NURS 426- EXAM 1 QUESTIONS WITH CORRECT RATIONALES
An cexample cof ca cnursing cactivity cthat cbest creflects cthe cAmerican cNurses cAssociation cdefinition cof cnursing cis:
a.) cTreating cdysrhythmias cthat coccur cin ca cpatient cin cthe ccoronary ccare cunit
b.) cDiagnosing ca cpatient cwith ca cfeeding ctube cads cbeing cat crisk cfor caspiration
c.) cEstablishing cprotocols cfor ctreating cpatients cin cemergency cdepartments
d.) cProviding cantianxiety cdrugs cfor ca cpatient cwho chas cdisturbed csleep cpatterns c- cCORRECT cANS✔✔b
A cnurse cworking con cthe cmedical-surgical cunit cat can curban chospital cwould clike cto cbecome ccertified cin cmedical-surgical
cnursing. cThe cnurse cknows cthat cthis cprocess cwould cmost clikely crequire:
a.) cA cbachelor's cdegree
b.) cFormal ceducation cin cadvanced cpractice cnursing
c.) cExperience cfor cspecific cperiod cin cmedical-surgical cnursing
d.) cMembership cin ca cmedical-surgical cnursing cspeciality corganization c- cCORRECT cANS✔✔c
A cnurse cis cproviding ccare cto ca cpatient cafter cright chip csurgery. cWithin ca cpay-for-performance csystem, ca ccritical crole cof cthe
cnurse cis cto:
a.) cEnsure cthat ccare cis cprovided cusing ca cminimal camount cof csupplies
b.) cDischarge cthe cpatient cat ccompletion cof capproved cdays cof ccare
c.)Implement cmeasures cto cdecrease cthe crisk cof cthe cpatient cacquiring can cinfection
d.) cAssess cthe cpatient's cability cto cpay cfor chealth ccare cservices cat cthe ctime cof cadmission c- cCORRECT cANS✔✔c
The clinkages camong cNANDA-I cnursing cdiagnoses, cNOC cpatient coutcomes cand cNIC cnursing cinterventions ccan cbe cused cto:
a.)Evaluate cpatient coutcomes
b.)Provide cguides cfor cplanning ccare
c.) cPredict cthe cresults cof cnursing ccare
d.) cShorten cwritten ccare cplans cfor cindividual cpatients c- cCORRECT cANS✔✔b
The cnurse cis ccaring cfor ca cdiabetic cpatient cin cthe cambulatory csurgical cunit cwho chas cundergone cdebridement cof can cinfected
ctoe. cWhich ctask cis cappropriate cfor cthe cnurse cto cdelegate cto cthe cunlicensed cassistive cpersonnel c(UAP)?
a.) cCheck cpatients cvital csigns
b.) cMonitor cthe cpatient's cpain clevel
c.) cAsses cthe cpatient's cIV ccatheter csite
d.) cEvaluate cthe cpatient's ctibial cand cpedal cpulses c- cCORRECT cANS✔✔a
The cnurse's crole cin caddressing cthe cNational cpatient csafety cgoals cestablished cby cthe cjoint ccommission cincludes c(select call
cthat capply)
a.) cAnswering cmonitoring calarms cin ca ctimely cmanner
b.) cUsing cside crails cand calarm csystems cas cnecessary cto cprevent cpatient cfalls
c.) cObtaining ca ccomplete, caccurate clist cof cthe cpatient's cmedications con cadmission
d.) cMemorizing cand cimplementing call cthe crules cfor cpublished cby cthe cjoint ccommission
