PRN 0092 Exam
1. Which statement accurately describes the primary purpose of the state nurse practice act
(NPA)?
a.
To test and license LPN/LVNs.
b.
To define the scope of LPN/LVN practice.
c.
To improve the quality of care provided by the LPN/LVN.
d.
To limit the LPN/LVN employment placement. - ANS-b. To define the scope of LPN/LVN
practice.
11. The nurse is explaining differences in a therapeutic relationship and a social relationship to a
patient. Which information about therapeutic relationships is most important for the nurse to
include in the explanation?
a.
Therapeutic relationships lack formal boundaries.
b.
Therapeutic relationships are goal directed.
c.
Therapeutic relationships meet the needs of each person in the relationship.
d.
Therapeutic relationships extend past the hospitalization period. - ANS-b. Therapeutic
relationships are goal directed.
A patient asks the nurse what Medicare Part A covers. Which response is correct?
a.
Medicare Part A covers inpatient hospital costs.
b.
Medicare Part A covers reimbursement to the physician.
c.
Medicare Part A covers outpatient hospital services.
d.
Medicare Part A covers ambulance transportation. - ANS-a. Medicare Part A covers inpatient
hospital costs.
A patient furiously says, "My doctor was so busy giving me instructions that he didn't hear what I
was trying to ask him!" Which response is most empathetic?
a.
"When people ignore me, I really get mad."
b.
"I'm sure that the doctor was rushed and unaware of your needs."
,c.
"I'll bet that made you feel very frustrated."
d.
"Take a deep breath and plan what you will say to him tomorrow." - ANS-c. "I'll bet that made
you feel very frustrated."
A patient who presented to the emergency room with a myocardial infarction (MI) becomes pale,
diaphoretic, and hypotensive. What action should the nurse take first?
a.
Notify the physician immediately.
b.
Ensure that the patient has patent IV access.
c.
Request assistance from respiratory therapy.
d.
Inform the patient's family of the change in status. - ANS-a. Notify the physician immediately.
According to most state NPAs, the vocational nurse acting as charge nurse in a long-term care
facility acts in which capacity?
a.
Working under direct supervision of an RN on the unit
b.
Working with the RN in the building
c.
Working under general supervision by the RN available on site or by phone
d.
Working as an independent vocational nurse - ANS-c. Working under general supervision by the
RN available on site or by phone
After evaluating the nursing care plan, the nurse finds lack of progress toward the goal. What
action should the nurse take next?
a.
Create a more accessible goal.
b.
Revise the nursing interventions.
c.
Change the problem statement/nursing diagnosis.
d.
Use a new evaluation plan. - ANS-b. Revise the nursing interventions.
After using a nasal cannula delivery system at 3 L/min, a patient with chronic airflow limitation
(CAL) changes to a simple face mask. The nasal equipment oxygen was set at 3 L/min. How
should the nurse adjust the oxygen flow for the new delivery system?
a.
Decrease it to 2 L.
b.
Keep it the same.
c.
,Increase it to 4 L.
d.
Increase it to 6 L. - ANS-d. Increase it to 6 L.
An overweight male patient rips off his hospital gown, throws it out the door, and shouts, "I'm not
wearing this stupid gown! It is too small, too short, and exposes my backside to the world!"
Which response is most appropriate?
a.
Remind patient of the need to wear the gown for convenience in care.
b.
Confer with the patient for methods to acquire a larger gown.
c.
Replace the torn gown with another.
d.
Inform the charge nurse of the hostile behavior. - ANS-b. Confer with the patient for methods to
acquire a larger gown.
During a morning assessment, the nurse observes that the patient displays significant edema of
both feet and ankles. Which statement best documents these findings?
a.
Pitting edema present in both feet and ankles
b.
Edema in both feet and ankles approximately 4 mm deep
c.
4 mm pitting edema quickly resolving
d.
Bilateral pitting edema in feet and ankles, 4 mm deep, resolving in 3 seconds - ANS-d. Bilateral
pitting edema in feet and ankles, 4 mm deep, resolving in 3 seconds
During an intake interview, the nurse observes the patient grimacing and holding his hand over
his stomach. The patient previously denied having any pain. What action should the nurse take
next?
a.
Examine the history closely for etiology of pain.
b.
Ask the patient if he is experiencing abdominal pain.
c.
Record that patient seems to be having abdominal discomfort.
d.
Physically examine the patient's abdomen. - ANS-b. Ask the patient if he is experiencing
abdominal pain.
During the acute phase following a myocardial infarction (MI), the nurse anticipates that the
patient may require a temporary pacemaker in which situation(s)? (Select all that apply.)
a.
The patient's heart rate remains above 120 beats/min.
b.
The patient experiences worsening anginal pain.
, c.
The patient experiences complete heart block.
d.
The patient's systolic BP drops to 60.
e.
The patient's pulse rate remains below 40 beats/min. - ANS-C,E
How does a myocardial infarction (MI) alter the pumping efficiency of the heart?
a.
An MI reduces the impulse from the sinoatrial node.
b.
An MI causes myocardial necrosis.
c.
An MI shunts all myocardial blood flow to a specific cardiac region.
d.
An MI causes myocardial swelling and inflammation. - ANS-b. An MI causes myocardial
necrosis.
Place the events of an asthma attack in proper sequence. (135-139)
a.
Mast cell-mediated inflammatory response in bronchi
b.
Mucus production
c.
Plugging of small airways
d.
Contact with precipitator
e.
Mucosal edema
____ 135. Step 1
____ 136. Step 2
____ 137. Step 3
____ 138. Step 4
____ 139. Step 5 - ANS-__D__ 135. Step 1
_A___ 136. Step 2
__E_ 137. Step 3
_B___ 138. Step 4
1. Which statement accurately describes the primary purpose of the state nurse practice act
(NPA)?
a.
