautions to use with this client? Gloves mask and protective goggles. Sputum trap, mask and protective goggles. Gloves, suction tube and mask. Gloves, suction tube and protective goggles.
35) Which of the following precautions should the nurse apply when offering nursing care and suspect that there is a possibility of being exposed to blood, body fluids secretions or excretions? Precautions: Air transmission Normal Drops transmission Contact transmission.
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