Practice Exam 1, Part 1 With Well
Elaborated Answers 2024.
During a physical assessment, the nurse closes and door and provides drape to
promote privacy. The nurse is performing her role as a/an:
A. Advocate
B. Communicator
C. Change agent
D. Caregiver - ANS D. Caregiver
The role of a nurse as caregiver helps client promote, restore and maintain
dignity, health and wellness by viewing a person holistically. As an advocate the
nurse intercedes or works on behalf of the client. Identifying the need and
problems of the client and communicating it to other members of the health team
is doing the role of a communicator. As a change agent, the nurse assists the
client to MODIFY their BEHAVIOR.
During the nursing rounds Nurse Cathy is instructing the patient to avoid smoking to
prevent the worsening of respiratory problems. The patient asked about the things that
he can do when feelings of wanting to smoke arises. The nurse enumerates ways of
dealing the situation. This is an example of a nurse's role as a/an:
A. Advocate
B. Clinician
C. Change agent
D. Caregiver - ANS C. Change agent
As a change agent, the nurse assists the client to MODIFY their BEHAVIOR. As an
advocate the nurse intercedes or works on behalf of the client. As a clinician, the
nurse would use technical expertise to administer nursing care. The role of a
nurse as caregiver helps client promote, restore and maintain dignity, health and
wellness by viewing a person holistically.
,Nurse Cathy on the other hand, knows the case immediately even before a diagnosis is
done. Based on Benner's theory she is a/an:
A. Novice
B. Expert
C. Competent
D. Advanced beginner - ANS B. Expert
The ability to perceive something without further evidence is the development of
intuition and is seen in Expert nurses. A novice nurse is governed by rules and
usually inflexible. Competent nurses are planning nursing care consciously.
Advanced beginners demonstrate acceptable performance.
Newborn screening is done to every newborn in the Philippines. This is an example of:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Rehabilitation - ANS B. Secondary prevention
Promotion of early detection and early treatment of the disease is under
secondary prevention. Example, breast self-exam, TB screening, genetic
counseling.
One of Nurse Cathy's co-workers is Annie who is flexible in any given situation. Annie is
performing her duties well without supervision but still needs more experience and
practice to develop a consciously planned nursing care. According to Patricia Benner's
category in specialization in nursing, Annie is a/an:
A. Novice
B. Expert
C. Competent
D. Advanced beginner - ANS D. Advanced beginner
, A- Novice is governed by rules and usually inflexible. B- Expert nurses have
intuitive grasp on the situation dealt. C- Competent nurses are planning nursing
care consciously. D- Advanced beginners demonstrate acceptable performance.
The clinical instructor is discussing about the Nursing Process. She mentioned that
when a cluster of actual or high-risk diagnosis are present because of a certain situation
it is called:
A. Wellness nursing diagnosis
B. Actual nursing diagnosis
C. Syndrome nursing diagnosis
D. Risk nursing diagnosis - ANS C. Syndrome nursing diagnosis
Presence of both actual and high-risk diagnosis is called a syndrome nursing
diagnosis. Wellness nursing diagnosis focuses on the clinical judgment on an
individual from a specific to higher level of wellness. Actual diagnoses are
clinical judgment of the nurse that is validated. A risk diagnosis is based on the
clinical are based on clinical judgment that the client may develop vulnerability to
the problem.
During a change-of-shift report, it would be important for the nurse relinquishing
responsibility for care of the patient to communicate. Which of the following facts to the
nurse assuming responsibility for care of the patient?
A. That the patient verbalized, "My headache is gone."
B. That the patient's barium enema performed 3 days ago was negative
C. Patient's NGT was removed 2 hours ago
D. Patient's family came for a visit this morning. - ANS C. Patient's NGT was removed
2 hours ago
The change-of-shift report should indicate significant recent changes in the
patient's condition that the nurse assuming responsibility for care of the patient
will need to monitor. The other options are not critical enough to include in the
report
A client is receiving 115 ml/hr. of continuous IVF. The nurse notices that the
venipuncture site is red and swollen. Which of the following interventions would the
nurse perform first?