Management of Care
Health Promotion and Maintence
Psychosocial Integrity
Basic Care and Comfort
Clinical Judgement
100
Pre-Planning
Initiation
Implementation
Termination
Post Home Visit
What are the sequence of steps in a home vist
100
Crucial time for promoting baby-friendly care in the immediate post birth parent-newborn contact
What is the first hour after birth
100
A home health nursing visits a client who is experiencing delirium and notes poor living conditions, a disheveled appearance, and excessive body odor. What term can be used to describe these conditions?
What is self-neglect.
100
A nurse is preparing to reposition a client who has had a stroke. Which of the following actions should the nurse take?
a. evaluate the client's ability to help with repositioning
b. reposition the patient without the use of assistive devices
c. raise the rails on both sides of the bed during repositioning
d. discuss the client's preferences in order to determine the correct positioning schedule
What is A
100
What is the difference between clinical judgement and critical thinking?
Critical thinking is the general, reflective process of analyzing information, while clinical judgment is the specific, observed outcome of using critical thinking to make patient-centered decisions in a healthcare setting
200
Failing to provide the standard of care that a "reasonably prudent person" would in a similar situation, resulting in patient harm
What is negligence
200
Sit straight if propped up
Roll from front to back
Raise head 90 degrees on tummy
Double weight 6 months, triple it by 12
What are the physical growth and developmental findings of an infant.
200
A nurse is tasked with providing care for a Jewish patient during the Passover holiday. Name 2 priority interventions that reflect cultural awareness during this time?
1. Respect dietary restrictions
2. Provide a quiet environment for prayers
3. Provide separate utensils for milk and meat to avoid mixing them
200
Describe the process of collecting a clean catch urine specimen for a female patient
1. Wash hands
2. Part external genitalia with one hand, hold cup with other
3. Clean external genitalia with 3 wipes, side, side center
4. Let initial stream flow into toilet, then place cup in stream.
5. Place lid and clean cup, label sample
200
A charge nurse is planning discussing the factors that influence the clinical decision process with a newly licensed nurse. Name 2 factors that the charge nurse should include.
What is available resources
Awareness of the client status
The role of supportive personnel
300
Professional negligence where a nurse with specialized education fails to meet the expected standard of care, often involving a deliberate deviation from policies or acting outside their scope of practice
What is Malpractice
300
Key prenatal findings to report at 24 weeks gestation
Fetal Heart Rate
Movement
Maternal vital signs
Contractions (S&S of preterm labor)
300
Name 3 nursing interventions for a client with alcohol use disorder
Administer benzodiazepines as ordered (CIWA)
Ongoing monitoring of vital signs and neurologic status (CIWA)
Provide seizure precautions
300
Which of the following represent the best source of vitamin c
Oranges
Tomatoes
Papaya
Bell peppers
What is bell peppers
300
A nurse is caring for a client who has coarse crackles in the LLL. If the nurse asked an UAP to listen to the lung sounds and report changes, this would be an example of what?
Improper delegation
400
Name 4 of the six key areas in which demonstrate quality and safety proficiency
What are Patient-Centered Care, Teamwork and Collaboration, Evidence-Based Practice, Quality Improvement, Safety, and Informatics
400
Self-identity formation
Exploration of sexuality
Social Pressures
Emotional lability
What are the expected psychosocial developments during adolescents
400
Name 3 nursing interventions designed to promote a safe and therapeutic environment for a patient with dementia
400
What is the difference between a positive Mantoux test for a patient with no known TB exposure and those with known risk factors
- Induration of 5 mm or more: In people with known TB exposure or risk factors (e.g., HIV, immunosuppressed individuals, healthcare workers)
- Induration of 10 mm or more: In people with no known risk factors
- In recent immigrants from high-risk countries
- In recent immigrants from high-risk countries
400
Which of the following would be considered to be the clinical findings of sepsis in a newborn
a. Breathing difficulties
b. Lethargy
c. Poor feeding
d. Vomiting
e. Changes in skin color
What is all of the above
500
A nurse is getting ready to transfer a client who is three days post-surgery to a long-term care center. Which details should the nurse include in the handover report?
A. Client's requirement for specialized devices
B. Admission vitals
C. Type of anesthesia used during surgery
D. Status of the client's advanced directives
E. Documented medical condition
What is A, C, D
500
The nurse is providing teaching to the patient who suffered third degree burns two weeks ago to the bilateral anterior legs and anterior lower abdomen. Which statement by the patient indicates an understanding of the teaching?
“I may experience swelling from fluid shifts as the body responds to my burns.”
“I may need extensive amounts of IV fluids to avoid going into shock from my burns.”
“I will need to ensure that I keep warm after having burns this extensive.”
“It is essential that I use honey-infused dressings so that my burn wounds will heal correctly.”
“I will need to ensure that I keep warm after having burns this extensive.”
Hypothermia is a potential complication that may be experienced following an extensive burn due to the loss of the skin barrier. Fluid shift and large amount of replacement fluids are both considerations in the first few days after a burn, but are not considerations two weeks afterwards. While honey infused dressing may help to treat burns they are not essential.
500
Describe a patient with histrionic personality disorder
Emotionally labile
Attention-seeking
Often seductive and flirtatious
500
A nurse is caring for a client with a pressure ulcer on the heel. The ulcer is covered with intact, hard, and dry black tissue (eschar). Which of the following is the appropriate next action?
a. Perform a wet-to-dry dressing change.
b. Cover the area with sterile gauze.
c. Do not apply a dressing.
d. Apply a hydrocolloid dressing.
A. Current standard of care guidelines recommend that stable, intact eschar on the heels should be left in place to serve as a natural barrier against infection and mechanical injury
500
How can the nurse differentiate the manifestations of communicable disease in infants?
1 Understand there are many overlapping symptoms
Like fever, lethargy, and poor feeding
2. Look for patterns of specific manifestations. I.E.
"Whooping Cough" in pertussis
Koplik Spots in measles
Blood and mucus in diarrhea (Shigellosis,
Salmonellosis