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Examen
NURS 460- Organ Transplant Review Questions and Correct Answers
Critical care nurses are an integral part of the transplantation team: - identification and referral of donors - patient advocate and family support - care of the donor - care of the recipient nurse's role in transplantation 
1984—the national organ transplant act passed by congress prohibits the selling of human organs, establishes the organ procurement and transplantation network to ensure fair and equitable allocation of donated organs, and the scientific registry of transplant recipients ...
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NURS 460 HESI Practice Questions and Correct Answers
A client is admitted to the emergency department after vomiting bright red blood. After the vomiting ceases and the vital signs are stabilized, the client is transferred to a medical-surgical unit. To assess for bleeding, what should the nurse on the medical-surgical unit monitor the client for? 
A. Lethargy B. Tachycardia C. Deep Breathing D. Abdominal pain B. Tachycardia 
Rationale: Tachycardia is a cardiovascular compensatory mechanism as the effort to circulate the decreasing blood volume in...
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NURS 460 Shock Review Questions and Answers
Shock A clinical syndrome characterized by inadequate tissue perfusion that results in cellular, metabolic, and hemodynamic derangements. 
Hypoperfusion -> leads to anaerobic metabolism (higher lactate acid level, send blood down on ice) Hypercoagulability (greater risk for clotting) Activation of the inflammatory response similarities of different shock types 
Resuscitation the process undertaken to restore adequate circulating blood volume and therefore tissue perfusion 
Hypovolemic Cardiog...
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NUR 460 Final Exam Questions and Correct Answers
Who determined that conflict proceeds through four stages of conflict? Thomas (1992) 
What are the four stages of conflict? (Thomas, 1992) 1. Frustration 2. Conceptualization 3. Action 4. Outcomes 
Frustration When all people perceive their goals to be blocked, frustration results 
Conceptualization All involved in conflict develops an idea (visualization) of what it is about, and views may or may not be accurate or the same Example- two nurses respond to a new order, have different emotions in ...
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NURS 460 Renal Review Questions and Correct Answers
Filtration Remove metabolic waste Maintain concentration of solutes in the extracellular fluid (ECF) Concentrate substances and conserve such as sodium primary roles of kidney 
Perfusion and blood pressure kidney are highly dependent on (2) 
>65 normal MAP 
80-180 mmhg systolic blood pressure to maintain kidney function 
Kidneys will vasodilator to allow oxygen and blood flow to all important parts If BP is too low, kidney will... 
Kidney will vasoconstrict If BP is too high, kidney will... 
...
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Nursing 460- Critical Care Test 3 Questions and Answers
Most common causes of acute liver failure toxins/drugs (esp. Acetaminophen), viral hepatitis (inflammation of the liver), vascular- hypo perfusion/ shock states/ ischemia), metabolic- Wilson's disease (acute fatty liver of pregnancy) 
Management of acute liver failure whichever body system(s) is/are having issues thereby causing liver injury, support that/those systems (respiratory, circulatory, neuro, coagulopathy, GI, renal, infection, metabolic) 
Type of liver failure primarily seen in ICU C...
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NRS 460 Exam 2 Quizzes- Questions and Correct Answers
Community Health Determinants The aggregate, physical location, and social systems 
Policies and Programs factors that produce change in health determinants, that then lead to changes in health outcomes. 
Assessing a community It is very important to gather information on risk factors or health related traits first. 
C Identify the best example of a Community Health Diagnosis: 
A. Increased Non-Hodgkin's Lymphoma cases related to use of Round-up Pesticide. 
B. Increased number of cases of Hepat...
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NRS 460 Exam 1 Questions and Complete Solutions
When considering sdoh, identify the 2 factors most responsible for differences in an individuals health income and education 
Public healths motto greatest good for the greatest number of people 
Public health definition what we do as a society to ensure the conditions in which everyone can be healthy 
Identify public healths main goal as of 2016 targets sdoh 
Primordial prevention establish or maintain conditions to minimize/eliminate hazards to health (whole population through public policy) 
...
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NURS 460 Exam #1 Study Set with Questions and Correct Answers
Organizing a task force to look at the problem of lead poisoning within the county is an example of which public health intervention 
A. Coalition building B. Surveillance C. Outreach D. Health Teaching A: Coalition building 
Jennifer is a community health nurse in a large metropolitan area. According to the American Nurses Association's Code of Ethics (2001), community health nurses must align themselves with public health programs that promote and preserve the health of populations by influen...
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NUR 460 Exam 1 Practice Questions and Correct Answers
The nurse is preparing to conduct a health history with an older client. Which action should the nurse take to ensure the accuracy and efficiency of the client's health history? 1. Scheduling one-half hour for the medical history interview. 2. Requesting the client use the bathroom before starting the interview. 3. Ensuring the client has their identification and insurance card with them upon arrival. 4. Conducting the history in an environment with comfortable seating and proper lighting. 4 is...
