RNSG 1413 Tarrant County College -RNSG 1413 Exam 1
Chapter REVIEW QUESTIONS WITH COMPLETE
SOLUTIONS
A community center is presenting a nurse-led program on the
Patient Protection and Affordable Care Act. Which statement
made by a participant indicates a need for further teaching?
Correct Answers "As long as my son is a full-time student in
college, I will be able to keep him on my health insurance until
he is 26 years old."
A community nurse in a diverse community is working with
health care professionals to provide prenatal care for
underemployed and underinsured South African women. Which
overall goal of Healthy People 2020 does this represent?
Correct Answers Increase life expectancy and quality of life and
to eliminate health disparities.
A couple who is caring for their aging parents are concerned
about factors that put them at risk for falls. Which factors are
most likely to contribute to an increase in falls in the elderly?
(Select all that apply.) Correct Answers Inadequate lighting
Throw rugs
Multiple medications
Doorway thresholds
Cords covered by carpets
A critical care nurse is using a computerized decision support
system to correctly position her ventilated patients to reduce
pneumonia caused by accumulated respiratory secretions. This is
,an example of which QSEN competency? Correct Answers
Informatics
A family has decided to care for a grandparent with terminal
cancer in the daughter's home. Family caregiving is new to the
family. When helping this family as they begin to plan for their
caregiving roles, what are the two top priority assessments to
best learn about family functioning? (Select all that apply.)
Correct Answers Communication
Decision making
A family has decided to care for their father who is in the last
stages of a debilitating neurological illness. Although he is alert,
he cannot speak clearly or carry out self-care activities; he
indicates that he wants to remain involved in family life as long
as possible and loves spending time with his wife and two
teenage children. Which best defines family caregiving? (Select
all that apply.) Correct Answers Providing physical and
emotional care for a family member
Establishing a safe physical environment for a family
Monitoring for side effects of illness and treatments
A family is facing job loss of the father, who is the major wage
earner, and relocation to a new city where there is a new job.
The children will have to switch schools, and his wife will have
to resign from the job she likes. Which of the following
contribute to this family's hardiness? (Select all that apply.)
Correct Answers Family meetings
Established family roles
Willingness to change in time of stress
,A family is undergoing a major change. Just as twins graduate
from college and leave home to begin their careers, the husband
loses his executive well-paying job. Because the family had two
children in college at the same time, they did not save for
retirement. They planned to save aggressively after the children
left college. In this situation, which of the following demonstrate
family resiliency? (Select all that apply.) Correct Answers
Resuming full-time work when spouse loses job
Developing hobbies when children leave home
Consulting a financial planner
A family member is providing care to a loved one who has an
infected leg wound. What should the nurse instruct the family
member to do after providing care and handling contaminated
equipment or organic material? Correct Answers Perform hand
hygiene after care and/or handling contaminated equipment or
material.
A group of nurses have identified that the elderly patients on
their unit have a high incidence of pressure ulcers after they
have a stroke. During a unit meeting they discuss different
interventions that they think may reduce the development of
pressure ulcers. What is the nurses' next step to investigate this
clinical problem further? Correct Answers Create a well-
defined PICOT question
A group of nurses on the research council of a local hospital are
measuring nursing-sensitive outcomes. Which of the following
is a nursing-sensitive outcome that the nurses need to consider
measuring? (Select all that apply.) Correct Answers Number of
, patients who develop a urinary tract infection from a Foley
catheter
Number of patients who fall and experience subsequent injury
on the evening shift
A group of staff nurses notice an increased incidence of
medication errors on their unit. After further investigation it is
determined that the nurses are not consistently identifying the
patient 29correctly. A change is needed quickly. What type of
quality improvement method would be most appropriate?
Correct Answers Rapid-improvement event (RIE)
A home health nurse notices significant bruising on a 2-year-old
patient's head, arms, abdomen, and legs. The patient's mother
describes the patient's frequent falls. What is the best nursing
action for the home health nurse to take? Correct Answers
Contact a child abuse hotline
A homeless man enters the emergency department seeking
health care. The health care provider indicates that the patient
needs to be transferred to the City Hospital for care. This action
is most likely a violation of which of the following laws?
Correct Answers Emergency Medical Treatment and Active
Labor Act (EMTALA) without triage completed
A hospice nurse is caring for a family that is providing end-of-
life care for their grandmother, who has terminal breast cancer.
