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NUR 1020C Final Exam, Exams of Nursing

NUR 1020C Final Exam - Florida State College at Jacksonville

Typology: Exams

2024/2025

Available from 02/04/2025

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1.
The nurse is caring for a patient who has gone undergone
abdominal surgery. The patient stated prior to surgery" I don't
think i will be able to handle this i get colostomy. I won't know how
to manage it. There is no " next to kin" listed in the patient record.
Which is correct ways to addressing nursing diagnosis first?
Pain
2.
Which assessment made by the nurse should addressed first?
Shortness of breath
3.
A student nurse is preparing to auscultate a patient lung. what action
by the student leads the instructor to intervene?
Students uses the stethoscope bell to listen to bowel sounds.
4.
The nurse is caring for a patience with swallowing concerns and
decreased levels of consciousness. The nurse know to put the
patients in what position for oral care?
Side lying( spine)
5.
The nurses is assessing a patients with mobility dysfunction and
wants to gain insight into the patients functionals ability . What
questions would be for the most appropriate?
Do you use a cane, walker, or wheelchair to ambulate
6.
Patient fully alert and fully oriented. What is Glasgow coma scale?
15
7.
Strategies to include in a community program for senior citizens
related to dealing with cold winner temperature would included
Shopping at an indoor mall
8.
A nurse is explaining to a student nurse a bout perfusion. The
nurse knows the student understands the concept of perfusion
when the student states " perfusion"
"Is monitored by vital sign and capillary refill"
9.
A nurse is caring for a patient who has orthopnea. What action by
the nurse is most appropriate?
Keep the head of the bed elevated
10.
The nurse faculty member is observing a student taking a
patient’s carotid pulse. What action by the student requires
intervention by the faculty member?
Compared pulse in both carotid arteries at the same time
11.
A nurse observed a student taking a adult patients tympanic
temperature. what action by the student requires the nurse to
intervene?
Student pulls the pinna of the patient ear down and back
12.
A definition of health policy included which of the following element?
Public policy made to a support health related goals
13.
The economics of health care included?
Equal distribution of health care
14.
A student asks the instructor about health acre economics. The
instructor knows that the student understands when the student
states which of the following?
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  1. The nurse is caring for a patient who has gone undergone abdominal surgery. The patient stated prior to surgery" I don't think i will be able to handle this i get colostomy. I won't know how to manage it. There is no " next to kin" listed in the patient record. Which is correct ways to addressing nursing diagnosis first?
  • (^) Pain
  1. Which assessment made by the nurse should addressed first?
  • (^) Shortness of breath
  1. A student nurse is preparing to auscultate a patient lung. what action by the student leads the instructor to intervene?
  • (^) Students uses the stethoscope bell to listen to bowel sounds.
  1. The nurse is caring for a patience with swallowing concerns and decreased levels of consciousness. The nurse know to put the patients in what position for oral care?
  • (^) Side lying( spine)
  1. The nurses is assessing a patients with mobility dysfunction and wants to gain insight into the patients functionals ability. What questions would be for the most appropriate?
  • (^) Do you use a cane, walker, or wheelchair to ambulate
  1. Patient fully alert and fully oriented. What is Glasgow coma scale?
  • (^15)
  1. Strategies to include in a community program for senior citizens related to dealing with cold winner temperature would included
  • (^) Shopping at an indoor mall
  1. A nurse is explaining to a student nurse a bout perfusion. The nurse knows the student understands the concept of perfusion when the student states " perfusion"
  • (^) "Is monitored by vital sign and capillary refill"
  1. A nurse is caring for a patient who has orthopnea. What action by the nurse is most appropriate?
  • (^) Keep the head of the bed elevated
  1. The nurse faculty member is observing a student taking a patient’s carotid pulse. What action by the student requires intervention by the faculty member?
  • (^) Compared pulse in both carotid arteries at the same time
  1. A nurse observed a student taking a adult patients tympanic temperature. what action by the student requires the nurse to intervene?
  • (^) Student pulls the pinna of the patient ear down and back
  1. A definition of health policy included which of the following element?
  • (^) Public policy made to a support health related goals
  1. The economics of health care included?
  • (^) Equal distribution of health care
  1. A student asks the instructor about health acre economics. The instructor knows that the student understands when the student states which of the following?
