Duplicate of PNU 116 ZOOM

Question 1

A client has a total brain injury & is receiving mechanical ventilation. Which facility should client be transferred to?

Accepted Answer

Long-term care hospital

Question 2

Which of the following strategies should a nurse use to establish a helping relationship with a client?

Accepted Answer

Encourage the client to communicate their thoughts and feelings

Question 3

Communication within a group of people, often working toward a mutual goal (committees, research teams, support groups)

Accepted Answer

Small Group Communication

Question 4

A Nurse is collecting data on a newly admitted client. Which findings using the priority framework is first priority?

Accepted Answer

Client reports dizziness when standing

Question 5

A RN on a Med-Surg floor is making assignments for the start of the shift. Which tasks should the RN delegate to the PN?

Accepted Answer

Obtain VS for a client is 2 hr postprocedure of a cardiac catheterization

Question 6

Client states "doesnt anyone care that I am sick?" The nurse listens, which role is the nurse performing?

Accepted Answer

Advocate

Question 7

What were Florence Nightingales contributions to nursing still used today? * select all that apply*

Accepted Answer

Documentation, Date Collection, Evidence based Practice, Hand Hyigene

Question 8

Nurse is collecting data from client w/ the ABCDE approach. Airway & breathing was checked, what data is collected next?

Accepted Answer

Blood pressure

Question 9

Not making eye contact, not being engaged in conversation, poor posture (folded arms). Are what type of communication?

Accepted Answer

Nonverbal

Question 10

Historical Figures: pushed for formal training for nurses, known for her advocacy for mental health indigenous rights.

Accepted Answer

Dorothea Dix

Question 11

SBAR handoff tool, a nursing note that can help nurses organize their activities. What does SBAR stand for?

Accepted Answer

Situational, Background, Assessment, Recommendation

Question 12

Client says they feel inferior and they are not good enough. These feelings fall under which of Maslows needs?

Accepted Answer

Self-esteem

Question 13

Nurse completed their shift and forgot to take VS on a client. which action should the nurse take to uphold ANA code?

Accepted Answer

report this omission to the charge nurse and nurse on the next shift

Question 14

Nurse is caring for a client w/ dementia. Which communication strategy should be implemented to communicate w the client

Accepted Answer

Speak to the client clearly and at a slow pace

Question 15

Focuses on decreasing the risk of development of medical conditions by changing behaviors or minimizing exporsures.

Accepted Answer

Primary Prevention

Question 16

Communication within an individual. It is each persons "self talk". Not outwardly verbalizing thoughts

Accepted Answer

Intrapersonal communication

Question 17

Which of the following services should the nurse expect the Case Manager to perform?

Accepted Answer

Facilitate transfer of clients to meet the required level of care

Question 18

Nurse receives change of shift report on 4 clients. Which clients should the nurse plan to see first?

Accepted Answer

Client who has audible wheezing during respirations

Question 19

Which is the highest priority in the ABCDE framework.

Accepted Answer

Airway

Question 20

A nurse is discussing competnet care w/ another nurse. which statement should the nurse include?

Accepted Answer

Use medical interpreter for client who speaks a different language

Question 21

Nurse should identify that which of following nursing pioneers is credited w/ first using evidence-based practice?

Accepted Answer

Florence nightingale

Question 22

This was enacted to protect the confidentiality of health care information & give clients the right to control release.

Accepted Answer

Health Insurance Portability and Accountability Act (HIPAA)

Question 23

Nurse is reviewing licensing laws in their state, which statement should the nurse use to define licensure?

Accepted Answer

protects the health and welfare of the public

Question 24

Historical figures: Created a center to locate missing soldiers and started the American Red Cross

Accepted Answer

Clara Barton

Question 25

The ABCDE Framework stands for: Airway, Breathing, Circulation, Disability, and Exposure

Accepted Answer

True

Question 26

Nurse is caring for a client with asthma. Which action should the nurse identify as the priority?

Accepted Answer

Auscultate lung sounds

Question 27

Avoids conflict, Anxious, hesitates to standup for self. "Ill do whatever you want"

Accepted Answer

Passive

Question 28

Communication between 2 people. Most common in nursing and requires and exchange of information with another person.

Accepted Answer

Interpersoanl Communication

Question 29

Decision made regarding a course of action on a critical analysis of data when nursing knowledge is applied.

Accepted Answer

Clinical judgment

Question 30

What are the 5 maslows hierarchy of needs?

Accepted Answer

Physiological needs, safety, Love needs, Esteem Needs, Self-actualization

Question 31

To improve their organization of client care, nurses cant set SMART goals.... what does SMART stand for

Accepted Answer

Specific, Measurable, Attainable, Realistic, Timely

Question 32

Nurse is administering an Flu vaccine to a client. Which concept is the nurse demonstrating by giving the vaccine.

