Exam 1: final year

Descripción

GBCC exam one senior year spring
Tess Nicholson
Test por Tess Nicholson, actualizado hace más de 1 año
Tess Nicholson
Creado por Tess Nicholson hace casi 9 años
909
1

Resumen del Recurso

Pregunta 1

Pregunta
A community health nurse is conducting a needs assessment of a community. Which of the following methods will yield direct data?
Respuesta
  • informant interviews
  • medical records
  • health surverys
  • morbidty/mortality statistics

Pregunta 2

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

Pregunta 3

Pregunta
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)
Respuesta
  • epidemiologist
  • counselor
  • case manager
  • collaborator

Pregunta 4

Pregunta
A public health nurse provides a clinic for HIV-positive citizens in the community. This is an example of:
Respuesta
  • Primary prevention
  • Secondary prevention
  • Tertiary prevention
  • policy making

Pregunta 5

Pregunta
Collecting data and monitoring the health status of the population defines which of the core functions that public health nurse would be involved in?
Respuesta
  • assessment
  • prevention
  • policy development
  • advocating

Pregunta 6

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

Pregunta 7

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

Pregunta 8

Pregunta
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?
Respuesta
  • 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)

Pregunta 9

Pregunta
Which of the following clients would the ER nurse see first?
Respuesta
  • Closed head injury
  • Third degree burns to the face
  • sever diarrhea and vomiting
  • fractured left femur

Pregunta 10

Pregunta
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?
Respuesta
  • 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)

Pregunta 11

Pregunta
To optimally use the level of preparation of the LPN/LVN, which task should the RN delegate to the LPN/LVN?
Respuesta
  • Transporting a client to the laboratory
  • Assisting with a thoracentesis
  • Restocking and counting the sterile supplies
  • Passing afternoon nutrition supplements and waters

Pregunta 12

Pregunta
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?
Respuesta
  • 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

Pregunta 13

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

Pregunta 14

Pregunta
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.
Respuesta
  • sevelamer hydrochloride (renagel)
  • epoetin alfa (Epogen)
  • IV glucose & IV insulin
  • Bicarobonate

Pregunta 15

Pregunta
Shock and MI are two examples of which type of cause of Acute kidney injury?
Respuesta
  • Intrarenal
  • Post renal
  • Prerenal

Pregunta 16

Pregunta
A client with documented decreased renal function provides a list of medications. Which medication is of most concern?
Respuesta
  • Azithromycin
  • Ibuprofen
  • Vitamin B12
  • warfarin

Pregunta 17

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

Pregunta 18

Pregunta
The nurse is evaluating a client's response to hemodialysis. Which laboratory values will indicate the dialysis was effective? Select all that apply.
Respuesta
  • 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
Mostrar resumen completo Ocultar resumen completo

Similar

Nervous System
4everlakena
Diabetes Mellitus
Kirsty Jayne Buckley
Renal System A&P
Kirsty Jayne Buckley
Oxygenation
Jessdwill
Clostridium Difficile
Kirsty Jayne Buckley
Definitions
katherinethelma
Clinical Governance
Kirsty Jayne Buckley
CMS Interpretive Guidelines for Complaint/Grievances
Lydia Elliott, Ed.D
NCLEX RN SAMPLE TEST
MrPRCA
NURS 310 EXAM 1 PRACTIC EXAM
harlacherha
Skin Integrity and Wound Care
cpeters