NUR211 Exam 1 / NUR 211 Exam 1 (Latest, 2020): Fundamentals of Professional Nursing: Rasmussen College

NU211 Fundamentals of Professional Nursing Exam 1 NU 211 Exam 1 / NU211 Exam 1 (Latest): Fundamentals of Professional Nursing: Rasmussen College • Question 1 1 out of 1 points A nurse is planning care for a 17 year old following a motor vehicle accident. Which of Erickson's developmental stages should the nurse keep in mind in the planning? Identity vs. Role Confusion • Question 2 1 out of 1 points Before developing a procedure, a nurse reviews all current research-based literature on insertion of a nasogastric tube. What type of nursing will be practiced based on this review? evidence-based nursing • Question 3 1 out of 1 points A nurse is admitting a client to a geriatric medicine unit following the client's recent diagnosis of acute renal failure. Which of the following nursing actions is most likely to reduce the client's chance of experiencing a fall while on the unit? -Orient the patient to the room and environment thoroughly upon admission. • Question 4 1 out of 1 points What drawbacks does charting by exception (CBE) have? Vulnerability to legal liability since nurse’s safe, routing care is not recorded • Question 5 1 out of 1 points The student nurse knows mobility contributes to positive outcomes throughout the body. What is a positive effect of mobility on the respiratory system? Preventions of secretions pooling • Question 6 1 out of 1 points A nurse has completed an informed consent form with a client. The client then states, "I have changed my mind and do not want to have the procedure done." What action should the nurse take? notify the surgeon that the client wishes to withdraw informed consent from procedure client has right to withdraw informed consent • Question 7 1 out of 1 points A nurse is documenting care given to a client with a new right leg amputation. The nurse accidently documents a dressing change was performed on the left leg. What would be the best action to correct this error? Draw a single line through the entry and rewrite it above or beside it. • Question 8 1 out of 1 points Identify the statement that is not therapeutic communication? Not using silence? • Question 9 1 out of 1 points A child is admitted to the emergency department with a fractured arm. During the admission interview, the nurse should implement what communication technique to elicit the most information from the parents? The use of clarifying questions • Question 10 1 out of 1 points A nurse is administering influenza immunizations at a local clinic. What level of disease prevention is the nurse demonstrating? Tertiary • Question 11 1 out of 1 points Nurses provide many interventions to prevent falls in health care settings. What would be an appropriate intervention to prevent falls? Lock wheels on beds and wheelchairs. • Question 12 1 out of 1 points What charting entry would be the most defensible in court? Notified Dr. Jones of BP of 90/40 • Question 13 1 out of 1 points The World Health Organization (WHO) defines health as which of the following? a complete state of physical, mental and social well-being and not merely the absence of disease or infirmity. • Question 14 1 out of 1 points The student nurse knows lack of mobility contributes to negative outcomes throughout the body. What is a negative effect of immobility on the musculoskeletal system? 1)disuse osteoporosis 2)disuse atrophy 3)contractures 4)stiffness and pain in the joints • Question 15 1 out of 1 points The student nurse knows lack of mobility contributes to negative outcomes throughout the body. What is a negative effect of immobility on the cardiovascular system? 1)decreased efficiency of orthostatic neurovascular reflexes (orthostatic hypotension) 2)altered distribution of blood volume 3)venous vasodilation and stasis 4)dependent edema 5)increase use of valsalva maneuver 6)thrombus 7)diminished cardiac reserve • Question 16 0 out of 1 points Barriers to evidence-based practice (EBP) include which of the following? An organizational culture that does not support change • Question 17 1 out of 1 points When a labor and delivery nurse tells a coworker that an Asian client probably did not want any pain medication because "Asian women typically are stoic," the nurse is expressing what? Stereotyping • Question 18 1 out of 1 points What nursing statement may be seen as the first line in a SOAP note? Client complaining of abdominal pain rated 8/10 • Question 19 1 out of 1 points Examples of evidence-based practice (EBP) include which of the following? (Select all that apply) Catheter associated urinary tract infections practice alert Prevention of pressure ulcers Pain assessment as the fifth vital sign • Question 20 1 out of 1 points An elderly client has impaired sensation in her lower extremities. What educational statement would be necessary to reduce her risk of injury? Always test the temperature of bath water before stepping in • Question 21 1 out of 1 points Advantages of open-ended questions include what? (Select all that apply): The let the interviewee(client) do the talking They can provide information the interviewer did not ask for The interviewer is able to listen and observe • Question 22 1 out of 1 points The nurse is admitting a new client to the unit. The nurse notes that this client would need an alternate meal choice when the menu specified pork for a meal. What cultural group would require an alternative meal choice? Muslim • Question 23 1 out of 1 points When providing nursing care to an African American individual, which of the following cultural factors should the nurse consider? Values and beliefs are often present oriented • Question 24 1 out of 1 points When evaluating a resident for transition from a long-term care facility to a home environment, what may the nurse ask the resident to perform? ADLs • Question 25 1 out of 1 points All individuals, according to Maslow's Hierarchy of Needs, have which of the following? Basic human needs • Question 26 1 out of 1 points What is one of the most significant trends in health care today? Shift from hospitals to community-based care • • Question 27 1 out of 1 points A group of nurses are planning to investigate the