Nursing: Preparing for Various Scenarios in Healthcare, Exams of Nursing

Download Nursing: Preparing for Various Scenarios in Healthcare and more Exams Nursing in PDF only on Docsity! 1 ASSESSMENT LEADERSHIP AND COMMUNITY HEALTH 1. An occupational health nurse is preparing to teach a health promotion class for workersat a warehouse. Which of the following statements should the nurse include? "Rub your hands together for at least 10 seconds when washing them.""Keep your abdominal muscles tightened when lifting objects." "Ensure that 20 percent or less of calories are from saturated fats." "Engage in aerobic exercise 2 to 4 days per week for 20 min." 2. A nurse is preparing an in-service about family violence for a group of newly licensednurses. Which of the following statements should the nurse include in the teaching? "Perpetrators of family-directed violence recognize their behavior as abnormal." "Female clients who experience partner violence are at greater risk for acute diseases.""The victim's risk for homicide is greatest when they decide to leave the relationship.""The level of violence of the events decreases over time." 3. A community health nurse is reviewing primary prevention strategies for West Nile viruswith a group of clients in a rural health clinic. Which of the following instructions shouldthe nurse include? Avoid exposure to deer ticks. Eliminate areas of standing water. Use a respiratory mask when cleaning bird coops.Plan outdoor activities after dusk 2 4. A school nurse is providing care for students in an elementary education facility. Whichof the following interventions by the nurse addresses the primary level of prevention? Design interventions for a student's individual education plan (IEP).Teach students about healthy food choices. Perform first aid for minor injuries. 5 "We should provide change-of-shift report as a team, including the assistive personnel whoassisted with care. 9. A hospice nurse is providing teaching to a client who has a new diagnosis of a terminal illness and her family. Which of the following statements should the nurse include in theteaching? "Hospice care focuses on disease treatment and rehabilitation." "The provider will coordinate your health care needs while in hospice." "You must choose a family caregiver before being admitted into a hospice facility.""Hospice care continues to help families with grief after a death occurs." 10. A nurse manager is discussing electronic medical records with a newly licensed nurse. Which of the following actions should the nurse take to maintain client confidentiality?(Select all that apply.) Log out of the computer terminal before leaving. Share passwords for computer access with colleagues.Change computer access passwords on a regular basis. Avoid accessing information about clients admitted to other units.Shred computer-generated client worksheets after use. 11. A nurse is completing an assessment of a recently widowed older adult client. He stateshe is unable to drive and is afraid to cook on the stove. Which of the following community resources should the nurse recommend? Hospice care Meals on Wheels Home health services American Association of Retired Persons 6 12. A charge nurse is discussing HIPAA with a newly licensed nurse. Which of the followingactions should the charge nurse include in the teaching as an example of a HIPAA violation? 7 Posting the name of the nurse providing care on a client's communication boardDiscussing the client's new medication with a hospital pharmacist Faxing requested medical information for a client who is transferring to another facilityEmailing the client's positive hepatitis results from an unencrypted serve 13. A nurse manager is preparing to complete staff performance appraisals. Which of the following principles should the nurse manager consider when completing the appraisals? Performance appraisals should be written in measurable terms. Appraisal objectives should be applicable to staff at every level. Performance appraisals should be based on the nurse manager's preferences.Completed appraisals should be approved by a provider. 14. A nurse is caring for a client and realizes they have administered the wrong medication.Which of the following actions should the nurse take first? Notify the provider. Check the condition of the client. Document the occurrence in the electronic medical record.Complete an incident report. 15. A nurse is caring for a newborn in the nursery following a circumcision. The newborn's grandparent, who does not have an identication bracelet, requests to take the newborn tohis parent's room. Which of the following actions should the nurse take? Check the newborn's identication bracelet with the chart.Obtain permission from the newborn's mother. Respectfully deny the grandparent's request.Review the newborn's footprint record 10 A client who has acute cholecystitis and reports abdominal pain radiating to the right shoulder A client who has had a total knee arthroplasty, is 1 day postoperative, and reports a pain level of8 on a 0 to 10 pain scale A client who has a fractured femur and reports sudden sharp chest pain 11 20. An occupational health nurse in a factory is planning interventions to reduce environmental stressors for employees. Which of the following interventions should thenurse use to aect physical agents in the environment? (Select all that apply.) Teach workers to choose personal strategies to cope with work stress. Limit the amount of time workers spend in temperatures over 43.3° C (110° F).Provide ear plugs for use at workstations throughout the factory. Obtain dosimeters for employees to wear when using new machinery that emits radiation.Require more frequent disinfection of work surfaces during inuenza season. 21. A nurse is using the ecologic model for population health to develop interventions to address HIV in a community. Which of the following interventions should the nurseinclude to address financial factors affecting community health? Have adolescents lead peer discussions in schools about safe sexual practices.Distribute condoms through remote community clinics. Create commercial advertisements describing the long-term eects of HIV. Include information about perinatal HIV transmission at prenatal education classes. 22. A nurse is planning a staff education program to review nursing interventions for clients who have kidney failure. Which of the following sources should the nurse identify as thebest resource for obtaining evidence-based information? The advice of an expert nephrology nurseRetrospective chart reviews Facility critical pathway A recent peer-reviewed nursing research article 12 23. A newly licensed nurse tells a charge nurse that he is unsure about accepting telephone medication prescriptions. Which of the following providers should the charge nurse identify as having the legal ability to give telephone medication prescriptions? (Select allthat apply.) ??? Anesthesiologists Physician assistants 15 team members should the nurse anticipate consulting regarding the client's condition?