BSNC 1000 MIDTERM CORRECT QUESTIONS AND ANSWERS

BSNC 1000 MIDTERM CORRECT QUESTIONS AND ANSWERS "A business executive develops symptoms of the flu 1 day after returning by air from a cross-Atlantic business trip that ran for 2 consecutive stressful 10-hour days. This individual's development of flu symptoms illustrates the relationship between: A. host and agent. B. host, agent, and environment. C. risk, and causality. D. morbidity, and disease. - CORRECT ANSWER B. host, agent, and environment." "Which of the following statements would indicate to a community nurse that the flu season is ending? A. Increase in incidence and decrease in prevalence. B. Decease in incidence and increase in prevalence. C. Increase in incidence and decrease in prevalence. D. Decrease in incidence and decrease in prevalence. - CORRECT ANSWER D. Decrease in incidence and decrease in prevalence." "If a fewer people get the flu or they recover fast, what will the prevalence rate reflect? A. No change B. An increase C. A decrease D. A flat line - CORRECT ANSWER C. A decrease" "The elderly patient tells the nurse that she is afraid she has dementia because she was not able to remember her appointment's, how best should the nurse respond. A) "Don't worry, not remembering happens to everyone, and you are probably just overwhelmed." B) "I have some strategies that I can share with you to cue your memory. Would you like to go over these now?." C) "I understand you are afraid you have dementia, Tell me more about your concerns." D) "Dementia is reversible and is sometimes misdiagnosed, I am sure you are fine." - CORRECT ANSWER C) "I understand you are afraid you have dementia, Tell me more about your concerns."" "While working with populations who are living with poverty, you would determine the following maybe risk factors (indicate all that apply) A) Higher education status B) Lack of secure housing C) Possible security issues D) Fewer chronic diseases - CORRECT ANSWER b) lack of secure housing & c) possible security issues" "High blood pressure in older adults is associated with the following (indicate all that apply) a) blood vessels become stiffer and less complaint b) stiffening of large arteries. c) increased baroreceptor sensitivity d) decreased renal blood flow - CORRECT ANSWER a) blood vessels become b) stiffening of large arteries d) decreased renal blood flow" "You are providing of a client education session following a diagnosis of COPD, all the following need to be considered, expect for: a) supporting smoking cessation. b) ensuring the client measures their O2 saturations daily, using pulse oximetry c) recommending and accessing an exercise program d) providing education on good nutrition. - CORRECT ANSWER b) ensuring the client measures their O2 saturations daily, using pulse oximetry" "If a person lost blood but still maintains a normal blood pressure, it does not necessarily mean that the person is maintaining adequate perfusion. Which of the following best explains why this is so? a) blood vessels are constricting causing greater peripheral resistance b) the heart has increased its rate to increase cardiac output. c) the heart has increased its contractile force increasing cardiac output. d) the sympathetic nervous system has increased its nervous impulses - CORRECT ANSWER a) blood vessels are constricting causing greater peripheral resistance." "A smoker sees his doctor because he had a persistent cough for months and is short of breath after very little exertion. The person can expect all of the following signs and symptoms, EXPECT: a) Hypoxemia b) CO2 retention c) Anemia d) Pulmonary infections - CORRECT ANSWER c) Anemia" "Which of the following is an example of high-level wellness? a) following an imposed physical training regimen for someone else's benefit. b) managing one's chronic illness, doing the most one can. c) recovering quickly from a broken arm. d) keeping up a level of perfect physical health. - CORRECT ANSWER b) managing one's chronic illness, doing the most one can." "You are caring for a 78 year old-female cardiac client. In preconference, your clinical instructor asks you what is an age-related change in the cardiac system of the older adult? Your best response would be: a) decreased blood pressure (BP) b) increased ability to respond to stress c) decreased cardiac output d) thinning of blood vessel walls. - CORRECT ANSWER c) decreased cardiac output" "Which of the following is the most accurate statement about the determinants of health? a) If a pathogenic organism can be shown to cause a disease, no other determinants are relevant b) they reflect underlying forces that are at work in the subsequent developments of disease. c) one determinant if operating to bring about each disease. d) each determinant can usually be traced to specific diseases - CORRECT ANSWER b) they reflect underlying forces that are at work in the subsequent development of disease." "Which nurse will have the best understanding of the focus of population health nursing? The nurse who: a) Understands the needs of individuals that comprise the populations b) Focuses on the population as a whole rather than on individuals and families c) is diligent about keeping abreast of new treatments and technologies d) applies a single population-based strategy to achieve health and wellness - CORRECT ANSWER a) understands the needs of individuals that comprise the populations." "The nurse is gathering community assessment data concerns of the elderly. Which term best describes the group of elders in this situation? A) Community B) Neighborhood C) Population D) Aggregate - CORRECT ANSWER D) Aggregate" "The nurse is teaching an older person about successful aging. Which of the nurses questions addresses an important contributor to successful aging? a) Are you largely free of acute or chronic illnessess? b) do you feel financially secure? c) do you feel like you actively engage with life? d) do you have a reliable support network? - CORRECT ANSWER c) do you feel like you actively engage with life?" "Which of the following characteristics are NOT associated with a chronic disease? A) Disease will subside and be cured with effective treatment and/or therapy B) Disease normally has a gradual onset C) The disease can cause a significant decrease in the quality of your life D) The disease can also affect other organs at the same time and can lead to secondary illnesses - CORRECT ANSWER A) Disease will subside and be cured with effective treatment and/or therapy." "The nurse is home visiting an older adult client with recently diagnosed hypertension (HTN). The client states, ' I have quite a headache today.' What should the nurse do first? a) check oxygen