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    Exam Review

    1. A nurse is assessing for factors influencing family form. Which areas will the nurse include in the assessment? (Select all that apply.)(SATA)
      A)Presence of illness
      B)Rise of homosexual families
      C)Homelessness
      D)Changing economic status
      E)Domestic Violence
    2. A recently widowed older-adult patient is dehydrated and is admitted to the hospital for intravenous fluid replacement. During the evening shift, the patient becomes acutely confused. Which possible reversible causes will the nurse consider when assessing this patient? (Select all that apply.)(SATA)
      A)Hypoglycemia
      B)Dementia
      C)Electrolyte imbalance
      D)Drug effects
      E)Sensory deprivation
    3. Which characteristic tends to make a nurse the best communicators with patients?
      A)Developed critical thinking skills
      B)Ability to maintain perceptual biases
      C)An interest in different kinds of people
      D)Effective psychomotor skills
    4. A nurse is discussing the advantages of a nursing clinical information system. Which advantage should the nurse describe?
      A)Varied clinical databases
      B)Increased hospital cost
      C)More time to read charts.
      D)Reduced errors of omission
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    Exam Review

    1. What is the best suggestion a nurse could make to a family requesting help in selecting a local nursing center?
      A)Explain that it is important for the family to visit the center and inspect it personally.
      B)Have the family members evaluate nursing home staff according to their ability to get tasks done efficiently and safely.
      C)Make sure that nursing home staff members get patients out of bed and dressed according to staff's preferences.
      D)Suggest a nursing center that has standards as close to hospital standards as possible.
    2. An elderly patient has bad hip surgery and will be receiving heparin, 4000 units subcutaneously every 12 hours. The heparin is available in vials of 5000 units/mL. Calculate how much heparin the nurse will administer for this dose.
    3. A nurse has accepted a position on a pediatric unit and is learning about psychosocial development. Place Erikson's stages of psychosocial development in order from birth to adolescence. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) (ORDERED RESPONSE)
      A)Trust vs. mistrust1
      B)Autonomy vs. shame and doubt2
      C)Initiative vs. guilt3
      D)Industry vs. inferiority4
      E)Identity vs. role confusion5
    4. A nurse is sitting at the patient's bedside taking a nursing history. Which zone of personal space is the nurse using?
      A)Intimate
      B)Socio-consultative
      C)Personal
      D)Public
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    Exam Review

    1. A nurse is experiencing an ethical dilemma with a patient. Recognizing what information as a factor indicates the nurse has a correct understanding of the primary cause of ethical dilemmas?
      A)Unequal power
      B)Presence of conflicting values
      C)Poor communication with the patient
      D)Judgmental perceptions of patients
    2. A nurse is preparing to teach patients. Which patient finding will cause the nurse to postpone a teaching session? (Select all that apply.)(SATA)
      A)The patient's pain is not controlled.
      B)The patient is currently febrile with an oral temperature of 101.2 degrees F.
      C)The patient is in the acceptance phase of dealing with their medical diagnosis.
      D)The patient is mildly anxious about their condition.
      E)The patient is asking numerous questions about their health status.
      F)The patient is reporting being fatigued.
    3. An obstetric nurse comes across an automobile accident. The driver seems to have a crushed upper airway, and while waiting for emergency medical services to arrive, the nurse makes a cut in the trachea and inserts a straw from a purse to provide an airway. The patient survives and has a permanent problem with vocal cords, making it difficult to talk. Which statement is true regarding the nurse's performance?
      A)The nurse should have just stayed with the patient and waited for help.
      B)The nurse stayed within the guidelines of the Good Samaritan Law.
      C)The nurse acted appropriately and saved the patient's life.
      D)The nurse took actions beyond those that are standard and appropriate.
    4. After a teaching session with a nurse, a patient learns that a normal adult heartbeat is 60 to 100 beats/min. In which domain did learning take place?
      A)Psychomotor
      B)Kinesthetic
      C)Affective
      D)Cognitive
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    Exam Review

    1. A patient diagnosed with both heart failure and kidney failure requires teaching about dialysis. Which nursing assessment is most appropriate for determining this patient's learning needs?
      A)Total health care needs
      B)Sources of patient data
      C)Goals of patient care
      D)Health literacy
    2. A 72-year-old woman was recently widowed. She worked as a teller at a bank for 40 years and has been retired for the past 5 years. She never learned how to drive. She lives in a rural area that does not have public transportation. Which psychosocial change does the nurse focus on as a priority?
      A)Sexuality
      B)Retirement
      C)Social isolation
      D)Environment
    3. The parent brings a child to the clinic for a 12-month well visit. The child weighed 6 lb 2 ounces and was 21 inches long at birth. Which finding will cause the nurse to intervene?
      A)Height of 30 inches
      B)Weight of 16 lb
      C)Is not yet potty-trained
      D)Is not yet walking up stairs
    4. A nurse is measuring an infant's head circumference and height. Which area is the nurse assessing?
      A)Biophysical development
      B)Psychosocial development
      C)Cognitive development
      D)Moral development
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    Exam Review

    1. Which action by the nurse indicates a safe and efficient use of social networks?
      A)Promotes support for a local health charity.
      B)Vents about a patient problem at work.
      C)Posts a picture of a patient's infected foot.
      D)Friends a patient.
    2. A nurse is preforming a newborn assessment. Which assessment finding will cause the nurse to intervene immediately?
      A)Lack of reflexes
      B)Cyanotic hands and feet
      C)Had Molding
      D)A soft, protuberant abdomen
    3. A nurse is teaching a parenting class for families with adolescents. Which health concerns will the nurse include in the teaching session? (Select all that apply.)(SATA)
      A)Eating disorders
      B)Sexually transmitted infections
      C)Suicide
      D)Gonadotropic hormone stimulation
      E)Violence/Homicide
    4. A nurse is caring for a young adult. Which goal is priority?
      A)Maintain peer relationships.
      B)Maintain recreational relationships.
      C)Maintain parental relationships.
      D)Maintain family relationships.
    Page 5 of 15

    Exam Review

    1. A nurse has provided care to a patient. Which entry should the nurse document in the patient's record?
      A)Left knee incision 1 inch in length without redness, drainage, or edema.
      B)Patient is hard to care for and refuses all treatments and medications. Family is present.
      C)Status unchanged, doing well.
      D)Patient seems to be in pain and states, "I feel uncomfortable."
    2. A nurse is a member of the ethics committee. Which roles will the nurse fulfill in this committee? (Select all that apply.)(SATA)
      A)Educator
      B)Policy reviewer and recommender
      C)Case consultant
      D)Purchasing Agent
      E)Direct patient care provider
    3. A nurse is teaching the staff about professional negligence or malpractice. Which criteria to establish negligence will the nurse include in the teaching session? (Select all that apply.)(SATA)
      A)Nurse carried out the duty.
      B)Patient understands benefits and risks of a procedure.
      C)Injury did not occur.
      D)That duty was breeched.
      E)Duty of care was owed to the patient.
    4. A nurse is preparing to administer an IV fluid bolus of 500 mL 0.9% sodium chloride over 60 min. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
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