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