What is the body’s first line of defense against bacteria?
WBC's
Lymph glands
Intact skin
Inflammatory response
Who is responsible for evaluating the outcome of a task delegated to the nursing assistive personnel (NAP)?
Nurse who delegated the task
Charge nurse for the shift
Unit nurse manager
Licensed Practical Nurse working with the NAP
The nurse is performing preoperative teaching for a client who is scheduled for surgery in the morning. The client does not currently have any respiratory problems. The nurse’s teaching plan includes coughing and deep breathing exercises. Which type of nursing intervention is the nurse performing?
Assessment
Health promotion
Treatment
Prevention
A patient is admitted to the hospital for chemotherapy and has a low white blood cell count. Which precaution should the staff take with this patient?
Contact
Droplet
Protective
Airborne
The nurse administering pain medication every 4 hours is an example of which aspect of patient care?
Nursing intervention
Nursing diagnosis
Patient outcome
Assessment data
Which of the following most accurately describes nursing diagnoses? A nursing diagnosis:
Supports the client's medical diagnosis
Identifies a client's health problem
Identifies a client's response to a health problem
Supports the nurse's diagnostic reasoning
Which of the following is an example of the most basic motivation in Maslow’s hierarchy of needs?
Receiving education
Having adequate housing
Living in a crime-free neighborhood
Experiencing loving relationships
Which of the following is the most important reason to develop a definition of nursing?
Evaluate the degree of role satisfaction
Differentiate nursing activities from those of other professionals
Dispel the stereotypical images of nurses and nursing
Recruit more informed people into the nursing profession
The nurse is removing personal protective equipment (PPE). Which item should be removed first?
Gloves
Face shield
Gown
Hair covering
How does nursing diagnosis differ from a medical diagnosis? A nursing diagnosis is:
Part of the client's medical diagnosis
A client's response to a health problem
The client's presenting signs and symptoms
Terminology for the client's disease or injury
The Joint Commission requires which type of assessment to be performed on all patients?
Pain
Cultural
Wellness
Functional ability
Which of the following contributions of Florence Nightingale had an immediate impact on improving patients’ health?
A clean environment
Changing the delivery of care in hospitals
Improving nursing education
Establishing nursing as a distinct profession
Which of the following procedure techniques has the most effect on the accuracy of an apical pulse count?
Using your ring finger to palpate the intercostal spaces
Counting the rate for 1 full minute
Exposing only the left side of the chest
Determining why assessment of apical pulse is indicated
Which of the following examples includes both objective and subjective data?
The client states she has trouble sleeping and that she drinks Dutch Bros. coffee in the evening.
The client states he gets frequent headaches and that he takes aspirin for the pain.
The client’s cholesterol is elevated, and he states he likes Kentucky Fried Chicken.
The client’s blood pressure is 132/68 and her heart rate is 88.
The nurse has been teaching a student how to perform mouth care for her unconscious patient. The student will show evidence of learning if she places the patient in which position for this care?
Supine
Side-lying
Prone
Semi-Fowler's
The American Red Cross was established by:
Clara Braxton
Barta Clarice
Clara Barton
Bart Simpson
Which task can be delegated to nursing assistive personnel (NAP)?
Assess the client's skin condition
Change pressure ulcer dressings every shift
Turn and reposition the client every 2 hours
Apply hydrocolloid dressing to the pressure ulcer
A patient is admitted to the hospital with tuberculosis. Which precautions must the nurse institute when caring for this patient?
Airborne transmission
Indirect contact
Direct contact
Droplet transmission
Which of the following nursing activities is of highest priority for maintaining medical asepsis?
Wearing a gown
Applying sterile drapes
Washing hands
Donning gloves
The nurse has just been assigned to the clinical care of a newly admitted patient. To know how to best care for the patient, the nurse uses the nursing process. Which step would the nurse probably do first?
Plan interventions
Diagnosis
Plan outcomes