Nursing 138 - Exam 1 Part 1, 00000 N138 Midterm Question Bank with
Correct Answers.
A nurse is caring for a postpartum patient who underwent a successful cesarean section,
and is also a first time parent. During the nursing assessment, what key transition(s) is/are
identified. Also, what transition condition should be paid special attention to with regard to
her surgery? - Correct Answer 1. Organizational and Health-Illness transitions,
environment
2. Developmental transition, level of planning
3. Developmental and Health-Illness transitions, expectations
4. Situational transition, environment
After administering a medication to a patient in the emergency department, the nurse
notices that this routinely administered medication doesn't elicit the usual response in the
patient. What key intuitive process does the nurse use to help this patient? - Correct
Answer 1. Pattern recognition
2. Similarity recognition
3. Commonsense understanding
4. Intuitive analysis
A 67-year-old patient is seen in the emergency department after falling and breaking his
pelvis. After his recovery, he is sent home with a bag full of medications as well as a referral
for physical therapy. He is enrolled in Medicare plan part A and D. Which services and/or
items will he have to pay for out of pocket in addition to his monthly premium? - Correct
Answer 1. Visit to the emergency department
2. Medications
3. Radiologist reading and interpreting the x-ray of his pelvis
4. Physical therapy
,A hospital administrator mandates that all nurses wear white uniforms while caring for
patients in the hospital. According to Burn in an article titled, "An Experiment in White",
what is the best rationale for this requirement? - Correct Answer 1. To distinguish nurses
from other hospital staff
2. To maintain a certain level of professionalism
3. To show respect for the traditional portrayal of nurses
4. To demonstrate prestige and honor for the profession
Which of the following transitions is considered a Health-Illness transition? - Correct
Answer 1. The introduction of restraint-free care in a nursing home
2. Hospitals transitioning from paper to electronic patient charting
3. The transition of a patient from the hospital to a rehabilitation center
4. The transition of a woman into parenthood.
A nurse caring for a client with recently diagnosed diabetes mellitus instructs the client how
to use a device to monitor blood glucose. The nurse is demonstrating which nursing role? -
Correct Answer teacher
2. A charge nurse notices at the beginning of a shift the nurse enters a client's room,
completes necessary tasks, and leaves the client's room without speaking to either the
client or the client's family. What should the charge nurse recommend the nurse do first
upon entering a client's room for the first time? - Correct Answer Encourage the nurse to
greet the client and the client's family.
Advise the nurse to practice proper hand hygiene.
Advise the nurse to introduce his/herself by name and as a registered nurse.
Indicate that the nurse should ask the client if they have any needs or concerns.
A nursing student tells a classmate "These NCLEX questions we have to write are
impossible. I'm just going to write some garbage questions and hope no one notices- I'm
not a test author and I don't have time for this!" How should the classmate respond? Select
all that apply. - Correct Answer Encourage the nursing student to visit the student
counseling office for options in stress management.
,Offer to assist the nursing student to with the assignment by providing examples from
textbooks and online.
Recommend that the nursing student speak with the instructor and ask to be excused from
the assignment.
Recommend that the nursing student speak with the instructor and ask for further
assistance
The authors of Avoiding Socialization Pitfalls in Accelerated Second-Degree Nursing
Education: The Returning-to-School Syndrome Model state that there are three stages of
the returning-to school syndrome model. At what stage, is there an initial strong rejection of
the new culture? - Correct Answer 1.) Honeymoon
2.) Resolution
3.) Conflict
4.) Reintegration
A nurse is assigned a patient who is recovering very well from a cerebrovascular accident.
The patient is recovering speech, movement and strength. However, she notices the
patient is a less talkative than the day before. The experienced nurse recognizes that there
might be a problem underlying the patient's new behavior by using: - Correct Answer 1.
Skilled Know-How
2. Similarity Recognition
3. Sense of Silence
4. Deliberative Rationality
A patient arrives at the hospital due to a fall down the stairs. Patient assessment reveals
contradictory information about the accident and the nurse notices fear in patient's body
language. Final nursing diagnosis points at a case of abuse from her partner. The nurse's
next step is: - Correct Answer 1. Advice the patient to seek couple's therapy
2. Ask the hospital social worker to meet the patient
, 3. Nurse informs the charge nurse that they should take action
4. Nurse tells the patient to stay at his or her place for a week until patient is fully recovered
Doctor. A. prescribes a new intravenous drug to a patient. His/her nurse administers the
prescribed dosage. Minutes later patient shows a toxic reaction to the drug. Charge nurse
is not able to locate doctor A. and neither the floor resident. Charge nurse next step is to: -
Correct Answer 1. Give patient a lot of fluid to decrease the toxic level
2. Keep trying to locate doctor A.
3. Contact doctor at nearby hospital
4. Give patient the antidote to this drug
It is vital for nurses to be culturally sensitive and to convey this sensitivity to clients, support
people, and other health care personnel. Which of the following actions supports this
cultural sensitivity? Select all that apply. - Correct Answer a.) Always address clients by
their first name, unless otherwise requested
b.) Introduce yourself by your full name, and then explain your role
c.) Avoid culturally sensitive language, such as "gay", "lesbian", or "bisexual"
d.) Always ask when you do not understand to avoid making assumptions
What type of knowledge is a pediatric nurse who utilizes toys and puppets to communicate
with clients using? - Correct Answer a) Ethical
b) Empirical
c) Aesthetic
d) Personal
Correct Answers.
