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Exam (elaborations)

NURS 117 Questions with Correct Answers (Grade A+)

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NURS 117 Questions with Correct Answers (Grade A+)

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NURS 117 Questions with Correct Answers (Grade A+)

Question 1: While caring for a patient, the nurse performs an intervention that is beyond the scope of
practice. The nurse has violated the expectations of which regulatory body?

Answer: Nurse Practice Act In every state, licensed practical/vocational nurses are required by law to
practice under the supervision of a registered nurse or physician, and registered nurses are required to
practice under the supervision of a physician.

Question 2: Which of the following are entry-level nursing programs? Select all that apply
a. A minimum of 2 years at a private or community college.
b. Two or more years in graduate school at a university.
c. Nine months to 1 year at a technical college or career technology center
d. Four-year college degree at a university.
e. Three years in a hospital-based program affiliated with a college or university

Answer: A, C, D, E

Question 3: A high school student wants to become a nurse midwife. Which levels of education should
this student prepare to pursue in order to achieve the desired role in nursing? Select all that apply.
a. Doctorate in nursing
b. Master of science in nursing
c. Registered nurse, associate degree
d. Registered nurse, diploma program
e. Registered nurse, baccalaureate degree

Answer: B, C, E (?)

Question 4: The nurse reviews with a student the responsibilities of a student nurse. Which student
statement indicates additional teaching is required?
a. "I will check laboratory results for my patients often."
b. "I am responsible for noting abnormal assessment findings."
c. "I will frequently check the patient's chart for diagnostic test results."
d. "It is not within my scope of practice to notify someone of abnormal findings."

Answer: D. "It is not within my scope of practice to notify someone of abnormal findings."

Question 5: A client has a federal government's health insurance program for people older than 65
years. Which type of health insurance should the nurse expect to see documented in the client's medical
record?

Answer: Medicare




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,Question 6: The department of nursing within a large hospital implements Team STEPPS on all of the
care areas. Which is an expected outcome from this program?
a. Reports of incivility
b. Enhanced teamwork
c. Increased absenteeism
d. Inappropriate delegation

Answer: B, The program, called Team STEPPS, uses evidence-based teamwork to improve communication
and teamwork skills. This, in turn, eliminates barriers to quality and safety.

Question 7: A case manager is giving an in-service about public health insurance to a group of nursing
students. For which student comment should the case management provide more information?
a. "Aetna is an example of public health insurance."
b. "Medicaid is an example of public health insurance."
c. "Medicare is an example of public health insurance."
d. "Indian Health Service is an example of public health insurance."

Answer: A, A private insurance carrier such as Aetna is not a type of public health insurance.

Question 8: Which member of the therapy staff would be consulte if a patient had difficulty
swallowing?

Answer: Speech therapist

Question 9: Acute diseases would include which of the following? Select all that apply
a. Bacterial Pneumonia
b. Hypertension
c. Measles
d. Influenza

Answer: A, C, D

Question 10: An older client with a chronic illness lives alone, has a fixed income, and often cannot
afford required medications. In which quadrant on Dunn's wellness grid should the nurse categorize
this client?
a. Poor health in an unfavorable environment
b. High-level wellness in a favorable environment.
c. Emergent high-level wellness in an unfavorable environment.
d. Protected poor health in a favorable environment.

Answer: A, In this quadrant are individuals with life-threatening diseases, poor or nonexistent support
systems, and no access to appropriate medications, diet, or health-care instruction.




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, Question 11: The nurse is concerned that a client is experiencing stress. Which symptom would the
nurse assess in this client to make this clinical determination?
a. Completing work ahead of time
b. Volunteering to work overtime to help a friend
c. Experiencing a backache for several weeks
d. Spending time after church to help with Sunday school

Answer: C. Experiencing a backache for several weeks Experiencing back pain is an indication of stress

Question 12: The nurse is discussing health with a client. What should the nurse explain about health
being measured on a continuum scale?
a. It proves that health is constant and rarely fluctuates.
b. The higher the measurement is, the better one's health is.
c. The higher the measurement is, the better one's health is.
d. It would be more accurate if mental and emotional aspects could be measured.

Answer: B, The more positive the physical and mental aspects of a person are, the higher the rating is on the
scale Well-being and health may fluctuate during any given day; the continuum does not prove that health is
constant

Question 13: Match the phases of illness with the description of phase Prodromal phase Symptomatic
phase Seeking help phase Dependnecy phase Recovery phase

Answer: Before develop symptoms "not feel good" Develop observable symptoms Go to Doc, etc Relies on
others for help When person slowly begins to feel better

Question 14: The nurse is preparing to transfer a client to a skilled nursing facility (SNF). For which
reason will this client's Medicare policy pay for the care at the SNF?
a. The client stays longer than 100 days per year.
b. The client enters the SNF within 60 days of a hospitalization.
c. The client has been hospitalized for at least 1 day before admission.
d. The client makes regular progress as documented by medical professionals.

Answer: D, An SNF level of care is usually covered by Medicare and most private insurances, but there are
certain requirements. -pt must have been hospitalized for at least 3 days -pt must enter the nursing home
within 30 days of hospitalization -There is a 100 day stay maximum per year

Question 15: An infant is brought into a medical center and diagnosed with measles, a communicable
disease. Which action should the nurse take?
a. Refer to a rehabilitation facility
b. Notify the local police department
c. Prepare the client for hospice care
d. Notify the health department

Answer: D. Notify the health department



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