1
The nurse is providing a question and answer time to a client with a new diagnosis of CHF. Which domain of learning is the nurse utilizing?
a. psychomotor
b. affective
c. cognitive
d. motivation
c. cognitive
Learning occurs in three domains: cognitive (understanding), affective (attitudes), and psychomotor (motor skills).
Which of the following is an intrinsic factor for the homeless?
a. Poor genetic health
b. Jobless
c. Quality hygiene
d. Decreased mobility
b. Jobless
Homeless people are usually jobless and do not have the advantage of shelter
How much total body water is located in ICF and ECF?
a. ICF 2/3 and ECF 1/3 of total body's water
b. ICF 1/3 and ECF 2/3 of total body's water
c. ICF 1/4 and ECF 1/2 of total body's water
d. ICF 1/2 and ECF 1/4 of total body's water
a. ICF 2/3 and ECF 1/3 of total body's water
What are symptoms of hypomagnesemia? Select all that apply
a. numbness of fingers and toes
b. hyperactive deep tendon reflexes
c. dysrhythmias
d. anorexia
e. hypertension
f. constipation
g. tachycardia
b, c, e, g
Hypomagnesemia increases neuromuscular excitability. S/s include also include: Chvostek's sign, muscle cramps and twitching, grimacing, dysphagia, tetany, seizures, insomnia, and hypertension
Nurses in a community clinic are conducting an EBP project focused on improving the outcomes of children with asthma. The PICO question asked by the nurse is "In school-aged children, does the use of an electronic gaming education module versus educational book improve the usage of inhaler?" In the question, what is the "O"?
a. School-aged children
b. Educational book
c. Use of inhaler
d. Electronic gaming education
c. Use of inhaler
PICOT
P=patient population
I=intervention
C=comparison
O=outcome
T=time
What is the nurse's most important responsibility when administering enteral feedings?
a. warm the enteral feeding prior to administration
b. elevate the head of bed 30-45 degrees during feeding
c. use sterile technique when access enteral feeding tube
d. flush the tube with sterile water before and after feeding
b. elevate the head of bed 30-45 degrees during feeding
Need to prevent aspiration
What nursing theory helps patients reduce their anxiety by developing relationships with their patients and family members?
a. Orem's Self-Care Deficit Nursing Theory
b. Nightingale's Environmental Theory
c. Leininger's Culture Care Theory
d. Peplau's Interpersonal Theory
d. Peplau's Interpersonal Theory
This theory focuses on nurses helping patients reduce anxiety by converting it into constructive actions.
Where would you place the stethoscope to auscultate the tricuspid valve?
a. Third intercostal space, left midclavicular line
b. Fourth intercostal space, left sternal boarder
c. Fifth intercostal space, left midclavicular line
d. Second intercostal space, left sternal boarder
b. Fourth intercostal space, left sternal boarder
_______________ are the conditions in which people are born, grow, live, work, and age.
Social determinants of health
When taking care of patients, a nurse routinely ask whether 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. Holistic
Holistic health model of nursing promotes a patient's optimal level of health by considering the dynamic interactions among the emotional, spiritual, social, cultural, and physical aspects of an individual's wellness.
What is the main purpose of palpating tactile fremitus?
a. To palpate for crepitus of the thoracic cage
b. To detect tension pneumothorax
c. To palpate voice sounds vibrations through the bronchi
d. To assess surface characteristics or tenderness of the thoracic cage
c. To palpate voice sounds vibrations through the bronchi
A nurse hears loud, bubbly sounds during inspiration that are not cleared with coughing, while auscultating lung sounds. How would you document the lung sounds?
a. Coarse crackles
b. Wheezes
c. Clear
d. Rhonchi
a. Coarse crackles
Wheezes are musical sounds and rhonchi sound like loud low pitched rumbling.
Which stage of Erikson's theory of psychosocial development involves older adults reviewing their lives with a sense of satisfaction or regret?
a. Integrity vs despair
b. Initiative vs guilt
c. Intimacy vs isolation
d. Industry vs inferiority
a. Integrity vs despair
This is the stage where adults look back on events from their lives and are either satisfied with their choices or face regret from the goals they didn't achieve.