saturation b) ask about salt and fluid intake in the last few days c) check blood pressure (BP) d) ask if they have an appointment with their doctor - CORRECT ANSWER c) check blood pressure (BP)." "A nurse is designing a teaching session for a client recently diagnosed with COPD. After developing a nurse-client relationship, which should the nurse do next? a) identify the client's level of control b) use a variety of teaching methods appropriate for the client. c) formulate an achievable, measurable, and realistic client goal. d) assess the client's current understanding of the content to be taught. - CORRECT ANSWER d) assess the client's current understanding of the content to be taught." "The best type of education for clients living with chronic disease should include: (select all that apply) a) disease specific education tailored to the individual circumstance. b) general managing skills (e.g., problem solving, finding and using resources, working with health care team); c) use strategies that increase client confidence (i.e., self-efficacy) in their ability to engage in behavior's that are needed to manage their condition on a daily basis; d) adequate peer role models and support networks that help in the initiation and maintenance of the desired behavioral changes. - CORRECT ANSWER All of the above." “One of the basic concepts in epidemiology is the concept of risk. Risk refers to the: A. prevalence of an event occurring over a lifetime. B. probability that an event will occur within a specified time period. C. population most likely to develop a disease. D. rate of development of new cases. - CORRECT ANSWER A" ".A breast cancer screening program screened 8,000 females. They discovered 35 females previously been diagnosed with breast cancer and 20 females with no previous hx of breast cancer diagnosed as a result to the screening. The incidence proportion would reflect: A. a newly diagnosed cases of breast cancer in this population of females B. current & past breast cancer events in this populations of females C. past breast cancer events in this population of females. D. the population of females who had no evidence of breast cancer. - CORRECT ANSWER A. a newly diagnosed cases of breast cancer in this population of females." "The student nurse (SN) is attending to a patient that needs to learn how to apply a facemask properly. Which learning domain is applicable for this skill acquisition? A) Cognitive B) Affective C) Attentional D) Psychomotor - CORRECT ANSWER D. Psychomotor" "Student nurse, Alison is supporting a patients who is being discharged home from the ED. The patient is a senior with some hearing loss. To ensure facilitating best teaching support, the following is the most ideal scenario: A) providing the patient, a printout of instructions to take home with her. B) Ensuring the teaching is provided in a room with privacy and is in a quite location to reduce distraction. C) Involving a family member. D). Providing and facilitating all of the above. - CORRECT ANSWER D. Providing and facilitating all, of the above." "You are considering best practice for infection control, to reduce risk of transmissions, which is the BEST strategy that you must adhere to? A) Adhering to appropriate hand hygiene and hand washing practices. B) Wearing a clean uniform. C) Maintaining social distancing between patients and families. D) Diagnosing possible infections in all presenting patients. - CORRECT ANSWER A) Adhering to appropriate hand hygiene hand washing practices." "Covid 19 vaccine for an family living in the community, is which prevention level? A) Primary prevention B) Tertiary prevention C) Secondary prevention D) None of the above, covid vaccine falls outside of these prevention levels. - CORRECT ANSWER A) Primary prevention" "Why do nurses ensure that their practice is evidence informed? Because it: A) Is based on current nursing practice. B) Has been found to improve patient care. C) Includes information from randomized control trials. D) Includes information from the internet. - CORRECT ANSWER B) Has been found to improve patient care." "Nurses use a variety of assessment techniques for data collection, when assessing a new patient presenting with possible hypertension, the first appropriate assessment technique for data collection would be? A) Consult with the healthcare team B) Review the literature on hypertension. C) Review his medical records D) Interview the patient - CORRECT ANSWER D) Interview the patient." "A patient with essential hypertension might have pressures of 200/120 mm Hg. This hypertensive state could result in all of the following changes except: a) increased work of the left vernticle b) increased incidence of coronary artery disease. c) increased damage to blood vessel endothelium d) decreased size of the heart muscle. - CORRECT ANSWER d) decreased size of the heart muscle" "which of the following statement is TRUE about the influence on blood pressure: a) An increase in cardiac output corresponds to decrease in blood pressure (BP), due to the increased delivery. b) systemic vasodilation would increase blood pressure (BP), due to diversion of blood to essential areas. c) changes in blood volume has no effect on blood pressure d) excess red blood cell (RBC) production would cause a blood pressure increase - CORRECT ANSWER d) excess red blood cells (RBC's) production would cause a blood pressure increase." "Under which conditions will hemoglobin readily unload oxygen? a) increased pH and pCO2 b) decreased pH and increased pCO2 c) Increased pH and decreased pCO2 d) decreased pH and pCO2 - CORRECT ANSWER b) decreased pH and increased pCO2" "Which statement correctly describes factors influencing pulmonary ventilation. a) a decrease in compliance causes an increase in ventilation b) a lung that is less elastic will require less muscle action to perform adequate ventilation. c) as alveolar surface tension increases, additional muscle action will be required. d) surfactant helps increase alveolar surface tension. - CORRECT ANSWER c) as alveolar surface tension increases, additional muscle action will be required." "The nurse is setting up an education session with an 85-year-old patient who will be going home on anticoagulant therapy. Which strategy would reflect consideration of aging changes that may exist with this patient? A. Show a colorful video about anticoagulation therapy. B. Present all the information in one session just before discharge. C. Give the patient pamphlets about the medications to read at home. D. Develop large-print handouts that reflect the verbal information presented. - CORRECT ANSWER d) develop large-print handouts reflecting the information presented"