BSMCON NUR 2101 - STUDY GUIDE-Final – Questions
With Complete Solutions
2. What are some guidelines for safe computer charting?
Correct Answers Safe computer charting - Interprofessional
Communication Slide 23
Don't share your password
Log off when unattended
Follow policy in correcting errors
Avoid leaving information where others can see it
Protect any printed information
3. What are key elements of a hand-off report? Correct Answers
3. Key elements of a hand-off report - Interprofessional
Basic identifying information - name, age, medical diagnosis
Significant changes in condition - new physician orders
Provide exact information regarding interventions for significant
changes
Client's need for emotional support
4. What tasks may not be delegated? Correct Answers 4. Tasks
that my not be delegated - Interprofessional
Assessment
Interpretation of data
Making a surgical diagnosis
Creation of a nursing care plan
Evaluation of care of effectiveness
Care of invasive lines
Client education
,A 24-year-old patient is admitted to the trauma unit with a
diagnosis of a fractured femur after a motor vehicle accident. He
states that he has pain in the injured leg. What should be the first
action taken by the nurse?
A) Administer the lowest dose of pain medication.
B) Assess the characteristics of the pain.
C) Call the orthopedic surgeon.
D) Complete the admission assessment. Correct Answers B)
Assess the characteristics of the pain.
A 4-year-old pediatric patient resists going to sleep. To assist
this patient, the best action to take would be
A. Adding a daytime nap.
B. Allowing the child to sleep longer in the morning.
C. Maintaining the child's home sleep routine.
D. Offering the child a bedtime snack. Correct Answers C.
Maintaining the child's home sleep routine.
A 50 year old woman decides to have an annual mammogram.
Which level of prevention is this patient practicing?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Rehabilitation Correct Answers B) Secondary prevention
A 55 year old patient is being discharged after a heart attack. He
is being referred to a cardiac program where he will receive
education on healthy eating, exercise and stress reduction. This
is an example of:
A) Primary prevention
B) Secondary prevention
,C) Tertiary prevention
D) Rehabilitation Correct Answers C) Tertiary prevention
A 7-year-old pediatric patient tells you that he is in pain. The
patient rates the pain as 4 on the Faces Pain Scale of 0 to 10. His
mother, who is in the room, states that her son is having pain at a
level of 8 on the 0 to 10 scale. Which is the most accurate
assessment of the pain?
A) The patient is the best resource for assessing the pain and
should receive the appropriate pain medication.
B) The patient is the best resource for assessing the pain but
should not receive the pain medication because his pain level is
only 4 out of 10.
C) The primary health care provider is the best resource for
assessing the pain and should be called to determine if the pain
medication should be administered.
D) The family member is the best resource for assessing the
pain, and the patient should receive the maximum dose of pain
medication ordered. Correct Answers The patient is the best
resource for assessing the pain and should receive the
appropriate pain medication.
A child care seat program is what level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Rehabilitation Correct Answers Primary
A health care provider may suspect that a patient is experiencing
urinary retention when the patient has:
A.Large amounts of voided clouded urine.
, B. Pain in the suprapubic region.
C. Spasms and difficulty during urination.
D. Small amounts of urine voided 2 to 3 times per hour. Correct
Answers Small amounts of urine voided 2 to 3 times per hour.
A hospital is conducting a community blood pressure screening.
Example of what level of care? Correct Answers Primary Care
A newly admitted patient was found wandering the hallways for
the past 2 nights. The most appropriate nursing interventions to
prevent a fall for this patient would include
A. Raise all four side rails when darkness falls.
B. Use an electronic bed monitoring device.
C. Place the patient in a room close to the nursing station.
D. Use a loose-fitting vest-type jacket restraint. Correct
Answers B. Use an electronic bed monitoring device.
A nurse asks the patient to rate their pain from 0 to 10.
However, instead of only asking that question, the nurse also
asks, "What makes the pain worse? Where does it hurt?" The
nurse is following which critical thinking attitude?
A) Accountability
B) Discipline
C) Completeness
D) Curiosity Correct Answers B) Discipline
A nurse collects data about a patient. What should the nurse do
next?
