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NUR 164 Exams Review Flashcards

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1
Q

The focal point of nursing is the nurse-client interaction. What must nurses consider when conducting the necessary assessment of their clients and significant others?

A

Their own cultural orientation

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2
Q

T/F As primary caregivers, nurses are NOT involved in identifying, preventing, controlling, and teaching the patient about infection.

A

False

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3
Q

The Quality and Safety Education for Nurses (QSEN) project was established to equip the next generation of nurses to help make needed changes in health care. Which are included in the six prelicensure knowledge, skills, and attitudes (KSAs) for nursing and graduate students?

A
  • Patient-centered care
  • Teamwork and Collaboration
  • Evidence-based Practice
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4
Q

There are four concepts common in all nursing theories. Which one of the four concepts is the focus of nursing?

A

Person

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5
Q

All of the following are factors to consider when caring for clients with limited income. Which one is the most important?

A

Basic human needs may go unmet.

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6
Q

A 20-year-old housekeeper, born and educated in Iraq, wears the traditional clothing and head covering. A 50-year-old client tells the nurse, “They are in our country and should dress like we do.” What is this statement an example of?

A

Cultural Imposition

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7
Q

A client is demonstrating signs of spiritual distress. In which way would the nurse fail to provide spiritual care to this client?

A

The nurse does not understand the relationship between mind, body, and spirit.

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8
Q

A client in a physician’s office has a blood pressure (BP) reading of 150/92 mm Hg. What must be considered prior to this client being diagnosed as having hypertension?

A

The client must have at least two blood pressure reading that are elevated for the diagnosis.

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9
Q

The nurse is applying evidence-based practice (EBP) during a client’s wound care. What characteristics of evidence-based practice (EBP) does the nurse demonstrate?

A
  • The nurse blends the science and art of nursing.
  • The nurse uses the best evidence available
  • The nurse is using a problem-solving approach.
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10
Q

Personal space and distance is a cultural perspective that can impact nurse-client interactions. What is the best way for the nurse to interact physically with a client who has a different cultural perspective on space and distance?

A

Know the client’s cultural personal space preferences.

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11
Q

In what way can a nurse differentiate strong research from poor research?

A

By critiquing the study

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12
Q

During an assessment, a client reports performing self-care techniques to balance the hot disease state of diabetes. Which health belief should the nurse realize that this client practices?

A

Holistic

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13
Q

A beginning student is reading a published research article. Where in the article would the student find the abstract?

A

At the beginning.

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14
Q

Which site is used to auscultate blood pressure?

A

Brachial

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15
Q

Fungi

A

Plant-like organism present in air, soil, and water.

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16
Q

Bacteria

A

Most significant and most prevalent in hospital settings

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17
Q

Virus

A

Smallest of all microorganisms.

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18
Q

The nurse recognizes that the most common way for microorganisms to spread is through

A

Direct Contact

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19
Q

Various sounds are heard when assessing a blood pressure. What does the first sound heard through the stethoscope represent?

A

Systolic Pressure

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20
Q

The nurse is caring for a client with Clostridium Difficile. What actions should nurse take?

A
  • Wear a gown when caring for the client.

- Put on gloves before entering the client’s room

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21
Q

A health care facility determined that a nurse employed on a medical unit was documenting care that was not being given, and subsequently reported the action to the State Board of Nursing. How might this affect the nurse’s license to practice nursing?

A

The nurse’s license may be revoked or suspended.

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22
Q

What are healthy self-care practices that the nurse can utilize for herself?

A
  • Engage in an activity, such as painting, that she enjoys.
  • Attend a continuing education class on assertiveness.
  • Practice meditation for 5 minutes on a regular basis
  • Schedule adequate time for hygiene and eating before attendance at work.
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23
Q

The nurse thoughtfully plans care for an assigned client. What should the nurse do to provide culturally competent care?

A

Become familiar with any facet of the client’s culture that may have an impact on the care.

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24
Q

The following procedures have been ordered and implemented for a hospitalized client. Which procedure carries the greatest risk for a healthcare-associated infection (HAI)?

A

Urinary Catheterization.

