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Exam1 Review 115 Flashcards | StudBud
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Exam1 Review 115
Exam1 Review 115
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1
You are caring for a patient who is experiencing aphasia. What could the LPN do to promote communication?
Use visual cues, such as pictures and gestures
Refer the patient to the speech therapist
Speak louder so the patient can hear you.
Ask more questions to get more information.
2
The LPN is instructed to start a unit of blood, but RNs must initiate transfusions. What should the LPN do?
Obtain the unit of blood and help the provider to initiate the transfusion
Locate the charge nurse to start the blood transfusion
Start the blood transfusion as ordered, because the provider is supervising
Tell the provider that hospital policy prohibits blood transfusions by LPNs
3
Which of the following interventions should the nurse initiate for a client experiencing frequent bouts of incontinence?
Use diapers to prevent frequent clothing changes
Request a prescription for an indwelling urinary catheter
Take the client to the bathroom every 2 hours
Remind the client to tell the nurse when he needs to urinate
4
Which of the follow organization produces and enforces the Nursing Code of Ethics?
American Nurses Association
National League of Nursing
American Nurses Credentialing Center
Iowa Board of Nursing
5
Considering Maslow’s hierarchy of needs, what would be the highest priority patient problem?
Risk for impaired skin integrity
Imbalanced nutrition
Deficient knowledge
Acute pain
6
What nursing leader is credited with the development of the American Red Cross in 1881?
Clara Barton
Dorothea Dix
Lillian Wald
Linda Richards
7
One of the major problems of early hospitals has been addressed by which measure in contemporary health care?
Encouraging men to enter the nursing profession
Using standard precautions and improving hygienic practices
Reducing the nursing shortage during wartime
Focusing on women’s health issues, such as heart disease
8
Using Maslow’s hierarchy of needs, the nurse gives priority to which problem?
Safety related to difficulty with balance during position change
Inability to eat because of difficulty chewing and swallowing
Loneliness due to being away from family during hospitalization
Anxiety due to recent diagnosis of cancer with poor prognosis
9
The client is agitated and is having difficulty staying in his chair. Which should the nurse take first?
Apply a vest restraint
Place a chair alarm
Place the client in bed with four side rails raised
Administer sedative medication
10
The nurse has never done tracheostomy care. What should the nurse do before caring for the patient?
Seek instruction and supervision for any unfamiliar procedures
Ask to be reassigned to a different patient
Review the procedure using a textbook or the internet
Report that orientation did not include tracheostomy care
11
Which patient is most at risk for being one of the “medically underserved” in the United States?
A 65-year-old veteran who lives on the street
A 3-year-old whose parents recently emigrated for work
An 86-year-old man who resides in a long-term care facility
A 30-year-old woman with newly diagnosed breast cancer
12
What is the first measure for the nurse to carry out in the event of a fire in the workplace?
Notify the swichboard operator
Use an appropriate fire extinguisher to put out the fire
Turn the oxygen off
Remove the people from the room with the fire
13
Which woman had the greatest impact on nursing during the 19th century?
Dorthea Dix
Mary Eliza Mahoney
Isabel Hampton Robb
Florence Nightingale
14
Which aspect of Maslow's hierarchy is the most basic?
Love and Belonging
Phsyiologic
Esteem
Safety and Security
15
What would the patient sign to acknowledge that he or she is making an intelligent decision?
Accountability Statement
Patient's Bill of Rights
Confidentiality Statement
Informed Consent Doctrine
16
The nurse is trying to interview a patient who is very hard of hearing. What strategy should the nurse try first?
Use normal volume and a lower tone of voice
Should loudly into the patient's good ear
Use simple languge and avoid medical terminology
Talk to the patient's spouse
17
What type of accident is most often experienced by an older adults?
Asphyxiation
Poisoning
Burns
Falls
18
Once students graduate from an approved LPN education program, they are eligible to take which licensure examination?