A) Plan nursing interventions
B) Right patient-centered goals
C) Formulate nursing diagnosis
With Complete Solutions
2. What are some guidelines for safe computer charting?
Correct Answers Safe computer charting - Interprofessional
Communication Slide 23
Don't share your password
Log off when unattended
Follow policy in correcting errors
Avoid leaving information where others can see it
Protect any printed information
3. What are key elements of a hand-off report? Correct Answers
3. Key elements of a hand-off report - Interprofessional
Basic identifying information - name, age, medical diagnosis
Significant changes in condition - new physician orders
Provide exact information regarding interventions for significant
changes
Client's need for emotional support
4. What tasks may not be delegated? Correct Answers 4. Tasks
that my not be delegated - Interprofessional
Assessment
Interpretation of data
Making a surgical diagnosis
Creation of a nursing care plan
Evaluation of care of effectiveness
Care of invasive lines
Client education
,A 24-year-old patient is admitted to the trauma unit with a
diagnosis of a fractured femur after a motor vehicle accident. He
states that he has pain in the injured leg. What should be the first
action taken by the nurse?
A) Administer the lowest dose of pain medication.
B) Assess the characteristics of the pain.
C) Call the orthopedic surgeon.
D) Complete the admission assessment. Correct Answers B)
Assess the characteristics of the pain.
A 4-year-old pediatric patient resists going to sleep. To assist
this patient, the best action to take would be
A. Adding a daytime nap.
B. Allowing the child to sleep longer in the morning.
C. Maintaining the child's home sleep routine.
D. Offering the child a bedtime snack. Correct Answers C.
Maintaining the child's home sleep routine.
A 50 year old woman decides to have an annual mammogram.
Which level of prevention is this patient practicing?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Rehabilitation Correct Answers B) Secondary prevention
A 55 year old patient is being discharged after a heart attack. He
is being referred to a cardiac program where he will receive
education on healthy eating, exercise and stress reduction. This
is an example of:
A) Primary prevention
B) Secondary prevention
,C) Tertiary prevention
D) Rehabilitation Correct Answers C) Tertiary prevention
A 7-year-old pediatric patient tells you that he is in pain. The
patient rates the pain as 4 on the Faces Pain Scale of 0 to 10. His
mother, who is in the room, states that her son is having pain at a
level of 8 on the 0 to 10 scale. Which is the most accurate
assessment of the pain?
A) The patient is the best resource for assessing the pain and
should receive the appropriate pain medication.
B) The patient is the best resource for assessing the pain but
should not receive the pain medication because his pain level is
only 4 out of 10.
C) The primary health care provider is the best resource for
assessing the pain and should be called to determine if the pain
medication should be administered.
D) The family member is the best resource for assessing the
pain, and the patient should receive the maximum dose of pain
medication ordered. Correct Answers The patient is the best
resource for assessing the pain and should receive the
appropriate pain medication.
A child care seat program is what level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Rehabilitation Correct Answers Primary
A health care provider may suspect that a patient is experiencing
urinary retention when the patient has:
A.Large amounts of voided clouded urine.
, B. Pain in the suprapubic region.
C. Spasms and difficulty during urination.
D. Small amounts of urine voided 2 to 3 times per hour. Correct
Answers Small amounts of urine voided 2 to 3 times per hour.
A hospital is conducting a community blood pressure screening.
Example of what level of care? Correct Answers Primary Care
A newly admitted patient was found wandering the hallways for
the past 2 nights. The most appropriate nursing interventions to
prevent a fall for this patient would include
A. Raise all four side rails when darkness falls.
B. Use an electronic bed monitoring device.
C. Place the patient in a room close to the nursing station.
D. Use a loose-fitting vest-type jacket restraint. Correct
Answers B. Use an electronic bed monitoring device.
A nurse asks the patient to rate their pain from 0 to 10.
However, instead of only asking that question, the nurse also
asks, "What makes the pain worse? Where does it hurt?" The
nurse is following which critical thinking attitude?
A) Accountability
B) Discipline
C) Completeness
D) Curiosity Correct Answers B) Discipline
A nurse collects data about a patient. What should the nurse do
next?
A) Plan nursing interventions
B) Right patient-centered goals
C) Formulate nursing diagnosis
