FINAL EXAM REVIEW
QNS & ANS
2024
, During a staff meeting, some of the nurses discuss the
problems with accessing research studies to incorporate
evidence-based clinical decision making into their practice.
Which suggestion by the nurse practitioner would best help
these problems?
1) Form a committee to conduct research studies.
2) Post published research studies on the unit’s bulletin boards.
3) Encourage the nurse practitioners to visit the library to review studies.
4) Teach the nurses how to conduct electronic searches for research studies.
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Questi
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on 2
t
During a checkup, a 22-year-old woman tells the nurse
practitioner that she regularly uses an over-the-counter
decongestant nasal spray for the last few months because of
her allergies. She also states that it does not work as well as it
used to when she first started using it. The best response by
the nurse practitioner would be:
1) “You should never use over-the-counter nasal sprays because of the risk of addiction.”
2) “You should try switching to another brand of medication to prevent this problem.”
3) “Continuing to use this spray is important to keep your allergies under control.”
4) “Using these nasal medications irritates the lining of the nose and may cause rebound swelling.”
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Quest
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ion 3
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A patient comes into the clinic complaining of facial pain,
fever, and malaise. On examination, the nurse practitioner
,notes swollen turbinates and purulent discharge from the
nose. The patient also complains of a dull, throbbing pain in
his cheeks and teeth on the right side and pain when the
nurse practitioner palpates the areas. The nurse practitioner
recognizes that this patient has:
1) Posterior epistaxis.
2) Frontal sinusitis.
3) Maxillary sinusitis.
4) Nasal polyps.
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Quest
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ion 4
t
The nurse practitioner is examining a 2-year-old child and
asks, “May I listen to your heart now?” Which critique of the
nurse practitioner’s technique is most accurate?
1) Asking questions enhances the child’s autonomy
2) Asking the child for permission helps develop a sense of trust
3) This question is an appropriate statement because children at this age like to have choices
4) Children at this age like to say, “No.” The examiner should not offer a choice when no choice is av
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Quest
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ion 5
t
When considering priority setting of problems, the
nurse practitioner keeps in mind that second-level priority
problems include which of these aspects?
, 1) Low self-esteem
2) Lack of knowledge
3) Abnormal laboratory values
4) Severely abnormal vital signs
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Quest
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ion 6
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During an oral examination of a 4-year-old Native-American
child, the nurse practitioner notices that her uvula is partially
split. Which of these statements is accurate?
1) This condition is a cleft palate and is common in Native Americans.
2) A bifid uvula may occur in some Native-American groups.
3) This condition is due to an injury and should be reported to the authorities.
4) A bifid uvula is palatinus, which frequently occurs in Native Americans.
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Quest
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The nurse practitioner is reviewing information about
evidence-based practice (EBP). Which statement best reflects
EBP?
1) EBP relies on tradition for support of best practices.
2) EBP is simply the use of best practice techniques for the treatment of patients.
3) EBP emphasizes the use of best evidence with the clinician’s experience.