Exam Questions and CORRECT Answers
The nurse is caring for a pt who is unable to take oral meds bc of persistent N/V. The nurse
decides to call the primary care physician and ask for a different med admin route. This
demonstrates - CORRECT ANSWER - advocacy
the nurse is providing care for a pt who has had a stroke recently and has multiple self-care
deficits. The nurse is coordinating care with in-home agencies and arranging for the delivery of
needed equipment. What ethical concept is being applied? - CORRECT ANSWER -
advocacy
The pt is reportedly well educated and employed as an engineer, but is struggling to comprehend
terms found in health related literature given to explain his disease process. This is evidence of: -
CORRECT ANSWER - low health literacy
Pt's should be included in the planning process. Involving pt's In planning their care helps them
to - CORRECT ANSWER - Be aware of identified needs
embrace mutually agreed on goals
feel a sense of empowerment
A pt from an unfamiliar family culture appears disinterested when the physician is telling her
about options for treatment of a new diagnosis. After the physician leaves, the nurse attempts to
talk to the pt and notices the same behavior. What action by the nurse is best? - CORRECT
ANSWER - investigate nonverbal communication patterns of this group
To determine a pt's cultural practices regarding communication and eye contact, the nurse
should? - CORRECT ANSWER - observe the behaviors and interactions between the pt
and other members of the culture
The nurse is preparing to preform a health history interview with a non-english speaking pt. An
interpreter has been assigned to assist in the translation. What action by the nurse indicates
, understanding the guidelines for working with an interpreter? - CORRECT ANSWER -
use short sentences and allow time for translation
The significance of developing organized plans of care for pt's cannot be stressed enough. In the
planning phase, the nurse must take seriously the responsibility of - CORRECT
ANSWER - prioritizing pt needs
developing mutually agreed on goals
determining outcome criteria
identifying interventions
implementation of the pts plan of care
the nurse is teaching a group of teenagers about safe sex. The nurse knows the stage of
prevention this represents is: - CORRECT ANSWER - primary prevention
your pt Is newly diagnosed type 2 diabetic who needs education on counting carbs and choosing
meals and snacks within his carb limits. He also needs insulin syringes and home health to
manage his new diagnosis. What type of prevention does this apply to? - CORRECT
ANSWER - tertiary prevention
the nurse is caring for a pt who will be having surgery. the pt just signed the consent form for the
operation. What does the pt's signature indicate - CORRECT ANSWER - the pt gives
permission for the surgery to be performed.
during a shift report, a staff member briefly describes the history of a pt admitted with chronic GI
bleeding. In which SBAR topical area would this info be presented? - CORRECT
ANSWER - background
the nurse is conducting a pre-surgical screening interview with a pt at a local surgical center.
When performing a health assessment, the primary source of info should be - CORRECT
ANSWER - the pt