RNSG 1413 - Exam 1 Sherpath Adaptive Quizzes
A 60-year-old patient is undergoing treatment for a brain tumor. The patient is depressed due to the diagnosis. The nurse
enters the room and finds that the patient is weeping. On inquiring, the patient starts speaking about the disease and the
related problems. To be a good listener, what should the nurse do? Select all that apply. - ANS -Maintain good eye
contact.
Give complete attention to the patient.
Be silent and listen to the patient carefully.
\A charge nurse in the intensive care unit (ICU) is trying to motivate other staff members to obtain certifications. Which
nursing role does this action represent? - ANS -Leader
\A child in the hospital starts to have a grand mal seizure while playing in the playroom. Which is the most important
nursing intervention during this situation? - ANS -Clear the area around the child to protect the child from injury.
\A community health nurse is assessing the population of a specific community. She wants to identify people who are at
risk of health problems. Which individual is a member of a vulnerable group? - ANS -An elderly, homeless immigrant
\A community nurse finds that a couple is unhappy because of financial constraints. In addition, the husband performs
some cultural rituals that are against the wife's cultural beliefs. The wife wants a divorce. What should a community nurse
do? - ANS -Learn more about the culture of the wife and the husband and help them reach appropriate decisions.
\A community nurse is working towards achieving Healthy People 2020. What should be the goal? - ANS -To increase the
quality of life through better health care services
\A community-based nurse encounters a college student addicted to cocaine. What are the various assessments that the
nurse must perform to assist this student? Select all that apply. - ANS -Assess the frequency of abuse.
Assess the nature of use.
Assess the amount of consumption.
\A community-based nurse notices increased prevalence of pertussis infection in children. What is the preventive care
service that the nurse may implement to address this problem? - ANS -Provision prescribed of effective immunizations
,\A couple is with their adolescent daughter for a school physical and state that they are worried about all the safety risks
affecting this age. What are the greatest risks for injury for an adolescent? - ANS -Automobile accidents, suicide, and
substance abuse
\A family consists of a mother and her 3-year-old daughter. This is an example of which kind of family? - ANS -A
single-parent family
\A family includes a mother, stepfather, two teenage biological daughters of the mother, and a biological daughter of the
father. Of what type of family is this an example? - ANS -A blended family
\A group of nurses have implemented an evidence-based practice (EBP) change and have evaluated the effectiveness of
the change. What is their next step? - ANS -Share the findings with others.
\A group of nurses on the research council of a local hospital are measuring nursing-sensitive outcomes. Which is a
nursing-sensitive outcome that the nurses should consider measuring? - ANS -Number of patients who fall and
experience subsequent injury on the evening shift
\A group of nursing personnel plan to take an unstable and weak patient out of a tub. Which equipment is beneficial in this
situation? - ANS -Lift equipment
\A homeless man enters the emergency department seeking health care. The healthcare provider indicates that the
patient needs to be transferred to the city hospital for care. Which law does this action most likely violate? - ANS
-Emergency Medical Treatment and Active Labor Act (EMTALA)
\A large, blended family is in the process of converting a study into a bedroom for an adult child who is moving home
following a job loss. The family is in the process of distributing household chores.When you talk to members of the family,
they all think that their family can adjust to lifestyle changes. Of what is this an example? - ANS -Resiliency
\A long-term care facility encourages nurses to assess patients at risk of developing pressure ulcers based on six
subscales: moisture, sensory perception, activity, mobility, nutrition, and friction or shear force. What tool is the facility
using for risk assessment of pressure ulcer development? - ANS -The Braden Scale
\A mother is concerned she won't be able to ask questions of her child's health care provider before she leaves for work.
