Duplicate of Nursing 2 Quiz

Describes length of time that vibrations last

Which position is this?

Pt is 54y/o, 148lbs, 5ft 8in tall. The nurse realizes that this pt is

The primary purpose of a pts med record is to

Pt wants to have an elective abortion. RNs religious values are strongly opposed. RN should

The developmental self concept task known as initiative versus guilt would occur in

Which response by the nurse is most effective in establishing an open rapport with a patient?

First step in a nurses initial assessment is

When caring for a terminally ill patient, the nurse should focus on the fact that

Pt on antidepressants states I feel happier but my sex drive is gone. Which RN dx is priority

Pts choose to use unconventional therapy because

RN is teaching guided imagery to a prenatal class. ID an example of guided imagery

Older adults may have changes in sexual functioning. What can increase sexual stamina. SATA

nursing action that would increase a pt risk for developing a health care associated infection

Pt is weak but refuses to use a bedpan & wants to get up to use the commode. RN should

Provides baseline data to compare with changes in the pts condition

Which of the following statements made by the new graduate nurse requires the RN to intervene?

Different reactions to the same situation would be explained best by which of the following

pt needs and process, individual therapies, pt education, & discharge planning are conveyed

pt states I just dont feel like going to work I have no energy and I cant eat or sleep

Whats required after exposure to blood by a cut from a scalpel in the perioperative area

Use of DAR (data, action, and response)

Which of the following statement about religion and spirituality is true?

The HPV vaccine

If an RN gets stuck with a needle in her hand, she is at risk for

Which information should the nurse include in teaching staff about health care reimbursement

A 68yo female asks RN if a contraceptive is still necessary.

RN is using the source record and wants to find the daily weights. Where should the RN look

Blowing sound over the carotid artery

How does the nurse proceed to assess for kidney inflammation?

Pt who is taking meds for ED is most at risk for

When is the best time the nurse should start discharge planning for a patient?

What is the involuntary motion of retracting the body from painful stimuli?

A long-term outcome for an individual who is learning relaxation therapy is

Purpose of unconscious ego defense mechanisms is which of the following for the individual

Which of the following comments by the patient would indicate a need for further education?

Pressing inward 1 cm

Individuals/familys/communitys relationship to stress and the reaction to stress.

Teen pt informs RN that hes unsure about his sexuality. RN est. a trusting relationship by

RN recognizes the new RN ability to determine pt safety risks when which behavior is observe

RN knows to not use which of the following treatment products for Pediculosis humananus capitis

Which are appropriate for the dx of Spiritual distress? Select all that apply

A class about stress reduction after cardiac bypass surgery is which type of intervention

The nursing student can help geriatric patients self-concept by using which technique?

Meds that are used to manage a pts behavior that are not standard tx for the pts condition

Physical injury, neglect, malnutrition, bruising, fear of care giver are all signs of

Abnormal thyroid shape during the physical exam. RN offers the pt and observes her drinking to

Stroke pt is having difficulty eating. The RN includes which intervention in the plan of care

Manifests signs and symptoms to types of infection

Which behavior by a student nurse will require intervention

Depressing the area 4 cm to assess the conditions of organs

RN would be most concerned about risk of malnutrition for a pt with which sensory deficit

Describes sounds of similar frequency and loudness

A preceptor is working with a new RN on documentation. Which requires intervention

The second heart sound (S2) occurs when

What nursing action is appropriate for a pt with C. Diff

A nurse is charting on a patients record. Which action is most accurate legally?

Drawbacks of complementary and alternative therapies would be all of the following except

Which of the following is not an element in the development or chain of infection

During change of shift...

In discussing spiritual well-being, the nurse identifies that the vertical dimension involves

Based on the following data, which person is likely to have the highest self-esteem?

During the eval stage of the critical thinking model applied to a pt coping with stress RN will

RN is admitting a pt w/an infectious disease process. What would the RN ask the pt

The component that should receive the highest priority before a physical exam is

Which position is this?