, E.) cEncouraging cpatients cto cbe cactively cinvolved cin cand cquestion ctheir cown chealthcare c- cCORRECT cANS✔✔abc
Advantages cof cusing cinformatics cin chealth ccare cdelivery care c(select call cthat capply):
a.) cReduced cneed cfor cnurses cin cacute ccare
b.) cIncreased cpatient canonymity cand cconfidentiality
c.) cThe cability cto cachieve cand cmaintain chigh cstandards cof ccare
d.) cAccess cto cstandard cplans cof ccare cfor cmany chealth cproblems c
e.) cImproved ccommunication cof cthe cpatient's chealth cstatus cto cthe chealth ccare cteam c- cCORRECT cANS✔✔cde
When cusing cevidence-based cpractice, cthe cnurse:
a.) cMust cuse cclinical cpractice cguidelines cdeveloped cby cnational chealth cagencies
b.) cShould cuse cfindings cfrom crandomized ccontrolled ctrials cto cplan ccare cfor call cpatient cproblems
c.) cUses cclinical cdecision cmaking cand cjudgement cto cdetermine cwhat cevidence cis cappropriate cfor ca cspecific cclinical csituation
d.) cStatistically canalyzes cthe crelationship cof cnursing cinterventions cto cpatient coutcomes cto cestablish cevidence cfor cthe cmost
cappropriate cpatient cinterventions c- cCORRECT cANS✔✔c
During cthe cpostoperative ccare cof ca c76 cyear cold cpatient, cthe cnurse cmonitors cthe cpatient's cintake cand coutput ccarefully,
cknowing cthat cthe cpatient cis cat crisk cfor cfluid cand celectrolyte cimbalances cprimarily cbecause c(chapter c16):
a.) cOlder cadults chave can cimpaired cthirst cmechanism cand cneed creminding cto cdrink cfluids
b.) cWater caccounts cfor cgreater cpercentage cof cbody cweight cin cthe colder cadult cthan cin cyounger cadults
c.) cOlder cadults care cmore clikely cthan cyounger cadults cto close cextra-cellular cfluid cduring csurgical cprocedures
d.) cSmall closses cof cfluid care csignificant cbecause cbody cfluids caccount cfor c45-50% cof cbody cweight cin colder cadults c-
cCORRECT cANS✔✔d
During cadministration cof ca chypertonic cIV csolution, cthe cmechanism cin cequalizing cthe cfluid cconcentration cbetween cECF cand
cthe ccells cis:
a.) cOsmosis
b.) cDiffusion
c.) cActive ctransport
d.) cFacilitated cdiffusion c- cCORRECT cANS✔✔a
An colder cwoman cwas cadmitted cto cthe cmedical cunit cwith cGI cbleeding cand cfluid cvolume cdeficit. cClinical cmanifestations cof cthis
cproblem care c(select call cthat capply)
a.) cWeight closs
b.) cDry coral cmucosa
c.) cFull cbounding cpulse
d.) cEngorged cneck cveins
e.) cDecreased ccentral cvenous cpressure c- cCORRECT cANS✔✔abc
The cnursing ccare cfor ca cpatient cwith chyponatremia cand cfluid cvolume cexcess cincludes
a.) cFluid crestriction
b.) cAdministration cof chypotonic cIV cfluids
c.) cAdministration cof ccation-exchange cresin
d.) cPlacement cof can cindwelling ccatheter c- cCORRECT cANS✔✔a
The cnurse cshould cbe calert cfor cwhich cmanifestations cin ca cpatient creceiving ca cloop cdiuretic?
