Health and Wellness Exam 1 |NCLEX
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A critical care nurse is using a new research-based interventions to correctly
position her ventilated patients to reduce pneumonia caused by accumulated
respiratory secretions. This is an example of which Quality and Safety in the
Education of Nurses (QSEN) Competency?
1. patient-centered care
2. Evidence-based practice
3. Teamwork and collaboration
4. Quality improvement - ------------ANS: 2
A nurse completes the following steps during her shift of care. Which are the
steps of nursing assessment? (Select all that apply)
1. The review of patient data in the medical record
2. Confirming a patient's self-report of abdominal pain by inspecting the
abdomen
3. Reporting results of an ongoing assessment to a nurse working the next
scheduled shift
4. Analyzing a set of signs revealing lower leg weakness and unsteady gait
with a pattern of mobility alteration.
5. Conducting an interview of a family caregiver - ------------ANS: 1, 2, 4, 5
A nurse initiates a brief interview with a patient who has come to the medical
clinic because of self-reported hoarseness, sore throat, and chest congestion.
The nurse observes that the patient has a slumped posture and is using
intercostal muscles to breathe. The nurse auscultates the patient's lungs and
hears crackles in the left lower lobe. The patient's respiratory rate is 20 per
minute compared with an average of `16 per minute during previous clinic
visits. The patient tells the nurse, "It is hard for me to get a breath." Which of
the following data sets are examples of subjective data? (Select all that apply)
1. Heart rate of 20 per minute and chest congestion
2. Lung Sounds revealing crackles and use of intercostal muscles to breathe.
3. Patient statement: "It's hard for me to get a breath"
4. Slumped posture and previous respiratory rte of 16/minute
5. Patient report soar throat and hoarseness - ------------ANS: 3, 5
, A nurse is assigned to care for an 82-year-old patient who will be transferred
from the hospital to a rehabilitation center. The patient and her husband have
selected the rehabilitation center closest to their home. The nurse learns that
the patient will be discharged in 3 days and decides to make the referral on
the day of discharge. The nurse reviews the recommendations for physical
therapy and applies the information to fall prevention strategies in the hospital.
What discharge planning action by the nurses has not been addressed
correctly?
1. Patient and family involvement in referral
2. Timing of referral
3. Incorporation of referral discipline recommendations into the plan of care
4. Determination of discharge date - ------------ANS: 2.
A nurse is caring for a patient with end stage lung disease. The patient wants
to go home on oxygen and be comfortable. The family wants the patient to
have a new surgical procedure. The nurse explains the risk and benefits of the
surgery to the family and discusses the patient's wishes with them. The nurse
is acting as the patient's:
1. Educator
2. Advocate
3. Caregiver
4. Communicator - ------------ANS: 2.
A nurse is conducting a home visit with a new mom and her three children.
While in the home the nurse weighs each family member and receives their
3-day food diary. She checks the mom's blood pressure and encourages the
mom to take the children for a 15- to 30- minute walk every day. The nurse is
addressing which level of need, according to Maslow?
1. Physiological
2. Safety and security
3. Love and belonging
4. Self-actualization - ------------ANS: 1
A nurse is conducting a patient-centered interview. Place the statements from
the interview in the correct order, beginning with the first statement a nurse
would ask.
1. You say you love weight. Tell me how much weight you've lost in the past
month
2. My name is Terry. I'll be the nurse taking care of you today
Questions with correct Answers 100%
Verified
A critical care nurse is using a new research-based interventions to correctly
position her ventilated patients to reduce pneumonia caused by accumulated
respiratory secretions. This is an example of which Quality and Safety in the
Education of Nurses (QSEN) Competency?
1. patient-centered care
2. Evidence-based practice
3. Teamwork and collaboration
4. Quality improvement - ------------ANS: 2
A nurse completes the following steps during her shift of care. Which are the
steps of nursing assessment? (Select all that apply)
1. The review of patient data in the medical record
2. Confirming a patient's self-report of abdominal pain by inspecting the
abdomen
3. Reporting results of an ongoing assessment to a nurse working the next
scheduled shift
4. Analyzing a set of signs revealing lower leg weakness and unsteady gait
with a pattern of mobility alteration.
5. Conducting an interview of a family caregiver - ------------ANS: 1, 2, 4, 5
A nurse initiates a brief interview with a patient who has come to the medical
clinic because of self-reported hoarseness, sore throat, and chest congestion.
The nurse observes that the patient has a slumped posture and is using
intercostal muscles to breathe. The nurse auscultates the patient's lungs and
hears crackles in the left lower lobe. The patient's respiratory rate is 20 per
minute compared with an average of `16 per minute during previous clinic
visits. The patient tells the nurse, "It is hard for me to get a breath." Which of
the following data sets are examples of subjective data? (Select all that apply)
1. Heart rate of 20 per minute and chest congestion
2. Lung Sounds revealing crackles and use of intercostal muscles to breathe.
3. Patient statement: "It's hard for me to get a breath"
4. Slumped posture and previous respiratory rte of 16/minute
5. Patient report soar throat and hoarseness - ------------ANS: 3, 5
, A nurse is assigned to care for an 82-year-old patient who will be transferred
from the hospital to a rehabilitation center. The patient and her husband have
selected the rehabilitation center closest to their home. The nurse learns that
the patient will be discharged in 3 days and decides to make the referral on
the day of discharge. The nurse reviews the recommendations for physical
therapy and applies the information to fall prevention strategies in the hospital.
What discharge planning action by the nurses has not been addressed
correctly?
1. Patient and family involvement in referral
2. Timing of referral
3. Incorporation of referral discipline recommendations into the plan of care
4. Determination of discharge date - ------------ANS: 2.
A nurse is caring for a patient with end stage lung disease. The patient wants
to go home on oxygen and be comfortable. The family wants the patient to
have a new surgical procedure. The nurse explains the risk and benefits of the
surgery to the family and discusses the patient's wishes with them. The nurse
is acting as the patient's:
1. Educator
2. Advocate
3. Caregiver
4. Communicator - ------------ANS: 2.
A nurse is conducting a home visit with a new mom and her three children.
While in the home the nurse weighs each family member and receives their
3-day food diary. She checks the mom's blood pressure and encourages the
mom to take the children for a 15- to 30- minute walk every day. The nurse is
addressing which level of need, according to Maslow?
1. Physiological
2. Safety and security
3. Love and belonging
4. Self-actualization - ------------ANS: 1
A nurse is conducting a patient-centered interview. Place the statements from
the interview in the correct order, beginning with the first statement a nurse
would ask.
1. You say you love weight. Tell me how much weight you've lost in the past
month
2. My name is Terry. I'll be the nurse taking care of you today