  • (^) Resource will be needed to serve health care issues
  1. The nurse is obtaining a history from a 30-year-old male patient and is concerned about health promotion activities. Which of these questions would be appropriate to use to assess health promotion activities for this patient?
  • (^) Do you perform testicular self-examinations
  1. When the nurse is evaluating the reliability of a patient's responses, which of these statements would be correct? The patient:
  • (^) Provided consistent information and therefore is reliable.
  1. A patient tells the nurse that she has had abdominal pain for the past week. What would be the nurse's best response?
  • (^) Can you point to where it hurts?
  1. The nurse is preparing to complete a health assessment on a 16-year- old girl whose parents have brought her to the clinic. Which instruction would be appropriate for the parents before the interview begins?
  • (^) "While I interview your daughter, will you step out to the waiting room and complete these family health history questionnaires?"
  1. Which primary prevention nursing intervention would be implemented by the community nurse to decrease the risk of community members contracting sexually transmitted infections (STIs)?
  • (^) Educate about the importance of safe sex practices
  1. A nurse manager is educating the nursing staff on the importance of security with the implementation of the electronic health record (EHR) system. Which points does the manager emphasize? Select all that apply.
  • (^) Do not share passwords with anyone
  1. A new nurse is conducting a patient interview. What behaviors observed by the experienced nurse require education on this process?
  • (^) Typing intently on a keyboard when asking questions. e. Providing non-verbal cues to negative thoughts.
  1. A hospitalized patient complains of bilateral leg pain and asks the nurse to massage her legs. One calf is noticeably larger than the other and is warm and slightly reddened. What action by the nurse is best?
  • (^) Educate the patient on why a massage would be contraindicated.
  1. The nurse is assessing a patient whose chart indicates a Grade 3 heart murmur. What action is best in order to hear the murmur?
  • (^) Auscultate the patient's chest with a stethoscope.
  1. A nurse has assessed a patient's capillary refill, which was 5 seconds. What action by the nurse is most appropriate?
  • (^) Assess the patient for signs of hypoxia.
  1. A nurse is caring for an unconscious patient. What objective assessments does the nurse use to help evaluate pain in this patient? (Select all that apply.)
  • (^) Agitation b. Restlessness d. Vital signs
  1. A patient returned from a procedure and has vital sign measurements ordered every hour. The patient's blood pressure has dropped from 132/82 mm Hg an hour ago to 90/66 mm Hg. What action by the nurse is most appropriate?
  • (^) Plan to take the vital signs more often.
  1. A nurse notes a patient has abnormal vital signs. What action by the nurse is best?
  • (^) Compare with prior readings.
  1. How should the nurse correct an error in charting?
  • (^) draw a single line through the error, and then write "error" above or after the entry
  1. APIE, APIE, SOAP, and SOAPIE are:
  • (^) examples of problem-oriented charting.
  1. The nurse is caring for patients on unit that uses electronic health records (EHRs). In order to protect personal health information, the nurse should:
  • (^) Do not share her password with anyone. Do not leave the patient medical record Do not log in with someone else username
  1. Accurate documentation by the nurse is necessary since proper documentation:
  • (^) is needed for proper reimbursement.
  1. A mother of a young child kicks a trashcan in anger and says to the nurse, "You just don't understand! Why can't the doctor find out what is wrong with my child?" This behavior is most likely an example of:
  • (^) Displacement
  1. During a shift report, a staff member briefly describes the history of a patient admitted with chronic gastrointestinal bleeding. In which SBAR topical area would this information be presented?
  • (^) Background
  1. The nurse is admitting a patient with a foul smelling leg wound. Which behavior by the nurse indicates an understanding of appropriate body language?
  • (^) Gentle touching of the patient's shoulder
  1. The nurse administers a medication to the patient and then realizes that the medication had been discontinued. The error is immediately reported to the physician. The nurse is complying with the standards of professional performance known as:
  • (^) Ethics.
  1. The nursing instructor is researching the five proficiencies regarded as essential for students and professionals. Which organization, if explored by the instructor, would be found to have added safety as a sixth competency?
  • (^) QSEN
  1. A group of students are discussing the impact of non-nursing theories in clinical practice. The students would be correct if

they chose which theory to prioritize patient care?

