FINALvnEXAM:vnMedical-
SurgicalvnNursingvn(Evolve)vnNCLEXvnandvnMasteryvnQuestions
(1.1)vnWhichvnnursingvnactivitiesvnmayvnbevnsafelyvndelegatedvntovncompetentvnassistivevnpersonnelvn(AP)
?vnSelectvnallvnthatvnapply.
A.)vnDischargevnteaching
B.)vnBloodvnpressurevnmonitoringvn
C.)vnGastrostomyvnfeedingvn
D.)vnOxygenvnadministrationvn
E.)vnAmbulationvnassistancevn-vncorrectvnanswer✔ ✔ B,vnE
(1.2)vnAvnnursevnassuresvnavnclientvnexperiencingvnabdominalvnsurgicalvnpainvnthatvncomfortvnmeasures,vni
ncludingvndrugvntherapy,vnwillvnbevnprovidedvnasvnthevnclientvnneedsvnthem.vnWhichvnethicalvnprinciplesvna
pplyvninvnthevnsituation?vnSelectvnallvnthatvnapply.
A.)vnBeneficencevn
B.)vnSocialvnjusticevn
C.)vnAutonomyvn
D.)vnFidelityvn
E.)vnVeracityvn-vncorrectvnanswer✔ ✔ A,vnD,vnE
(1.1vnM)vnThevnnursevnprovidesvnanvnSBARvnhand-
offvncommunicationvnregardingvnavnclientvnwhosevnbloodvnpressurevnandvnrespiratoryvnratevnhavevndecrea
sed.vnWherevnwillvnthevnnursevnincludevnthesevndatavnasvnpartvnofvnthevnSBARvnformat?
A.)vnSituation
,B.)vnBackground
C.)vnAssessmentvn
D.)vnRecommendationvn-vncorrectvnanswer✔ ✔ A
(1.2vnM)vnThevnnursevncollaboratesvnwithvnthevnregisteredvndietitianvnnutritionistvntovnimprovevnthevnnutri
tionalvnstatusvnofvnclientsvnonvnavnhospitalvnunit.vnWhichvnpriorityvnprofessionalvnnursingvnconceptsvnapply
vninvnthisvnsituation?vnSelectvnallvnthatvnapply.
A.)vnQualityvnImprovementvn
B.)vnEthicsvn
C.)vnHealthvnCarevnDisparitiesvn
D.)vnSystemsvnThinkingvn
E.)vnTeamworkvnandvnCollaborationvn-vncorrectvnanswer✔ ✔ A,vnD,vnE
(2.1)vnWhichvnenvironmentsvnofvncarevnwillvnthevnnursevnrecognizevnasvncomponentsvnofvnthevnhealthvncar
evnsystem?vnSelectvnallvnthatvnapply.vn
A.)vnLong-termvncare
B.)vnPrimaryvncare
C.)vnFree-standingvnemergencyvndepartmentvn
D.)vnNationalvnLeaguevnofvnNursingvn
E.)vnPatient-centeredvnmedicalvnhomevn
F.)vnWorldvnHealthvnOrganizationvn-vncorrectvnanswer✔ ✔ A,vnB,vnC,vnE
(2.2)vnWhatvnisvnthevngeneralistvnregisteredvnnurse'svnrolevnrelatedvntovnpatientvncarevnwithinvnavnsystem?v
nSelectvnallvnthatvnapply.
,A.)vnCaring
B.)vnTeachingvn
C.)vnCollaboratingvn
D.)vnAdvocatingvn
E.)vnResearchingvn
F.)vnPrescribingvn-vncorrectvnanswer✔ ✔ A,vnB,vnC,vnD,vnE
(2.1vnM)vnThevnnursevnisvnparticipatingvninvnavnunitvnmeetingvntovndiscussvndailyvnnursingvncarevnexpectatio
ns.vnWhichvnnursingvnstatementvnreflectsvnsystemsvnlevelvnthinking?
