Exam 1 Review Qs Flashcards

1
Q

A patient is having adverse effects resulting from a medication. The nurse calls the primary care provider to request a change in the medication order. The nurse is function as a:

A. educator
B. advocate
C. Organizer
D. counselor

A

B. advocate

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2
Q

Nurses advocate for undeserved populations to reduce health disparities. This promotes:

A. autonomy
B. altruism
C. respect
D. human dignity

A

C. respect

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3
Q

Nurses belong to the ANA as part of their:

A. ongoing professional responsibility
B. role as manager of care
C. wellness promotion for patients
D. cultural education activities

A

A. ongoing professional responsibility

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4
Q

The purpose of the health assessment is to:

A. obtain subjective and objective data
B. intervene to correct difficulties
C. outline appropriate care
D. determine whether interventions are effective

A

A. obtain subjective and objective data

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5
Q

The nurse documents the following information in a patient’s chart: “cough and deep breathe every hour while awake”. This is an example of:

A. evidence-based nursing
B. priority setting
C. comprehensive assessment
D. nursing interventions

A

D. nursing interventions

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6
Q

The nurse provides teaching about smoking cessation to a 20-year old patient. The nurse assesses that the patient is concerned because their father died from lung cancer. Which theory would the nurse most likely use when providing teaching to this patient?

A. health belief model
B. diagnostic reasoning model
C. cultural competence model
D. body systems model

A

A. health belief model

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7
Q

Which of the following processes is the most important when providing nursing care to a patient who is ill?

A. writing outcomes
B. performing a focused assessment
C. collecting objective data
D. using clinical judgement

A

D. using clinical judgment

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8
Q

A patient is admitted to a hospital for surgery for colon cancer. What type of assessment is the nurse most likely to perform on admission?

A. emergency
B. focused
C. comprehensive
D. illness

A

C. comprehensive

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9
Q

The nurse conducts the health history based on the patient’s responses to the medical diagnosis. This type of framework is based on the:

A. functional framework
B. objective “
C. coordinator “
D. collaborative “

A

A. functional frame work

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10
Q

Which of the following are the components of a comprehensive health assessment?

A. nursing diagnosis
B. goals and outcomes
C. collaborative problems
D. examination of body systems

A

D. examination of the body

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11
Q

A patient says that they’re having throbbing pain that they rate as 6 on a 10-point scale. This is referred to as:

A. subjective primary data
B. subjective secondary data
C. objective primary data
D. objective secondary data

A

A. subjective primary data

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12
Q

The nurse is gathering the health history data before performing the physical assessment. This phase of the interview process is:

A. preinteraction phase
B. beginning phase
C. working phase
D. closing phase

A

C. working phase

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13
Q

The patient is crying after being given a diagnosis with a poor prognosis. The best response form the nurse is:

A. Don’t cry. It will be OK.
B. My mother has the same thing
C. I think that you should have surgery
D. I’ll stay with you (gets a tissue)

A

D. I’ll stay with you (gets a tissue)

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14
Q

When gathering the family history, the nurse draws a genogram

A. using circles for males and squares for females
B. putting the patient on the left to show birth order
C. inserting lines b/w parents to show marriage
D. listing health problems above the symbol for the patient

A

C. inserting lines b/w parents to show marriage

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15
Q

The mother of an infant with severe asthma is extremely anxious. The nurse is treating the patient in the emergency room. When collecting the history, the best response of the nurse is:

A. You must be extremely worried
B. I’d be in worse shape than you if it were my baby
C. Is there anyone here that you can talk to?
D. You seem worried, but I need to ask a few questions

A

D. You seem worried, but I need to ask a few questions

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16
Q

The nurse asks, “what are the most important things to you in life?” to assess the functional pattern related to:

A. role
B. self-perception
C. coping
D. values

A

D. values

17
Q

To assess self-perception, the nurse asks:

A. how would you describe yourself
B. are you having difficulty handling any family problems
C. what gives you when times are troubled?
D. how do you usually deal with stress? Is it effective?

A

A. how would you describe yourself

18
Q

The nurse who asks about feeding, bathing, toileting, dressing, grooming, mobility, home maintenance, shopping, and cooking is assessing:

A. whether the patient is a reliable historian
B. functional health patterns
C. ADLs
D. review of systems

A

C. ADLs

19
Q

The nurse assessing an older adult focuses the health history on:

A. previous pregnancies, obstetric history, and psychosocial factors
B. birth history, immunizations, and growth and development
C. sensory deficits, illness history, and lifestyle factors
D. religion, spirituality, culture, and values

A

C. sensory deficits, illness history, and lifestyle factors

20
Q

The nurse performs patient teaching after assessing that the nutritional history reveals that the patient generally consumes a high-fat, high-calorie diet. This critical thinking:

A. uses subjective data to analyze findings and intervene
B. documents and communicates data using appropriate medical terminologies
C. individualizes health assessment considering the age, gender, and culture of the patient
D. uses assessment findings to identify medical and nursing diagnoses

A

A. uses subjective data to analyze findings and intervene

21
Q

Which of the following interventions is most important to prevent nosocomial infections?

A. proper glove use
B. hand hygiene
C. appropriate draping
D. quiet environment

A

B. hand hygiene

22
Q

Standard precautions…

A. are used on every patient bc it is not always known whether a patient is infected
B. state that hand gel is used for infection with C. diff
C. include the use of gowns, gloves, and masks with all patients
D. recognize that transmission-based precautions are common

A

A. are used on every patient bc it is not always known whether a patient is infected

23
Q

Latex allergies…

A. always result in anaphylactic reactions and shock
B. can be reduced by moisturizing the hands after washing
C. cannot be caused by equipment such as a stethoscope
D. are more common in nurses and in frequently hospitalized patients

A

D. are more common in nurses and in frequently hospitalized patients

24
Q

Which of the following is an appropriate use of gloves?

A. gloves are worn during anticipated contact with intact skin
B. gloves are removed during anticipated contact with body secretions
C. gloves are removed when going from clean to contaminated areas
D. gloves are removed when assessing the back of incontinent patient

A

C. gloves are removed when going from clean to contaminated areas

25
Q

Which of the following is an example of inspection?

A. heart rate and rhythm regular
B. lungs clear
C. abdomen tympanic
D. skin pink

A

D. skin pink

26
Q

The patient is complaining of abdominal pain. What technique is used to form an overall impression?

A. auscultation
B. light palpation
C. direct percussion
D. deep palpation

A

B. light palpation

27
Q

Tympany is a percussion sound commonly located in the:

A. thorax
B. upper arm
C. abdomen
D. lower leg

A

C. abdomen

28
Q

Which organs or body areas does the nurse auscultate as part of the admitting assessment?

A. heart, lungs, & abdomen
B. kidneys, bladder, and ureters
C. abdomen, flank, groin
D. neck, jaw, clavicle

A

A. heart, lungs, & abdomen

29
Q

What technique facilitates accurate auscultation?

A. earpieces of the stethoscope are positioned to point toward the back
B. the tubing of the stethoscope is long and dark in color
C. the chestpiece of the stethoscope is sealed against the skin
D. the diaphragm of the stethoscope is used for low-frequency sounds

A

C. the chestpiece of the stethoscope is sealed against the skin

30
Q

When assessing a child, the nurse makes the following adaption to the usual techniques:

A. a pediatric stethoscope is used for better contact
B. the child is seated away from the parent
C. the room is full of toys for play
D. the child is undressed, including the diaper

A

A. a pediatric stethoscope is used for better contact