To test and license LPN/LVNs.
b.
To define the scope of LPN/LVN practice.
c.
To improve the quality of care provided by the LPN/LVN.
d.
To limit the LPN/LVN employment placement. - ANS-b. To define the scope of LPN/LVN
practice.
11. The nurse is explaining differences in a therapeutic relationship and a social relationship to a
patient. Which information about therapeutic relationships is most important for the nurse to
include in the explanation?
a.
Therapeutic relationships lack formal boundaries.
b.
Therapeutic relationships are goal directed.
c.
Therapeutic relationships meet the needs of each person in the relationship.
d.
Therapeutic relationships extend past the hospitalization period. - ANS-b. Therapeutic
relationships are goal directed.
A patient asks the nurse what Medicare Part A covers. Which response is correct?
a.
Medicare Part A covers inpatient hospital costs.
b.
Medicare Part A covers reimbursement to the physician.
c.
Medicare Part A covers outpatient hospital services.
d.
Medicare Part A covers ambulance transportation. - ANS-a. Medicare Part A covers inpatient
hospital costs.
A patient furiously says, "My doctor was so busy giving me instructions that he didn't hear what I
was trying to ask him!" Which response is most empathetic?
a.
"When people ignore me, I really get mad."
b.
"I'm sure that the doctor was rushed and unaware of your needs."
,c.
"I'll bet that made you feel very frustrated."
d.
"Take a deep breath and plan what you will say to him tomorrow." - ANS-c. "I'll bet that made
you feel very frustrated."
A patient who presented to the emergency room with a myocardial infarction (MI) becomes pale,
diaphoretic, and hypotensive. What action should the nurse take first?
a.
Notify the physician immediately.
b.
Ensure that the patient has patent IV access.
c.
Request assistance from respiratory therapy.
d.
Inform the patient's family of the change in status. - ANS-a. Notify the physician immediately.
According to most state NPAs, the vocational nurse acting as charge nurse in a long-term care
facility acts in which capacity?
a.
Working under direct supervision of an RN on the unit
b.
Working with the RN in the building
c.
Working under general supervision by the RN available on site or by phone
d.
Working as an independent vocational nurse - ANS-c. Working under general supervision by the
RN available on site or by phone
After evaluating the nursing care plan, the nurse finds lack of progress toward the goal. What
action should the nurse take next?
a.
Create a more accessible goal.
b.
Revise the nursing interventions.
c.
Change the problem statement/nursing diagnosis.
d.
Use a new evaluation plan. - ANS-b. Revise the nursing interventions.
After using a nasal cannula delivery system at 3 L/min, a patient with chronic airflow limitation
(CAL) changes to a simple face mask. The nasal equipment oxygen was set at 3 L/min. How
should the nurse adjust the oxygen flow for the new delivery system?
a.
Decrease it to 2 L.
b.
Keep it the same.
c.
,Increase it to 4 L.
d.
Increase it to 6 L. - ANS-d. Increase it to 6 L.
An overweight male patient rips off his hospital gown, throws it out the door, and shouts, "I'm not
wearing this stupid gown! It is too small, too short, and exposes my backside to the world!"
Which response is most appropriate?
a.
Remind patient of the need to wear the gown for convenience in care.
b.
Confer with the patient for methods to acquire a larger gown.
c.
Replace the torn gown with another.
d.
Inform the charge nurse of the hostile behavior. - ANS-b. Confer with the patient for methods to
acquire a larger gown.
During a morning assessment, the nurse observes that the patient displays significant edema of
both feet and ankles. Which statement best documents these findings?
a.
Pitting edema present in both feet and ankles
b.
Edema in both feet and ankles approximately 4 mm deep
c.
4 mm pitting edema quickly resolving
d.
Bilateral pitting edema in feet and ankles, 4 mm deep, resolving in 3 seconds - ANS-d. Bilateral
pitting edema in feet and ankles, 4 mm deep, resolving in 3 seconds
During an intake interview, the nurse observes the patient grimacing and holding his hand over
his stomach. The patient previously denied having any pain. What action should the nurse take
next?
a.
Examine the history closely for etiology of pain.
b.
Ask the patient if he is experiencing abdominal pain.
c.
Record that patient seems to be having abdominal discomfort.
d.
Physically examine the patient's abdomen. - ANS-b. Ask the patient if he is experiencing
abdominal pain.
During the acute phase following a myocardial infarction (MI), the nurse anticipates that the
patient may require a temporary pacemaker in which situation(s)? (Select all that apply.)
a.
The patient's heart rate remains above 120 beats/min.
b.
The patient experiences worsening anginal pain.
, c.
The patient experiences complete heart block.
d.
The patient's systolic BP drops to 60.
e.
The patient's pulse rate remains below 40 beats/min. - ANS-C,E
How does a myocardial infarction (MI) alter the pumping efficiency of the heart?
a.
An MI reduces the impulse from the sinoatrial node.
b.
An MI causes myocardial necrosis.
c.
An MI shunts all myocardial blood flow to a specific cardiac region.
d.
An MI causes myocardial swelling and inflammation. - ANS-b. An MI causes myocardial
necrosis.
Place the events of an asthma attack in proper sequence. (135-139)
a.
Mast cell-mediated inflammatory response in bronchi
b.
Mucus production
c.
Plugging of small airways
d.
Contact with precipitator
e.
Mucosal edema
____ 135. Step 1
____ 136. Step 2
____ 137. Step 3
____ 138. Step 4
____ 139. Step 5 - ANS-__D__ 135. Step 1
_A___ 136. Step 2
__E_ 137. Step 3
_B___ 138. Step 4