A.)vn"Itvnisvnimportantvntovnprovidevncarevnconsistentvnwithvnthevnclient'svnexpectation."
B.)vn"Ivnwillvnalwaysvnconsidervnmyvnclient'svnculturalvnpreferencesvnwhenvndeliveringvncare."
C.)vn"Ivnhavevnbeenvncomparingvnourvnratesvnofvninfectionvnwithvnothervnunitsvninvnthevnhospital."
D.)vn"Ivnwillvnlookvnforvnthevnpolicyvnaboutvnfamilyvnvisitationvntovnshowvnmyvnclient."vn-vncorrectvnanswer
✔ ✔ C
(2.2vnM)vnWhichvnnursingvnactionvnreflectsvnimplementationvnofvnsystemsvnlevelvnthinking?
A.)vnConductingvnavnskinvnassessmentvnonvnavnnewlyvnadmittedvnclient
B.)vnDocumentingvnavnpressurevninjuryvninvnthevnelectronicvnhealthvnrecordvn
C.)vnNotifyingvnthevnhealthvncarevnprovidervnofvnavn2"vnxvn1"vnpressurevninjuryvnonvnthevncoccyxvn
D.)vnParticipatingvninvnavnqualityvnimprovementvnprojectvnaboutvneliminatingvnpressurevninjuryvnoccurrenc
esvn-vncorrectvnanswer✔ ✔ D
(2.3vnM)vnHowvnwillvnthevnexperiencedvnnursevnexplainvnsystemsvnthinkingvntovnavnnewvnnurse?
A.)vnReadingvnavnjournalvnarticlevntovnenhancevnone'svnunderstandingvnofvnavnspecificvndisordervn
, B.)vnProvidingvnpatient-centeredvncarevntovneachvnindividual,vnrecognizingvnhisvnorvnhervnuniquenessvn
C.)vnEngagingvninvnavnprofessionalvndevelopmentvnactivityvntovnearnvncontinuingvneducationvncreditvn
D.)vnUsingvninformationvnfromvnindividualvnclientvncarevntovnimprovevnoutcomesvnatvnavnmacrovnlevelvn-
vncorrectvnanswer✔ ✔ D
(3.1)vnWhichvnassessmentvnfindingsvnindicatevntovnthevnnursevnthatvnavnclientvntakingvnwarfarinvnmayvnhav
evndecreasedvnCLOTTING?vn(Selectvnallvnthatvnapply.)
A.)vnFrequentvnnosebleeds
B.)vnLowervnlegvnswelling
C.)vnUppervnextremityvnbruisingvn
D.)vnDifficultyvnbreathingvn
E.)vnIntermittentvnchestvnpainvn
F.)vnDarkvnstoolsvn-vncorrectvnanswer✔ ✔ A,vnC,vnF
(3.2)vnThevnnursevnisvnconductingvnassessmentsvnforvnclientsvnatvnpotentialvnriskvnforvninfection.vnWhichvnc
lientvnisvnMOSTvnatvnriskvnforvnacquiringvnanvnINFECTION?
A.)vnAvnclientvnwhovnhadvnanvnopenedvnincisionvnforvnabdominalvnsurgery
B.)vnAvnclientvnwhovnhasvnnotvnbeenvnimmunizedvnforvnpneumoniavnorvninfluenzavn
C.)vnAvnclientvnwhovnworksvninvnavnhigh-stressvnjobvnforvnanvnaccountingvnpracticevn
D.)vnAvnclientvnwhovnisvn85vnyearsvnoldvnandvninvngoodvnhealthvn-vncorrectvnanswer✔ ✔ A
(3.3)vnAvnclientvnreportsvnincreasingvndiffusevnpainvninvnthevnentirevnrightvnleg.vnWhatvnisvnthevnnurse'svnPR
IORITYvnACTIONvnatvnthisvntime?
