Fundamentals Final Exam - NUR 215

Nurses must ensure that patients know their

crib slats should be no more than 2 1/8 inches apart

Restraints should - select all that apply

Positions clients and performs x-rays and other imaging procedures for providers to review daignosis of disorders

delegation to assist with ambulating a client after the RN completes the admission assessment

What is objective and subjective data

a newly licensed nurse is considering strategies to improve critial thinking. What action should the nurse take -

which is an example of adaptation to a physiological stressor

providers can renew these prescriptions with a max of 24 consective hours. (4 hour increments for an adult) pg 60

If a client refuses treatment, a document must be signed indicating that they understand the risk with refusing

When planning nursing care, the nurse needs to remember that energy expenditure and nutrient req. are higher during the

Ensure that bikes are the appropriate size for child

EHR advantages - select all (pg 22)

check carbon monoxide batteries at the same time as smoke detectors batteries yearly (like on a b-day)

The nurse tells a patient that diapers will be used next time the urinal is used improperly - example of

The ABCDE principle guides the primary survey and emergency care - what does the D stand for

burns can result from - select all that apply

Examples of incidents EXCEPT

Which statement best reflects the relationship between stress and adaptation

Chemical restraints EXCEPT

Nurses must report any form of abuse following facility policy for all except

The Patient Protection and Affordable Care Act of 2010 is a federal statute aimed at - select all

The RN identifies that the stressful life event that has the greatest potential to contribute to stress-related illness

Safety - preschooler & school aged children - use protective equipment when - select all that apply

A common stressor identified by the nurse that is associated with the developmental stage of early childhood (1-3 yr) is

Five rights of delegation - person, communication, time, task and right

The nurse is assessing the skin of an older adult. What changes in the patient's skin should the nurse anticipate

The responsibility of the State licensing board is ensuring that health care providers comply with regulations

Client waiting for a kidney transplant must have to meet the same qualifications, this is an example of

antimicrobial soap and water is recommended when

Contact precautions protect visitors/caregivers when they are within 6 ft of the client against direct contact

The nurse changes a pt's dry sterile dressing. When the nurse performs this task, they are working

Nurses cannot delegate the following to PNs or to APs EXCEPT

Primary Healthcare emphasizes all except

orient the client and their family to the room and the facility, share info, including the following EXCECT- pg 42

The stroke client is being transferred to a rehab center. Which of the following tasks is the resp. of the RN

What are HAI's

fractures and splinting - select all that apply

Negligence issues that prompt most malpractice suits include failure to - select all that apply

A focal seizure involves one hemisphere of the brain

delegation - example of the right circumstance

Fire safety - all EXCEPT

Adolescents' risk for injury can stem from - select two

Informed consent is when a provider explains and the client understands - select all that apply - Pg 17

Safety - Adolescents - Be alert to manifestations of all EXCEPT

What mode of transmission is sneezing and coughing only

Boards set standards for nursing programs and further delineate the scoop of practice for all except

Safety - infant and toddler for falls EXCEPT

A pt. falls while getting out of bed unassisted. The RN understands the meaning of the incident report is

Herpes, shigella, RSV, enteric diseases, wound infections, scabies, impetigo are

Minimization of risk factors that could cause injury or harm while promoting high quality care is

To avoid food poisoning - select all that apply

During a seizure

When attempting to do a 10:00 pm sleeping med, the nurse assesses that the pt is sleeping . What should the RN do

Ethical dilemmas are problems that involve more than one choice and stem from differences in the values in HC

When making an ethical decision, state the ethical dilemma including - select all

hypoxemia signs and symptoms - EXCEPT

According to Maslow's theory, a person who is no longer aware of a need has

RN can photocopy any part of a medical record except for authorized exchange of doc. between hospitals & providers -22

A nurse is discussing the nursing process with a newly licensed nurse. New RN should recognize this as planning

RACEmeaning (regarding fire safety)

When opening a package with a sterile field, open the top flap away from your body first, arm positioned away from SF

RN is completing a bowel prep for a pt who is scheduled for a colonoscopy, & the most serious conseq. for ineffective

Client Safety Nursing Actions include - select all

Pour any liquids used for client care directly into the drain and avoid splattering to prevent spreading

When completing a review of systems - select two

The age group that has the greatest potential to demonstrate regression when ill is

Heat Stroke basic first aid EXCEPT

Ethical dilemmas are not common in HC and the nurse must apply ethical theory and bias to ethical problems

When a nurse preparing a child for the death of a grandparent it is most important for the parents to

A nurse understands that the word that best describes the concept of adaptive capacity if

Individuals that can grant consent for another person include the following except

pt's diet order is "clear liquids to regular as tolerated." when the nurse goes to full liquid, the nurse is working

licensed personnel are ind. who have had the training to function in an assistive role to licensed RN in providing care

Social media precautions - select all

Responsibility as a principle of ethics - all except

Bacteria -select all that apply

An RN is reviewing with RN's on the unit caring for a client who has had a seizure. Stmt by RN req. further education

Physical restraints devices EXCEPT

Keep side rails up for clients who are sedated, unconscious, or other compromised

Nurses should use the formal chain of command to verbalize concerns related to assignment in light of current except

see picture - what is the following process shown

What others tell the nurse or what they are telling the nurse about what the client has told them

All are risk factors for client safety EXCEPT

see picture

Safety - Young and middle-aged adults EXCEPT

If there is an emergency situation and a client needs to be placed in restraints for safety reasons, nurse must

health history includes all EXCEPT

Modifications to improve home safety - select all that apply

Safety - infant and toddler - Burns EXCEPT

basic critical thinking results from limited nursing knowledge & experience as well as inadequate Critical Thinking exp.

Report communicable diseases to the department of public health to allow officials to (EXCEPT)

"I will ask the client if their nausea has resolved" is an example of planning

RN is trying to administer med to a pt but pt refuses to take it because it caused diarrhea, what should the RN do

Teacher in schools of nursing, staff development department in health care facilities, or client education departments

The nurse is caring for a client who reports a severe sore throat, pain when swallowing, what stage of infection

Begin each entry with date and time and sign all documentation with name and title

Interventions nurses initiate as a result of a provider's RX or facility's protocol (pg. 32)

Tier One standard precautions apply to - pg 55

A POA is a legal document that expresses the client's wishes regarding medical treatment ]