Exam #1_ PN 2212_ Adult Health Nursing II_ Winter 2025 | Answered Score for this quiz: 125 out of 125.
Exam #1_ PN 2212_ Adult Health Nursing II_ Winter 2025/26 Exam #1 Adult Health II • Due Feb 1 at 2:30pm • Points 125 • Questions 50 • Available after Feb 1 at 8:30am • Time Limit 90 Minutes Instructions Please follow LVC test taking rules 125 Points 50 Questions 90 Minutes Chapters 2, 55, 56, 57, 58 Attempt History Attempt Time Score LATEST Attempt 1 34 minutes 125 out of 125 Score for this quiz: 125 out of 125 Submitted Feb 1 at 11:38am This attempt took 34 minutes. Question 1 2.5 / 2.5 pts Which of the following is an example of a nurse's autonomy? Discontinuing a treatment strategy that may be harmful. Obligation to tell the patient the truth about a diagnosis. Critically thinks about a patient issue and takes action. Integrates social justice in practice. Question 2 2.5 / 2.5 pts A nursing student asks a seasoned nurse during clinical what are his/her moral influences. Which of the following is NOT generally considered a moral influence? Life experiences Duty owed to patient Religious beliefs Social influences Question 3 02/01/2025; 11:38AM Exam #1_ PN 2212_ Adult Health Nursing II_ Winter 2025 2.5 / 2.5 pts A nurse was fired after an investigation of a civil wrong known as a tort. Which of the following is an intentional tort? False imprisonment Giving the wrong medication Failure to follow a physician's order Documentation error Question 4 2 / 2 pts ABC hospital hired a nurse who failed to report an adverse reaction to the provider per the facility policy. The patient died as a result, and the family sued the hospital. This situation best describes which of the following legal issues? Civil offense Intentional tort Criminal offense Negligence Question 5 3 / 3 pts A new nurse reports to a unit for duty and realizes the unit is short-staffed, with a nurse-to-patient ratio of 10:1. The nurse receives the report from the off-going shift and, two hours later, decides to leave the hospital after telling the unit manager they cannot handle the workload. The nurse is in violation of which ethical issue? Defamation of character Competency Abandonment of care Negligence Question 6 3 / 3 pts Which of the following are common breaches of the Standard of Care? (Select all that apply.) Pre-charting interventions 02/01/2025; 11:38AM Exam #1_ PN 2212_ Adult Health Nursing II_ Winter 2025 Using restraints for a patient threatening staff Using the Chain of Command Failing to put the bed in lowest position. Question 7 2 / 2 pts Which of the following regulatory bodies may sanction a nurse who is impaired on the job? The Joint Commission The Board of Nursing American Nurses Association Center of Medicaid and Medicare Services Question 8 2 / 2 pts A nurse was overheard by a unit manager talking about a surgeon who works at the hospital. The nurse told a patient that Dr. Smith had an affair with an Emergency Room nurse. The nurse has committed which of the following quasi-intentional torts? Libel Slander Invasion of Privacy Malice Question 9 2 / 2 pts A new nurse is writing a social media post about nursing. The post is viewed as controversial. Which of the following are common myths of social media violations? (Select all that apply.) Disparaging comments regarding staffing issues is just the nurse expressing an opinion. Posted communication is private between the individuals sending and receiving the messages. Content is easily deleted from social media sites. Social media violations not are limited to patient care delivery. 02/01/2025; 11:38AM Exam #1_ PN 2212_ Adult Health Nursing II_ Winter 2025 Question 10 2 / 2 pts When identifying the difference between intentional and unintentional torts, the nurse knows an example of an unintentional tort is: Invasion of Privacy Fraud Assault Failure to get informed patient consent Question 11 1.5 / 1.5 pts The nurse is explaining the acronym RICE for a sprain. What does the "E" stand for? Extremity Elevation Evaluate Extension Question 12 1.5 / 1.5 pts A 35-year-old female comes to the clinic complaining of joint pain in both wrists, fatigue, and a low-grade fever. The nurse assesses the patient's skin and notices skin nodules and limited range of motion. Which disease process does the nurse anticipate the provider diagnosing? Rheumatoid Arthritis Systematic Lupus Erythematosus Sjogren's Syndrome Osteoarthritis Question 13 1.5 / 1.5 pts A Nurse is reinforcing teaching with a middle adult client about screening prevention for cancer. Which of the following statements by the client indicates an understanding of the information reviewed? The client should begin to have a colonoscopy at age 50 and then every 10 years thereafter. 