A.)vnElevatevnthevnrightvnlegvnonvnavnpillow
SurgicalvnNursingvn(Evolve)vnNCLEXvnandvnMasteryvnQuestions
(1.1)vnWhichvnnursingvnactivitiesvnmayvnbevnsafelyvndelegatedvntovncompetentvnassistivevnpersonnelvn(AP)
?vnSelectvnallvnthatvnapply.
A.)vnDischargevnteaching
B.)vnBloodvnpressurevnmonitoringvn
C.)vnGastrostomyvnfeedingvn
D.)vnOxygenvnadministrationvn
E.)vnAmbulationvnassistancevn-vncorrectvnanswer✔ ✔ B,vnE
(1.2)vnAvnnursevnassuresvnavnclientvnexperiencingvnabdominalvnsurgicalvnpainvnthatvncomfortvnmeasures,vni
ncludingvndrugvntherapy,vnwillvnbevnprovidedvnasvnthevnclientvnneedsvnthem.vnWhichvnethicalvnprinciplesvna
pplyvninvnthevnsituation?vnSelectvnallvnthatvnapply.
A.)vnBeneficencevn
B.)vnSocialvnjusticevn
C.)vnAutonomyvn
D.)vnFidelityvn
E.)vnVeracityvn-vncorrectvnanswer✔ ✔ A,vnD,vnE
(1.1vnM)vnThevnnursevnprovidesvnanvnSBARvnhand-
offvncommunicationvnregardingvnavnclientvnwhosevnbloodvnpressurevnandvnrespiratoryvnratevnhavevndecrea
sed.vnWherevnwillvnthevnnursevnincludevnthesevndatavnasvnpartvnofvnthevnSBARvnformat?
A.)vnSituation
,B.)vnBackground
C.)vnAssessmentvn
D.)vnRecommendationvn-vncorrectvnanswer✔ ✔ A
(1.2vnM)vnThevnnursevncollaboratesvnwithvnthevnregisteredvndietitianvnnutritionistvntovnimprovevnthevnnutri
tionalvnstatusvnofvnclientsvnonvnavnhospitalvnunit.vnWhichvnpriorityvnprofessionalvnnursingvnconceptsvnapply
vninvnthisvnsituation?vnSelectvnallvnthatvnapply.
A.)vnQualityvnImprovementvn
B.)vnEthicsvn
C.)vnHealthvnCarevnDisparitiesvn
D.)vnSystemsvnThinkingvn
E.)vnTeamworkvnandvnCollaborationvn-vncorrectvnanswer✔ ✔ A,vnD,vnE
(2.1)vnWhichvnenvironmentsvnofvncarevnwillvnthevnnursevnrecognizevnasvncomponentsvnofvnthevnhealthvncar
evnsystem?vnSelectvnallvnthatvnapply.vn
A.)vnLong-termvncare
B.)vnPrimaryvncare
C.)vnFree-standingvnemergencyvndepartmentvn
D.)vnNationalvnLeaguevnofvnNursingvn
E.)vnPatient-centeredvnmedicalvnhomevn
F.)vnWorldvnHealthvnOrganizationvn-vncorrectvnanswer✔ ✔ A,vnB,vnC,vnE
(2.2)vnWhatvnisvnthevngeneralistvnregisteredvnnurse'svnrolevnrelatedvntovnpatientvncarevnwithinvnavnsystem?v
nSelectvnallvnthatvnapply.
,A.)vnCaring
B.)vnTeachingvn
C.)vnCollaboratingvn
D.)vnAdvocatingvn
E.)vnResearchingvn
F.)vnPrescribingvn-vncorrectvnanswer✔ ✔ A,vnB,vnC,vnD,vnE
(2.1vnM)vnThevnnursevnisvnparticipatingvninvnavnunitvnmeetingvntovndiscussvndailyvnnursingvncarevnexpectatio
ns.vnWhichvnnursingvnstatementvnreflectsvnsystemsvnlevelvnthinking?