(Select all that apply.) ??? Speech-language pathologistOccupational therapist Dietitian Psychologist Pharmacy technician 28. A forensic nurse is using the epidemiological triangle to explain factors that contribute toviolent behavior. Which of the following factors should the nurse identify as an environmental factor in the epidemiological triangle? Crowded living conditionsTraumatic brain injury Alzheimer's disease Impaired coping abilities 29. After signing an informed consent form, a client states, "I have changed my mind and donot want to have the procedure." Which of the following actions should the nurse take? Suggest that family members discuss the importance of the surgery with the client. Notify the surgeon that the client wishes to withdraw informed consent for the procedure.Document the risks of refusing the procedure in the client's medical record. Discuss the benets of the procedure with the client 30. A home health nurse is teaching about chest physiotherapy (CPT) treatments with a clientwho has COPD. Which of the following client statements should the nurse identify as an indication that the teaching has been understood? "My coughing will decrease during CPT treatments." 16 "CPT treatments will decrease my respiratory infections.""I will perform postural drainage after eating meals." "CPT treatments will help cure my COPD." 17 31. A public health nurse is developing guidelines for management of a botulism outbreak.Which of the following information should the nurse include? High-risk individuals should receive immunoglobulin E (IgE). Implement airborne precautions for clients who have botulism. Administer an aminoglycoside medication. Rinse skin with soap and water following exposure to the botulism toxin. 32. A county public health nurse is developing a list of interventions to address the three corefunctions of public health. Which of the following interventions should the nurse includeas part of the assurance function? Use surveillance to investigate outbreaks of foodborne illness.Monitor the incidence rates of varicella every 2 months. Organize an immunization clinic for at-risk members of the community.Educate the community about the health risks of alcohol use. 33. A nurse is discussing organ donation with a newly licensed nurse. Which of the followingstatements should the nurse include in the teaching? (Select all that apply.) "To harvest a client's organs, they must provide consent prior to death.""The donor client's provider will harvest the organs for donation." "During admission, all clients over the age of 18 should be asked about their organ donor status.""The National Organ Transplant Act prohibits the sale and purchase of organs." "Documentation about the client's organ donor preference is placed in the electronic medical 20 38. A nurse manager of a rural clinic is orienting a new employee. Which of the followinginformation should the nurse include as a characteristic of rural health? Lower maternal morbidity rates Reduced incidence of death from motor-vehicle crashesIncreased rates of chronic illness 21 More frequent dental preventative care visits 39. A nurse at a local health department is caring for a client who is newly diagnosed withlisteriosis. Which of the following actions should the nurse plan to take? Provide the Centers for Disease Control (CDC) and Prevention with the client's information.Inform the client that they are required to have health department sta directly observe their treatment. Determine whether the condition is reportable under state requirements.Find out whether the condition is endemic in the client's neighborhood 40. A nurse working in a mobile health clinic is assessing a migrant farm worker. Which ofthe following findings should the nurse identify as the priority? Report of back pain associated with twisting at the waistAbsence of a dental health provider Lives in a home with 25 other migrant workersReport of muscle twitching and skin rash 41. A school nurse is developing a teaching plan about testicular cancer for a group of clients.Which of the following information should the nurse include in the teaching? Perform a testicular self-examination weekly. Do not palpate the epididymis when performing a testicular self-examination. Expect testicles to be uniform in consistency when performing a testicular self- examination.Perform a testicular self-examination after a cool shower. 22 42. A parent of a child who is terminally ill tells a nurse that she wants to take her childhome. Which of the following responses should the nurse make? "Your provider will be here later today." "I can give you information on what that would involve." "I understand how you feel. I felt the same way when my sister was terminally ill." 25 A client who is prescribed gastric lavage treatments to treat acute aspirin toxicity 47. A nurse manager on an acute care unit is preparing a staff presentation about promotingcost effective care. Which of the following strategies should the nurse plan to include inthe presentation? Change IV solution bags every 36 hr. Avoid the delegation of hygiene care to assistive personnel (AP).Wear sterile gloves when removing urinary retention catheters. Educate staff about the correct use of personal protective equipment (PPE) for isolation precautions. 48. A nurse is providing a report to an occupational therapist about a client who weighs 210lb and has a prescription for one-third weight bearing on the right leg to prevent injury and falls. How many kg of weight should the client bear on the right leg? (Round the answer to the nearest whole number. Use aleading zero if it applies. Do not use a trailingzero.) 49. 32kg kg 50. A nurse in an emergency department is preparing change-of-shift report for an adult clientwho is transferring to a medical-surgical unit using the SBAR communication tool. Which of the following information should the nurse include in the report? (Select all thatapply.) The client has a do-not-resuscitate order. The client has a continuous IV of lactated Ringer's. The client was straight catheterized for 350 mL 2 hr ago.The client has Medicare insurance. 26 The client lives in a one-story home 27 51. A nurse is reviewing the medical record of a client who has a new prescription for cimetidine. Which of the following laboratory findings should the nurse identify as thepriority to report to the provider? Sodium 140 mEq/L WBC count 9,000/mm3 Aspartate aminotransferase (AST) 50 units/LFasting glucose 105 mg/dL