PRN1520South College -PRN 1520 Exam 1 Study Guide
Questions | 2026/2027 | Answers Correct | With Complete
Solutions
. Factors which would alert the nurse to negative/dysfunctional
family dynamics include
a.
aging of family members.
b.
chronic illness of a family member.
c.
disability of a family member.
d.
intimate partner violence. Correct Answers d.
intimate partner violence.
Intimate partner violence is an exemplar of
negative/dysfunctional family dynamics. Aging of family
members is an exemplar of changes to family dynamics. Chronic
illness of a family member is an exemplar of changes to family
dynamics. Disability of a family member is an exemplar of
changes to family dynamics.
4. The nurse is developing an interdisciplinary plan of care using
the Roper-Logan-Tierney Model of Nursing for a patient who is
currently unconscious. Which interventions would be most
critical to developing a plan of care for this patient?
a.
Eating and drinking, personal cleansing and dressing, working
and playing
b.
,Toileting, transferring, dressing, and bathing activities
c.
Sleeping, expressing sexuality, socializing with peers
d.
Maintaining a safe environment, breathing, maintaining
temperature Correct Answers d.
Maintaining a safe environment, breathing, maintaining
temperature
The most critical aspects of care for an unconscious patient are
safe environment, breathing, and temperature. Eating and
drinking are contraindicated in unconscious patients. Toileting,
transferring, dressing, and bathing activities are BADLs.
Sleeping, expressing sexuality, and socializing with peers are a
part of the Roper-Logan-Tierney Model of Nursing; however,
these are not the most critical for developing the plan of care in
an unconscious patient.
A 65-year-old female patient has been admitted to the
medical/surgical unit. The nurse is assessing the patient's risk for
falls so that falls prevention can be implemented if necessary.
Select all the risk factors that apply from this patient's history
and physical. (Select all that apply.)
a.
Being a woman
b.
Taking more than six medications
c.
Having hypertension
d.
Having cataracts
,e.
Muscle strength 3/5 bilaterally
f.
Incontinence Correct Answers ANS: B, D, E, F
b.
Taking more than six medications
d.
Having cataracts
e.
Muscle strength 3/5 bilaterally
f.
Incontinence
Adverse effects of medications can contribute to falls. Cataracts
impair vision, which is a risk factor for falls. Poor muscle
strength is a risk factor for falls. Incontinence of urine or stool
increases risk for falls. Men have a higher risk for falls.
Hypertension itself does not contribute to falls. Dizziness does
contribute to falls.
A charge nurse should instruct a new nurse taking care of a
patient with hypercholesterolemia to make which of these
lifestyle modifications?
a.
High-protein, high-fat diet
b.
Decreased walking frequency from three times to two times a
week
c.
Discontinuation of antihypertensive medications
d.
, Smoking cessation Correct Answers d.
Smoking cessation
The only appropriate lifestyle modification among these options
is smoking cessation. Hypercholesterolemia can be caused by a
high-fat diet; therefore, a high-fat diet should be avoided.
Exercise is usually recommended, not contraindicated. The
patient should continue blood pressure medications. In this
question, the nurse is using the aspect of evaluation in clinical
care coordination.
A new nurse expresses frustration at not being to complete all
interventions for a group of patients in a timely manner. The
nurse leaves the rounds report sheets at the nurse's station when
caring for patients and reports having to go back and forth
between rooms for equipment and supplies. Which type of skill
does the nurse need?
a.
Interpersonal communication
b.
Clinical decision making
c.
Organizational
d.
Evaluation Correct Answers c.
Organizational
The clinical care coordination skill this nurse needs to improve
on is organization. This nurse needs to keep the patient report
sheets in hand to anticipate what equipment and supplies a
patient is going to need. Then the nurse may not have to leave
Questions | 2026/2027 | Answers Correct | With Complete
Solutions
. Factors which would alert the nurse to negative/dysfunctional
family dynamics include
a.
aging of family members.
b.
chronic illness of a family member.
c.
disability of a family member.
d.
intimate partner violence. Correct Answers d.
intimate partner violence.
Intimate partner violence is an exemplar of
negative/dysfunctional family dynamics. Aging of family
members is an exemplar of changes to family dynamics. Chronic
illness of a family member is an exemplar of changes to family
dynamics. Disability of a family member is an exemplar of
changes to family dynamics.
4. The nurse is developing an interdisciplinary plan of care using
the Roper-Logan-Tierney Model of Nursing for a patient who is
currently unconscious. Which interventions would be most
critical to developing a plan of care for this patient?
a.
Eating and drinking, personal cleansing and dressing, working
and playing
b.
,Toileting, transferring, dressing, and bathing activities
c.
Sleeping, expressing sexuality, socializing with peers
d.
Maintaining a safe environment, breathing, maintaining
temperature Correct Answers d.
Maintaining a safe environment, breathing, maintaining
temperature
The most critical aspects of care for an unconscious patient are
safe environment, breathing, and temperature. Eating and
drinking are contraindicated in unconscious patients. Toileting,
transferring, dressing, and bathing activities are BADLs.
Sleeping, expressing sexuality, and socializing with peers are a
part of the Roper-Logan-Tierney Model of Nursing; however,
these are not the most critical for developing the plan of care in
an unconscious patient.
A 65-year-old female patient has been admitted to the
medical/surgical unit. The nurse is assessing the patient's risk for
falls so that falls prevention can be implemented if necessary.
Select all the risk factors that apply from this patient's history
and physical. (Select all that apply.)
a.
Being a woman
b.
Taking more than six medications
c.
Having hypertension
d.
Having cataracts
,e.
Muscle strength 3/5 bilaterally
f.
Incontinence Correct Answers ANS: B, D, E, F
b.
Taking more than six medications
d.
Having cataracts
e.
Muscle strength 3/5 bilaterally
f.
Incontinence
Adverse effects of medications can contribute to falls. Cataracts
impair vision, which is a risk factor for falls. Poor muscle
strength is a risk factor for falls. Incontinence of urine or stool
increases risk for falls. Men have a higher risk for falls.
Hypertension itself does not contribute to falls. Dizziness does
contribute to falls.
A charge nurse should instruct a new nurse taking care of a
patient with hypercholesterolemia to make which of these
lifestyle modifications?
a.
High-protein, high-fat diet
b.
Decreased walking frequency from three times to two times a
week
c.
Discontinuation of antihypertensive medications
d.
, Smoking cessation Correct Answers d.
Smoking cessation
The only appropriate lifestyle modification among these options
is smoking cessation. Hypercholesterolemia can be caused by a
high-fat diet; therefore, a high-fat diet should be avoided.
Exercise is usually recommended, not contraindicated. The
patient should continue blood pressure medications. In this
question, the nurse is using the aspect of evaluation in clinical
care coordination.
A new nurse expresses frustration at not being to complete all
interventions for a group of patients in a timely manner. The
nurse leaves the rounds report sheets at the nurse's station when
caring for patients and reports having to go back and forth
between rooms for equipment and supplies. Which type of skill
does the nurse need?
a.
Interpersonal communication
b.
Clinical decision making
c.
Organizational
d.
Evaluation Correct Answers c.
Organizational
The clinical care coordination skill this nurse needs to improve
on is organization. This nurse needs to keep the patient report
sheets in hand to anticipate what equipment and supplies a
patient is going to need. Then the nurse may not have to leave
