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N302 Exam 1 Practice Questions Qnd
Answers Fully Tackled 100%
Quaranteed A Score.
You are preparing a presentation for your classmates regarding the clinical care coordination conference for a patient with terminal cancer. As part of the preparation you have your classmates read the Nursing Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this document is important. Which of the following statements best describes this code?
A. Improves self-health care
B. Protects the patient's confidentiality
C. Ensures identical care to all patients
D. Defines the principles of right and wrong to provide patient care
D
An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her vital signs, listens to her lung and heart sounds, determines her level of comfort, and collects blood and sputum samples for analysis. Which standard of practice is performed?
A. Diagnosis
B. Evaluation
C. Assessment
D. Implementation
C
A patient in the emergency department has developed wheezing and shortness of breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice is performed?
A. Planning
B. Evaluation
C. Assessment
D. Implementation
D
A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient's wishes with them. The nurse is acting as the patient's
A. Educator
B. Advocate
C. Caregiver
D. Case Manager
B
B. Moving from illness prevention to a health promotion model
C. Moving from an acute illness to a disease management model
D. Moving from a chronic care to an illness prevention model
A
A nurse meets with the registered dietician and physical therapist to develop a plan of care that focuses on improving nutrition and mobility for a patient. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency?
A. Patient-centered care
B. safety
C. teamwork and collaboration
D. informatics
C
A critical care nurse is using a computerized decision support system to correctly position her ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency?
A. patient centered care
B. safety
C. Teamwork and collaboration
D. informatics
D
The nurses on an acute care medical floor notice an increase in pressure ulcer formation in their patients. A nurse consultant decides to compare two types of treatment. The first is the procedure currently used to assess for pressure ulcer risk. The second uses a new assessment instrument to identify at-risk patients. Given this information, the nurse consultant exemplifies which career?
A. Clinical nurse specialist
B. nurse administrator
C. nurse educator
D. nurse researcher
D
Nurses in an acute care hospital are attending a unit based education program to learn how to use a new pressure-relieving device for patients at risk for pressure ulcers. This is which type of education?
A. continuing education
B. Graduate education
C. In-service education
D. Professional Registered Nurse Education
C
A. "my small company will now have to offer the 75 employees health insurance or pay a penalty."
B. As long as my son is a full time student in college, I will be able to keep him on my health insurance until he is 26 years old."
C. "I signed up for the state health insurance exchange before the designated deadline to make sure I had health insurance."
D. "Since I have now been diagnosed with diabetes, my health insurance plan cannot charge me higher premiums."
B
Which activity performed by a nurse is related to maintaining competency in nursing practice?
A. Asking another nurse about how to change the settings on a medication pump.
B. Regularly attending unit staff meetings.
C. Participating as a member of the professional nursing council.
D. Attending a review course in preparation for a certification examination.
D
A patient tells a nurse that she is enrolled in a preferred provider organization (PPO) but does not understand what this is. What is the nurse's best explanation of a PPO?
A. This health plan is for people who cannot afford their own health insurance
B. This health plan is operated by the government to provide health care to older adults
C. This health plan gives you with a list of physicians and hospitals from which you can choose.
D. This is a fee for service plan in which you can choose any physician or hospital
C
Nurses on a nursing unit are discussing the processes that led up to a near-miss error on the clinical unit. They are outlining strategies that will prevent this in the future. This is an example of nurses working on what issue in the health care system?
A. patient safety
B. evidence based practice
C. patient satisfaction
D. maintenance of competency
A
Which of the following statements is true regarding Magnet status recognition for a hospital?
A. nursing is run by a magnet manager who makes decisions for the nursing unit.
B. nurses in magnet hospitals make all of the decisions on the clinical units.
C. magnet is a term that is used to describe hospitals that are able to hire the nurses they need
D. magnet is a special designation for hospitals that achieve excellence in nursing practice
D
A nurse is presenting information to a management class of nursing students on the topic of financial reimbursement for achievement of established, measurable patient outcomes. The nurse is presenting information to the class on which topic?
A. prospective payment system
B. pay for performance
C. capitation payment system
D. managed care systems
B
A nurse is using data collected from the unit to monitor the incidence of falls after the unit implemented a new fall protocol. The nurse is working in which area?
A. quality improvement
B. health care patient system
C. nursing informatics
D. computerized nursing network
A
The nurses on a medical unit have seen an increase in the number of pressure ulcers that develop in their patients. They decide to initiate a quality improvement project using the Plan-Do-Study-Act (PDSA) model. Which of the following is an example of "Do" from that model?
A. Implementing the new skin care protocol on all medicine units.
B. Reviewing the data collected on patients cared for using the protocol.
C. Reviewing the quality improvement reports on the six patients who developed ulcers over the last 3 months.
D. Based on findings from patients who developed ulcers, implementing an evidence-based skin care protocol.
D
A nurse is using the Plan-Do-Study-Act (PDSA) strategy to do a quality improvement project to decrease patient falls on a nursing unit. What is the correct sequence for PDSA?