NLN
NCLEX-RN
NCLEX-PN
NAPNES
19
What is the role of the licensed practical nurse in writing a patient problem?
To assist with the determination of an accurate patient problem
To leave the writing of the patient problem to the RN
To be responsible for writing the patient problem
Is not involved in the nursing process
20
A nurse teaches the patient about the importance of using the incentive spirometer. What is this teaching an example of?
A patient problem
Implementation of a nursing intervention
An outcome statement
The nursing process
21
What resource would the LPN refer to in order to know what they can and cannot do within their scope of practice?
ANA
The nurse practice act of their licensing state
Their employing institution
Interstate compact
22
If there is a breach in the relationship and the patient is harmed, which legal action can the nurse be charged with?
Slander
Assault
Malpractice
Negligence
23
Which statement characterizes criminal law?
Criminal law applies to conduct that is detrimental to society.
The purpose of criminal law is to restitute the victim.
Criminal law involves an offense against an individual.
Criminal law applies to conduct that violates a person’s rights.
24
When caring for patients, the nurse knows that all patients have the same right to nursing care. What is this principle?
Autonomy
Justice
Beneficence
Nonmaleficence
25
Which of the following incidents should the nurse report as unethical?
A coworker has called into work because of their child's basketball game
A physician giving a patient sealed samples of their new prescription.
You observe a nurse charting after a patient has fallen.
You know your friend at work is diverting drugs.
26
Which newly admitted patient would be at the greatest risk for an injury?
A patient who has a history of falls
A patient who has arthritis
A patient who wears corrective lenses
An 80-year-old male
27
What is the best method to prevent having a visitor overhear a nurse to nurse report?
Ask visitors to leave the unit during shift change
Eliminate negative connotations during report
Make written notes that are passed only to staff members
Give report in a private room with the door closed
28
Which of the following describes the nursing role of protecting the client and supporting the client’s decisions?
Manager
Caregiver
Educator
Advocate
29
While talking with your female patient, you notice that she is frowning. What is the best way to find out her concerns?
Tell your patient that everything will be okay.
Ask your patient why she is unhappy.
Ask your patient if she is angry about the care being given.
Identify that you notice the patient is frowning.
30
Which of the following clients should the nurse assign to the room closest to the nurses’ station?
A client who has a history of atrial fibrillation and is on a heart monitor
A client who sustained a head injury and is having periods of confusion
A client who reports a severe migraine
A client who has a suspected diagnosis of tuberculosis
31
The nurse should ask about a client’s potential allergies during which phase of the nursing process?
Planning
Evaluation
Implementation
Assessment
32
Which statement by the LPN is an example of using assertiveness?
"It would be best for you to go to PT now, but later is okay also"
"You need to go to PT sometime today; just let me know when you want to go"
"Do you want to walk part way or all the way to physical therapy?"
"Going to PT will help you get stronger, so let's go to PT now please."
33
Maslow’s Hierarchy of Needs was developed in the 1940s for what main purpose?
To understand a patient’s placement on the illness/wellness continuum
To assist in developing the patient’s bill of rights
To provide the scope of practice for nurses
To identify the basic needs of health care organizations
34
Which communication strategy would be helpful when communicating with a patient who has expressive aphasia?
Speak loudly and slowly with good enunciation
Use eye blinks, one for "yes" and two for "no"
Ask family members for information
Encourage the patient to speak as much as possible
35
The nurse is setting up a plan of care. What is the first step to identify the problem?
Patient Problem
Nursing Intervention
Medical Diagnosis
Evaluation
36
What is the federal regulation that has impact on the privacy of a patient’s health information?
Patient's Bill of Rightss
Joint Commission on Accreditation of Healthcare Organization
Health Insurance Portability and Accountability Act
Patient Self-Determintion Act
37
The nurse should use closed-ended questions when assessing which of the following factors?
When asking the client how he completes his ADLs
When asking if the client took his medications this morning
When asking the client about his receptiveness to a transfer
Determining if the client is eating a well-balanced diet
