NUR 148 EXAM 1 With Complete
Solution
The nurse provides an SBAR hand-off communication regarding a client
whose BP and RR have decreased. Where will the nurse include these data as
part of the SBAR format?
A. Situation
B. Background
C. Assessment
D. Recommendation
A
The nurse collaborates with the registered dietician nutritionist to improve
the nutritional status of clients on a hospital unit. Which priority professional
nursing concepts apply in this question? Select all that apply.
A. Quality improvement
B. Ethics
C. Health Care Disparities
D. Systems Thinking
E. Teamwork and Collaboration
A, D, E
,The nurse is participating in a unit meeting to discuss daily nursing care
expectations. Which nursing statement reflects systems level thinking?
A. "It is important to provide care consistent with the client's expectation."
B. "I will always consider my client's cultural preferences when delivering
care."
C. "I have been comparing our rates of infection with other units in the
hospital."
D. "I will look for the policy about family visitation to show my client."
C
Which nursing action reflects implementation of systems level thinking?
A. Conducting a skin assessment on a newly admitted client.
B. Documenting a pressure injury in the electronic health record.
C. Notifying the health care provider of a 2" x 1" pressure injury on the
coccyx.
D. Participating in a quality improvement project about eliminating pressure
injury occurrences.
D
How will the experienced nurse explain systems thinking to a new nurse?
A. Reading a journal article to enhance one's understanding of a specific
disorder
B. Providing patient-centered care to each individual, recognizing his or her
uniqueness
, C. Engaging in a professional development activity to earn continuing
education credit
D. Using information from individual client care to improve outcomes at a
macro level
D
The nurse is assessing an older adult and notes that the client is at risk for
constipation. Which statements will the nurse include in health teaching for
this client to promote optimum bowel elimination? Select all that apply.
A. "Be sure to include plenty of fresh fruits and vegetables in your diet each
day."
B. "Eat lots of high fiber foods, including whole grains each day."
C. "Be sure to take a laxative everyday to clean out your bowels and prevent
toxins."
D. "Exercise several times a week to keep our bowels working for regular
elimination."
E. "Drink at least 3 caffeinated beverages every day to keep your bowels
stimulated."
F. "Drink plenty of fluids, including water, to prevent having difficulty going
to the bathroom."
A, B, D, F
Which of the following factors does the nurse recognize as being a risk for
altered sensory perception in the older adult client?
A. Diabetes mellitus
Solution
The nurse provides an SBAR hand-off communication regarding a client
whose BP and RR have decreased. Where will the nurse include these data as
part of the SBAR format?
A. Situation
B. Background
C. Assessment
D. Recommendation
A
The nurse collaborates with the registered dietician nutritionist to improve
the nutritional status of clients on a hospital unit. Which priority professional
nursing concepts apply in this question? Select all that apply.
A. Quality improvement
B. Ethics
C. Health Care Disparities
D. Systems Thinking
E. Teamwork and Collaboration
A, D, E
,The nurse is participating in a unit meeting to discuss daily nursing care
expectations. Which nursing statement reflects systems level thinking?
A. "It is important to provide care consistent with the client's expectation."
B. "I will always consider my client's cultural preferences when delivering
care."
C. "I have been comparing our rates of infection with other units in the
hospital."
D. "I will look for the policy about family visitation to show my client."
C
Which nursing action reflects implementation of systems level thinking?
A. Conducting a skin assessment on a newly admitted client.
B. Documenting a pressure injury in the electronic health record.
C. Notifying the health care provider of a 2" x 1" pressure injury on the
coccyx.
D. Participating in a quality improvement project about eliminating pressure
injury occurrences.
D
How will the experienced nurse explain systems thinking to a new nurse?
A. Reading a journal article to enhance one's understanding of a specific
disorder
B. Providing patient-centered care to each individual, recognizing his or her
uniqueness
, C. Engaging in a professional development activity to earn continuing
education credit
D. Using information from individual client care to improve outcomes at a
macro level
D
The nurse is assessing an older adult and notes that the client is at risk for
constipation. Which statements will the nurse include in health teaching for
this client to promote optimum bowel elimination? Select all that apply.
A. "Be sure to include plenty of fresh fruits and vegetables in your diet each
day."
B. "Eat lots of high fiber foods, including whole grains each day."
C. "Be sure to take a laxative everyday to clean out your bowels and prevent
toxins."
D. "Exercise several times a week to keep our bowels working for regular
elimination."
E. "Drink at least 3 caffeinated beverages every day to keep your bowels
stimulated."
F. "Drink plenty of fluids, including water, to prevent having difficulty going
to the bathroom."
A, B, D, F
Which of the following factors does the nurse recognize as being a risk for
altered sensory perception in the older adult client?
A. Diabetes mellitus