The nurse contacts the patients medical provider over which potential drug-drug interaction?

An assessment finding example for caregiver strain would be which of the following?

The nurse recognizes a lump on the testis as a potential sign of which of the following?

Which of the following statements would indicate an understanding of the nature of pneumonia

When assessing the pts thorax, the nurse should

Which position is this?

Provides the most current info that has been entered into the EHR

The patient is admitted with chronic back pain. The nurse who is caring for this patient should

Medical hx of asthma, eczema, and allergic rhinitis. Physical finding on nasal exam is

Infection comes from microorganisms outside the individual that do not exist in normal flora

The best equipment to test central vision for preschoolers is which of the following?

After providing care, a nurse charts in the patients record. Which entry should the RN document

The nurse knows that children in late infancy and toddlerhood are at risk for injury owing to

A 12yo female pt complains that her periods are making her fat. RN should say

Pt responds correctly to questions and instructions but cannot form words coherently. This is

Which information is critical for the RN to report during hand-off

The RN assesses for equipment-related accidents when using

hx of asthma, eczema, & allergic rhinitis, the RN expects which physical finding on nasal exam?

Which of the following preventive screenings does the RN recommend for a 50y/o male pt

Objective, ongoing reviews to determine the degree to which quality improvement standards R met

Multidisciplinary care plans that include pt problems, key interventions, & expected outcomes

The therapy that is more effective in tx physical ailments than preventing disease

Pt informs RN that she often becomes nauseated when riding in cars. This is a

The developmental stage that carries the highest risk of injury from a fall

Which situation shows the RN has a good understanding about auditing & monitoring pt HR

To perform an examination of female genitalia the nurse would put the pt in which position

which priority concern would require collaboration with social services to address the pt needs

Pt says they believe in life after death, now im not sure The RN says here is. RN is trying to

Biofeedback will

In caring for the patients spiritual needs, the nurse understands that

Pediatric stressors related to self-esteem reflect which maturational school age category

The organization that facilitates the evaluation of alternative medical treatments is the

The pt is having a difficulty dealing with AIDS dx. States Im isolated from my family RN should

For a rectal examination of a nonambulatory male pt, he needs to be placed in which position?

The comprehensive abdominal examination would include, in proper order, which of the following?

Which of these should be reviewed when observing a patient? (Select all that apply)

Integrating all pt info into one record regardless of the # of times a pt is treated

Level is based on the type and number of nursing interventions required over a 24 hr period

A pt who has had several sexual partners in the past month. Which contraceptive should they use

The nurse explains to the patient that interventions for fall precautions include

All of this info needs to documented for a telephone report except

Includes meds, diet, community resources, and follow-up care

Loud low-pitched rumbling coarse sounds during insp or exp that sometimes clear by coughing

HPV vaccines are recommended to prevent

RN assists pt to ID several activities that the pt is looking forward to in life. This is

The nurse should include which of the following teaching points in the safety of adolescents

The nurse knows that a patient does not fully understand the changes of aging when the pt says

A pt admits that he knew for months that he had an STI but didnt report it. RN knows that pts

What type of breath sound is this?

The step after inspection when assessing the abdomen is

Describes the loudness, soft to loud

Which position is this?

Lumps on the testis is a sign of

If an error is made while recording, the nurse should

Sites for HAI: Urinary tract, surgical or traumatic wounds, respiratory tract, bloodstream

Which position is this?

The nursing student can help geriatric patients self-concept by using which technique?

Provides current info that is accessible to all members of the health care team

Which of the following sensory changes are normal with aging?

Which position is this?

The nurse assesses the skin turgor of the pt by

The most appropriate CAM therapy that the nurse can recommend for excessive worry & work stress

Female Pt of muslim faith is on hospice. The plan of care would include

Which advantage is there of standardized documentation forms in nursing info systems

Which statement requires a professor to intervene

Upon suspecting abuse, the school nurses best next action is which of the following?