  • (^) Maslow's Hierarchy of Need
  1. Which of the following components are included in health policy at the state level?
  • (^) Scope of nursing practice
  1. A hospital is experiencing a drop in patient admissions, resulting in the implementation of a hiring freeze. What is a potential critical consequence of this internal organizational decision?
  • (^) A decrease in the availability of future nurses to hire
  1. The nurse is counseling a woman who is caring for her 83-year-old father. The father has had mental changes and is becoming more confused. The father lives with the daughter in her home. The nurse knows the daughter understands the father's care needs when she states which of the following?
  • (^) I can send dad to the adult daycare; that way I can work and care for him at night."
  1. Many middle-aged adults are called the "sandwich" generation because they are caring for their children and their aging parents. The aging parents need care due to
  • (^) multiple chronic illnesses.
  1. Student nurses are being questioned by the nursing instructor about the health care coordination system. The instructor knows the students understand health care delivery when they state, "Health care
  • (^) needs are best met with a collaborative effort."
  1. The nurse is discussing care coordination with a patient. The patient asks the nurse to explain care coordination. The nurse's best response would be, "Care coordination
  • (^) allows health care services to work together in the community."
  1. Two nurses are discussing health care quality. They agree on the statement that health care quality requires
  • (^) collaboration of multiple health care agencies.
  1. A student nurse is talking with his instructor. The student asks how quality of care is evaluated. The best response by the instructor is "Quality of care is evaluated
  • (^) on the basis of process and outcomes
  1. The focus for The Joint Commission (TJC) is and in the delivery of health care.
  • (^) Safety; quality
  1. A student nurse and clinical instructor are discussing quality in health care. The instructor knows the student understands when the student says, "Quality is
  • (^) seen and unseen in health care
  1. A sentinel event refers to an event that
  • (^) Signals the need for immediate investigation and response.
  1. Aspects of safety culture that contribute to a culture of safety in a health care organization include
  • (^) Communication
  1. Which patient scenario describes the best example of professional collaboration?
  • (^) The nurse and physician discuss the patient's muscle weakness and initiate a referral for physical therapy.
  1. Which statement correctly describes the nurses' role in collaboration?
  • (^) Collaboration may occur in health-related research.
  1. Critical Thinking: A patient states, "I had a bad nightmare. When I woke up, I felt emotionally drained, as though I hadn't rested well." Which response by the nurse would be an example of interpersonal therapeutic communication?
  • (^) Can you give me an example of what you mean by a 'bad nightmare'?"
  1. The nurse is seeking clarification of a statement that was made by a patient. What is the best way for the nurse to seek clarification
  • (^) "Am I correct in understanding that..."
  1. A patient does not make eye contact with the nurse and is folding his arms at his chest. Which aspect of communication has the nurse assessed?
  • (^) nonverbal communication
  1. The nurse in a newly opened community health clinic is developing a program for the individuals considered at greatest risk for poor health outcomes. The group is considered the
  • (^) vulnerable populations
  1. Interrelated concepts to professional nursing a nurse manager would consider when addressing concerns about the quality of health promotion include
  • (^) Evidence
  1. A patient suffered a brain injury from a motor vehicle accident and has no brain activity. The patient has a living will which states no heroic measures. The family requests that no additional heroic measures be instituted for their son. The nurse respects this decision in keeping with the principle of
  • (^) Autonomy
  1. male patient suffered a brain injury from a motor vehicle accident and has no brain activity. The spouse has come up to see the patient every day for the past 2 months. She asks the nurse, "Do you think when he moves his hands he is responding to my voice?" The nurse feels bad because she believes the movements are involuntary, and the prognosis is grim for this patient. She states, "He can hear you, and it appears he did respond to your voice." The nurse is violating which principle of ethics?