Which of the age groups in Erikson's theory of psychosocial development focus on the question "Who am I?"
a. Old age - Integrity vs despair
b. 3-6 years old - Initiative vs guilt
c. Puberty - Identity vs role
d. Middle age - Generativity vs self absorption and stagnation
c. Puberty - Identity vs role
This age group focuses on appearance and body image due to sexual maturation. Identity development begins with the goal of achieving some perspective or direction and answering the question "Who am I"
A pt who is newly diagnosed with breast cancer states, "Although I am really scared about what is going to happen to me, I know my family will learn from this experience, and we will be stronger in the end." What term does the nurse use in the pts medical record to describe the characteristic displayed in this statement?
a. Resiliency
b. End-of-life care
c. Family functioning
d. Family's culture
a. Resiliency
What are symptoms of hypomagnesemia? Select all that apply.
Numbness of fingers and toes
Hyperactive deep tendon reflexes
Dysrhythmias
Anorexia
Hypertension
Constipation
Tachycardia
hyperactive deep tendon reflexes, dysrhythmias, hypertension, & tachycardia.
Hypomagnesemia increases neuromuscular excitability. Signs and symptoms include: positive Chvostek's signs, hyperactive deep tendon reflexes, muscle cramps and twitching, grimacing, dysphagia, tetany, seizures, insomnia, tachycardia, hypertension, dysrhythmias
When preparing a 4-year old child for a procedure, which method is developmentally most appropriate for the nurse to use?
a. Allowing the child to watch another child undergoing the same procedure
b. Showing the child pictures of what they will experience
c. Talking to the child in simple terms about what will happen
d. Preparing the child through play with a doll and toy medical equipment
d. Preparing the child through play with a doll and toy medical equipment
The nurse spends time with a patient and family reviewing a dressing change procedure for the patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in which professional role?
a. Educator
b. Advocate
c. Caregiver
d. Communicator
b. Advocate
Which of the family caregivers listed below will the nurse expect to be most at risk for experiencing poor health outcomes?
a. A 20 year old daughter caring for a mother who needs help setting up her medications weekly
b. The 68 year old spouse of a patient who is experiencing worsening dementia
c. A 32 year old parent of a child who has an ear infection
d. A married couple who is sharing the caregiving responsibilities for a parent who was recently diagnosed with hypertension and coronary artery disease
b. The 68 year old spouse of a patient who is experiencing worsening dementia
A parent has brought her 6 month old infant in for a well-child check. Which of her statements indicates a need for further teaching?
a. I can start giving her whole milk at about 12 months
b. I can continue to breastfeed for another 6 months
c. I can giver her plenty of fruit juice to increase her vitamin intake
d. I can start giving her solid food now, introducing one food at a time
c. I can giver her plenty of fruit juice to increase her vitamin intake
Before implementing touch, what does a nurse need to know about touch? (Select all that apply)
a. Some cultures may have specific restrictions about non-skill-based touch
b. Touch is a type of verbal communication
c. Touch can successfully influence a patient's level of comfort
d. There is never a problem with using touch at any time
e. Touch only reduces physical pain
Which of the following is an example of a patient with a health disparity? (Select all that apply)
a. A pt who has a homosexual sexual preference
b. A pt unable to access primary care services
c. A pt living with a chronic disease
d. A family who relies on public transportation
e. A pt who has had a history of smoking for 10 years
b, c, & e
Health disparity is a particular type of health difference that is closely linked with social, economic, or environmental disadvantage
a 9 year old child has a difficult time making friends at school and being chosen to play on the team. He also has trouble completing his homework and, as a result, receives little positive feedback from his parents or teacher. According to Erikson's theory, failure at this stage of development results in: (select all that apply)
a. Feelings of inadequacy
b. A sense of guilt
c. A poor sense of self
d. Feelings of inferiority
e. Mistrust
a & d
Age 9 = Erikson's industry vs inferiority
Intimate partner violence is linked to which of the following factors? (select all that apply)
a. alcohol abuse
b. marriage
c. pregnancy
d. unemployment
e. drug use
a, c, d, e
Which measures does a nurse follow when being asked to perform an unfamiliar procedure? (Select all that apply)
a. Check scientific literature or policy and procedures
b. Determines whether additional assistance is needed
c. Collects all necessary equipment
d. Delegates the procedures to a more experienced nurse
e. Considers all possible consequences of the procedure
a, b, c, & e