RN creates a referral to pastoral care when he/she realizes that the patient is in need of

Which of the following nursing interventions will assist in decreasing the risk of infection?

A terminally ill patient is experiencing constipation secondary to pain medication. The RN will

One of several formats or structured notes within a POMR (Problem-oriented Med Record)

Pt asks the RN for her phone number. How should the RN handle this situation

Classification system on pts medical diagnoses that support reimbursement

SOAP with intervention and evaluation added

Which info is critical for the nurse to include during hand-off about a pt with chest pain

Which RN dx for psychological concerns for a pt with both hearing and visual sensory impairment

Focuses on deviations from the est. norm or abnormal findings; highlights trends/changes

Which is an indication that the pt understands the directions regarding the antibiotic meds

Which of the following is correctly charted according to the 6 guidelines for quality recording

Which action would indicate a break in sterile technique?

Family cry and scream after learning of pts death. This is Bowlby Attachment Theory stage of

The nurse and the patient have the same religious affiliation. Because of this, the nurse

Which patient is most in need of a nurses referral to adoption services?

How should you clean the stethoscope

Which pt statement indicates understanding regarding the mode of transmission of this disease

Aware of the potential for health care associated infection R/T a PICC, the nurse is careful to

The RN sets up a nonbarrier sterile field on the pts table. Which would be contamination

Which of the following best describes iatrogenic infection

15yo pt is unsure about getting the HPV vaccine. The RN should respond by saying

Pt has a urinary cath. After the RN empties the collection bag and disposes of the urine, next

Acute symptoms of infection disappear

The cognitive skill of learning to tolerate uncertain and unfamiliar experiences

An elderly pt has been on high doses of antibiotics & is experiencing a sudden loss of hearing

A holistic nurse would be a nurse who

Which type of breath sound is this?

Which type of breath sound is this?

Which position is this?

Focusing on breathing and one part of the body at a time

When eval a pt risk for spiritual crises which are part of the evaluation process? SATA

Female pt has brittle hair. Based on these findings, which lab test would be ordered?

Subjective, objective, assessment, and plan

The pt states that he is a spiritual person but doesnt practice any specific religion. This is

Dependent upon a persons culture, development life experiences beliefs & ideas about life

Number of sound wave cycles generated per second by a vibrating object

When pt is first admit, they weigh 250lbs. The next day they weigh 256lbs. The RN should eval

Individual risk factors that can threaten safety are (Select all that apply)

The best term for breath sounds created by air moving through large lung airways is

Identify a sociocultural factor that can lead to developmental problems.

Person states he was not shoplifting despite being caught on camera. This is which ego defense

Interval between entrance of the pathogen into the body and appearance of the symptoms

Infection that occurs when part of the pts flora becomes altered and overgrowth results

What is the usual temperature comfort range for most patients?

A blowing sound is auscultated over the carotid artery. This finding is called

RN caring for Pt who has had unprotected sex with HIV+ partner. RN informs pt

When considering the ego defense mechanism of conversion, the nurses next best action is

The CAM therapy that is known to alter immune function is which of the following

Pt has a small amount of a white, thick substance on the patients uncircumcised glans penis

RN is caring for a pt who claims that he doesnt believe in God. The nurse realizes that this pt

Which actions would be appropriate to prevent the spread of disease using contact precautions

Which of the following findings requires the nurse to contact the pt Dr for further exam?

Sounds are created by air moving through smaller airways

The severity of a patient's illness depends on all of the following except

Which behavior should the nurse implement to reduce data entry errors in the computer system

While washing hands, the nurse touches the sink. What is the next action the nurse should take?

What should the nurse ask to understand how visual alterations affect pts self-care ability

Any manual method, physical or mechanical device, material that immobilizes a pt is a

Pt tells RN that he wants to have sex with his spouse but is afraid to in a hospital. RN should

Database, problem list, care plan, and progress notes

A patient is being discharged home. Which information should the nurse include?

