Care, and Clinical Practice Guide
A nurse is caring for a patient in the ICU who is being monitored for a possible cerebral
aneurysm following a lost of consciousness in the emergency room. The nurse anticipates
preparing the pt for ordered diagnostic tests. This nurse's knowledge of the diagnostic
procedures for this condition reflects which aspect of nursing?
A. The art of nursing
B. The science of nursing
C. The caring aspect of nursing
D. The holistic approach to nursing
B. The science of nursing
One of the 4 broad aims of nursing practice is to restore health. Which examples of nursing
interventions reflect this goal? Select all that apply.
A. A nurse counsels adolescents in a drug rehabilitation program
B. A nurse performed ROM exercises for a pt on bedrest
C. A nurse shows a diabetic pt how to inject insulin
D. A nurse recommends a yoga class for a busy executive
E. A nurse provides hospice care for a pt with end-stage cancer
F. A nurse teaches a nutrition class at a local high school
A, B, and C
Postpartum Urinary System Adaptations
-GFR and renal flow rate increases
-Loss of voiding sensation
-Postpartum diuresis
When the newborn cheek is touched, the cheek turns toward the stimulus
Rooting
Overweight BMI
>25 mg/dL
How many patient identifiers is required, and what are they?
,2
Name and date of birth
A nurse is formulating a clinical question in PICO format. What does the letterP represent?
A. Comparison to another similar treatment
B. Clearly defined, focused literature review
C. Specific identification of the desired outcome
D. Explicit descriptions of the population of interest
D. Explicit descriptions of the population of interest
Insulin
Removes excess glucose from the blood and stores it as glycogen in the liver.
Which nurse who was influential in the development of nursing in North America is regarded
as the founder of American nursing?
A. Clara Barton
B. Lillian Wald
C. Lavina Dock
D. Florence Nightingale
D. Florence Nightingale
The student nurse learns that illnesses are classified as either acute or chronic. Which are
examples of chronic illnesses? Select all that apply.
A. Diabetes mellitus
B. Bronchial pneumonia
C. Rheumatoid arthritis
D. Cystic fibrosis
E. Fractured hip
F. Otitis media
A, C, & D
World War II had a tremendous effect on the nursing profession. Which development
occurred during this period?
A. The role of the nurse was broadened
B. There was a decreased emphasis on education
,C. Nursing was practiced mainly in hospital settings
D. There was an overabundance of nurses
A. The role of the nurse was broadened
Pain and anxiety can alter these vital signs
HR, RR, and BP
1. A nurse assesses patients in a physician's office who are experiencing different levels of
health and illness. Which statements best define the concepts of health and illness? Select all
that apply.
A. Health and illness are the same for all people.
B. Health and illness are individually defined by each person.
C. People with acute illnesses are actually healthy.
D. People with chronic illnesses have poor health beliefs.
E. Health is more than the absence of illness.
F. Illness is the response of a person to a disease.
B, E, & F
Method of communication between health care providers about patients (the handoff)
SBAR
When the newborn's head is turned to one side, the arm on that side is extended out
Tonic neck
True or false: Diarrhea is a common concern postpartum
False. Constipation is a common concern if iron is administered
This is the angle for a subcutaneous injection
45 degrees
A nurse has volunteered to give influenza immunizations at a local clinic. What level of care is
the nurse demonstrating?
A. Tertiary
B. Secondary
C. Primary
D. Promotive
C. Primary
, The outer most layer of the skin
Epidermis
First step in the abdominal assessment
Inspection
Obesity BMI
>30 mg/dL
When the bottom of the foot is stroked upwards, the newborn's toes flare out
Babinski
Health promotion activities may occur on a primary, secondary, or tertiary level. Which
activities are considered tertiary health promotion? Select all that apply.
A. A nurse runs an immunization clinic in the inner city.
B. A nurse teaches a patient with an amputation how to care for the residual limb.
C. A nurse provides range-of-motion exercises for a paralyzed patient.
D. A nurse teaches parents of toddlers how to childproof their homes.
E. A school nurse provides screening for scoliosis for the students.
F. A nurse teaches new parents how to choose and use an infant car seat.
B&C
When does menstruation return after birth for non lactating women?
7-9 weeks
Nursing students should not drink this when stressed
Alcohol
A nurse administers a dose of an oral medication for hypertension to a patient who
immediately vomits after swallowing the pill. What would be the appropriate initial action of
the nurse in this situation?
A. Readminister the medication and notify the primary care provider.
B. Readminister the pill in a liquid form if possible.
C. Assess the vomit, looking for the pill.
D. Notify the primary care provider.