Tess Nicholson
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GBCC exam one senior year spring

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Tess Nicholson
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Exam 1: final year

Exam 1: final year

Question 1 of 18

1

A community health nurse is conducting a needs assessment of a community. Which of the following methods will yield direct data?

Select one of the following:

  • informant interviews

  • medical records

  • health surverys

  • morbidty/mortality statistics

Explanation

Question 2 of 18

1

Which of the following actions would represent a community health nurse functioning as an advocate?

Select one of the following:

  • conductioning free BP screenings at Families first

  • supervising an LNA on proper hygiene care tasks in homecare

  • administering immunizations at a school flu prevention event

  • serving on a community task force for heroin use prevention

Explanation

Question 3 of 18

1

The nurse at a clinic notes that many students have come in from a particular high school with s/s of meningitis. She compares these numbers with previous years and notes that her suspicions are confirmed by 15 new cases. She contacts the school nurse, dean and health department. They work together to come up with a plan to assess all students and evaluate their vaccine protocols. This nurse was acting in the roles of ? (Select all that apply)

Select one or more of the following:

  • epidemiologist

  • counselor

  • case manager

  • collaborator

Explanation

Question 4 of 18

1

A public health nurse provides a clinic for HIV-positive citizens in the community. This is an example of:

Select one of the following:

  • Primary prevention

  • Secondary prevention

  • Tertiary prevention

  • policy making

Explanation

Question 5 of 18

1

Collecting data and monitoring the health status of the population defines which of the core functions that public health nurse would be involved in?

Select one of the following:

  • assessment

  • prevention

  • policy development

  • advocating

Explanation

Question 6 of 18

1

The term community-based nursing care is applied when implementing which nursing intervention?

Select one of the following:

  • Assessing the health needs of a defined community

  • Providing care to families in a community

  • Promoting the health of an entire community

  • Investigating environmental health problems in a community

Explanation

Question 7 of 18

1

The nurse receives a hand-off communication report for the change of shift. Which client should the nurse see first?

Select one of the following:

  • A 50-year-old woman who is scheduled for a breast biopsy this morning and is crying

  • An 85-year-old man admitted during the night because of increasing confusion who remains disoriented this morning

  • A 65-year-old woman who had a thoracotomy the previous day and has two midline chest tubes

  • A 40-year-old man who is complaining of chills and painful urination is scheduled for a colon resection in 2 hours

Explanation

Question 8 of 18

1

The charge nurse is planning assignments for the nursing staff. One of the staff nurses is pregnant. Which client would not be appropriate to assign to this nurse?

Select one of the following:

  • Child with a brain tumor being treated with radiation

  • Infant with respiratory syncytial virus receiving ribavirin

  • Toddler who is HIV-positive and has an opportunistic respiratory tract infection

  • Child with leukemia who is receiving vincristine (Oncovin) and allopurinol (Zyloprim)

Explanation

Question 9 of 18

1

Which of the following clients would the ER nurse see first?

Select one of the following:

  • Closed head injury

  • Third degree burns to the face

  • sever diarrhea and vomiting

  • fractured left femur

Explanation

Question 10 of 18

1

A labor and delivery RN has been reassigned, or floated, to a step-down telemetry unit for the afternoon shift. Which clients would reflect the most appropriate assignment for this nurse?

Select one of the following:

  • Client who had MI 72 hours ago and has increasing premature ventricular contractions (PVCs) and a newly admitted client with paroxysmal onset of atrial fibrillation

  • Client who currently has third-degree heart block and client with congestive heart failure who had a hypertensive crisis 48 hours ago

  • Client who had a cardiac catheterization that morning and client admitted for 24-hour observation for first-degree heart block

  • Client who has had cardioversion and client who was admitted during the night because of possible myocardial infarction (MI)

Explanation

Question 11 of 18

1

To optimally use the level of preparation of the LPN/LVN, which task should the RN delegate to the LPN/LVN?

Select one of the following:

  • Transporting a client to the laboratory

  • Assisting with a thoracentesis

  • Restocking and counting the sterile supplies

  • Passing afternoon nutrition supplements and waters

Explanation

Question 12 of 18

1

The RN heading the unit team is assigning clients for care to two RNs and an LVN/LPN and a nursing assistant. The RN would assign which of the following clients to the LPN/LVN?

Select one of the following:

  • An older adult who is receiving IV chemotherapy through a central line and will need a dressing change

  • A male client diagnosed with Type I diabetes who will need dressing changes on several stasis ulcers

  • A female client who has a fractured femur and a cast on her right arm and who needs to urinate

  • A client with terminal cancer who will be transferred to hospice

Explanation

Question 13 of 18

1

An experienced nursing assistant could be assigned by the nurse to do which of the following?

Select one of the following:

  • Chart the dietary intake for a client with an eating disorder.

  • Assist the client to obtain a clean-catch urine specimen.

  • Report on quality and quantity of urine and adjust drip rate on a continuous bladder irrigation.

  • Help in the teaching of new clients with diabetes to give themselves injections.

Explanation

Question 14 of 18

1

A pt with chronic kidney disease is newly admited on to the med-surg floor. When the lab comes back, the pt's Calcium is 7.0 (low). Which medication do you expect to be ordered in addition to calcium supplements to correct the calcium imbalance.

Select one of the following:

  • sevelamer hydrochloride (renagel)

  • epoetin alfa (Epogen)

  • IV glucose & IV insulin

  • Bicarobonate

Explanation

Question 15 of 18

1

Shock and MI are two examples of which type of cause of Acute kidney injury?

Select one of the following:

  • Intrarenal

  • Post renal

  • Prerenal

Explanation

Question 16 of 18

1

A client with documented decreased renal function provides a list of medications. Which medication is of most concern?

Select one of the following:

  • Azithromycin

  • Ibuprofen

  • Vitamin B12

  • warfarin

Explanation

Question 17 of 18

1

What nursing measure would be included in the plan of care for a client with acute kidney injury?

Select one of the following:

  • Observe for signs of a secondary infection.

  • Provide a high-protein, low-carbohydrate diet.

  • In and out catheterization for residual urine

  • Encourage fluids to 2000 mL in 24 hours.

Explanation

Question 18 of 18

1

The nurse is evaluating a client's response to hemodialysis. Which laboratory values will indicate the dialysis was effective? Select all that apply.

Select one or more of the following:

  • Serum potassium level decreases from 5.4 to 4.6 mEq/L

  • Serum creatinine level decreases from 1.6 to 0.8 mg/dL

  • Hemoglobin increases from 10 to 12 g/dL

  • White blood cells increase from 5000 to 8000/mm3

  • BUN decreases from 110 to 90 mg/dL

Explanation

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