02/01/2025; 11:38AM Exam #1_ PN 2212_ Adult Health Nursing II_ Winter 2025 The client should begin annual mammograms beginning at age 40. The client should have a fecal occult test done every year. The client should have a Pap test every 3 years from the age of 21 to 29. Question 14 2 / 2 pts The nurse is assessing a patient and identifies Kaposi sarcoma. Which of the following is an accurate description of this malignant tumor? Red, pinpoint spots on the skin Blue, area at the umbilicus region Purple, non-ulcerated lesions on the skin White, non-sloughing lesions on the lips Question 15 2 / 2 pts A nurse is assisting with teaching a class about professionalism. The nurse should include that joining a professional organization is an example of which of the following? Displays commitment to employment facility Is not recommended Is a requirement after licensing Displays professional engagement Question 16 2 / 2 pts A nurse is assisting with teaching a class on leadership. The nurse should include that which of the following types of leaders strictly enforce rules to maintain compliance? Situational Laissez-Faire Democratic Autocratic Question 17 2 / 2 pts A nurse is assisting with teaching a class on leadership. The nurse should include that which of the 02/01/2025; 11:38AM Exam #1_ PN 2212_ Adult Health Nursing II_ Winter 2025 following types of leaders uses rewards to meet goals? Situational Democratic Autocratic Laissez-Faire Question 18 3 / 3 pts Which of the following is a Proton Pump Inhibitor? Cimetidine Magnesium Hydroxide Omeprazole Famotidine Question 19 3 / 3 pts A nurse is working on a unit and suspects a coworker is chemically impaired. Which of the following members of the chain of command should the nurse notify first? Unit manager Charge nurse House supervisor Colleague nurse Question 20 3 / 3 pts A nurse is assisting with teaching a class on leadership. The nurse should include that which of the following are characteristics of laissez-faire leaders? Allows an informal leader to emerge in the group Most effective style for people with little formal education Uses a one-way flow of direction communication style Motivates group through support of positive achievements 02/01/2025; 11:38AM Exam #1_ PN 2212_ Adult Health Nursing II_ Winter 2025 Question 21 3 / 3 pts A nurse is teaching a class on leadership. The nurse should include that which of the following are characteristics of situational leaders? Always makes decisions for the group Motivates by coercion Modifies style based on need of group or circumstance Makes very few decisions Question 22 1.5 / 1.5 pts A student is asking an LPN nurse what a good professional organization would be to get involved in to influence political change in the LPN scope of practice. How should the LPN respond? The National Federation of Licensed Practical Nurses The National League of Nursing The American Nursing Academy Association The National Association of Practical Nurse Education and Services Question 23 1.5 / 1.5 pts A student nurse received a DUI 2 weeks prior to applying for the NCLEX-PN examination. The student notifies the Board of Nursing and receives the Authorization to Test. Upon licensure, what should the nurse anticipate from the Board of Nursing? Required to conduct an additional background check Notification of the DUI to be sent to the employer Licensure with probation limitations No communication from the board as this was on personal time Question 24 1.5 / 1.5 pts Which illnesses are believed to be caused by autoimmune disorders? (Select all that apply.) Rheumatoid Arthritis Guillain-Barre' syndrome 02/01/2025; 11:38AM Exam #1_ PN 2212_ Adult Health Nursing II_ Winter 2025 Systemic Lupus erythematosus Lung Cancer Cardiovascular disease Question 25 2 / 2 pts A nurse is licensed in Nevada and is wanting to obtain a license in California. The nurse should expect which process? Computer process Automatic recognition of license in the state of California. Endorsement process Nurses can only hold one active license at a time Question 26 2.5 / 2.5 pts Which best describes the comparison of a leader and a manager? Managers must have followers Mangers are task oriented Managers are not leaders Leaders supervise exclusively day to day operations. Question 27 2 / 2 pts Which of the following viral hepatitis infections are transmitted through sexual intercourse? C & E B & C B & D A & E Question 28 1.5 / 1.5 pts Which of the following is the leading indication for liver transplant? 02/01/2025; 11:38AM Exam #1_ PN 2212_ Adult Health Nursing II_ Winter 2025 Hepatic malignancy Chronic viral hepatitis Sclerosing cholangitis Alcoholic end stage liver disease Question 29 1.5 / 1.5 pts Delegation of a task to an employee who can competently perform the task is which of the following Five Rights of Delegation? Right Direction and Communication Right task Right Circumstance Right Person Question 30 3 / 3 pts A people-centered leader allows the nursing team more autonomy in the decision-making process. This is best described as which type of leader? Autocrat Democrat Question 31 3 / 3 pts Humoral immunity is mediated by which type of cells? Myeloblasts B cells T cells Macrophages Question 32 Laissez-Faire Situational 02/01/2025; 11:38AM Exam #1_ PN 2212_ Adult Health Nursing II_ Winter 2025 3 / 3 pts A patient inquires about screening guidelines for early detection of colorectal cancer. Which of the following should be included in the nurse's education? Annual screening starting at age 45 Age 55-74 if an elevated risk is present No specific screening