When the nurse visits, the focus is on symptom management for
the grandmother and helping the family with coping skills. This
approach is an example of which of the following? Correct
Answers Family as patient
Chapter REVIEW QUESTIONS WITH COMPLETE
SOLUTIONS
A community center is presenting a nurse-led program on the
Patient Protection and Affordable Care Act. Which statement
made by a participant indicates a need for further teaching?
Correct Answers "As long as my son is a full-time student in
college, I will be able to keep him on my health insurance until
he is 26 years old."
A community nurse in a diverse community is working with
health care professionals to provide prenatal care for
underemployed and underinsured South African women. Which
overall goal of Healthy People 2020 does this represent?
Correct Answers Increase life expectancy and quality of life and
to eliminate health disparities.
A couple who is caring for their aging parents are concerned
about factors that put them at risk for falls. Which factors are
most likely to contribute to an increase in falls in the elderly?
(Select all that apply.) Correct Answers Inadequate lighting
Throw rugs
Multiple medications
Doorway thresholds
Cords covered by carpets
A critical care nurse is using a computerized decision support
system to correctly position her ventilated patients to reduce
pneumonia caused by accumulated respiratory secretions. This is
,an example of which QSEN competency? Correct Answers
Informatics
A family has decided to care for a grandparent with terminal
cancer in the daughter's home. Family caregiving is new to the
family. When helping this family as they begin to plan for their
caregiving roles, what are the two top priority assessments to
best learn about family functioning? (Select all that apply.)
Correct Answers Communication
Decision making
A family has decided to care for their father who is in the last
stages of a debilitating neurological illness. Although he is alert,
he cannot speak clearly or carry out self-care activities; he
indicates that he wants to remain involved in family life as long
as possible and loves spending time with his wife and two
teenage children. Which best defines family caregiving? (Select
all that apply.) Correct Answers Providing physical and
emotional care for a family member
Establishing a safe physical environment for a family
Monitoring for side effects of illness and treatments
A family is facing job loss of the father, who is the major wage
earner, and relocation to a new city where there is a new job.
The children will have to switch schools, and his wife will have
to resign from the job she likes. Which of the following
contribute to this family's hardiness? (Select all that apply.)
Correct Answers Family meetings
Established family roles
Willingness to change in time of stress
,A family is undergoing a major change. Just as twins graduate
from college and leave home to begin their careers, the husband
loses his executive well-paying job. Because the family had two
children in college at the same time, they did not save for
retirement. They planned to save aggressively after the children
left college. In this situation, which of the following demonstrate
family resiliency? (Select all that apply.) Correct Answers
Resuming full-time work when spouse loses job
Developing hobbies when children leave home
Consulting a financial planner
A family member is providing care to a loved one who has an
infected leg wound. What should the nurse instruct the family
member to do after providing care and handling contaminated
equipment or organic material? Correct Answers Perform hand
hygiene after care and/or handling contaminated equipment or
material.
A group of nurses have identified that the elderly patients on
their unit have a high incidence of pressure ulcers after they
have a stroke. During a unit meeting they discuss different
interventions that they think may reduce the development of
pressure ulcers. What is the nurses' next step to investigate this
clinical problem further? Correct Answers Create a well-
defined PICOT question
A group of nurses on the research council of a local hospital are
measuring nursing-sensitive outcomes. Which of the following
is a nursing-sensitive outcome that the nurses need to consider
measuring? (Select all that apply.) Correct Answers Number of
, patients who develop a urinary tract infection from a Foley
catheter
Number of patients who fall and experience subsequent injury
on the evening shift
A group of staff nurses notice an increased incidence of
medication errors on their unit. After further investigation it is
determined that the nurses are not consistently identifying the
patient 29correctly. A change is needed quickly. What type of
quality improvement method would be most appropriate?
Correct Answers Rapid-improvement event (RIE)
A home health nurse notices significant bruising on a 2-year-old
patient's head, arms, abdomen, and legs. The patient's mother
describes the patient's frequent falls. What is the best nursing
action for the home health nurse to take? Correct Answers
Contact a child abuse hotline
A homeless man enters the emergency department seeking
health care. The health care provider indicates that the patient
needs to be transferred to the City Hospital for care. This action
is most likely a violation of which of the following laws?
Correct Answers Emergency Medical Treatment and Active
Labor Act (EMTALA) without triage completed
A hospice nurse is caring for a family that is providing end-of-
life care for their grandmother, who has terminal breast cancer.
When the nurse visits, the focus is on symptom management for
the grandmother and helping the family with coping skills. This
approach is an example of which of the following? Correct
Answers Family as patient
