NP1: Unit Exam 1 (BOOK and ATI Questions)
With Complete Solutions
The nurse is delegating frequent blood pressure (BP) measurements for a
patient admitted with a gunshot wound to a licensed practical nurse (LPN).
When delegating, the nurse understands which fact?
A.He/she may assume that the LPN is able to perform this task
appropriately.
B.The LPN is ultimately responsible for the patient findings and
assessment
C.The LPN may perform the tasks assigned without further supervision.
D. He/she retains ultimate responsibility for patient care and supervision is
needed - ANSWER D. He/she retains ultimate responsibility for patient care
and supervision is needed
The nurse manager is interviewing graduate nurses to fill existing staffing
vacancies. When hiring graduate nurses, the nurse manager realizes that
they will probably not be considered "competent" until they complete which
task?
A.They graduate and pass NCLEX.
B.They have worked 2 to 3 years.
C.Their last year of nursing school.
D.They are actually hired. - ANSWER B.They have worked 2 to 3 years.
A group of nursing students are discussing the impact of non-nursing
theories in clinical practice. The students would be correct if they chose
which theory to prioritize patient care?
A.Erikson's Psychosocial Theory
B.Paul's Critical-Thinking Theory
C.Maslow's Hierarchy of Needs
,D.Rosenstock's Health Belief Model - ANSWER C.Maslow's Hierarchy of
Needs
The nurse is caring for a patient admitted for the removal of an infected
appendix. Which actions by the nurse would indicate an understanding of
the National Patient Safety Goals (Select all that apply).
A.Places an identification band on the right arm
B.Marks the surgical site with a black-felt pen
C.Checks medications three times before administration
D.Washes hands between patients and/or when soiled
E.Removes allergy bands prior to transfer to surgery - ANSWER A.Places
an identification band on the right arm
B.Marks the surgical site with a black-felt pen
C.Checks medications three times before administration
D.Washes hands between patients and/or when soiled
A newly licensed registered nurse is curious about the scope of care that
he or she has in caring for patient's undergoing conscious sedation. Which
would be the best source of information for this nurse?
A.National Student Nurses Association
B.Nurse Practice Act
C.ANA Standards of Professional Performance
D.The Joint Commission - ANSWER B.Nurse Practice Act
A charge nurse is discussing the levels of critical thinking with a newly
licensed nurse. Match the following situations to the appropriate component
of critical thinking (match a letter to a number):
A. A nurse uses an electronic database to gather information about a
medication before administering it to a client.
B. A nurse has been working with clients who have diabetes mellitus for
over 5 years.
C. A nurse uses the nursing process when caring for a client who has
hypoglycemia.
1. Knowledge
2. Experience
3. Competence - ANSWER A, 1
,B, 2
C, 3
A newly licenses nurse is considering strategies to improve critical thinking.
which of the following actions should the nurse take? (select all that apply)
A. Find a mentor
B. use a journal to write about the outcomes of clinical judgement.
C. Review articles about evidence-based practice
D. Limit consultations with other professionals involved in a clients care
E. Make quick decisions when unsure about a clients need.
F. Organize client data using a concept map - ANSWER A,B,C,F
A nurse is teaching a client who has a new prescription for a time release
medication. what instructions should the nurse include? - ANSWER To
swallow the medication whole
A nurse is teaching a client how to self-administer ear drops. Which of the
following client statements indicates an understanding of the teaching?
A. "I will pull my ear down and back before I insert the drops"
B. "I will gently apply pressure with my finger to the front part of my ear
after putting in the drops"
C. "I will chill my ear drops before I use them"
D. "I will place a cotton ball into my thinner ear canal after the drops are in."
- ANSWER B
A nurse is preparing to inject heparin subcutaneously for a client who is
postoperative. Which of the following actions should the nurse take?
A. Use a 22 gauge needle
B. Select a site on the clients abdomen
C. Use the Z track technique to displace the skin on the injection site
D. Observe for bleb formation to confirm proper placement - ANSWER B
A nurse is teaching a newly licensed nurse about administering injections.
Match the injection method to the associated information.
A. Intradermal
B. Subcutaneous
, C. Intramuscular
1. Use a 45 degree angle
2. Can inject up to 3 mL
3. Observe for a small bleb - ANSWER A,3
B,1
C,2
The nurse supports a patients decision to decline more cancer treatment
and to be cared for by a hospice team, even though the nurse personally
thinks the patient should seek more treatment. The nurse is practicing
which nursing role?
A. Advocacy
B. Change agent
C. Leader
D. Collaborator - ANSWER A
A profession has specific characteristics. In regard to how nursing meets
these characteristics, which criteria are consistent and standardized
processes? (Select all that apply).
A. Code of ethic
B. Licensing
C. Body of knowledge
D. Educational preparation
E. Altruism - ANSWER A,B,C,E
What specific aspect of a profession does the development of theories
provide?
A. Altruism
B. Body of knowledge
C. Autonomy
D. Accountability - ANSWER B
Health care workers are discussing a diverse group of patients respectfully
and are being responsive to the health beliefs and practices of these
patients. What important aspect of nursing professional practice are they
exhibiting
With Complete Solutions
The nurse is delegating frequent blood pressure (BP) measurements for a
patient admitted with a gunshot wound to a licensed practical nurse (LPN).