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25
When assessing a client's vital signs, a nursing student has explained to the client each of her next actions prior to assessing the client's temperature, pulse, and blood pressure. However, the nursing student did not announce her intention to assess the client's respiratory rate prior to measuring it. What is the rationale for the nursing student's decision to withhold this information?
The client may alter the rate of respirations if the client is aware that his breaths are being counted.
26
A well-developed PICOT question helps the nurse:
Search for Evidence
27
A nurse does not assist with ambulation for a postoperative client on the first day after surgery. The client falls and fractures a hip. What charge might be brought against the nurse?
Negligence
28
Nursing research is linked most closely to:
Nursing Process
29
A nurse is assessing a client who has a fever, has an infection of a flank incision, and is in severe pain. What type of pulse rate would the client most likely exhibit?
Tachycardia.
30
The nurse knows that the basic concept of all patient care that is implemented to prevent the spread of infection form blood, bodily fluids, secretions, nonintact skin, and mucus membranes is
Standard Precautions.
31
_______ is a guide for making accurate, timely, and appropriate clinical decisions.
Evidence-based practice (EBP)
32
History Timeline in chronological order
- During the crusades, religious orders provided nursing care to the sick - Florence Nightingale administered care to British soldiers during the Crimean War. - Mary Elizabeth Mahoney graduated from the New England Hospital for Women and Children as America's first African American Nurse - Clara Barton organized the American Red Cross - Margaret Sanger advocated for contraception and family planning in the United States.
33
When evidence-based practice is used, patient care will be:
Variable according to the situation.
34
A staff nurse asks a student, "why in the world are you studying nursing theory?" How would the student best respond?
"It helps explain how nursing knowledge and practice improves patient care."
35
The nurse has done a literature search and found 25 possible articles on the topic that she is studying. To determine which of those 25 best fit her inquiry, the nurse first should look at:
The abstracts
36
Evidence-based practice is a problem-solving approach to making decisions about patient care that is grounded in:
Systematically conducted research studies.
37
A 40-year-old nurse is taking a health history from a Hispanic man aged 20 years. The nurse notes that he looks down at the floor when he answers questions. What should the nurse understand about this behavior?
This is culturally appropriate behavior.
38
Which characteristic is used to describe racial categories?
Skin Color
39
Handwashing with soap and water should occur at the following times
- When visibly soiled - When contaminated with blood, certain organisms and other bodily fluids - before eating and after using the restroom
40
A nurse has an order to take the core temperature of a client. At which of the following sites would a core body temperature be measured?
Rectal
41
What is an average normal temperature in Celsius for a healthy adults?
Oral: 37 degrees Celsius
42
A nurse instructor explains the concept of health to the students. Which statement accurately describes this state of being?
Health is a state of optimal functioning.
43
________, a subjective symptom, is also referred to as a vital sign, along with the physiological signs.
Pain
44
A nurse is assessing a sedated patient whose respiratory rate has fallen below 12 respirations per minute. The nurse identifies this condition as
Bradypnea
45
Pulse located on wrist area, thumb side
Radial
46
To take a manual blood pressure, the nurse places the cuff of the _________ around the patient's arm.
Sphygmomanometer
47
Pulse located Behind the ankle
Posterior Tibial
48
A man on an airline is sitting by a woman who is coughing and sneezing. If she has an infection, what is the most likely means of transmission from the woman to the man?
Airborne route
49
Who was the first nurse to develop a nursing theory?
Florence Nightingale.
50
Nursing as a profession has ground it difficult for many years to establish recognition for contributions to health care. What explanation should be provided for this dilemma?
The conceptual and theoretical bases for nursing practice came from outside the nursing profession.
51
The primary strategies for prevention of infection transmission with regard to contact with blood, body fluids, nonintact skin, and mucous membranes are known as _____.
Standard Precautions.
52
The nurse provides care to the whole client, incorporating within that care the cultural context of the client's beliefs and values. Which type of care is the nurse providing?
Culturally Competent
53
A nurse is making a bed occupied by a client. What is recommended step for this procedure?
Fan-fold soiled linens as close to client as possible.
54
The nurse is performing perineal care for the uncircumcised patient. Which of the following is true?
The foreskin should be retracted and returned to position by the nurse after cleaning, rinsing, and drying.
55
Where should the gait belt be positioned for optimal function?
Low on patient's waist, near their hips and snug against their body.
56
A nurse is providing oral care to a client with dentures. What action would the nurse perform FIRST?