Accepted Answer

Disease prevention

Question 33

Measures taken to limit exposure or effects of illness or disease (immunizations and hand hygiene)

Accepted Answer

Disease prevention

Question 34

Nurse provides client w/ info about smoking cessation and other ways to improve health.Which role does this demonstrate?

Accepted Answer

Health promotor, Nurse educator

Question 35

Nurse is caring for a young adult at a college health clinic. which action should the nurse take first?

Accepted Answer

Determine the client's health risks

Question 36

Base evidence for a clients plan of care on credible resources that publish research studies. These include:

Accepted Answer

Textbooks and meta-analysis or evidence reports, Peer-reviewed journals and websites

Question 37

The nurse should identify that which of the following agencies provides Nursing scope and standards of practice?

Accepted Answer

The American Nurses Association (ANA)

Question 38

A nurse is teaching client who is newly diagnosis w/ type 2 diabetes. To improve collaboration, what should the nurse do

Accepted Answer

Refer the client to a dietician

Question 39

The Shannon and Weaver communication model is comprised of 6 concepts: (in order)

Accepted Answer

Sender, Channel, Decoder, Receiver, noise

Question 40

Honest and clear communication advocates for self, uses "I" statements.

Accepted Answer

Assertive

Question 41

Historical Firgure: U.S. Congressional Representative and created opportunities for minorities.

Accepted Answer

Eddie Bernice Johnson

Question 42

A nurse notices a client doesn't make eye contact & has arms folded. The client is using which form of communication?

Accepted Answer

Nonverbal

Question 43

Nurse enters the room and finds the client lying on the floor. Which action should the nurse take first?

Accepted Answer

inspect the client for injuries

Question 44

Communication to, within, or between large groups of people. Many nurses teach, give community presentations.

Accepted Answer

Public Communication

Question 45

Nurse @ a Health Dept. is planning strategies related to heart disease. Which activity included as primary prevention?

Accepted Answer

Teaching about a healthy diet

Question 46

Disciplinary responsibility and action. Disciplinary process and action

Accepted Answer

Functions of the state board of nursing ( nurse regulatory board)

Question 47

A clients states they are thristy & its hard for them to focus on anything else besides water. What Maslow need is this

Accepted Answer

Physiological Needs

Question 48

Mental process used when analyzing all the elements of a clinical situation and making a decision based on analysis.

Accepted Answer

Clinical Reasoning

Question 49

An experienced nurse is precepting a newly licensed nurse on the unit today. This nurse is demonstrating what role?

Accepted Answer

Educator

Question 50

The case manager role is to facilitate the treatment plan and look for the most-effective care options.

Accepted Answer

True

Question 51

A client who is going to require 7 days of IV antibiotics & dressing changes. Client will be admitted to which facility.

Accepted Answer

Acute Care hospital

Question 52

The skills needed to make clinical judgment

Accepted Answer

Interpretation, Analysis, Evaluation, Inference, Explanation

Question 53

Actions taken by individual to achieve their fullest potential for complete holistic health.

Accepted Answer

Wellness

Question 54

The channels of communication are

Accepted Answer

Verbal, Nonverbal, Electronic, Written

Question 55

At which of the following stages does the nurse first develop the ability to prioritize tasks by drawing on experience?

Accepted Answer

Competent

Question 56

Nurse is providing free BP screenings at a clinic. Which level of health prevention does this demonstrate.

Accepted Answer

Secondary Prevention

Question 57

Nurse is talking about hospice care w/ a new nurse. Which should the nurse identify as the goal of hospice care?

Accepted Answer

Provide care for a client who has less than 6 months to live.

Question 58

Nurse is reinforcing teaching to client who takes antihypertensive med. Theynare used for which type of prevention?

Accepted Answer

Tertiary Prevention

Question 59

After talking w/ the dietitian, nurse & dietitian decide the client needs med adjustments, Who should be consulted next.

Accepted Answer

Physician, APRN, PA

Question 60

Nurse is performing admission assessment for older adult client. After gathering data, which action is a priority?

Accepted Answer

Orient the client to their room

Question 61

5 rights to delegation: Right task, right circumsatnce, right person, right direction/ communication, right supervision

Accepted Answer

True

Question 62

Uses "You" statements, Verbally abusive and controlling. "This is all you fault"

Accepted Answer

Aggressive

Duplicate of PNU 116 ZOOM

Questions 62

Duplicate of PNU 116 ZOOM

Questions 62