QUIZ 1

Question 1

What type of care includes health promotion that includes prenatal and well baby care, nutrition counseling, family planning, and exercise classes.

Answer 1

primary care

Question 2

What type of care involves emergency care, acute medical-surgical care, and radiological procedures

Answer 2

secondary acute care

Question 3

What type of care includes intensive and subacute care

Answer 3

tertiary care

Question 4

What type of care includes immunizations, screenings, counseling, crisis prevention, and community safety legislation.

Answer 4

preventive care

Question 5

What type of care includes cardiovascular and pulmonary rehabilitation, sports medicine, spinal cord injury programs, and home care.

Answer 5

restorative care

Question 6

What type of care includes assisted living and psychiatric care and older-adult day care.

Answer 6

continuing care

Question 7

What type of care provides short-term relief or “time off” for people providing home care to an individual who is ill, disabled, or frail.

Answer 7

respite care

Question 8

What type of care includes family centered care that allows patients to live with comfort, independence, and dignity while easing the pains of terminal illness; focuses on palliative (not curative) care

Answer 8

hospice care

Question 9

Name the 6 standard of practice

Answer 9

assessment, diagnosis, outcome identification, planning, implementation, evaluation

Question 10

the registered collects comprehensive data pertinent to the patient’s health and/situation

Answer 10

assessment

Question 11

the registered nurse analyzes the assessment data to determine the diagnoses or issues

Answer 11

diagnosis

Question 12

the registered nurse identifies expected outcomes for a plan individualized to the patient or the situation

Answer 12

outcome identification

Question 13

the registered nurse develops a plan that prescribes strategies and alternatives to attain expected outcomes

Answer 13

planning

Question 14

the registered nurse implements the identified plan

Answer 14

implementation

Question 15

the registered nurse evaluates progress toward attainment of outcomes

Answer 15

evaluation

Question 16

An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her vital signs, listens to her lung and heart sounds, determines her level of comfort, and collects blood and sputum samples for analysis. Which standard of practice is performed?

a. Diagnosis
b. Evaluation
c. Assessment
d. Implementation

Answer 16

C

Question 17

A patient in the emergency department has developed wheezing and shortness of breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hrs. Which standard of practice is performed?

a. Planning
b. Evaluation
c. Assessment
d. Implementation

Answer 17

D

Question 18

Provides care and services under the supervision of an anesthesiologist

Answer 18

Nurse anesthetist

Question 19

Provides independent care, including pregnant and gynecological services

Answer 19

Nurse midwife

Question 20

The nurse is applying for a position with a home care organization that specializes in spinal cord injury. In which type of health care facility does the nurse want to work?

a. Secondary acute
b. Continuing
c. Restorative
d. Tertiary

Answer 20

C

Question 21

A nurse provides immunization to children and adults through the public health department. Which type of health care is the nurse providing?

a. Primary care
b. Preventive care
c. Restorative care
d. Continuing care

Answer 21

B

Question 22

Define PDSA

Answer 22

plan, do, study, act

Question 23

A nurse is following the PDSA cycle for quality improvement. Which action will the nurse take for the letter “A”?

a. Act
b. Alter
c. Assess
d. Approach

Answer 23

A. act

Question 24

A nurse working in a community hospital’s emergency department provides care to a patient having chest pain. Which level of care is the nurse providing?

a. Continuing care
b. Restorative care
c. Preventive care
d. Tertiary care

Answer 24

D. tertiary care

Question 25

A nurse is providing home care to a home-bound patient treated with intravenous (IV) therapy and enteral nutrition. What is the home health nurse’s primary objective?

a. Screening
b. Education
c. Dependence
d. Counseling

Answer 25

B. education

Question 26

A nurse is completing a minimum data set. Which area is the nurse working?

a. Nursing center
b. Psychiatric facility
c. Rehabilitation center
d. Adult day care center

Answer 26

A. nursing center

Question 27

What is the most effective way to control transmission of infection?

a. Isolation precautions
b. Identifying the infectious agent
c. Hand hygiene practices
d. Vaccinations

Answer 27

C. hand hygiene practices

Question 28

A nurse is caring for a patient in the hospital. When should the nurse begin discharge planning?

a. When the patient is ready
b. Close to the time of discharge
c. Upon admission to the hospital
d. After an order is written/prescribed

Answer 28

C. upon admission to the hospital

Question 29

sterile technique prevents contamination of an open wound, serves to isolate an operative area from the unsterile environment and maintains a sterile field for surgery; includes procedures used to eliminate all microorganisms including pathogens and spores from an object or area

Answer 29

surgical asepsis

Question 30

Name the infectious process

Answer 30

1. incubation period
2. prodromal
3. illness
4. convalescence

Question 31

What stage of the infectious process?