guidelines for colorectal cancer is recommended Starting at age 20 at periodic health examinations Question 33 3 / 3 pts A tumor of the connective tissue, usually manifesting as a painless swelling, is known as: Leukemia Lymphoma Sarcoma Carcinoma Question 34 3 / 3 pts A patient asks the nurse what the TNM and staging indicates with a diagnosis of cancer. The nurse's best response is: TNM refers to the size, spread in lymph nodes and metastasis Staging I-IV indicates tumor size and lymph nodes involved Tumors are only staged with metastasis TNM indicates the extensive local and regional spread Question 35 3 / 3 pts The nurse can expect which of the following laboratory and diagnostic examinations to be performed after a diagnosis of cancer? PET scan and tumor marker Carcinoembryonic antigen serum level and Ultrasound CBC and MRI KUB and BNP 02/01/2025; 11:38AM Exam #1_ PN 2212_ Adult Health Nursing II_ Winter 2025 Question 36 3 / 3 pts The nurse is providing education to a community regarding immunity. Which of the following is an example of adaptive immunity—artificially acquired active immunity? Maternal antibodies passed through breastfeeding Vaccination Monoclonal antibodies Infection Question 37 3 / 3 pts Which of the following correctly describes humoral and cellular immunity? Humoral reactions are delayed Cellular reactions are delayed Cellular reactions are immediate Humoral reaction example is contact dermatitis and anaphylaxis Question 38 3 / 3 pts A patient is diagnosed with Sjögren's syndrome and Rheumatoid Arthritis. Which portion of the immune system is responsible for this dysfunction? Bands noted in the differential portion of the CBC Neutrophils, basophils and eosinophils Complement system T-cells & B-cells Question 39 3 / 3 pts A patient reports ingesting strawberries 30 minutes ago and now is having a severe hypersensitivity reaction. What clinical manifestation is the nurse most concerned about? Heart rate 106 Hypotension 80/51 02/01/2025; 11:38AM Exam #1_ PN 2212_ Adult Health Nursing II_ Winter 2025 Diffuse hives Respirations of 26 Question 40 3 / 3 pts Which of the following are inappropriate immune responses? (Select all that apply.) Natural immunity Autoimmune disorders Allergies Immunocompetence Question 41 3 / 3 pts A patient asks the nurse how HIV can spread in the body but not have any symptoms. What is the nurse's best response? The virus uses an enzyme to change the DNA to RNA The virus uses an enzyme to change the RNA to DNA The viral load is low and that is why there are no symptoms with replication The CD4 cells serve as the host cell for replication Question 42 3 / 3 pts Which of the following is the best description of vertical transmission? IV drug use Blood transfusion Breastfeeding Multiple sexual partners Question 43 3 / 3 pts A healthy, adult patient presents with thrush. What is the best question for the nurse to ask? Have you been exposed to a sick contact? 02/01/2025; 11:38AM Exam #1_ PN 2212_ Adult Health Nursing II_ Winter 2025 Do you have an adequate support system? Do you smoke cigarettes? Question 44 3 / 3 pts The nurse is reviewing the lab results of a patient with HIV. The patient was diagnosed 2 years ago and does not have access to medications consistently. Which of the following lab results is of most concern to the nurse? CD4 count 10,000 cells/mm3 CD4 count 200 cells/mm3 CD4 count 500 cells/mm3 CD4 count 300 cells/mm3 Question 45 3 / 3 pts A patient presents with Pneumocystis pneumonia. The nurse knows the patient is positive for HIV and recognizes this as an opportunistic infection. What stage is the infection? Stage 4 Chronic Stage 3 AIDS Stage 2 Latency Stage 1 Acute infection Question 46 3 / 3 pts A patient has disclosed risky behavior placing them at risk for HIV. Which of the following is a confirmatory test? Enzyme-linked immunosorbent assay (ELISA) Cheek swab Agglutination assay Nucleic Acid Test (NAT) Do you have multiple sexual partners? 02/01/2025; 11:38AM Exam #1_ PN 2212_ Adult Health Nursing II_ Winter 2025 Question 47 3 / 3 pts The nurse recognizes a patient with HIV has muscle wasting. Which of the following goals is the nurse's priority? Patient will regain the lost weight Patient's nutritional intake will exceed the metabolic need Patient’s weight will remain stable Weigh the patient daily Question 48 3 / 3 pts The nurse is assessing a patient for melanoma. Which of the following is included in the ABCDE assessment? Assess complexion Assess symmetry Assess diameter Assess edges Question 49 3 / 3 pts A patient asks the nurse what the difference between Hodgkin’s and Non-Hodgkin’s lymphoma is. What is the nurse's best response? Hodgkin’s lymphoma is more common in teens Non-Hodgkin’s lymphoma is more treatable Non-Hodgkin’s lymphoma is less deadly Hodgkin’s lymphoma often metastizes Question 50 3 / 3 pts Cancer of the bladder spreads through which mode? Through the bladder muscle wall Through the circulatory system Through the ureters 02/01/2025; 11:38AM Exam #1_ PN 2212_ Adult Health Nursing II_ Winter 2025 Through the lymph system Quiz Score: 125 out of 125
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