Which position is this?

a new RN has a strategy to prevent burnout. The best strategy would be for the new RN to

Clinic that is staffed by allopathic and complementary practitioners

While assessing the skin of an 82y/o male patient, nonpainful ruby red papules on the pts trunk

The pt has dysuria and hematuria. How does the RN proceed to assess for kidney inflammation

In assessing the spiritual health of her patients, the nurse understands that

When observing a fire, a nurse should immediately

A teen with celiac disease continues to eat food she knows will make her ill. RN should

Which interventions would indicate the ability to recognize the inflammatory response

While caring for a pt who vomits without warning, the nurse has contaminated hands Next the RN

When Pt on respiratory isolation must be transported, the RN

Which medication could cause an abnormal drug interaction in a pt taking an antidepressant med

A circumscribed elevation of skin filled w/serous fluid on upper lip, 4cm in diameter. This is

Which position is this?

Sounds are created by air moving through the trachea close to the chest wall

A pt asks RN what signs and symptoms are associated with chlamydia. How should the RN respond?

Physiological symptoms of a stress response include all of the following except

Today, spirituality is

A nurse has provided care to a patient. Which entry should the nurse document in the pt record?

RN determines that it is especially important to perform which focused exam for a premature pt

A spike in postop infection; this type of health care-associated infection is

Which of the following behaviors alerts the nurse to consider the need for restraint?

To perform a proper gynecological assessment, the RN would place the pt in which position

A therapeutic touch practitioner scans the patients body to identify what?

Onset of nonspecific signs and symptoms to more specific symptoms

The pt most at risk for developing an infection is the pt who

The expected inspiratory-to-expiratory phase of this normal vesicular breath sound is

RN is preparing to assess the external genitalia of a 25y/o woman of Chinese descent. First

Aware of the need for Standard Precautions, the nurse is careful to

Learning the nature of an illness and the individual patient's response

small, circumscribed skin lesions filled with serous fluid

Which intervention will be most effective in helping pt resume sexual activity after ostomy

The reason for writing in indelible ink on the surgical site the word correct is to

The nurse knows that the ability to recognize and interpret stimuli is known as

Based on the following data, which person is likely to have the highest self-esteem?

Which of the following is the most important point to be included in education about smoking

Which interventions would take priority in a plan of care for a pt who presents with pneumonia

Which action would most likely increase the risk of a pt contracting a UTI

The 1994 Dietary Supplement Health and Education Act impacted herbal therapies in what way?

All herbal supplements should be evaluated with current pharmacological medications

Story-like format that can be repetitious info and time consuming

Best exam position for a complete geriatric physical exam on a weak pt with bilateral pneumonia

An incident report is

Important skin cancer prevention for a pt who is taking oral contraceptives

A basic foundational principle of chiropractic care is that

RN is teaching a pt and family about hand hygiene in the home. Teach about handwashing before

A trauma survivor is requesting sleep meds because of bad dreams. Concerned about PTSD RN asks

Involves repressing an anxiety-producing conflict & transforming it into a nonorganic symptoms

Which of the following would most immediately threaten an individuals safety

The school nurse is assessing the tympanic membranes of a 3-year-old child by

In a pt with pneumonia, the nurse hears high-pitched continuous sounds over the bronchi on exp

Pt is a member of the 7th Day Adventist religion is to get a test done on a saturday RN should

Which assessment of the pt would indicate an adaptation to a hearing deficit r/t presbcusis

One benefit of meditation over other forms of behavioral therapy is that meditation

Which statement indicates that the staff needs more education about informatics

In a cardiac dysrhythmia clinic, a pt asks about using acupuncture to help alleviate stress

RN prepared an audiotaped exchange with another RN of info about a pt. This is

RN realizes that entropion places the elderly pt at risk for which of the following

RN encourages which of the following to reduce childrens stress regarding homework assignments

A cancer pt asks the RN what the criteria are for hospice care. What should the nurse answer?