NU211, NUR2115 Fundamentals of Professional Nursing Exam 1

NU211, NUR2115 Fundamentals of Professional Nursing Exam 1  Question 1 A nurse is planning care for a 17 year old following a motor vehicle accident. Which of Erickson's developmental stages should the nurse keep in mind in the planning? Identity vs. Role Confusion  Question 2 Before developing a procedure, a nurse reviews all current researchbased literature on insertion of a nasogastric tube. What type of nursing will be practiced based on this review? evidence-based nursing  Question 3 A nurse is admitting a client to a geriatric medicine unit following the client's recent diagnosis of acute renal failure. Which of the following nursing actions is most likely to reduce the client's chance of experiencing a fall while on the unit? -Orient the patient to the room and environment thoroughly upon admission.  Question 4 What drawbacks does charting by exception (CBE) have? Vulnerability to legal liability since nurse’s safe, routing care is not recorded  Question 5 1 out of 1 points 1 out of 1 points 1 out of 1 points 1 out of 1 points 1 out of 1 points The student nurse knows mobility contributes to positive outcomes throughout the body. What is a positive effect of mobility on the respiratory system? Preventions of secretions pooling  Question 6 A nurse has completed an informed consent form with a client. The client then states, "I have changed my mind and do not want to have the procedure done." What action should the nurse take? notify the surgeon that the client wishes to withdraw informed consent from procedure client has right to withdraw informed consent  Question 7 A nurse is documenting care given to a client with a new right leg amputation. The nurse accidently documents a dressing change was performed on the left leg. What would be the best action to correct this error? Draw a single line through the entry and rewrite it above or beside it.  Question 8 Identify the statement that is not therapeutic communication? Not using silence?  Question 9 A child is admitted to the emergency department with a fractured arm. During the admission interview, the nurse should implement what communication technique to elicit the most information from the parents? The use of clarifying questions  Question 10 A nurse is administering influenza immunizations at a local clinic. What level of disease prevention is the nurse demonstrating? Primary  Question 11 Nurses provide many interventions to prevent falls in health care settings. What would be an appropriate intervention to prevent falls? Lock wheels on beds and wheelchairs. 1 out of 1 points 1 out of 1 points 1 out of 1 points 1 out of 1 points 0 out of 1 points 1 out of 1 points  Question 12 What charting entry would be the most defensible in court? Notified Dr. Jones of BP of 90/40  Question 13 The World Health Organization (WHO) defines health as which of the following? a complete state of physical, mental and social well-being and not merely the absence of disease or infirmity.  Question 14 The student nurse knows lack of mobility contributes to negative outcomes throughout the body. What is a negative effect of immobility on the musculoskeletal system? 1)disuse osteoporosis 2)disuse atrophy 3)contractures 4)stiffness and pain in the joints  Question 15 The student nurse knows lack of mobility contributes to negative outcomes throughout the body. What is a negative effect of immobility on the cardiovascular system? 1)decreased efficiency of orthostatic neurovascular reflexes (orthostatic hypotension) 2)altered distribution of blood volume 3)venous vasodilation and stasis 4)dependent edema 5)increase use of valsalva maneuver 6)thrombus 7)diminished cardiac reserve  Question 16 Barriers to evidence-based practice (EBP) include which of the following? An organizational culture that does not support change  Question 17 When a labor and delivery nurse tells a coworker that an Asian client 1 out of 1 points 1 out of 1 points 1 out of 1 points 1 out of 1 points 0 out of 1 points 1 out of 1 points probably did not want any pain medication because "Asian women typically are stoic," the nurse is expressing what? Stereotyping  Question 18 What nursing statement may be seen as the first line in a SOAP note? Client complaining of abdominal pain rated 8/10  Question 19 Examples of evidence-based practice (EBP) include which of the following? (Select all that apply) Catheter associated urinary tract infections practice alert Prevention of pressure ulcers Pain assessment as the fifth vital sign  Question 20 An elderly client has impaired sensation in her lower extremities. What educational statement would be necessary to reduce her risk of injury? Always test the temperature of bath water before stepping in  Question 21 Advantages of open-ended questions include what? (Select all that apply): The let the interviewee(client) do the talking They can provide information the interviewer did not ask for The interviewer is able to listen and observe  Question 22 The nurse is admitting a new client to the unit. The nurse notes that this client would need an alternate meal choice when the menu specified pork for a meal. What cultural group would require an alternative meal choice? Muslim  Question 23 When providing nursing care to an African American individual, which of the following cultural factors should the nurse consider? Values and beliefs are often present oriented  Question 24