a.) cRestlessness cand cagitation
b.) cParesthesias cand cirritability
c.) cWeak, cirregular cpulse cand cpoor cmuscle ctone
d.) cIncreased cblood cpressure cand cmuscle cspasms c- cCORRECT cANS✔✔c
The ctypical cfluid creplacement cfor ca cpatient cwith ca cfluid cvolume cdeficit cis
a.) cDextran
b.) c0.45% csaline
c.) cLactated cringers
d.) c5% cdextrose cin ca c0.45% csaline c- cCORRECT cANS✔✔c
Pain cis cdescribed cas: c(chapter c8)
a.) cA ccreation cof ca cperson's cimagination
b.) cAn cunpleasant, csubjective cexperience
c.) cA cmaladaptive cresponse cto ca cstimulus
d.) cA cneurologic cevent cresulting cfrom cactivation cof cnociceptors c- cCORRECT cANS✔✔b
An cexample cof ca cnursing cactivity cthat cbest creflects cthe cAmerican cNurses cAssociation cdefinition cof cnursing cis:
a.) cTreating cdysrhythmias cthat coccur cin ca cpatient cin cthe ccoronary ccare cunit
b.) cDiagnosing ca cpatient cwith ca cfeeding ctube cads cbeing cat crisk cfor caspiration
c.) cEstablishing cprotocols cfor ctreating cpatients cin cemergency cdepartments
d.) cProviding cantianxiety cdrugs cfor ca cpatient cwho chas cdisturbed csleep cpatterns c- cCORRECT cANS✔✔b
A cnurse cworking con cthe cmedical-surgical cunit cat can curban chospital cwould clike cto cbecome ccertified cin cmedical-surgical
cnursing. cThe cnurse cknows cthat cthis cprocess cwould cmost clikely crequire:
a.) cA cbachelor's cdegree
b.) cFormal ceducation cin cadvanced cpractice cnursing
c.) cExperience cfor cspecific cperiod cin cmedical-surgical cnursing
d.) cMembership cin ca cmedical-surgical cnursing cspeciality corganization c- cCORRECT cANS✔✔c
A cnurse cis cproviding ccare cto ca cpatient cafter cright chip csurgery. cWithin ca cpay-for-performance csystem, ca ccritical crole cof cthe
cnurse cis cto:
a.) cEnsure cthat ccare cis cprovided cusing ca cminimal camount cof csupplies
b.) cDischarge cthe cpatient cat ccompletion cof capproved cdays cof ccare
c.)Implement cmeasures cto cdecrease cthe crisk cof cthe cpatient cacquiring can cinfection
d.) cAssess cthe cpatient's cability cto cpay cfor chealth ccare cservices cat cthe ctime cof cadmission c- cCORRECT cANS✔✔c
The clinkages camong cNANDA-I cnursing cdiagnoses, cNOC cpatient coutcomes cand cNIC cnursing cinterventions ccan cbe cused cto:
a.)Evaluate cpatient coutcomes
b.)Provide cguides cfor cplanning ccare
c.) cPredict cthe cresults cof cnursing ccare
d.) cShorten cwritten ccare cplans cfor cindividual cpatients c- cCORRECT cANS✔✔b
The cnurse cis ccaring cfor ca cdiabetic cpatient cin cthe cambulatory csurgical cunit cwho chas cundergone cdebridement cof can cinfected
ctoe. cWhich ctask cis cappropriate cfor cthe cnurse cto cdelegate cto cthe cunlicensed cassistive cpersonnel c(UAP)?
a.) cCheck cpatients cvital csigns
b.) cMonitor cthe cpatient's cpain clevel
c.) cAsses cthe cpatient's cIV ccatheter csite
d.) cEvaluate cthe cpatient's ctibial cand cpedal cpulses c- cCORRECT cANS✔✔a
The cnurse's crole cin caddressing cthe cNational cpatient csafety cgoals cestablished cby cthe cjoint ccommission cincludes c(select call
cthat capply)
a.) cAnswering cmonitoring calarms cin ca ctimely cmanner
b.) cUsing cside crails cand calarm csystems cas cnecessary cto cprevent cpatient cfalls
c.) cObtaining ca ccomplete, caccurate clist cof cthe cpatient's cmedications con cadmission
d.) cMemorizing cand cimplementing call cthe crules cfor cpublished cby cthe cjoint ccommission
, E.) cEncouraging cpatients cto cbe cactively cinvolved cin cand cquestion ctheir cown chealthcare c- cCORRECT cANS✔✔abc
