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Duplicate of NR222 Weeks 1-2 - Sample Q's 1 Prof B Flashcards | StudBud
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Duplicate of NR222 Weeks 1-2 - Sample Q's 1 Prof B
Duplicate of NR222 Weeks 1-2 - Sample Q's 1 Prof B
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1
After receiving bedside report at the beginning of his shift, the RN follows the steps of the nursing process (SATA):
Collecting data and assessing the patient.
Ordering labs that are needed for the patient.
Planning the care to help meet stated patient goals.
Listing the medical diagnosis.
2
Which services are included in the Medicare insurance benefit?
Medicare pays for aid to dependent children and women
Pays for hosp, home health, hospice for 65/older, disabled, end stage renal
Medicare only pays for those who are disabled below the age of 65
Pays for all costs r/t disease management including meds for all ages
3
A nurse offers pain medication, prior to helping the client ambulate. Ethical Principle demonstrated:
Fidelity
Justice
Autonomy
Beneficence
4
Spirit of the Chamberlain Care Model of Nursing includes which of the following? (SATA)
Prioritizing client complaints according to nurse preference
Showing respect, dignity, openness to understand the values of all clients
Asking to be reassigned to a different area without a homeless population
Self-care; care for peers, care for others
5
HP 2020/2030 addresses Determinants of Health (DOH). Which of the following best describes DOH?
Quality of healthcare, technological advances, exposure to toxins
Income, education, where people live and age
Amount of stores in the community, lifestyle habits, individual care choice
Individual health care choices, family structure, family choices
6
Client w/advanced brain tumor, parents decide surgery; client totally dependent. Ethical Princip affecting client:
Beneficence
Autonomy
Fidelity
Veracity
7
Which of the following is true about medicare?
Medicare is for all ages as long as the person is a United States citizen.
Medicare is for women and children only.
Medicare is offerred at all employer benefit programs.
Medicare is a federally funded program.
8
Nurse gives wrong medication, doesn't call MD, doesn't fill out an incident report. Ethical principle violation:
Beneficience
Autonomy
Safety
Veracity
9
Which statement best describes the major purpose of nursing scope and standards of practice?
Nursing standards facilitate faster documentation of patient assessments.
Nursing standards provide regulation of the number of registered nurses.
Nursing Standards educate patients about the nursing process.
Nursing standards provide regulation of safe & quality nursing practice.
10
Social determinants of health includes which of the following?
Spirituality focus, psychosocial integrity, physiological acute patterns
Spirituality focus, psychosocial integrity, physiological acute patterns
Quality of education, access to healthy food, language literacy
Social supports, financial resources, motivational factors
11
Which of the following are examples of subjective data collected during assessment phase (SATA)?
The client's complaints of lack of sleep, and need for sleep medication.
The client's wife verbalized the client's need for a blanket.
The client's verbalized discomfort and need for pain medication.
The client's vital signs and gait (how a client walks).
12
Which part of the nursing process is involved in validating a reassessment of a patient's pain?
Assessment
Implementation
Evaluation
Planning
13
Modifiable risk factors include which of the following? (Select all that apply)
Genetic history
Family history
Physical Inactivity
Excess body weight (overweight or obesity)
14
A nurse is ambulating a client in the hall to prevent lung complications. Which step in the nursing process is this?
Assessment
Implementation
Planning
Evaluation
15
During hand-off, RN hears the client received pain med 12 hrs ago; RN administers pain med. Nursing Process missed:
Assessment
Planning
Evaluation
Outcome identification
16
Which of the following best describes a food desert area?
An area w/limited access to foods containing vitamins and minerals.
An area w/ limited access to affordable, nutritious foods.
An area w/abundant access to affordable and nutritious fresh foods.
An area w/limited access to all foods that are safe to eat.
17
Which of the following best describes the purpose of the ethics committee within a health care organization?
Makes decisions about all nursing policies; can dictate nursing practice.
Checks all potential ethical dilemmas in/out of the health system.
Provides consultation and recommendation on complex ethical issues.
Provides submission of ethical dilemmas from nurses at least once a year.
18
What information should a nursing student include in his presentation about nursing standards of care? (SATA)
Nursing standards of care are specific guidelines for unlicensed assistants
Nursing standards of care are defined in some Nurse Practice Acts.
Nursing standards of care -used to measure nursing conduct in malpractice
Nursing standards of care are upheld by law, indicating standards for nurse
19
A nurse rechecks the apical pulse of a client after administration of a cardiac med. Which part of the nursing process?
Evaluation
Implementation
Assessment
Planning
20
Which of the following activities should the nurse include as part of primary prevention?
Providing education about healthy food choices to promote a healthy heart.
Providing education about anti-hypertensive medications.
Providing cholesterol screening.
Providing a list of cardiac rehabilitative programs for patient transfer.
21
Which statement reflects Nightingale's contribution to today's nursing practice?
Established handwashing and insisted on only nurses to render wound care.
Established infection control practices, noting importance of handwashing.
Established hygiene practices and discovered use of antibiotics.
Established the first school of nursing in the U.S; recruited soldiers.
22
Which type of interview question does the nurse first use when assessing the reason for a patient seeking health care?
Confirmation
Open-ended
Problem-oriented
Reflection
23
Nurse is giving low-dose aspirin (ASA) to a client diagnosed with coronary artery disease. Which level of prevention?
Secondary
Primordial
Tertiary
Primary
24
A client's experimental chemotherapy leads to kidney failure. Med D/C'd. This is an example of which ethical principle?
Nonmaleficence
Autonomy
Fidelity
Justice
25
Conducting a patient-centered interview, a first statement that a nurse would ask is which one of the following?
“My name is Terry. I’ll be the nurse taking care of you today.”
“Tell me what brought you to the hospital?”
“Tell me how much weight you’ve lost in the past?"
“So, to summarize, you’ve lost about 6 pounds in the past month?"
26
“Describe for me a typical night's sleep. What do you do to fall asleep?" Phase of Care in Nursing interview?
Working Phase
Termination Phase
Validation Phase
Orientation Phase
27
Which statement is an example of an objective finding in the assessment step of the nursing process?
Nurse observes client with facial grimacing, heart rate 100, BP 150/96.
Client reports discomfort to left chest spreading to neck & back.
Client verbalizes, "I haven't slept the past 24 hrs because of a headache."
Client expresses concern about her baby crying all night.
28
Which nursing action should the nurse include in the assessment phase of the nursing process?
Develop the expected outcome with the patient.
Determine the success of the care goals.
Interview the client about current and past health history.
Identify the needed nursing actions to address the client's health problem.
29
Which documentation information is most consistent with objective data?
The client mentions a history of high blood pressure.
The client reports pain in the right leg.
The client describes discomfort when taking deep breaths.
The nurse observes that the lab results include a high blood glucose level.
30
Which nursing action describes the evaluation step of the nursing process?
Nurse realizes need to reassess 30 m after pain medication given to client.
Nurse administers the prescribed oxygen to a client short of breath.
Nurse consults dietitian to discuss food choices and preferences of client.
Nurse collects demographic data from the client during admission.
31
Which statement is an example of the action stage of the Trans-theoretical model (TTM)?
"I'm not overweight, I'm just 'big boned.' I feel with my weight."
"Doc said I need to lose weight. I'm too stressed to think about that."
"I am really enjoying this exercise class. I feel so much better!"
"I saw the ad for weight loss. I'm thinking of calling the center."
