N125 Exam 1 Blueprint Questions
Solved 100% Correct |Verified Answers
Question 1.)
Nursing situation: The nurse chooses independent nursing interventions
D3= Physiological integrity-Reduction of risk potential
Application
Step in the nursing process: Implementation
Objective 1.1 #3: Compare and contrast independent nursing functions with
collaborative nursing functions. - ANSWER -Independent nursing functions: activities
include performing a physical assessment, planning nursing care, implementing
nursing care, and evaluating a patient's response to a medication
-Collaborative nursing functions: activities include administering medications prescribed
by a physician, nurse practitioner, or physician's assistant, evaluating the patient's
response to a medication, and implementing the medical plan of care and evaluating the
patient's response.
-Page 105: Assess patients in rehabilitation for risk factors that make them likely to
develop skin breakdown, interventions to prevent skin problems include re
positioning and adequate nutrition
Book page 94 NCLEX exam question
An 88 year old women is admitted for cardiac rehabilitation after an insertion of two
coronary artery stents. While ambulating with her walker the client reports having
chest pain. What is the nurse's first action? - ANSWER stop her activity and provide a
rest period
Evolve: An 80-year-old client is bedridden after having a cerebrovascular accident (CVA).
Which nursing intervention is used to help prevent skin breakdown? - ANSWER Assuring
,that the client's skin stays clean and dry will insure early detection and prevention of
the problem of skin breakdown in this client.
Evolve chapter 8 question: A client has a priority problem of skin breakdown related
to immobility and incontinence. Which nursing intervention does the rehabilitation RN
delegate to a nursing assistant? - ANSWER Repositioning the client every 2 hours
Question 3.)
Nursing situation: the nurse uses best practice for addressing cultural needs.
A1- Safe, effective care environment: management of care
Step in the nursing process: plan
Objective 1.1 #5: 5. Discuss the nurse's role in providing health care in a multicultural
environment. - ANSWER Blackboard: Culture is a learned behavior of a person or group
Culture includes all aspects of daily life, ways of thinking, self-expression
Humans are born into a culture, not with a culture
Culture provides a context for people to think & act; it guides behavior
Nursing addresses the health & well-being of individuals within their social and
cultural environment, thus a cultural assessment helps the nurse identify patterns of
behavior that will help achieve outcomes. Nurses consider characteristics such as
ethnicity, nationality and race, but realize that individual differences exist
What is included in a cultural assessment? - ANSWER -observation
-interview: consider the most effective strategies for gathering information
-participation
Cultural awareness includes what following actions? - ANSWER -Achieve an awareness
of how culture influences values, thoughts, feelings and actions [what are some
strategies to accomplish this?]
-Acknowledge negative feelings and discuss those feelings with trusted others
, -Develop a greater sense of self-awareness
Book: page 33
A homeless client enters the emergency department smelling strongly of alcohol and
having an offensive body odor. He is drowsy and disoriented and has a staggering
gait. What is the nurses first priority in caring for this client? - ANSWER Keep the
client safe to prevent a fall or other injury.
Question 4.)
Nursing situation: The nurse uses best practice for addressing spiritual needs
C= Psychosocial Integrity
Intervention
Objective 1.1 #5: 5. Discuss the nurse's role in providing health care in a
multicultural environment. - ANSWER Page 36, Spirituality:a broad concept that
involves the behaviors that give purpose to life and provide individual strength it
may or may not include religious practices. The joint commission has required
hospitals to have a qualified chaplains to manage spiritual distress.
Question 5.)
Nursing situation: The nurse uses best practice for medication administration
A2/D2= Safe, effective care environment and physiological integrity- pharmacological
& parenteral therapies
Intervention
Objective 1.1 6a:
6. Discuss current issues that impact health care:
a. safety & quality - ANSWER Page 29- Physiologic changes of aging predispose older
adults to toxic effects of medication, drugs are absorbed, metabolized, and distributed
more slowly than in younger people. They are excreted more slowly by the kidneys.
Medication use in older adults is often a problem when they commit errors when self
Solved 100% Correct |Verified Answers
Question 1.)
Nursing situation: The nurse chooses independent nursing interventions
D3= Physiological integrity-Reduction of risk potential
Application
Step in the nursing process: Implementation
Objective 1.1 #3: Compare and contrast independent nursing functions with
collaborative nursing functions. - ANSWER -Independent nursing functions: activities
include performing a physical assessment, planning nursing care, implementing
nursing care, and evaluating a patient's response to a medication
-Collaborative nursing functions: activities include administering medications prescribed
by a physician, nurse practitioner, or physician's assistant, evaluating the patient's
response to a medication, and implementing the medical plan of care and evaluating the
patient's response.
-Page 105: Assess patients in rehabilitation for risk factors that make them likely to
develop skin breakdown, interventions to prevent skin problems include re
positioning and adequate nutrition
Book page 94 NCLEX exam question
An 88 year old women is admitted for cardiac rehabilitation after an insertion of two
coronary artery stents. While ambulating with her walker the client reports having
chest pain. What is the nurse's first action? - ANSWER stop her activity and provide a
rest period
Evolve: An 80-year-old client is bedridden after having a cerebrovascular accident (CVA).
Which nursing intervention is used to help prevent skin breakdown? - ANSWER Assuring
,that the client's skin stays clean and dry will insure early detection and prevention of
the problem of skin breakdown in this client.
Evolve chapter 8 question: A client has a priority problem of skin breakdown related
to immobility and incontinence. Which nursing intervention does the rehabilitation RN
delegate to a nursing assistant? - ANSWER Repositioning the client every 2 hours
Question 3.)
Nursing situation: the nurse uses best practice for addressing cultural needs.
A1- Safe, effective care environment: management of care
Step in the nursing process: plan
Objective 1.1 #5: 5. Discuss the nurse's role in providing health care in a multicultural
environment. - ANSWER Blackboard: Culture is a learned behavior of a person or group
Culture includes all aspects of daily life, ways of thinking, self-expression
Humans are born into a culture, not with a culture
Culture provides a context for people to think & act; it guides behavior
Nursing addresses the health & well-being of individuals within their social and
cultural environment, thus a cultural assessment helps the nurse identify patterns of
behavior that will help achieve outcomes. Nurses consider characteristics such as
ethnicity, nationality and race, but realize that individual differences exist
What is included in a cultural assessment? - ANSWER -observation
-interview: consider the most effective strategies for gathering information
-participation
Cultural awareness includes what following actions? - ANSWER -Achieve an awareness
of how culture influences values, thoughts, feelings and actions [what are some
strategies to accomplish this?]
-Acknowledge negative feelings and discuss those feelings with trusted others
, -Develop a greater sense of self-awareness
Book: page 33
A homeless client enters the emergency department smelling strongly of alcohol and
having an offensive body odor. He is drowsy and disoriented and has a staggering
gait. What is the nurses first priority in caring for this client? - ANSWER Keep the
client safe to prevent a fall or other injury.
Question 4.)
Nursing situation: The nurse uses best practice for addressing spiritual needs
C= Psychosocial Integrity
Intervention
Objective 1.1 #5: 5. Discuss the nurse's role in providing health care in a
multicultural environment. - ANSWER Page 36, Spirituality:a broad concept that
involves the behaviors that give purpose to life and provide individual strength it
may or may not include religious practices. The joint commission has required
hospitals to have a qualified chaplains to manage spiritual distress.
Question 5.)
Nursing situation: The nurse uses best practice for medication administration
A2/D2= Safe, effective care environment and physiological integrity- pharmacological
& parenteral therapies
Intervention
Objective 1.1 6a:
6. Discuss current issues that impact health care:
a. safety & quality - ANSWER Page 29- Physiologic changes of aging predispose older
adults to toxic effects of medication, drugs are absorbed, metabolized, and distributed
more slowly than in younger people. They are excreted more slowly by the kidneys.
Medication use in older adults is often a problem when they commit errors when self
