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The impact of spiraling health care costs on the nursing profession is demonstrated by the fact that:
The best determinant of staffing needs is based on which factor?
The institutional review board (IRB) is responsible for overseeing biomedical research involving humans. Because most studies are randomized blind studies (patients and providers are unaware of who is receiving treatment and who is receiving a placebo), the risks for harm can be great. Which measure is taken to avoid harm to the subjects during biomedical research? Select all that apply.
The clinical ladder used in some hospitals allows for recognition of both the clinical and academic growth of the individual nurse. On which of the following is this ladder based?
The advance medical directive and the living will are confused by patients and staff. Which of the following explains the difference?
The National Database of Nursing Quality Indicators (NDNQI) has established which of the following goals to assist nurses to make practice changes in order to benefit patients?
The management process consists of six functions: planning, staffing, organizing, directing, controlling, and decision making. What might be seen in the decision-making process?
Malpractice is the failure to act as another prudent nurse with the same knowledge and education would act under similar circumstances. Which of the following indicates malpractice?
Ethics applied to nursing can best be defined as:
In caring for patients in nursing homes or extended care facilities, the nurse recognizes that some patients’ care is being funded by Medicaid. Which of the following patients is most likely to be covered under Medicaid?
In caring for a baby with non-life-sustaining defects, the nurse will most likely make decisions based on:
In an escalating situation, the nurse should observe certain rules to protect herself from violence. Which of the following are good rules to keep in mind if one is ever in a violent situation? Select all that apply.
An unconscious client, bleeding profusely, is brought to the emergency
department after a serious accident. Surgery is required immediately to
save the client’s life. With regard to informed consent for the surgical
procedure, which is the best action
In the workplace, violence may escalate as a result of many factors. Which of the following should the nurse be alert for in the escalation to violence?
Employees who are dependent on drugs or alcohol will exhibit signs that should not be ignored by the nurse manager and colleagues. Which of the following signs would alert the nurse manager that the employee may have a dependency problem?
Automated computerized staffing allows for which advantage to the staff?
Autonomy is an ethical principle that can be applied to which clinical situation?
A client is admitted with a diagnosis of pneumonia and dehydration. The nurse monitors the client for which symptom that correlates with this client’s fluid imbalance?
Multidisciplinary client care rounds are a client care tool used by the health care team. List the client care goals of multidisciplinary rounds: Select all that apply.
A 12 year-old child is admitted with a broken arm and is told surgery is required. The nurse finds him crying and unwilling to talk. What is the most appropriate response by the nurse?
The nurse identifies the new medication noted in a recent medication order to be on the client’s list of allergies. In the role of patient advocate, what actions should the nurse take to ensure client safety? Select all that apply.
The nurse has just finished taking a course on disaster preparedness. Which statements by the nurse indicate that the teaching has been effective? Select all that apply.
The nurse has a duty to act as client advocate. Failure to do so could result in possible ( select all that apply):
The nurse evaluates that the older client has a need for further teaching on how to promote sleep when the client makes which statement?
The nurse completes an incident report after a client is given the incorrect dosage of a medication. Who should review the incident report? Select all that apply.
The nurse case manager knows case manage-ment is an example of which client care model?
The nurse cares for an obese paraplegic client. The client needs to be repositioned in the bed. In order to position the client, the nurse should ( select all that apply):
The nurse cares for a client who takes multiple antibiotics for treatment of an infection. The microbiology laboratory informs the nurse that the client’s stool is positive for Clostridium difficile. Which action is most appropriate for the nurse to take? Select all that apply.
The Neuman’s Systems Model maintains that each person ( or group of persons) constitutes a system of five variables: physiological, psychological, sociocultural, developmental, and spiritual. These variables exist along a developmental continuum. The spiritual continuum can range from lack of awareness or denial of spirituality to a highly developed spiritual consciousness. A nurse who allows Neuman’s Systems Model to guide practice should address the client’s level of spiritual awareness or development and address any identifiable spiritual needs occurring in reaction to the:
The Health Insurance Portability and Accountability Act ( HIPAA) of 1996 is federal legislation that protects the privacy and confi-dentiality of clients’ health information. HIPAA also ensures that ( select all that apply):
The Health Insurance Portability and Accountability Act ( HIPAA) is federal legislation enacted in 1996. What are some of the compo-nents of HIPAA? Select all that apply.
The health care provider has prescribed morphine sulfate intravenous push for a client with pulmonary edema. Which therapeutic effects should the nurse expect in this client? Select all that apply.
The client plans to give their lispro (Humalog) insulin injection at 0800 right before eating breakfast. The nurse knows that the client understood the education provided when the client states which time presents the greatest risk for hypoglycemia?