Don gloves
57
While supervising a student, a nurse intervenes when the student performs a bed bath and ____
uncovers the entire body when washing
58
A nurse is caring for a client who has a head of the bed elevated to a 45 degree angle with the knees slightly flexed. Which of the following positions would the nurse document for a client?
Fowler's Position
59
The skin, the largest human body organ, protects us from heat, light, injury, and infection and does which of the following?
- Prevents the entry of bacteria - Stores water, vitamin D, and fat - Helps regulate body temperature - Helps to sense pain
60
Where should the nurse place the load when carrying heavy objects?
Close to the body midline.
61
Before a long- term care resident goes to sleep at night, the client's dentures are placed in a denture cup with clean water. What rationale supports placing dentures in water?
To prevent drying and warping of plastic
62
When assisting a patient with bedtime care, a nurse demonstrates caring by doing which of the following?
- Dimming the patient's lights - Removing the patient's dentures - Removing the patient's hearing aids
63
To place a patient in the Sims' or lateral-lying position, the nurse would initially:
Raise the bed to a waist-high working level
64
The physician's admitting orders indicate that the client is to be placed in Fowler position. Upon positioning this client, how much will the nurse elevate the head of the bed?
45 to 60 degrees
65
A physician orders the nurse to place a patient in Fowler's position. The nurse should elevate the head of the patient's bed _____ degrees.
60 to 90
66
The nurse uses professional knowledge about body mechanics to prevent the most common occupational disorder in nurses, which is:
Back injuries from lifting and twisting
67
The nurse is observing a student nurse making up a bed while the patient is in therapy. She intervenes when the student:
Puts soiled linens on the floor.
68
Cardiac Muscle
Tissues contract to make the heart beat.
69
Skeletal Muscle
Allows for movement, balance, and posture
70
Smooth muscle
Contained in the lining of hollow organs
71
The nurse is caring for a client who refuses to bathe in the morning. When asked why, the client says, "I prefer to bathe in the evening." Which action by the nurse is best?
Allow the patient to bathe in the evening.
72
What should the nurse do to protect his or her back when lifting or moving a patient?
Bending knees and hips
73
The nurse knows that which of the following statements is true regarding the importance of hygiene?
The nurse has the opportunity to assess the respiratory, gastrointestinal, and genitourinary systems during the bath
74
A nursing instructor is teaching students about bathing patients. Which are benefits of bathing?
- Promotes circulation - Cleanses the skin - Improves self-esteem
75
While conducting an oral assessment, a nurse notices the client's gums are red and swollen, some teeth are loose, and blood and yellow exudate can be expressed when the gums are palpated. What condition do these symptoms indicate?
Periodontitis
76
The nurse uses the following during bedmaking because it protects the bottom sheet from becoming soiled and aids in turning the patient:
Draw Sheet
77
While educating a class of nursing students, a nursing instructor teaches which about back massages?
- Stimulate circulation - Can cause bradycardia - Prevent pressure ulcers
78
The nurse recognizes that when bathing a patient, it is her responsibility to:
- Establish rapport and trust - Assess skin temperature and integrity - Encourage Relaxation
79
List the three types of joints and where to find them
- Fibrous Joint found in the skull - Cartilaginous joints found in the pubic bone - Synovial joints found in the hands or where the arm meets the shoulder.
80
A client is admitted to the health care facility with a diagnosis of pediculosis capitis. Which of the following would the nurse expect to find in the client?
Inflammation related to bites along the hairline.
81
What should the nurse do to reduce the effort of moving a heavy object?
Widen the base of support in the direction of movement
82
Providing Oral Care to a patient who has dentures includes:
Removing, cleaning, and storing the dentures in a labeled container at bedtime
83
A nurse is conducting a health history for a client with a skin problem. What question or statement would be most useful in eliciting information about personal hygiene?
"Tell me about what you do to take care of your skin"
84
A school nurse is assessing children in the third grade for pediculosis capitis. What assessments should be made?
The head for nits on hair shafts.
85
Prone Position
Lying flat on stomach
86
Sims Position
Side lying right left bend on a pillow
87
Supine Position
Lying flat on back
88
High Fowler's position
Sitting up 90 degrees
89
Trendelenburg Position
Head down below rest of body
90
________ removes sweat, oil, dirt, and bacteria and helps maintain skin integrity.
Bathing
91
A nurse is providing perineal care to a female client. In which direction would the nurse move the washcloth?
From the pubic area toward the anal area.
92
What function of the skeletal system is essential to proper function of all other cells and tissues?
Producing blood cells.
93
Order for using a cane
Step 1. Assistive Device Step 2. Affected Leg Step 3. Unaffected Leg

NUR 164 (4 decks)

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