Interval between entrance if pathogen into the body and appearance of first symptoms (e.g. chicken pox, 14 to 16 days after exposure;common cold, 1 to 2 days; influenza, 1 to 4 days;measles, 10 to 12 days;mumps, 16 to 18 days; eboba 2 to 21 days

Answer 31

incubation

Question 32

What stage of the infectious process?

Interval from onset of nonspecific signs and symptoms (malaise, low grade fever, fatigue) to more specific symptoms. (during this time microorganisms grow and multiply, and patients may be capable of spreading disease to others.)
Example: herpes simplex begins with itching and tingling at the site before the lesions appear.

Answer 32

prodromal

Question 33

a process that eliminates many or all microorganisms, with the exception of bacterial spores, from inanimate objects

Answer 33

disinfection

Question 34

the complete elimination or destruction of all microorganisms, including spores

Answer 34

sterilization

Question 35

List the chain of infection in order

Answer 35

1. Infectious agent or pathogen:
2. Reservoir or source for pathogen growth
3. Portal of exit
4. Mode of transmission
5. Portal of entry
6. Susceptible host

Question 36

An older adult patient has extensive wound care needs after discharge from the hospital. Which facility should the nurse discuss with the patient?

a. Hospice
b. Respite care
c. Assisted living
d. Skilled nursing

Answer 36

D. skilled nursing

Question 37

Your assigned patient has a leg ulcer that has a dressing on it. During your assignment you find that the dressing is saturated with purulent drainage. Which action would be best on your part?

a. Reinforce dressing with a clean, dry dressing and call the healthcare provider.
b. Remove wet dressing and apply new dressing using sterile procedure.
c. Put on gloves before removing the old dressing; then obtain a wound culture.
d. Remove saturated dressing with gloves, remove gloves, then perform hand hygiene and apply new gloves before putting on a clean dressing.

Answer 37

D.

Question 38

4. A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patients wishes with them. The nurse is acting.

a. Educator
b. Advocate
c. Caregiver
d. Case manager

Answer 38

B

Question 39

The examination for registered nurse licensure is exactly the same in every state in the United states. This examination:

a. Guarantees safe nursing care for all patients
b. Ensures standard nursing care for all patients
c. Ensures that honest and ethical care is provided
d. Provides a minimal standard of knowledge for an RN in practice

Answer 39

D

Question 40

An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her vital signs, listens to her lung and heart sounds, determines her level of comfort, and collects blood and sputum samples for analysis. Which standard of practice is performed?

a. Diagnosis
b. Evaluation
c. Assessment
d. Implementation

Answer 40

C

Question 41

A patient in the emergency department has developed wheezing and shortness of breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hrs. Which standard of practice is performed?

a, Planning

b. Evaluation
c. Assessment
d. Implementation

Answer 41

D

Question 42

The nurses on an acute care medical floor notice an increase in pressure ulcer formation in their parents. A nurse consultant decides to compare two types of treatment. The first is the procedure currently used to assess for pressure ulcer risk. The second uses a new assessment instrument to identity at risk patients. Given this information, the nurse consultant exemplifies which career?

Answer 42

Nurse researcher

Question 43

Nurses in an acute care hospital are attending a unit based education program to learn how to use a new pressure relieving device for patients at risk for pressure ulcers. This is which type of education?

Answer 43

inservice education

Question 44

a national and interdisciplinary group of health care leaders, recommended 21 competencies for health care professionals in the twenty-first century.

Answer 44

The Pew Health Professions Commission

Question 45

a standardized survey developed to measure patient perceptions of their hospital experience.

Answer 45

The Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS)

Question 46

recognizes health care organizations that achieve excellence in nursing practice.

Answer 46

The Magnet Recognition Program

Question 47

offers an attractive long-term care setting with an environment more like home and greater resident autonomy.

Answer 47

assisted living

Question 48

A nurse is teaching about the effects of globalization. Which information should the nurse include in the teaching session?

a. Increased spread of communicable diseases
b. Increased homogeneous mix of nursing staff
c. Decreased poverty and increased “health tourism”
d. Decreased urbanization as populations shift to the suburbs

Answer 48

A

Question 49

A patient is diagnosed with methicillin-resistant staphylococcus aureus (MRSA) pneumonia. Which type of isolation precaution is most appropriate for this patient?

Answer 49

droplet precautions

Question 50

Put the following steps for removal of protective barriers after leaving an isolation room in order.

a. Remove gloves
b. Perform hand hygiene
c. Remove eyewear or goggles
d. Untie top and then bottom mask strings and remove from face
e. Untie waist and neck strings of gown. Remove gown, rolling it onto itself without touching the contaminated side

Answer 50

Answer: a,c,e,d,b

a. remove gloves= always first because its the most soiled after handling patient
b. perform hand hygiene= after you take off your gloves, goggles, gown, and mask

**GGOGOMA