Comprehensive Exam Questions And Answers

a farm worker who has been kicked in the stomach by a mule passes a foul, black, tarry stool. What is this called? a. loose stool b. melena c. hematuria d. hemoptysis - ANS b a lpn/lvn is asked by the RN to administer an IV chemotherapeutic agent to a pt in the acute care setting. What law should this nurse refer to before initiating this intervention? a. standards of care b. regulation of practice c. American nurses' association code d. nurse practice act - ANS d a lvn received her license in the state of California. She relocated to the state of Texas and is now practicing there. this is called: a. reciprocity b. endorsement c. standard of care d. nurse practice act - ANS b A nurse is American born and works in a large hospital with patients from many cultures. what must this nurse develop to provide the best care? a. another language b. assessment skills c. cultural competence d. care planning ability - ANS c a nurse is preparing to discuss birth control options for a Roman Catholic patient. What is the most appropriate method for the nurse to discuss with this patient? a. abstinence b. vasectomy c. tubal ligation d. oral contraceptives - ANS a. abstinence a nurse is using the data, action, response, education system of charting and is completing the data portion. What data is the nurse's focus? a. planning b. assessment c. implementation d. patient teaching - ANS b a patient is suspected of having a cardiac arrhythmia. the nurse is concerned with the findings of an apical rate of 88 and a radial rate of 80. What is the term for the difference between these two rates? a. pulse pressure b. unequal pulses c. pulse deficit d. tachycardia - ANS c A physician orders a patient to be placed in the Trendelenburg position. How will the nurse position the bed? a. on the floor b. parallel with the floor c. tilted with the head of the bed down d. tilted with the foot of the bed down - ANS c. Tilted with the head of the bed down clear water is used to cleanse the eyes. It is important to use proper technique when cleansing the eyes to prevent infection. What direction will the water flow when cleansing a patient's eyes? a. upward toward the forehead b. downward toward the chin c. from the outer toward the inner canthus d. from the inner toward the outer canthus - ANS d culture varies from patient to patient. Why is it important that the nurse understands and accepts each person as an individual? a. to develop a plan of care b. to provide holistic care c. to identify differences d. to support each pt - ANS b Florence Nightingale established a nursing school at St Thomas hospital in London. what was it characterized by? (select all that apply) a. allowing all applicants who applied to be enrolled b. offering formal and practical educational experiences c. keeping records of student's progress d. focusing on sanitation and hygiene e. retaining a registry of all graduated - ANS b, c, d, e How does an interdisciplinary approach to patient treatment enhance care? - ANS By preventing the fragmentation of patient care how may a new licensed lpn/lvn practice? a. independently in a hospital setting b. with an experienced lpn/lvn c. under the supervision of a physician or rn d. as a sole practitioner in a clinic setting - ANS c How should the nurse assist the patient with moving when pain is anticipated? a. be supportive b. apply heat before moving them c. administer medication before ambulation d. obtain assistance if the patient is heavy - ANS c How should the nurse cleanse the mental opening when performing male perineal care? a. from the meatus outward b. with an alcohol swab c. in a circular motion d. with a cotton-tipped applicator - ANS a how should the nurse position the ear pinna when using the tympanic thermometer on a child? a. upwards and back b. parallel c. downward and back d and forward - ANS c