  • (^) Veracity
  1. A nurse on the unit makes a error in the calculation of the dose of medication for a critically ill patient. The patient suffered no ill consequences from the administration. The nurse decides not to report the error or file an incident report. The nurse is violating which principle of ethics?
  • (^) Fidelity
  1. An unconscious patient is treated in the emergency department for head trauma. The patient is unconscious and on life support for 2 weeks prior to making a full recovery. The initial actions of the medical team are based on which ethical principle?
  • (^) Deontology
  1. The scope of professional nursing practice is determined by the rules promulgated by which organization?
  • (^) State's board of nursing
  1. The nurse requests that a mother give permission for a hearing test in a newborn infant. The mother questions the importance of such a test. The nurse correctly responds with which of the following statements?
  • (^) giving advice.
  1. The nurse is admitting a patient with a foul smelling leg wound. Which behavior by the nurse indicates an understanding of appropriate body language?
  • (^) Gentle touching of the patient's shoulder
  1. The nurse is caring for a patient who is unable to take oral medications because of persistent nausea and vomiting. The nurse decides to call the primary care physician and ask for a different medication administration route. This demonstrates the act of:
  • (^) Advocacy
  1. To develop critical thinking, the nurse needs to develop a critical-thinking character that includes
  • (^) Developing honesty and confidence
  1. The term nursing process was first used in 1955. In 1973, the American Nurses Association identified five specific steps of the process. The essential step that was added in 1991 is:
  • (^) outcome identification
  1. The charge nurse is discussing a patient's care plan during a team meeting. The team determines that the patient has not met the goal of "ambulating to the nurse's station twice a day" and decides to revise the plan. Which of the following characteristics of the nursing process most represents this decision?
  • (^) Outcome orientation
  1. A nurse is conducting a health interview on a newly admitted patient. To establish a trusting relationship with the patient, the nurse:
  • (^) sits close and leans in slightly toward the patient.
  1. The nurse is using a stethoscope to assess a patient's cardiac status. This assessment technique is known as:
  • (^) Auscultation
  1. The nurse is performing a physical exam on a patient diagnosed with liver failure resulting from chronic alcoholism. The nurse notes that the abdomen is swollen and decides to assess for abdominal skin tenderness and temperature. Which of the following techniques would the nurse use to collect this data? a.
  • (^) Palpation
  1. A group of patients in a community center attend a nursing-led information session on the risks of contracting tuberculosis. After the presentation several patients ask the nurse for additional web-based resources regarding the lung disease. Which type of nursing diagnosis would the nurse choose for the community care plan?
  • (^) health promotion
  1. A patient is receiving an experimental drug for leukemia. The nurse is worried that the drug may cause a reduction in platelets leading to intestinal tract bleeding. Which type of nursing diagnosis should the nurse use to address this concern?
  • (^) Risk
  1. After the nurse completes a patient's initial assessment and develops a plan of care:
  • (^) continual reassessment of the patient is required.
  1. Dependent nursing interventions include:
  • (^) administer antipyretic medications as appropriate.
  1. Nursing interventions that originate from the physician or primary care
  • (^) Dependent
  1. Which statement contributes to the understanding that nursing is considered a profession? (Select all
  • (^) Nursing requires specialized training. Nursing has a specialized body of knowledge. Nurses make independent decisions within their scope of practice.
  1. The direction of blood flow through the heart is best described by which of these?
  • (^) Right atrium right ventricle pulmonary artery lungs pulmonary vein left atrium left ventricle
  1. A nurse is discharging a patient and is planning on what material to give the patient to take home. What action by the nurse is best?
  • (^) Assess the patient's ability to read and understand.