NS 126 med-surg exam 1 with answers
Roles |of |LPN/LVN |- |correct |answer |-Uphold |clinical |standards, |provide |patient |centered |care, |teach |
patients, |communicate |effectively, |work |as |a |collaborative |member |of |the |healthcare |team, |
advocate |for |the |patient
Delegation |and |assignment |- |correct |answer |-transfering |to |qualified |unlicensed |assistive |personnel |
(UAP) |the |authority |to |perform |a |selected |nursing |task |or |activity |in |a |selected |patient |situation |
that |is |with |the |job |description |of |the |lpn/lvn
Five |Rights |of |Delegation |- |correct |answer |-a) |Right |Task
b) |Right |Circumstance
c) |Right |Person
d) |Right |Direction/Communication
e) |Right |Supervision
Employment |opportunities |for |LPN/LVN |- |correct |answer |-outpatient |surgery, |IV |therapy, |
Emergency |department, |intermediate |care |unit, |long |term |care |(nursing |homes), |hospice, |military, |
jails |and |prisons, |home |health |care, |private |offices, |group |homes, |etc
What |should |the |nurse |consider |before |delegating |a |specific |task? |(select |all |that |apply)
1. |Know |the |scope |of |practice.
2. |Be |aware |of |the |staff |competency |and |experience
3. |Seek |approval |from |the |administration
4. |Determine |stability |of |patient |condition |- |correct |answer |-1,2
Patient-centered |care |- |correct |answer |-Patient |is |a |full |partner |in |decisions |about |his |or |her |care
Which |statement(s) |indicate(s) |therapeutic |nurse-patient |relationship? |(select |all |that |apply)
1. |"You |poor |thing; |I |had |a |similar |surgery"
,2. |"You |seem |upset |about |your |procedure"
3. |"What |do |you |mean |when |you |say |that?"
4. |"You |will |fine."
5. |"May |I |had |your |hand?" |- |correct |answer |-2,3,5
Biomedicine |- |correct |answer |-The |goal |of |biomedicine |is |to |find |the |cause |of |disease |and |to |
eliminate |or |correct |the |problem
Complementary |and |alternative |medicine |- |correct |answer |-Patients |need |to |be |reminded |that |all |
herbals |and |supplements |need |to |be |included |when |they |are |asked |for |a |list |of |drugs |taken
Healthy |People |2020 |- |correct |answer |-the |fourth |set |of |health |goals |and |objectives |for |the |U.S. |
that |defines |the |nation's |health |agenda |and |guides |its |health |policy
Financing |Health |Care |- |correct |answer |-The |Affordable |Care |Act
Medicare |and |Medicaid
Fee |for |service
Provider
Deductible
Copayment
Co-insurance
Capitation
Which |of |the |following |is |within |role |of |the |LPN/LVN? |(Select |all |that |apply)
1. |Admitting |a |patient |on |a |medical-surgical |unit.
2. |Changing |a |dressing |on |a |postoperative |patient
3. |Assessing |a |patient |whose |condition |has |deteriorated
4. |Collaborating |with |the |physical |therapists |on |how |to |motivate |the |patient |to |ambulated
5. |Advocating |for |a |patient |with |a |physician |when |prescribed |pain |medication |is |insufficient
6. |Teaching |the |patient |about |the |side |effects |of |a |new |medication |- |correct |answer |-2, |4, |5, |6
,What |should |be |the |first |thing |considered |before |delegating |a |specific |task? |(Priority |setting.)
1. |Know |whether |the |task |is |within |the |scope |of |practice |of |the |LPN/LVN.
2. |Be |aware |of |the |nursing |assistant's |competency |and |experience.
3. |Seek |approval |from |the |facility |administration.
4. |Determine |the |stability |of |the |patient's |condition.
5. |Provide |adequate |explanation |and |oversight |of |the |task. |- |correct |answer |-
In |caring |for |patients |with |pressure |ulcers, |which |task |would |be |most |appropriate |to |assign |to |the |
nursing |assistant?
1. |Providing |assistance |in |making |dietary |choices, |including |fluids
2. |Participating |in |determining |the |appropriate |type |of |wound |care
3. |Repositioning |the |patient |every |2 |hours
4. |Describing |the |condition |of |the |wound |and |any |drainage |- |correct |answer |-3. |Repositioning |the |
patient |every |2 |hours
The |LPN/LVN |in |the |hospital |practices |under |the |state's |Nurse |Practice |Act, |the |Standards |of |
Practice, |and |the |____________________________________. |(Fill |in |the |blank.) |- |correct |answer |-
Hospital |Policies |and |procedures
QSEN |prepares |the |nurse |to: |(Select |all |that |apply.)
1. |carry |out |nursing |tasks |efficiently |for |a |group |of |patients.
2. |consider |safety |factors |at |all |times |when |delivering |care.
3. |apply |evidence-based |practice |to |the |care |of |patients.
4. |use |informatics |to |collaborate |and |communicate |with |the |health |care |team.