A nurse is caring for a postpartum patient who underwent a successful cesarean section,
and is also a first time parent. During the nursing assessment, what key transition(s) is/are
identified. Also, what transition condition should be paid special attention to with regard to
her surgery? - Correct Answer 1. Organizational and Health-Illness transitions,
environment
2. Developmental transition, level of planning
3. Developmental and Health-Illness transitions, expectations
4. Situational transition, environment
After administering a medication to a patient in the emergency department, the nurse
notices that this routinely administered medication doesn't elicit the usual response in the
patient. What key intuitive process does the nurse use to help this patient? - Correct
Answer 1. Pattern recognition
2. Similarity recognition
3. Commonsense understanding
4. Intuitive analysis
A 67-year-old patient is seen in the emergency department after falling and breaking his
pelvis. After his recovery, he is sent home with a bag full of medications as well as a referral
for physical therapy. He is enrolled in Medicare plan part A and D. Which services and/or
items will he have to pay for out of pocket in addition to his monthly premium? - Correct
Answer 1. Visit to the emergency department
2. Medications
3. Radiologist reading and interpreting the x-ray of his pelvis
4. Physical therapy
,A hospital administrator mandates that all nurses wear white uniforms while caring for
patients in the hospital. According to Burn in an article titled, "An Experiment in White",
what is the best rationale for this requirement? - Correct Answer 1. To distinguish nurses
from other hospital staff
2. To maintain a certain level of professionalism
3. To show respect for the traditional portrayal of nurses
4. To demonstrate prestige and honor for the profession
Which of the following transitions is considered a Health-Illness transition? - Correct
Answer 1. The introduction of restraint-free care in a nursing home
2. Hospitals transitioning from paper to electronic patient charting
3. The transition of a patient from the hospital to a rehabilitation center
4. The transition of a woman into parenthood.
A nurse caring for a client with recently diagnosed diabetes mellitus instructs the client how
to use a device to monitor blood glucose. The nurse is demonstrating which nursing role? -
Correct Answer teacher
2. A charge nurse notices at the beginning of a shift the nurse enters a client's room,
completes necessary tasks, and leaves the client's room without speaking to either the
client or the client's family. What should the charge nurse recommend the nurse do first
upon entering a client's room for the first time? - Correct Answer Encourage the nurse to
greet the client and the client's family.
Advise the nurse to practice proper hand hygiene.
Advise the nurse to introduce his/herself by name and as a registered nurse.
Indicate that the nurse should ask the client if they have any needs or concerns.
A nursing student tells a classmate "These NCLEX questions we have to write are
impossible. I'm just going to write some garbage questions and hope no one notices- I'm
not a test author and I don't have time for this!" How should the classmate respond? Select
all that apply. - Correct Answer Encourage the nursing student to visit the student
counseling office for options in stress management.
,Offer to assist the nursing student to with the assignment by providing examples from
textbooks and online.
Recommend that the nursing student speak with the instructor and ask to be excused from
the assignment.
Recommend that the nursing student speak with the instructor and ask for further
assistance
The authors of Avoiding Socialization Pitfalls in Accelerated Second-Degree Nursing
Education: The Returning-to-School Syndrome Model state that there are three stages of
the returning-to school syndrome model. At what stage, is there an initial strong rejection of
the new culture? - Correct Answer 1.) Honeymoon
2.) Resolution
3.) Conflict
4.) Reintegration
A nurse is assigned a patient who is recovering very well from a cerebrovascular accident.
The patient is recovering speech, movement and strength. However, she notices the
patient is a less talkative than the day before. The experienced nurse recognizes that there
might be a problem underlying the patient's new behavior by using: - Correct Answer 1.
Skilled Know-How
2. Similarity Recognition
3. Sense of Silence
4. Deliberative Rationality
A patient arrives at the hospital due to a fall down the stairs. Patient assessment reveals
contradictory information about the accident and the nurse notices fear in patient's body
language. Final nursing diagnosis points at a case of abuse from her partner. The nurse's
next step is: - Correct Answer 1. Advice the patient to seek couple's therapy
2. Ask the hospital social worker to meet the patient
, 3. Nurse informs the charge nurse that they should take action
4. Nurse tells the patient to stay at his or her place for a week until patient is fully recovered
Doctor. A. prescribes a new intravenous drug to a patient. His/her nurse administers the
prescribed dosage. Minutes later patient shows a toxic reaction to the drug. Charge nurse
is not able to locate doctor A. and neither the floor resident. Charge nurse next step is to: -
Correct Answer 1. Give patient a lot of fluid to decrease the toxic level
2. Keep trying to locate doctor A.
3. Contact doctor at nearby hospital
4. Give patient the antidote to this drug
It is vital for nurses to be culturally sensitive and to convey this sensitivity to clients, support
people, and other health care personnel. Which of the following actions supports this
cultural sensitivity? Select all that apply. - Correct Answer a.) Always address clients by
their first name, unless otherwise requested
b.) Introduce yourself by your full name, and then explain your role
c.) Avoid culturally sensitive language, such as "gay", "lesbian", or "bisexual"
d.) Always ask when you do not understand to avoid making assumptions
What type of knowledge is a pediatric nurse who utilizes toys and puppets to communicate
with clients using? - Correct Answer a) Ethical
b) Empirical
c) Aesthetic
d) Personal