Advantages cof cusing cinformatics cin chealth ccare cdelivery care c(select call cthat capply):
a.) cReduced cneed cfor cnurses cin cacute ccare
b.) cIncreased cpatient canonymity cand cconfidentiality
c.) cThe cability cto cachieve cand cmaintain chigh cstandards cof ccare
d.) cAccess cto cstandard cplans cof ccare cfor cmany chealth cproblems c
e.) cImproved ccommunication cof cthe cpatient's chealth cstatus cto cthe chealth ccare cteam c- cCORRECT cANS✔✔cde
When cusing cevidence-based cpractice, cthe cnurse:
a.) cMust cuse cclinical cpractice cguidelines cdeveloped cby cnational chealth cagencies
b.) cShould cuse cfindings cfrom crandomized ccontrolled ctrials cto cplan ccare cfor call cpatient cproblems
c.) cUses cclinical cdecision cmaking cand cjudgement cto cdetermine cwhat cevidence cis cappropriate cfor ca cspecific cclinical csituation
d.) cStatistically canalyzes cthe crelationship cof cnursing cinterventions cto cpatient coutcomes cto cestablish cevidence cfor cthe cmost
cappropriate cpatient cinterventions c- cCORRECT cANS✔✔c
During cthe cpostoperative ccare cof ca c76 cyear cold cpatient, cthe cnurse cmonitors cthe cpatient's cintake cand coutput ccarefully,
cknowing cthat cthe cpatient cis cat crisk cfor cfluid cand celectrolyte cimbalances cprimarily cbecause c(chapter c16):
a.) cOlder cadults chave can cimpaired cthirst cmechanism cand cneed creminding cto cdrink cfluids
b.) cWater caccounts cfor cgreater cpercentage cof cbody cweight cin cthe colder cadult cthan cin cyounger cadults
c.) cOlder cadults care cmore clikely cthan cyounger cadults cto close cextra-cellular cfluid cduring csurgical cprocedures
d.) cSmall closses cof cfluid care csignificant cbecause cbody cfluids caccount cfor c45-50% cof cbody cweight cin colder cadults c-
cCORRECT cANS✔✔d
During cadministration cof ca chypertonic cIV csolution, cthe cmechanism cin cequalizing cthe cfluid cconcentration cbetween cECF cand
cthe ccells cis:
a.) cOsmosis
b.) cDiffusion
c.) cActive ctransport
d.) cFacilitated cdiffusion c- cCORRECT cANS✔✔a
An colder cwoman cwas cadmitted cto cthe cmedical cunit cwith cGI cbleeding cand cfluid cvolume cdeficit. cClinical cmanifestations cof cthis
cproblem care c(select call cthat capply)
a.) cWeight closs
b.) cDry coral cmucosa
c.) cFull cbounding cpulse
d.) cEngorged cneck cveins
e.) cDecreased ccentral cvenous cpressure c- cCORRECT cANS✔✔abc
The cnursing ccare cfor ca cpatient cwith chyponatremia cand cfluid cvolume cexcess cincludes
a.) cFluid crestriction
b.) cAdministration cof chypotonic cIV cfluids
c.) cAdministration cof ccation-exchange cresin
d.) cPlacement cof can cindwelling ccatheter c- cCORRECT cANS✔✔a
The cnurse cshould cbe calert cfor cwhich cmanifestations cin ca cpatient creceiving ca cloop cdiuretic?
a.) cRestlessness cand cagitation
b.) cParesthesias cand cirritability
c.) cWeak, cirregular cpulse cand cpoor cmuscle ctone
d.) cIncreased cblood cpressure cand cmuscle cspasms c- cCORRECT cANS✔✔c
The ctypical cfluid creplacement cfor ca cpatient cwith ca cfluid cvolume cdeficit cis
a.) cDextran
b.) c0.45% csaline
c.) cLactated cringers
d.) c5% cdextrose cin ca c0.45% csaline c- cCORRECT cANS✔✔c
Pain cis cdescribed cas: c(chapter c8)
a.) cA ccreation cof ca cperson's cimagination
b.) cAn cunpleasant, csubjective cexperience
c.) cA cmaladaptive cresponse cto ca cstimulus
d.) cA cneurologic cevent cresulting cfrom cactivation cof cnociceptors c- cCORRECT cANS✔✔b