When delegating, the nurse understands which fact?
A.He/she may assume that the LPN is able to perform this task
appropriately.
B.The LPN is ultimately responsible for the patient findings and
assessment
C.The LPN may perform the tasks assigned without further supervision.
D. He/she retains ultimate responsibility for patient care and supervision is
needed - ANSWER D. He/she retains ultimate responsibility for patient care
and supervision is needed
The nurse manager is interviewing graduate nurses to fill existing staffing
vacancies. When hiring graduate nurses, the nurse manager realizes that
they will probably not be considered "competent" until they complete which
task?
A.They graduate and pass NCLEX.
B.They have worked 2 to 3 years.
C.Their last year of nursing school.
D.They are actually hired. - ANSWER B.They have worked 2 to 3 years.
A group of nursing students are discussing the impact of non-nursing
theories in clinical practice. The students would be correct if they chose
which theory to prioritize patient care?
A.Erikson's Psychosocial Theory
B.Paul's Critical-Thinking Theory
C.Maslow's Hierarchy of Needs
,D.Rosenstock's Health Belief Model - ANSWER C.Maslow's Hierarchy of
Needs
The nurse is caring for a patient admitted for the removal of an infected
appendix. Which actions by the nurse would indicate an understanding of
the National Patient Safety Goals (Select all that apply).
A.Places an identification band on the right arm
B.Marks the surgical site with a black-felt pen
C.Checks medications three times before administration
D.Washes hands between patients and/or when soiled
E.Removes allergy bands prior to transfer to surgery - ANSWER A.Places
an identification band on the right arm
B.Marks the surgical site with a black-felt pen
C.Checks medications three times before administration
D.Washes hands between patients and/or when soiled
A newly licensed registered nurse is curious about the scope of care that
he or she has in caring for patient's undergoing conscious sedation. Which
would be the best source of information for this nurse?
A.National Student Nurses Association
B.Nurse Practice Act
C.ANA Standards of Professional Performance
D.The Joint Commission - ANSWER B.Nurse Practice Act
A charge nurse is discussing the levels of critical thinking with a newly
licensed nurse. Match the following situations to the appropriate component
of critical thinking (match a letter to a number):
A. A nurse uses an electronic database to gather information about a
medication before administering it to a client.
B. A nurse has been working with clients who have diabetes mellitus for
over 5 years.
C. A nurse uses the nursing process when caring for a client who has
hypoglycemia.
1. Knowledge
2. Experience
3. Competence - ANSWER A, 1
,B, 2
C, 3
A newly licenses nurse is considering strategies to improve critical thinking.
which of the following actions should the nurse take? (select all that apply)
A. Find a mentor
B. use a journal to write about the outcomes of clinical judgement.
C. Review articles about evidence-based practice
D. Limit consultations with other professionals involved in a clients care
E. Make quick decisions when unsure about a clients need.
F. Organize client data using a concept map - ANSWER A,B,C,F
A nurse is teaching a client who has a new prescription for a time release
medication. what instructions should the nurse include? - ANSWER To
swallow the medication whole
A nurse is teaching a client how to self-administer ear drops. Which of the
following client statements indicates an understanding of the teaching?
A. "I will pull my ear down and back before I insert the drops"
B. "I will gently apply pressure with my finger to the front part of my ear
after putting in the drops"
C. "I will chill my ear drops before I use them"
D. "I will place a cotton ball into my thinner ear canal after the drops are in."
- ANSWER B
A nurse is preparing to inject heparin subcutaneously for a client who is
postoperative. Which of the following actions should the nurse take?
A. Use a 22 gauge needle
B. Select a site on the clients abdomen
C. Use the Z track technique to displace the skin on the injection site
D. Observe for bleb formation to confirm proper placement - ANSWER B
A nurse is teaching a newly licensed nurse about administering injections.
Match the injection method to the associated information.
A. Intradermal
B. Subcutaneous
, C. Intramuscular
1. Use a 45 degree angle
2. Can inject up to 3 mL
3. Observe for a small bleb - ANSWER A,3
B,1
C,2
The nurse supports a patients decision to decline more cancer treatment
and to be cared for by a hospice team, even though the nurse personally
thinks the patient should seek more treatment. The nurse is practicing
which nursing role?
A. Advocacy
B. Change agent
C. Leader
D. Collaborator - ANSWER A
A profession has specific characteristics. In regard to how nursing meets
these characteristics, which criteria are consistent and standardized
processes? (Select all that apply).
A. Code of ethic
B. Licensing
C. Body of knowledge
D. Educational preparation
E. Altruism - ANSWER A,B,C,E
What specific aspect of a profession does the development of theories
provide?
A. Altruism
B. Body of knowledge
C. Autonomy
D. Accountability - ANSWER B
Health care workers are discussing a diverse group of patients respectfully
and are being responsive to the health beliefs and practices of these
patients. What important aspect of nursing professional practice are they
exhibiting