5. |note |ways |that |quality |of |care |might |be |improved.
6. |assign |tasks |to |UAP |on |the |team |in |a |timely |manner. |- |correct |answer |-2,3,4,5
In |the |process |of |developing |evidence-based |practice, |after |developing |and |asking |a |clinical |
question, |the |next |step |is |to:
, 1. |apply |valid, |relevant |evidence |in |practice.
2. |use |data |to |improve |safety.
3. |evaluate |outcomes |based |on |evidence.
4. |search |for |and |collect |sources |of |evidence. |- |correct |answer |-4. |search |for |and |collect |sources |of |
evidence.
One |way |nurses |apply |National |Patient |Safety |Goals |to |patients |is |to:
1. |report |signs |of |infection |in |a |patient's |wound |immediately.
2. |use |two |ways |to |identify |patients |each |time |before |administering |a |medication.
3. |educate |patients |about |the |purpose |and |side |effects |of |each |medication.
4. |use |lift |equipment |to |get |patients |out |of |bed |and |into |a |chair. |- |correct |answer |-2. |use |two |ways
|to |identify |patients |each |time |before |administering |a |medication.
The |reason |that |Medicare |will |not |pay |for |care |for |a |deep |vein |thrombosis |on |a |patient |in |the |
hospital |after |knee |replacement |is:
1. |the |patient |was |considered |at |risk |for |this |problem.
2. |the |deep |vein |thrombosis |is |considered |preventable.
3. |Medicare |is |working |hard |to |lower |costs |of |the |program.
4. |the |patient's |private |insurance |will |cover |the |costs. |- |correct |answer |-2. |the |deep |vein |
thrombosis |is |considered |preventable.
Which |statement, |made |by |a |LPN/LVN |during |a |patient |interaction, |indicates |a |therapeutic |
response?
1. |"I |am |sorry |for |your |loss. |I |just |lost |my |mother |last |year."
2. |"Try |putting |on |some |ointment |before |dressing |the |wound."
3. |"Are |you |saying |that |your |cast |is |uncomfortable? |Tell |me |more |about |your |discomfort."
4. |"I |understand. |I |do |not |like |surgery |either." |- |correct |answer |-3. |"Are |you |saying |that |your |cast |is
|uncomfortable? |Tell |me |more |about |your |discomfort."
The |nurse |finds |a |confused |patient |with |a |history |of |falls |attempting |to |get |out |of |bed. |To |maintain
|the |patient's |self-esteem |and |safety, |the |nurse's |intervention |should |be |to:
Roles |of |LPN/LVN |- |correct |answer |-Uphold |clinical |standards, |provide |patient |centered |care, |teach |
patients, |communicate |effectively, |work |as |a |collaborative |member |of |the |healthcare |team, |
advocate |for |the |patient
Delegation |and |assignment |- |correct |answer |-transfering |to |qualified |unlicensed |assistive |personnel |
(UAP) |the |authority |to |perform |a |selected |nursing |task |or |activity |in |a |selected |patient |situation |
that |is |with |the |job |description |of |the |lpn/lvn
Five |Rights |of |Delegation |- |correct |answer |-a) |Right |Task
b) |Right |Circumstance
c) |Right |Person
d) |Right |Direction/Communication
e) |Right |Supervision
Employment |opportunities |for |LPN/LVN |- |correct |answer |-outpatient |surgery, |IV |therapy, |
Emergency |department, |intermediate |care |unit, |long |term |care |(nursing |homes), |hospice, |military, |
jails |and |prisons, |home |health |care, |private |offices, |group |homes, |etc
What |should |the |nurse |consider |before |delegating |a |specific |task? |(select |all |that |apply)
1. |Know |the |scope |of |practice.
2. |Be |aware |of |the |staff |competency |and |experience
3. |Seek |approval |from |the |administration
4. |Determine |stability |of |patient |condition |- |correct |answer |-1,2
Patient-centered |care |- |correct |answer |-Patient |is |a |full |partner |in |decisions |about |his |or |her |care
Which |statement(s) |indicate(s) |therapeutic |nurse-patient |relationship? |(select |all |that |apply)
1. |"You |poor |thing; |I |had |a |similar |surgery"
,2. |"You |seem |upset |about |your |procedure"
3. |"What |do |you |mean |when |you |say |that?"
4. |"You |will |fine."
5. |"May |I |had |your |hand?" |- |correct |answer |-2,3,5
Biomedicine |- |correct |answer |-The |goal |of |biomedicine |is |to |find |the |cause |of |disease |and |to |
eliminate |or |correct |the |problem
Complementary |and |alternative |medicine |- |correct |answer |-Patients |need |to |be |reminded |that |all |
herbals |and |supplements |need |to |be |included |when |they |are |asked |for |a |list |of |drugs |taken
Healthy |People |2020 |- |correct |answer |-the |fourth |set |of |health |goals |and |objectives |for |the |U.S. |
that |defines |the |nation's |health |agenda |and |guides |its |health |policy
Financing |Health |Care |- |correct |answer |-The |Affordable |Care |Act
Medicare |and |Medicaid
Fee |for |service
Provider
Deductible
Copayment
Co-insurance
Capitation
Which |of |the |following |is |within |role |of |the |LPN/LVN? |(Select |all |that |apply)
1. |Admitting |a |patient |on |a |medical-surgical |unit.