The nurse assures the mother the questions will be asked and recorded in writing at the child's bedside. Which role is the
nurse demonstrating? - ANS -Advocate
\A nurse bathes an older adult patient using a pack of cotton cloths that are premoistened with a surfactant cleaner and an
emollient. Which bath is being given to the patient? - ANS -Bag bath
, \A nurse performs hand hygiene before providing direct patient care. Which action made by the nurse may cause an
infection? - ANS -Wearing rings on both hands
\A nurse taking continuing education classes is an example of which professional nursing criteria? - ANS -Licensure
\A nurse who holds a PhD can engage in which role? - ANS -Educator
Researcher
Scholar
\A nursing student is learning about the different types of families. What could be an example of a blended family? - ANS
-A woman bringing her adopted son into a new family when she remarries
\A nursing student performs surgical hand asepsis after assisting a registered nurse in a surgical procedure. Which action
made by the nursing student needs correction? - ANS -Keeping the hands below the waist level
\A patient comes to the local health clinic and states, 'I've noticed how many people are out walking in my neighborhood.
Is walking good for you?' Which is the best response to help the patient through the stages of change for exercise? - ANS
-'Yes, walking is great exercise. Do you think you could go for a 5-minute walk next week?'
\A patient has a fractured femur that is placed in skeletal traction with a fresh plaster cast applied. The patient experiences
decreased sensation and a cold feeling in the toes of the affected leg. The nurse observes that the patient's toes have
become pale and cold but forgets to document this because one of the nurse's other patients experienced cardiac arrest
at the same time. Two days later the patient in skeletal traction has an elevated temperature, and he is prepared for
surgery to amputate the leg below the knee. Which statements regarding a breach of duty apply to this situation? Select
all that apply. - ANS -Failure to document a change in assessment data
Failure to notify a health care provider about a change in the patient's condition
\A patient has just been diagnosed with hepatitis B. Which is the most appropriate nursing action to avoid invasion of
privacy? - ANS -Obtain permission from the patient to inform the patient's spouse about the disease.
\A patient in the emergency department has developed wheezing and shortness of breath. The nurse gives the ordered
medicated nebulizer treatment now and in 4 hours. Which standard of practice is performed? - ANS -Implementation
\A patient is admitted to a hospital for surgery to correct urinary incontinence. About what should the nurse instruct the
patient in order to avoid infections while cleaning the perineal region? - ANS -Wipe from the urinary meatus toward the
rectum.
A 60-year-old patient is undergoing treatment for a brain tumor. The patient is depressed due to the diagnosis. The nurse
enters the room and finds that the patient is weeping. On inquiring, the patient starts speaking about the disease and the
related problems. To be a good listener, what should the nurse do? Select all that apply. - ANS -Maintain good eye
contact.
Give complete attention to the patient.
Be silent and listen to the patient carefully.
\A charge nurse in the intensive care unit (ICU) is trying to motivate other staff members to obtain certifications. Which
nursing role does this action represent? - ANS -Leader
\A child in the hospital starts to have a grand mal seizure while playing in the playroom. Which is the most important
nursing intervention during this situation? - ANS -Clear the area around the child to protect the child from injury.
\A community health nurse is assessing the population of a specific community. She wants to identify people who are at
risk of health problems. Which individual is a member of a vulnerable group? - ANS -An elderly, homeless immigrant
\A community nurse finds that a couple is unhappy because of financial constraints. In addition, the husband performs
some cultural rituals that are against the wife's cultural beliefs. The wife wants a divorce. What should a community nurse
do? - ANS -Learn more about the culture of the wife and the husband and help them reach appropriate decisions.
\A community nurse is working towards achieving Healthy People 2020. What should be the goal? - ANS -To increase the
quality of life through better health care services
\A community-based nurse encounters a college student addicted to cocaine. What are the various assessments that the
nurse must perform to assist this student? Select all that apply. - ANS -Assess the frequency of abuse.
Assess the nature of use.
Assess the amount of consumption.
\A community-based nurse notices increased prevalence of pertussis infection in children. What is the preventive care
service that the nurse may implement to address this problem? - ANS -Provision prescribed of effective immunizations
,\A couple is with their adolescent daughter for a school physical and state that they are worried about all the safety risks
affecting this age. What are the greatest risks for injury for an adolescent? - ANS -Automobile accidents, suicide, and
substance abuse
\A family consists of a mother and her 3-year-old daughter. This is an example of which kind of family? - ANS -A
single-parent family
\A family includes a mother, stepfather, two teenage biological daughters of the mother, and a biological daughter of the
father. Of what type of family is this an example? - ANS -A blended family
\A group of nurses have implemented an evidence-based practice (EBP) change and have evaluated the effectiveness of
the change. What is their next step? - ANS -Share the findings with others.
\A group of nurses on the research council of a local hospital are measuring nursing-sensitive outcomes. Which is a
nursing-sensitive outcome that the nurses should consider measuring? - ANS -Number of patients who fall and
experience subsequent injury on the evening shift
\A group of nursing personnel plan to take an unstable and weak patient out of a tub. Which equipment is beneficial in this
situation? - ANS -Lift equipment
\A homeless man enters the emergency department seeking health care. The healthcare provider indicates that the
patient needs to be transferred to the city hospital for care. Which law does this action most likely violate? - ANS
-Emergency Medical Treatment and Active Labor Act (EMTALA)
\A large, blended family is in the process of converting a study into a bedroom for an adult child who is moving home
following a job loss. The family is in the process of distributing household chores.When you talk to members of the family,
they all think that their family can adjust to lifestyle changes. Of what is this an example? - ANS -Resiliency
\A long-term care facility encourages nurses to assess patients at risk of developing pressure ulcers based on six
subscales: moisture, sensory perception, activity, mobility, nutrition, and friction or shear force. What tool is the facility
using for risk assessment of pressure ulcer development? - ANS -The Braden Scale
\A mother is concerned she won't be able to ask questions of her child's health care provider before she leaves for work.
The nurse assures the mother the questions will be asked and recorded in writing at the child's bedside. Which role is the
nurse demonstrating? - ANS -Advocate
\A nurse bathes an older adult patient using a pack of cotton cloths that are premoistened with a surfactant cleaner and an
emollient. Which bath is being given to the patient? - ANS -Bag bath
, \A nurse performs hand hygiene before providing direct patient care. Which action made by the nurse may cause an
infection? - ANS -Wearing rings on both hands
\A nurse taking continuing education classes is an example of which professional nursing criteria? - ANS -Licensure
\A nurse who holds a PhD can engage in which role? - ANS -Educator
Researcher
Scholar
\A nursing student is learning about the different types of families. What could be an example of a blended family? - ANS
-A woman bringing her adopted son into a new family when she remarries
\A nursing student performs surgical hand asepsis after assisting a registered nurse in a surgical procedure. Which action
made by the nursing student needs correction? - ANS -Keeping the hands below the waist level
\A patient comes to the local health clinic and states, 'I've noticed how many people are out walking in my neighborhood.
Is walking good for you?' Which is the best response to help the patient through the stages of change for exercise? - ANS
-'Yes, walking is great exercise. Do you think you could go for a 5-minute walk next week?'
\A patient has a fractured femur that is placed in skeletal traction with a fresh plaster cast applied. The patient experiences
decreased sensation and a cold feeling in the toes of the affected leg. The nurse observes that the patient's toes have
become pale and cold but forgets to document this because one of the nurse's other patients experienced cardiac arrest
at the same time. Two days later the patient in skeletal traction has an elevated temperature, and he is prepared for
surgery to amputate the leg below the knee. Which statements regarding a breach of duty apply to this situation? Select
all that apply. - ANS -Failure to document a change in assessment data
Failure to notify a health care provider about a change in the patient's condition
\A patient has just been diagnosed with hepatitis B. Which is the most appropriate nursing action to avoid invasion of
privacy? - ANS -Obtain permission from the patient to inform the patient's spouse about the disease.
\A patient in the emergency department has developed wheezing and shortness of breath. The nurse gives the ordered
medicated nebulizer treatment now and in 4 hours. Which standard of practice is performed? - ANS -Implementation
\A patient is admitted to a hospital for surgery to correct urinary incontinence. About what should the nurse instruct the
patient in order to avoid infections while cleaning the perineal region? - ANS -Wipe from the urinary meatus toward the
rectum.