effectiveness of turning immobilized stroke clients' more frequently in order to prevent skin breakdown. The team has begun by formulating a PICO question. Which of the following will the "O" in the team's PICO question refer to? "O" denotes the outcome of interest ex: Preventing skin breakdown. • Question 28 1 out of 1 points A staff development nurse is teaching proper body mechanics to newly hired nursing assistants at a long term care facility. What technique can be used to help prevent a back injury? Spreading feet shoulder-width apart to broaden the base of support Holding the object that you are lifting close to your body • Question 29 1 out of 1 points When caring for a client who is visually impaired, the nurse will do which of the following? Explain the reason for touching the client before doing so? • Question 30 1 out of 1 points The clinical nurse educator at a long-term care facility is responsible for organizing and carrying out staff education sessions. Which of the following topics for the all-staff education is most likely to benefit the greatest number of residents? Teaching nurses how to prevent falls • Question 31 1 out of 1 points The documentations states, "patient is highly satisfied with her spiritual wellness." What would the supporting documentation show to support spiritual wellness? Having peace and harmony with your values and actions • Question 32 1 out of 1 points A nurse is collecting data from a client who has required strict bedrest for 1 week. What should the nurse identify as an indication that the client is ready to ambulate? Performs active ROM exercises of all extremities. • Question 33 1 out of 1 points There are four concepts common in all nursing theories. Which one of the four concepts is the focus of nursing? The person • Question 34 1 out of 1 points The student nurse knows mobility contributes to positive outcomes throughout the body. What is a positive effect of mobility on the urinary system? Prevents stasis of urine in the bladder • Question 35 1 out of 1 points What is the primary purpose of an incident report? Quality improvement • Question 36 1 out of 1 points A grade school nurse is addressing parents at a Parent Teacher Association (PTA) meeting regarding car safety. What is a recommended safety guideline for grade school children? Booster seats should be used for children until they are 4-feet 9-inches tall or at least 8 years of age. • Question 37 1 out of 1 points Nurses are responsible for making sure their educational background and clinical experience are adequate to fulfill the nursing responsibilities delineated by the job description. What is one way to violate this responsibility? Accepting assignments that the nurse feels are unsafe • Question 38 1 out of 1 points After reviewing several research articles, the clinical nurse specialist on a medical surgical unit rewrites the procedure on assessing placement of a nasogastric tube. What source of nursing knowledge did the nurse use in this situation? scientific knowledge • Question 39 1 out of 1 points What is the best explanation for the way evidence-based practice (EBP) has changed the way nursing care is delivered? nursing care now uses EBP as a means of ensuring quality care • Question 40 0 out of 1 points When assessing a client's blood pressure manually, the nurse can use which artery? (Select all that apply). Brachial artery, radial, popliteal • Question 41 1 out of 1 points The physician's admitting orders indicate that the client is to be placed in a Fowler's position. Upon positioning this client, how much will the nurse elevate the head of the bed? 45 to 60 degrees • Question 42 0 out of 1 points A nursing student is conducting a literature review to find evidence-based practice (EBP) standards for the nursing care of clients diagnosed with diabetes. The student nurse knows that the first step in this process is to locate reputable sources of information. Which sources below would not be appropriate for the nursing student to use for the literature review? Unreliable websites? Medline: an online database of health care related journals Diabetes Care: a peer reviewed journal published by the American Diabetes Association Cumulative Index to Nursing and Allied Health Literature • Question 43 1 out of 1 points The nurse is caring for a client diagnosed with late-stage Alzheimer's disease and he requires full assistance with transfers to and from the bed. What nursing actions is most likely to promote safe handling of this client? Provide to the client brief, clear instructions that are phrased positively. • Question 44 1 out of 1 points An adolescent has recently had a ring inserted into her navel. What is the greatest risk facing the adolescent as a result of this activity? An infection • Question 45 1 out of 1 points What is one of the most significant trends in health care today? Shift from hospitals to community-based care • Question 46 1 out of 1 points A registered nurse, by the name of Alicia Jones, is documenting assessments at the beginning of the shift. How should the nurse sign the entry? A. Jones, RN • Question 47 1 out of 1 points The nurse is planning health teaching for a client with advanced kidney failure. Which of the following tertiary health promotion activities would the nurse include? Medications, Medical therapy, Surgical treatment, Rehabilitation, Physical therapy, Occupational therapy, job training • Question 48 1 out of 1 points A charge nurse is implementing the ISBARR communication tool for nurses and physicians. How can the nurse help to reduce resistance to this change? explain the change by listing advantages to nurses, physicians and patients • Question 49 1 out of 1 points A nursing instructor has assigned a student to care for a client of Asian descent. The instructor reminds the student that personal space considerations vary among cultures. What personal space preferences are important for the student to consider when caring for this client? People of Asian descent prefer some distance between themselves and others. • Question 50 1 out of 1 points When evaluating a resident for transition from a long-term care facility to a home environment, what may the nurse ask the resident to perform? ADLs