The case management nurse focuses on over-seeing and organizing client care. Goals of the case management model of client care include ( select all that apply):
A client is being discharged from the hospital on warfarin (Coumadin) for venous thromboembolism (VTE) prevention. Which instructions should the nurse reinforce in the client’s teaching plan? Select all that apply.
A client has been instructed by the health care provider to alternate the use of hydrogen peroxide and glycerin eardrops to loosen an impacted accumulation of earwax. The nurse gives the client which directions to accomplish this daily procedure safely and independently?
Studies show that collaboration between the members of a multidisciplinary health care team improves quality of client care, decreases length of stay in health care facilities, and decreases the cost of health care to the client. Which members of the multidisciplinary team are responsible for collaboration in client care?
The nurse has a prescription to give a client a scheduled dose of digoxin (Lanoxin). Before administering the medication, the nurse routinely screens for which signs/symptoms that could indicate early signs of digoxin toxicity?
The nurse has reinforced instructions to a client about an upcoming endoscopic retrograde cholangiopancreatography (ERCP) procedure. The nurse determines that the client needs further teaching if the client makes which statement?
The nurse initiates a prescription from the health care provider and restrains a client who has a chest tube connected to suction. The client is confused and continues to remove the dressing around the tube and pulls at the tube. Which information should the nurse document in the client’s medical record regarding restraints? Select all that apply
Prior to administering medication to a client, the nurse decides to check the dosage strength one more time. This check reveals a dosage error, and so the medication is not administered. What immediate action should the nurse take?
A client is scheduled for an endoscopic retrograde cholangiopancreatography (ERCP). The nurse includes which intervention in the plan of care for the client?
A client has been given a prescription for metoclopramide (Reglan) four times a day. Which is the optimal time to take this medication?
A client has just been given a prescription for methocarbamol (Robaxin), and the nurse reinforces instructions to the client. Which statement by the client indicates the need for further teaching?
A client is receiving a continuous heparin infusion for venous thromboembolism treatment. Which laboratory monitoring should the nurse plan to check during a continuous heparin infusion? Select all that apply.
A client is given haloperidol ( Haldol) as a form of chemical restraint. During physical assessment, the client has a blood pressure of 80/ 50 mm Hg, heart rate of 120 beats/ minute, and experiences an acute dystonic reaction. Which statement is most accurate?
A client in renal failure is receiving epoetin alfa (Epogen). The nurse should monitor the client for which adverse effect of this medication?
A client is taking brompheniramine (BroveX). The nurse reinforces instructions to the client to expect which side effect of this medication?
A client who has just been diagnosed with glaucoma has been given a prescription for a miotic medication. When reinforcing instructions to the client about medication effects, the nurse plans to tell the client that the medication works in which manner?
A client with suspected cardiogenic shock is admitted to the emergency room. Which assessment should the nurse obtain first?
A nurse observes that a client sits in one place most of the day, declines to initiate interactions with staff or peers, and demonstrates a sad affect. What initial nursing action is most therapeutic for the client?
A male client who has been immobilized for four days because of multiple broken bones following a motor vehicle collision is admitted from the intensive care unit to the medical unit of an acute care hospital. What assessment data are most important for the nurse to obtain within the first hour of admission?
A client who was in a house fire is brought to the emergency department. Which assessment finding should the nurse respond to first?
A client is planning to take a trip in one month to a country where malaria is prevalent and asks the nurse about how to prevent malaria. How should the nurse respond?
A client who is diaphoretic and talking incoherently presents in the emergency department triage area. What assessment should the triage nurse obtain first?
A client is undergoing intracranial surgery. What intervention to decrease periorbital edema should the nurse include in this client’s plan of care?
A client is admitted with multiple venous stasis ulcers on the lower
extremities. What will the nurse use to guide the care for this client? ‘s health
A client with gastrointestinal discomfort is prescribed a nasogastric tube. What process should the nurse use to measure the length to insert the tube into the client?
A client is admitted in the icteric phase of acute hepatitis. Which
manifestations will the nurse most likely assess in this client? (Select all
A client with a serum sodium level of 125 mEq/L is admitted with the
diagnosis of syndrome of inappropriate antidiuretic hormone secretion.
What nursing action will the nurse prepare to implement for this client?
A client in the psychiatric dayroom is becoming agitated, talking incessantly, and starting to yell and swear at the other clients. Which action should the nurse implement first?
A client experiencing a myocardial infarction is identified as not being a candidate for thrombolytic therapy. Which information in the client’s history was used to make this decision?