NU211, NUR2115 Fundamentals of Professional Nursing Exam 2

NU211, NUR2115 Fundamentals of Professional Nursing Exam 2 When evaluating a resident for transition from a long-term care facility to a home environment, what may the nurse ask the resident to perform? ADLs  Question 25 All individuals, according to Maslow's Hierarchy of Needs, have which of the following? Basic human needs  Question 26 The nurse admits a female client to the emergency department who arrives with multiple areas of ecchymosis at various stages of healing and reports headache, abdominal cramping and chronic pain. What is a priority safety concern given the provided data? (Select all that apply)  Question 27 A group of nurses are planning to investigate the effectiveness of turning immobilized stroke clients' more frequently in order to prevent skin breakdown. The team has begun by formulating a PICO question. Which of the following will the "O" in the team's PICO question refer to? "O" denotes the outcome of interest ex: Preventing skin breakdown.  Question 28 A staff development nurse is teaching proper body mechanics to newly hired nursing assistants at a long term care facility. What technique can be used to help prevent a back injury? Spreading feet shoulder-width apart to broaden the base of support Holding the object that you are lifting close to your body  Question 29 When caring for a client who is visually impaired, the nurse will do which of the following? Explain the reason for touching the client before doing so?  Question 30 The clinical nurse educator at a long-term care facility is responsible for organizing and carrying out staff education sessions. Which of the 1 out of 1 points 1 out of 1 points 0 out of 1 points 1 out of 1 points 1 out of 1 points 1 out of 1 points 1 out of 1 points following topics for the all-staff education is most likely to benefit the greatest number of residents? Teaching nurses how to prevent falls  Question 31 The documentations states, "patient is highly satisfied with her spiritual wellness." What would the supporting documentation show to support spiritual wellness? Having peace and harmony with your values and actions  Question 32 A nurse is collecting data from a client who has required strict bedrest for 1 week. What should the nurse identify as an indication that the client is ready to ambulate? Performs active ROM exercises of all extremities.  Question 33 There are four concepts common in all nursing theories. Which one of the four concepts is the focus of nursing? The person  Question 34 The student nurse knows mobility contributes to positive outcomes throughout the body. What is a positive effect of mobility on the urinary system? Prevents stasis of urine in the bladder  Question 35 What is the primary purpose of an incident report? Quality improvement  Question 36 A grade school nurse is addressing parents at a Parent Teacher Association (PTA) meeting regarding car safety. What is a recommended safety guideline for grade school children? Booster seats should be used for children until they are 4-feet 9-inches tall or at least 8 years of age.  Question 37 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 1 out of 1 points Nurses are responsible for making sure their educational background and clinical experience are adequate to fulfill the nursing responsibilities delineated by the job description. What is one way to violate this responsibility? Accepting assignments that the nurse feels are unsafe  Question 38 After reviewing several research articles, the clinical nurse specialist on a medical surgical unit rewrites the procedure on assessing placement of a nasogastric tube. What source of nursing knowledge did the nurse use in this situation? scientific knowledge  Question 39 What is the best explanation for the way evidence-based practice (EBP) has changed the way nursing care is delivered? nursing care now uses EBP as a means of ensuring quality care  Question 40 When assessing a client's blood pressure manually, the nurse can use which artery? (Select all that apply). Brachial artery, radial, popliteal  Question 41 The physician's admitting orders indicate that the client is to be placed in a Fowler's position. Upon positioning this client, how much will the nurse elevate the head of the bed? 45 to 60 degrees  Question 42 A nursing student is conducting a literature review to find evidence-based practice (EBP) standards for the nursing care of clients diagnosed with diabetes. The student nurse knows that the first step in this process is to locate reputable sources of information. Which sources below would not be appropriate for the nursing student to use for the literature review? Unreliable websites? Medline: an online database of health care related journals Diabetes Care: a peer reviewed journal published by the American Diabetes Association Cumulative Index to Nursing and Allied Health Literature 0 out of 1 points 1 out of 1 points 1 out of 1 points 0 out of 1 points 1 out of 1 points 0 out of 1 points  Question 43 The nurse is caring for a client diagnosed with late-stage Alzheimer's disease and he requires full assistance with transfers to and from the bed. What nursing actions is most likely to promote safe handling of this client? Provide to the client brief, clear instructions that are phrased positively.  Question 44 An adolescent has recently had a ring inserted into her navel. What is the greatest risk facing the adolescent as a result of this activity? An infection  Question 45 What is one of the most significant trends in health care today? Shift from hospitals to community-based care  Question 46 A registered nurse, by the name of Alicia Jones, is documenting assessments at the beginning of the shift. How should the nurse sign the entry? A. Jones, RN  Question 47 The nurse is planning health teaching for a client with advanced kidney failure. Which of the following tertiary health promotion activities would the nurse include? Medications, Medical therapy, Surgical treatment, Rehabilitation, Physical therapy, Occupational therapy, job training  Question 48 A charge nurse is implementing the ISBARR communication tool for nurses and physicians. How can the nurse help to reduce resistance to this change? explain the change by listing advantages to nurses, physicians and patients  Question 49 1 out of 1 points 1 out of 1 points 1 out of 1 points 0 out of 1 points 0 out of 1 points 0 out of 1 points A nursing instructor has assigned a student to care for a client of Asian descent. The instructor reminds the student that personal space considerations vary among cultures. What personal space preferences are important for the student to consider when caring for this client? People of Asian descent prefer some distance between themselves and others.  Question 50 Which of the following best describes coordination of care? Question 1 out of 1 points Which of the following best describes coordination of care?  Question 2 1 out of 1 points The nurse admits a female client to the emergency department who arrives with multiple areas of ecchymosis at various stages of healing and reports headache, abdominal cramping and chronic pain. What is a priority safety concern given the provided data? (Select all that apply) 1 out of 1 points 0 out of 1 points  Question 3 1 out of 1 points What nursing statement may be seen as the first line in a SOAP note?  Question 4 1 out of 1 points An adolescent has recently had a ring inserted into her navel. What is the greatest risk facing the adolescent as a result of this activity?  Question 5 1 out of 1 points What charting entry would be the most defensible in court?  Question 6 1 out of 1 points The physician's admitting orders indicate that the client is to be placed in a Fowler's position. Upon positioning this client, how much will the nurse elevate the head of the bed?  Question 7 1 out of 1 points A nursing instructor has assigned a student to care for a client of Asian descent. The instructor reminds the student that personal space considerations vary among cultures. What personal space preferences are important for the student to consider when caring for this client?  Question 8 1 out of 1 points The nurse is planning health teaching for a client with advanced kidney failure. Which of the following tertiary health promotion activities would the nurse include?  Question 9 1 out of 1 points When caring for a client who is visually impaired, the nurse will do which of the following?  Question 10 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?  Question 11 1 out of 1 points A staff development nurse is teaching proper body mechanics to newly hired nursing assistants at a long term care facility. What technique can be used to help prevent a back injury?  Question 12 1 out of 1 points Identify the statement that is not therapeutic communication?  Question 13 1 out of 1 points There are four concepts common in all nursing theories. Which one of the four concepts is the focus of nursing?  Question 14 1 out of 1 points A charge nurse is implementing the ISBARR communication tool for nurses and physicians. How can the nurse help to reduce resistance to this change?  Question 15 1 out of 1 points