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Exam (elaborations)

NUR 305 FOUNDATIONS OF NURSING QUESTIONS

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NUR 305 FOUNDATIONS OF NURSING QUESTIONS

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NUR 305: FOUNDATIONS OF NURSING QUESTIONS

One factor that prevents nursing from being described as a profession rather than as a
"job" would be
a. nursing knowledge is based on scientific knowledge
b. nurses create a plan of care using nursing diagnoses
c. most nurses only work to earn a paycheck
d. in general, the work of the nurse is determined by the healthcare facilities as
employers - Answer -D
Rationale: in most healthcare facilities, the organization dictates the work routine and
the nurse's daily functions. a profession is more autonomous in controlling the practice
environment.

Which organization is directly responsible for regulating the practice of nursing in each
state?
a. the state board of nursing
b. the state legislature
c. The American Nurses Association
d. The American Medical Association - Answer -A
Rationale: the state legislature enacts the Nurse Practice Act (NPA). the NPA creates a
board of nursing. the board of nursing in each state is charged with regulating the
practice of nursing.

The atrioventricular (AV) node is the pacemaker of the heart.
a. True
b. False - Answer -B
Rationale: located in the right atrium, the sinoatrial (SA) node acts as the pacemaker. it
initiated an impulse that triggers each heartbeat. the impulse travels rapidly down the
atrial conduction system so that both atria contract as a unit.

Mr. Zenobia's chronic cancer pain has recently increased and he asks the home health
nurse what can be done. In relation to his long-acting morphine, which is an appropriate
response by the nurse?
a. "If you take more morphine, it will not change your pain relief."
b. "I'll call the primary care provider and ask for an increased dose."
c. "The amount you are taking now is all I can give you."
d. "I'm worried if we increase your dose that you will stop breathing." - Answer -B
Rationale: There is no ceiling on the analgesic effect of opioid narcotics. Patients
develop a tolerance to the effects, which often necessitates an increase in the dose.

While caring for a child, you identify that additional safety teaching is needed when a
young and inexperienced mother states that:
a. teenagers need to practice safe sex
b. a 3-year-old can safely sit in the front seat of the car
c. children need to wear safety equipment when bike riding

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