Nur 243 Practice Exam Questions and Complete Solutions

Nur 243 Practice Exam Questions and
Complete Solutions
1. An example of a nursing activity that reflects the American Nurses Association's
definition of nursing is

a. diagnosing a patient with a feeding tube as being at risk for
aspiration.
b. establishing protocols for treating patients in the emergency
department.
c. providing antianxiety drugs for a patient who has disturbed
sleep patterns.
d. identifying and treating dysrhythmias that occur in a patient in
the coronary care unit. ✅a. diagnosing a patient with a feeding tube as being at risk for
aspiration.

2. A nurse working on the medical-surgical unit at an urban hospital would like to
become certified in a medical-surgical specialty. The nurse knows that this process
would most likely require
a. a bachelor's degree in nursing.
b. formal education in advanced nursing practice.
c. experience for a specific period in medical-surgical nursing.
d. membership in a medical-surgical nursing specialty organization. ✅c experience for
a specific period in medical-surgical nursing

A nurse is providing care to a patient after right hip surgery. Within a pay-for-
performance system, a critical role of the nurse is to
a. ensure that care is provided using a minimal amount of supplies.
b. discharge the patient at completion of the number of approved days of care.
c. implement measures to decrease the risk of the patient acquiring an infection.
d. assess the patient's ability to pay for health care services at the time of admission.
✅cmplement measures to decrease the risk of the patient acquiring an infection.

4. The nurse is assigned to care for a newly admitted patient. Number in order the steps
for using the nursing process to prioritize care.
(Number 1 is the first step, and number 5 is the last step.)
___ Evaluate whether the plan was effective.
___ Identify any health problems.
___ Collect patient information.
___ Carry out the plan.
___ Determine a plan of action. ✅5 2 1 4 3

,5. The linkages among NANDA-I nursing diagnoses, NOC patient outcomes, and NIC
nursing interventions can be used to
a. evaluate patient outcomes.
b. provide guides for planning care.
c. predict the results of nursing care.
d. shorten written care plans for individual patients. ✅b provide guides for planning
care.

6. Advantages of the use of informatics in health care delivery are(select all that apply)
a. reduced need for home care nurses in rural areas.
b. increased patient anonymity and confidentiality.
c. the ability to achieve and maintain high standards of care.
d. improved communication of the patient's health status to the
health care team.
e. access to standardized plans of care that are available for most types of health
problems. ✅c
d
e

When using evidence-based practice, the nurse
a. must use clinical practice guidelines developed by national
health agencies.
b. should use findings from randomized controlled trials to plan
care for all patient problems.
c. uses clinical decision making and judgment to determine what evidence is
appropriate for a specific clinical situation.
d. statistically analyzes the relationship of nursing interventions to patient outcomes to
establish evidence for the most appropriate patient interventions. ✅c

The nurse's role in addressing the National Patient Safety Goals established by The
Joint Commission includes (select all that apply)
a. using side rails and alarm systems as necessary to prevent patient falls.
b. memorizing and implementing all the rules published by The
Joint Commission.
c. verifying telephone and verbal orders using the "write down and read back"
procedure.
d. encouraging patients to be actively involved in and question
their own health care.
e. obtaining a complete list of the patient's medications and monitoring their use
throughout the continuum of care. ✅a
c
e

The nurse is caring for a diabetic patient in the ambulatory surgical unit who has just
undergone debridement of an infected toe. Which task is most appropriate for the nurse
to delegate to unlicensed assistive personnel (UAP)?

, a. Check the patient's vital signs.
b. Evaluate the patient's awareness.
c. Monitor the site of the patient's IV catheter.
d. Evaluate the patient's tibial and pedal pulses. ✅a

1. What is the leading determinant of a patient's health?
a. Behavior
b. Family history of disease
c. Home and work environment
d. Type and quality of medical care received ✅a Behavior

2. In identifying patients at the greatest risk for health disparities, the nurse would note
that

a. patients who live in urban areas have readily available access to health care
services.
b. cultural differences exist in patients' ability to communicate with their health care
provider.
c. a patient receiving care from a health care provider of a different culture would have
decreased quality of care.
d. men are more likely than women to have their cardiovascular
disease symptoms ignored by their health care provider. ✅b cultural differences exist
in patients' ability to communicate with their health care provider.

3. Forcing one's own cultural beliefs and practices on another person is an example of
a. stereotyping.
b. ethnocentrism.
c. cultural relativity.
d. cultural imposition ✅d cultural imposition

4. Which statement most accurately describes cultural factors that may affect health?

a. Diabetes and cancer rates differ by cultural/ethnic groups.
b. Most patients find that religious rituals help them during times
of illness.
c. There are limited ethnic variations in physiologic responses to medications.
d. Silence during a nurse-patient interaction usually means that the patient understands
the instructions. ✅a Diabetes and cancer rates differ by cultural/ethnic groups.

5. When communicating with a patient who speaks a language that the nurse does not
understand, it is important to first attempt to

a. have a family member translate.
b. use a trained medical interpreter.
c. use specific medical terminology so there will be no mistakes.