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NUR 460 Exam 1 Study Questions and Correct Answers
Identify the three components of the Institute for Healthcare Improvement's Triple Aim. Related to access, quality, and cost of care. 
Explain how following, leading, and managing are similar and different. Following: Each member contributes optimally, but still listens and follows a peer who is leading or managing. 
Leading: The use of individual traits and abilities in relationship with others, and the ability to act rapidly in an emerging situation. Key traits: articulating a vision, seeing ...
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NURS 460 Exam 3 – Questions and 100% Correct Answers
Mr. S was recently hospitalized for a stroke. While in the hospital, he was also diagnosed with diabetes. As his nurse, you know he is at risk for which of the following? 
A. Panic disorder B. Depression C. Schizophrenia D. Bipolar disorder B. Depression 
Which ONE of the following was NOT mentioned as a health problem that is experienced by people with schizophrenia. 
A. Obesity B. Heart disease C. Smoking and substance abuse D. Influenza E. Type II diabetes D. Influenza 
Of the below, which on...
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NUR 460 Exam 1 – Questions and Complete Solutions
What is the primary problem seen in Healthy People 2020's emphasis on choosing healthy lifestyle behaviors, such as daily exercise or healthy food choices? 
A. Public policy emphasizes personal responsibility but ignores social and environmental changes needed for well-being. B. Emphasis on other lifestyle choices, such as not smoking and minimal use of alcohol or drugs, is also needed. C. It costs more to make healthy choices, such as buying and eating fresh fruits and vegetables as opposed to...
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NURS 460 Exam 2 Study Set with Questions and Correct Answers
Explain the concept of "community as client", and how the impact a nurse understanding of both the family and the client.The nurse cannot understand the individual without first understanding the family and that the family was in the grip of larger social and economic forces, which it could not control. They are greatly influenced by community and environment. 
Two pieces of data that should be collected during a community assessment.Health-related traits and risk factors 
Why is health planni...
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NRS 460 Exam 2 Test Questions and Correct Answers
Identify 3 challenges faced by Community Health Nurses when dealing with environmental health impacts Chronic environmental problems are rarely addressed effectively, Difficult to get people motivated to work on environmental problems, People respond to acute crises with dramatic media coverage (such as hurricanes or earthquakes), but ongoing consistent pressure is needed to ensure day-to-day environmental integrity. 
Extreme weather events can have vastly different impacts on different populati...
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NSG 460 Neuro Study Guide with Questions and Correct Answers
Can changes in mental status be minimal? - YES Mental status is a spectrum. Changes in mental status do not go from one extreme to another, it can be as subtle as restlessness and confusion 
Acute mental status change - when a patient has a change from their usual baseline Many causes from many systems - neuro: infection, tumor, trauma, CVA, psychiatric - CV/pulm: MI, PE, hypotension - systemic (changes in fluid and electrolytes): hypoglycemia, hyponatremia, ammonia 
AEIOU TIPS for altered menta...
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Nur 460 Midterm Exam Questions and Correct Answers
Leadership vs management Leadership: Empower others; maximize workforce effectiveness, Needed to implement the planned change that is part of system improvement Management: Guide, direct, and motivate others, Intervene when goals are threatened, Emphasize control 
Management flow plan, organize, direct, control 
Leadership leaders dont have delegated authority but earn it other ways, have a variety of roles than managers and personal goals, not part of formal organization, focus on group project...
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NRS 460 Quiz Questions and Correct Answers- Exam 2
Critical social theory focuses on: 
A. Health promotion B. Health prevention C. Oppression and facilitate group action D. Changing a person's belief system c 
Identify a living pattern risk: 
A. Personal health history B. Stress from modern living C. Lifestyle choice D. Urban crowding d 
True or false? 
Iprepare stands for: 
Investigate potential exposures Present work Residence Environmental concerns Past work Alarm Referrals and resources Educate false 
Placing environmental hazards in low in...
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NURS 460 Exam 1 Study Questions and Correct Answers
Abuse physical, emotional, sexual 
Neglect isolation, abandonment, ongoing pattern of inadequate care/ impoverished environment 
Different than other forms of maltreatment- act of omission rather than an assault or act of commission 
- physical, educational, emotional behavioral omissions - must be considered as it relates to the developmental level of the child in question 
Physical neglect dirty, lice again and again, physically smaller than peers, poor fitting clothes/ same clothes, malnouris...
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NURS 460 Final Exam Questions and Correct Answers
Cancers that lead to the highest number of deaths Lung and bronchus Breast Prostate Colon/rectum Pancreas 
Nurses Role in prevention of cancer and cancer related deaths Educate on cancer risk factors (smoking) Help increase rates on cancer screenings (colonoscopy) Help pts. comply with their cancer regimens Support pts. and their families as they cope with the effects of cancer and tx 
What to avoid and do to help prevent cancer -Reduce exposure to known or suspected carcinogens and cancer-promo...