Lpn to rn Claywell ch 4exam test with correct answers (best marking scheme 2024), Exams of Nursing

Download Lpn to rn Claywell ch 4exam test with correct answers (best marking scheme 2024) and more Exams Nursing in PDF only on Docsity! Lpn to rn Claywell ch 4exam test with correct answers (best marking scheme 2024)  A nurse manager is discussing the RNs scope of practice with a new hire. Which statement, made by the new hire, is not true of the RNs scope of practice?  a.  A nurse may be disciplined by the Board of Nursing for practicing beyond his or her scope of practice.  b.  Scope of practice is legally defined by the American Nurses Association.  c.  Scope of practice defines the responsibilities of nurses.  d.  Scope of practice can be found in state nurse practice acts. - answers>ANS: B  The RNs scope of practice is legally defined by state nurse practice acts, not the ANA. A nurse may be disciplined by the Board of Nursing. The scope of practice defines the responsibilities of nurses and can be found in state nurse practice acts.  The nursing student is reviewing the different organizations that provide services for nurses. She interprets the American Nurses Credentialing Center as:  a.  an association that provides accreditation for baccalaureate and higher degree nursing education programs.  b.  the unifying body for the state boards of nursing.  c.  an association that offers certification in many nursing specialties.  d.  an organization that offers the national licensure examination. - answers>ANS: C  The American Nurses Credentialing Center offers certification in many nursing specialties. The Commission on Collegiate Nursing Education provides nursing school accreditation. The National Council of State Boards of Nursing is the unifying body for the state boards of nursing. NCLEX is the national licensure examination implemented by the National Council of State Boards of Nursing.  The student is studying the history of nursing education. She is able to identify which nursing degree program as the first one in the United States for RNs?  a.  Associates degree  b.  Bachelors degree  A 79-year-old patient whose plan of care needs to be updated - answers>ANS: B  The LPN/LVN is skilled in dressing changes. The nursing assistant is skilled in giving a bed bath. Discharge teaching and updating the plan of care are tasks that must be performed by the RN.  The charge nurse is creating assignments for the oncoming shift. She notices that today staffing consists of three RNs and one LPN. Which assignment would be most appropriate for the LPN?  a.  Acute MI: needs preparation for the catheter lab  b.  Flu-like symptoms: needs reassessment of vital signs every hour  c.  Possible stroke: needs anticoagulation therapy  d.  Dehydration: needs IVF boluses and IV antiemetics - answers>ANS: B  The most appropriate assignment for the LPN would be the patient with flu-like symptoms. The LPN can perform basic assessment and data collection and can meet the basic needs of the patient. The RNs should be assigned the patients with acute MI, possible stroke, and dehydration, all of whom require critical thinking and a higher level of care.  The RN understands that the National League for Nursing (NLN) delineates three professional roles of the associate degree nurse when she lists all of the following except:  a.  manager of care.  b.  team player.  c.  provider of care.  d.  member of profession. - answers>ANS: B  The NLN delineates the following as professional roles of the associate degree nurse: manager of care, provider of care, and member of the profession. For all three of these roles, the nurse follows the nursing process. The NLN does not delineate being a team player as a professional role.  An LPN/LVN in RN school is experiencing frustration because the expectations of her as a nurse at work are very different from her role as a student in nursing school, and fulfilling both is confusing at times. She has an appropriate understanding of her situation when she states that it is known as:  a.  role conflict.  b.  dissociative behavior.  c.  coping mechanism.  d.  license confusion. - answers>ANS: A  Role conflict may occur when expectations or requirements of competing roles are incompatible.  A nurse manager is teaching a class about the different role elements of RNs. If she has an adequate understanding, she can state that a care provider is:  a.  a nurse who medically manages patients.  b.  an RN who carries out interventions that assist patients to meet positive outcomes.  c.  a nurse who seeks out new endeavors.  d.  a nurse who seeks out positive changes in the best interest of his or her patients. - answers>ANS: B  Care provider is the role element of the RN when interventions are provided.  A student is preparing for an exam on the different role elements of an RN. She is prepared for the exam when she can state that all of the following are elements of the RN role except:  a.  collaborator.  b.  Thinking skills  c.  Assessment skills  d.  Basic psychomotor skills - answers>ANS: D  LPN/LVNs and RNs have similar preparation in basic psychomotor skills such as wound care, urinary catheterization, patient hygiene, and so on. It is the critical thinking and assessment skills that go beyond the basic task that make a difference.  A student in an LPN to RN transition program is at the clinical site and monitoring the vital signs of a patient receiving blood. At 15 minutes into the infusion, the patient begins to complain of itching and shortness of breath. It is evident that the student nurse is developing critical thinking skills when she does which of the following?  a.  Stops the infusion, calls for the patients nurse, and reports a possible reaction to the blood.  b.  Calls for the patients nurse and asks whether she can slow the infusion down.  c.  Continues with routine monitoring and reports the patients condition as unremarkable.  d.  Calls for the patients nurse and asks whether she can speed up the infusion to deliver the blood faster. - answers>ANS: A  The student nurse is developing critical thinking skills of an RN when she connects the idea that the shortness of breath and itching are linked to the infusion and quickly takes action to prevent further harm to the patient.  Which action defines the nurse as a care provider in an inpatient setting?  a.  Holding an information session on diabetes management and prevention  b.  Running a blood pressure screening in the lobby of the hospital  c.  Assisting new parents after the delivery of preterm twins  d.  Handing out pamphlets on how to lower cholesterol - answers>ANS: C  The nurse who assists new parents after the delivery of preterm twins is an example of a care provider role within the inpatient setting. Outpatient care provider roles include promotion and restoration of health through the use of screenings and interventions.  The nurse would assume the care provider role of educator during which action?  a.  Leading a hand washing initiative to reduce infection rates  b.  Answering a new mothers questions about breastfeeding  c.  Working with colleagues to transfer a patient into a rehab center  d.  Requesting more pain medications for a patient who is recovering from a total hip replacement - answers>ANS: B  The nurse assumes the care provider role of educator when she answers a new mothers questions about breastfeeding. Leading a hand washing initiative refers to a change agent. Working with colleagues to transfer a patient refers to the collaborator role. The nurse functions as an advocate when he or she requests more medication for a patient recovering from surgery.  A nurse on a postsurgical unit is alarmed by the number of postoperative infections that have been reported for her unit over the last year. The nurse acquires data from other hospitals and begins observing the health care team to determine the hand washing rates. This nurse is functioning in which care provider role?  a.  Manager  b.  Change agent  c.  Researcher  d.