- Bedside change of shift report is piloted on two medical-surgical units
- Patient satisfaction levels after implementation of the bedside report are compared to patient satisfaction levels before the change
- The nursing council develops a strategy for bedside change of shift report
- After modifications are made in the shift report elements, bedside shift report is implemented on all nursing units
A. 1, 3, 2, 4
B. 2, 1, 3, 4
C. 1, 2, 3, 4
D. 3, 1, 2, 4
D
A. Conducting blood pressure screenings for older adults at the Senior Center.
B. Teaching a clinic patient with chronic obstructive pulmonary disease purse-lipped breathing techniques.
C. Changing the postoperative dressing for a patient on a medical-surgical unit.
D. Doing endotracheal suctioning for a patient on a ventilator in the medical intensive care unit.
C, D
The nursing staff is developing a quality program. Which of the following are nursing-sensitive indicators from the National Database of Nursing Quality Indicators (NDNQI) that the nurses can use to measure patient safety and quality for the unit? (Select all that apply.)
A. Use of physical restraints
B. Pain assessment, intervention, and reassessment
C. Patient satisfaction with food preparation
D. Registered nurse (RN) education and certification
E. Number of outpatient surgical cases per year
A, B, D
A nurse is presenting a program to workers in a factory covering safety topics, including the wearing of hearing protectors when workers are in the factory. Which level of prevention is the nurse practicing?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
A
A patient had surgery for a total knee replacement a week ago and is currently participating in daily physical rehabilitation sessions at the surgeon's office. In what level of prevention is the patient participating?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
C
Based on the transtheoretical model of change, what is the most appropriate response to a patient who states "Me, stop smoking? I've been smoking since I was 16!"
A."That's fine. Some people who smoke live a long life."
B. "OK. I want you to decrease the number of cigarettes you smoke by one each day, and I'll see you in 1 month."
C. "I understand. Can you think of the greatest reason why stopping smoking would be challenging for you?"
When taking care of patients, a nurse routinely asks if they take any vitamins or herbal medications, encourages family members to bring in music that the patient likes to help the patient relax, and frequently prays with her patients if that is important to them. The nurse is practicing which model?
A. Holistic
B. Health belief
C. Transtheoretical
D. Health promotion
A
Using the Transtheoretical Model of Change, what is the correct order for the steps that a patient goes through to make a lifestyle change related to physical activity?1.The individual recognizes that he is out of shape when his daughter asks him to walk with her after school.2.Eight months after beginning walking, the individual participates with his wife in a local 5K race.3.The individual becomes angry when the physician tells him that he needs to increase his activity to lose 30 lbs.4.The individual walks 2 to 3 miles, 5 nights a week, with his wife.5.The individual visits the local running store to purchase walking shoes and obtain advice on a walking plan.
A. 3, 1, 4, 5, 2
B. 3, 1, 4, 2, 5
C. 1, 3, 5, 2, 4
D. 3, 1, 5, 4, 2
D
Which statement made by a nurse shows that the nurse is engaging in an activity to help cope with secondary traumatic stress and burnout?
A. "I don't need time for lunch since I am not very hungry."
B. "I am enjoying my quilting group that meets each week at my church."
C. "I am going to drop my gym membership because I don't have time to go."
D. "I don't know any of the other nurses who met today to discuss hospital-wide problems with nurse satisfaction."
B
After a class on Pender's health promotion model, students make the following statements. Which statement does the faculty member need to clarify?
A. "The desired outcome of the model is health-promoting behavior."
B. "Perceived self-efficacy is not related to the model."
C. "The individual has unique characteristics and experiences that affect his or her actions."
D. "Patients need to commit to a plan of action before they adopt a health-promoting behavior."
B
A patient registered at the local fitness center and purchased a pair of exercise shoes. The patient is in what stage of behavioral change?
D. A nurse schedules a patient who had a myocardial infarction for cardiac rehabilitation sessions weekly.
C
A male patient has been laid off from his construction job and has many unpaid bills. He is going through a divorce from his marriage of 15 years and has been seeing his pastor to help him through this difficult time. He does not have a primary health care provider because he has never really been sick and his parents never took him to a physician when he was a child. Which external variables influence the patient's health practices? (Select all that apply.)
A. Difficulty paying his bills
B. Seeing his pastor as a means of support
C. Age of patient (46 years)
D. Stress from the divorce and the loss of a job
E. Family practice of not routinely seeing a health care provider
A, E
Which of the following are symptoms of secondary traumatic stress and burnout that commonly affect nurses? (Select all that apply.)
A.Regular participation in a book club
B. Lack of interest in exercise
C. Difficulty falling asleep
D. Lack of desire to go to work
E. Anxiety while working
B, C, D, E
The nurse assesses the following risk factors for coronary artery disease (CAD) in a female patient. Which factors are classified as genetic and physiological? (Select all that apply.)
A. Sedentary lifestyle
B. Mother died from CAD at age 48
C. History of hypertension
D. Eats diet high in sodium
E. Elevated cholesterol level
B, C, E
A nurse hears a colleague tell a nursing student that she never touches a patient unless she is performing a procedure or doing an assessment. The nurse tells the student that from a caring perspective
A. She does not touch the patients either.
B. Touch is a type of verbal communication.
C. Touch is only used when a patient is in pain.
D. Touch forms a connection between nurse and patient.
D