A.)vn"Itvnisvnimportantvntovnprovidevncarevnconsistentvnwithvnthevnclient'svnexpectation."
B.)vn"Ivnwillvnalwaysvnconsidervnmyvnclient'svnculturalvnpreferencesvnwhenvndeliveringvncare."
C.)vn"Ivnhavevnbeenvncomparingvnourvnratesvnofvninfectionvnwithvnothervnunitsvninvnthevnhospital."
D.)vn"Ivnwillvnlookvnforvnthevnpolicyvnaboutvnfamilyvnvisitationvntovnshowvnmyvnclient."vn-vncorrectvnanswer
✔ ✔ C
(2.2vnM)vnWhichvnnursingvnactionvnreflectsvnimplementationvnofvnsystemsvnlevelvnthinking?
A.)vnConductingvnavnskinvnassessmentvnonvnavnnewlyvnadmittedvnclient
B.)vnDocumentingvnavnpressurevninjuryvninvnthevnelectronicvnhealthvnrecordvn
C.)vnNotifyingvnthevnhealthvncarevnprovidervnofvnavn2"vnxvn1"vnpressurevninjuryvnonvnthevncoccyxvn
D.)vnParticipatingvninvnavnqualityvnimprovementvnprojectvnaboutvneliminatingvnpressurevninjuryvnoccurrenc
esvn-vncorrectvnanswer✔ ✔ D
(2.3vnM)vnHowvnwillvnthevnexperiencedvnnursevnexplainvnsystemsvnthinkingvntovnavnnewvnnurse?
A.)vnReadingvnavnjournalvnarticlevntovnenhancevnone'svnunderstandingvnofvnavnspecificvndisordervn
, B.)vnProvidingvnpatient-centeredvncarevntovneachvnindividual,vnrecognizingvnhisvnorvnhervnuniquenessvn
C.)vnEngagingvninvnavnprofessionalvndevelopmentvnactivityvntovnearnvncontinuingvneducationvncreditvn
D.)vnUsingvninformationvnfromvnindividualvnclientvncarevntovnimprovevnoutcomesvnatvnavnmacrovnlevelvn-
vncorrectvnanswer✔ ✔ D
(3.1)vnWhichvnassessmentvnfindingsvnindicatevntovnthevnnursevnthatvnavnclientvntakingvnwarfarinvnmayvnhav
evndecreasedvnCLOTTING?vn(Selectvnallvnthatvnapply.)
A.)vnFrequentvnnosebleeds
B.)vnLowervnlegvnswelling
C.)vnUppervnextremityvnbruisingvn
D.)vnDifficultyvnbreathingvn
E.)vnIntermittentvnchestvnpainvn
F.)vnDarkvnstoolsvn-vncorrectvnanswer✔ ✔ A,vnC,vnF
(3.2)vnThevnnursevnisvnconductingvnassessmentsvnforvnclientsvnatvnpotentialvnriskvnforvninfection.vnWhichvnc
lientvnisvnMOSTvnatvnriskvnforvnacquiringvnanvnINFECTION?
A.)vnAvnclientvnwhovnhadvnanvnopenedvnincisionvnforvnabdominalvnsurgery
B.)vnAvnclientvnwhovnhasvnnotvnbeenvnimmunizedvnforvnpneumoniavnorvninfluenzavn
C.)vnAvnclientvnwhovnworksvninvnavnhigh-stressvnjobvnforvnanvnaccountingvnpracticevn
D.)vnAvnclientvnwhovnisvn85vnyearsvnoldvnandvninvngoodvnhealthvn-vncorrectvnanswer✔ ✔ A
(3.3)vnAvnclientvnreportsvnincreasingvndiffusevnpainvninvnthevnentirevnrightvnleg.vnWhatvnisvnthevnnurse'svnPR
IORITYvnACTIONvnatvnthisvntime?
A.)vnElevatevnthevnrightvnlegvnonvnavnpillow