2. |Changing |a |dressing |on |a |postoperative |patient
3. |Assessing |a |patient |whose |condition |has |deteriorated
4. |Collaborating |with |the |physical |therapists |on |how |to |motivate |the |patient |to |ambulated
5. |Advocating |for |a |patient |with |a |physician |when |prescribed |pain |medication |is |insufficient
6. |Teaching |the |patient |about |the |side |effects |of |a |new |medication |- |correct |answer |-2, |4, |5, |6
,What |should |be |the |first |thing |considered |before |delegating |a |specific |task? |(Priority |setting.)
1. |Know |whether |the |task |is |within |the |scope |of |practice |of |the |LPN/LVN.
2. |Be |aware |of |the |nursing |assistant's |competency |and |experience.
3. |Seek |approval |from |the |facility |administration.
4. |Determine |the |stability |of |the |patient's |condition.
5. |Provide |adequate |explanation |and |oversight |of |the |task. |- |correct |answer |-
In |caring |for |patients |with |pressure |ulcers, |which |task |would |be |most |appropriate |to |assign |to |the |
nursing |assistant?
1. |Providing |assistance |in |making |dietary |choices, |including |fluids
2. |Participating |in |determining |the |appropriate |type |of |wound |care
3. |Repositioning |the |patient |every |2 |hours
4. |Describing |the |condition |of |the |wound |and |any |drainage |- |correct |answer |-3. |Repositioning |the |
patient |every |2 |hours
The |LPN/LVN |in |the |hospital |practices |under |the |state's |Nurse |Practice |Act, |the |Standards |of |
Practice, |and |the |____________________________________. |(Fill |in |the |blank.) |- |correct |answer |-
Hospital |Policies |and |procedures
QSEN |prepares |the |nurse |to: |(Select |all |that |apply.)
1. |carry |out |nursing |tasks |efficiently |for |a |group |of |patients.
2. |consider |safety |factors |at |all |times |when |delivering |care.
3. |apply |evidence-based |practice |to |the |care |of |patients.
4. |use |informatics |to |collaborate |and |communicate |with |the |health |care |team.
5. |note |ways |that |quality |of |care |might |be |improved.
6. |assign |tasks |to |UAP |on |the |team |in |a |timely |manner. |- |correct |answer |-2,3,4,5
In |the |process |of |developing |evidence-based |practice, |after |developing |and |asking |a |clinical |
question, |the |next |step |is |to:
, 1. |apply |valid, |relevant |evidence |in |practice.
2. |use |data |to |improve |safety.
3. |evaluate |outcomes |based |on |evidence.
4. |search |for |and |collect |sources |of |evidence. |- |correct |answer |-4. |search |for |and |collect |sources |of |
evidence.
One |way |nurses |apply |National |Patient |Safety |Goals |to |patients |is |to:
1. |report |signs |of |infection |in |a |patient's |wound |immediately.
2. |use |two |ways |to |identify |patients |each |time |before |administering |a |medication.
3. |educate |patients |about |the |purpose |and |side |effects |of |each |medication.
4. |use |lift |equipment |to |get |patients |out |of |bed |and |into |a |chair. |- |correct |answer |-2. |use |two |ways
|to |identify |patients |each |time |before |administering |a |medication.
The |reason |that |Medicare |will |not |pay |for |care |for |a |deep |vein |thrombosis |on |a |patient |in |the |
hospital |after |knee |replacement |is:
1. |the |patient |was |considered |at |risk |for |this |problem.
2. |the |deep |vein |thrombosis |is |considered |preventable.
3. |Medicare |is |working |hard |to |lower |costs |of |the |program.
4. |the |patient's |private |insurance |will |cover |the |costs. |- |correct |answer |-2. |the |deep |vein |
thrombosis |is |considered |preventable.
Which |statement, |made |by |a |LPN/LVN |during |a |patient |interaction, |indicates |a |therapeutic |
response?
1. |"I |am |sorry |for |your |loss. |I |just |lost |my |mother |last |year."
2. |"Try |putting |on |some |ointment |before |dressing |the |wound."
3. |"Are |you |saying |that |your |cast |is |uncomfortable? |Tell |me |more |about |your |discomfort."
4. |"I |understand. |I |do |not |like |surgery |either." |- |correct |answer |-3. |"Are |you |saying |that |your |cast |is
|uncomfortable? |Tell |me |more |about |your |discomfort."
The |nurse |finds |a |confused |patient |with |a |history |of |falls |attempting |to |get |out |of |bed. |To |maintain
|the |patient's |self-esteem |and |safety, |the |nurse's |intervention |should |be |to:
