NUR 634 MIDTERM EXAM NEWEST ACTUAL EXAM (2 VERSIONS) WITH COMPLETE QUESTIONS AND DETAILED ANSWERS GRADED A+ | BRAND NEW 2026/2027!!!

NUR 634 MIDTERM EXAM NEWEST ACTUAL EXAM (2 VERSIONS) WITH COMPLETE QUESTIONS AND DETAILED ANSWERS GRADED A+ | BRAND NEW 2026/2027!!! During a staff meeting, nurses discuss the problems with accessing research studies to incorporate evidence-based clinical decision making into their practice. Which suggestion by the nurse manager would best help these problems? a . Form a committee to conduct research studies. b . Post published research studies on the units bulletin boards. c . Encourage the nurses to visit the library to review studies. d . Teach the nurses how to conduct electronic searches for research studies. - Correct Answer ANS: D Facilitating support for EBP would include teaching the nurses how to conduct electronic searches; time to visit the library may not be available for many nurses. Actually conducting research studies may be helpful in the longrun but not an immediate solution to reviewing existing research. When performing a physical examination, safety must be considered to protect the examiner and the patient against the spread of infection. Which of these statements describes the most appropriate action the nurse should take when performing a physical examination? a . Washing ones hands after removing gloves is not necessary, as long as the gloves are still intact. b . Hands are washed before and after every physical patient encounter. c . Hands are washed before the examination of each body system to prevent the spread of bacteria from one part of the body to another. d . Gloves are worn throughout the entire examination to demonstrate to the patient concern regarding the spread of infectious diseases - Correct Answer ANS: B The nurse should wash his or her hands before and after every physical patient encounter; after contact with blood, body fluids, secretions, and excretions; after contact with any equipment contaminated with body fluids; and after removing gloves. Hands should be washed after gloves have been removed, even if the gloves appear to be intact. Gloves should be worn when potential contact with any body fluids is present. The nurse recognizes that the concept of prevention in describing health is essential because: a . Disease can be prevented by treating the external environment. b . The majority of deaths among Americans under age 65 years are not preventable. c . Prevention places the emphasis on the link between health and personal behavior. d . The means to prevention is through treatment provided by primary health care practitioners. - Correct Answer ANS: C A natural progression to prevention rounds out the present concept of health. Guidelines to prevention place the emphasis on the link between health and personal behavior. 20. The nurse is performing a physical assessment on a newly admitted patient. An example of objective information obtained during the physical assessment includes the a . Patients history of allergies. B . Patients use of medications at home. c . Last menstrual period 1 month ago. d . 2 5 cm scar on the right lower forearm. - Correct Answer ANS: D Objective data are the patients record, laboratory studies, and condition that the health professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. The other responses reflect subjective data. When reviewing the concepts of health, the nurse recalls that the components of holistic health include which of these? a . Disease originates from the external environment. b . The individual human is a closed system. c . Nurses are responsible for a patients health state. d . Holistic health views the mind, body, and spirit as interdependent. - Correct Answer ANS: D Consideration of the whole person is the essence of holistic health, which views the mind, body, and spirit as interdependent. The basis of disease originates from both the external environment and from within the person. Both the individual human and the external environment are open systems, continually changing and adapting, and each person is responsible for his or her own personal health state. A visiting nurse is making an initial home visit for a patient who has many chronic medical problems. Which type of data base is most appropriate to collect in this setting? a . A follow-up data base to evaluate changes at appropriate intervals b . An episodic data base because of the continuing, complex medical problems of this patient c . A complete health data base because of the nurses primary responsibility for monitoring the patients health d . An emergency data base because of the need to collect information and make accurate diagnoses rapidly - Correct Answer ANS: C The complete data base is collected in a primary care setting, such as a pediatric or family practice clinic, independent or group private practice, college health service, womens health care agency, visiting nurse agency, or community health agency. In these settings, the nurse is the first health professional to see the patient and has the primary responsibility for monitoring the persons health care. A patient is at the clinic to have her blood pressure checked. She has been coming to the clinic weekly since she changed medications 2 months ago. The nurse should: a . Collect a follow-up data base and then check her blood pressure . b . Ask her to read her health record and indicate any changes since her last visit. c . Check only her blood pressure because her complete health history was documented 2 months ago. d . Obtain a complete health history before checking her blood pressure because much of her history information may have changed - Correct Answer ANS: A A follow-up data base is used in all settings to follow up short-term or chronic health problems. The other responses are not appropriate for the situation A patient is brought by ambulance to the emergency department with multiple traumas received in an automobile accident. He is alert and cooperative, but his injuries are quite severe. How would the nurse proceed with data collection? a Collect history information first, then perform the physical examination and . institute life-saving measures. b . Simultaneously ask history questions while performing the examination and initiating life-saving measures. c . Collect all information on the history form, including social support patterns, strengths, and coping patterns. d . Perform life-saving measures and delay asking any history questions until the patient is transferred to the intensive care unit. - Correct Answer ANS: B The emergency data base calls for a rapid collection of the data base, often concurrently compiled with life-saving measures. The other responses are not appropriate for the situation. A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination. The nurse knows that including cultural information in his health assessment is important to: a Identify the cause of his illness. . b Make accurate disease diagnoses. . c Provide cultural health rights for the individual. . d Provide culturally sensitive and appropriate care. - Correct Answer ANS: D The inclusion of cultural considerations in the health assessment is of paramount importance to gathering data that are accurate and meaningful and to intervening with culturally sensitive and appropriate care When performing a physical assessment, the first technique the nurse will always use is: a . Palpation. b . Inspection. c . Percussion.