Question 1
Question
What is the body’s first line of defense against bacteria?
Answer
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WBC's
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Lymph glands
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Intact skin
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Inflammatory response
Question 2
Question
Who is responsible for evaluating the outcome of a task delegated to the nursing assistive personnel (NAP)?
Answer
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Nurse who delegated the task
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Charge nurse for the shift
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Unit nurse manager
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Licensed Practical Nurse working with the NAP
Question 3
Question
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?
Answer
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Assessment
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Health promotion
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Treatment
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Prevention
Question 4
Question
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?
Answer
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Contact
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Droplet
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Protective
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Airborne
Question 5
Question
The nurse administering pain medication every 4 hours is an example of which aspect of patient care?
Answer
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Nursing intervention
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Nursing diagnosis
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Patient outcome
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Assessment data
Question 6
Question
Which of the following most accurately describes nursing diagnoses? A nursing diagnosis:
Answer
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Supports the client's medical diagnosis
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Identifies a client's health problem
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Identifies a client's response to a health problem
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Supports the nurse's diagnostic reasoning
Question 7
Question
Which of the following is an example of the most basic motivation in Maslow’s hierarchy of needs?
Question 8
Question
Which of the following is the most important reason to develop a definition of nursing?
Answer
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Evaluate the degree of role satisfaction
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Differentiate nursing activities from those of other professionals
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Dispel the stereotypical images of nurses and nursing
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Recruit more informed people into the nursing profession
Question 9
Question
The nurse is removing personal protective equipment (PPE). Which item should be removed first?
Answer
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Gloves
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Face shield
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Gown
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Hair covering
Question 10
Question
How does nursing diagnosis differ from a medical diagnosis? A nursing diagnosis is:
Answer
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Part of the client's medical diagnosis
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A client's response to a health problem
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The client's presenting signs and symptoms
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Terminology for the client's disease or injury
Question 11
Question
The Joint Commission requires which type of assessment to be performed on all patients?
Answer
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Pain
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Cultural
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Wellness
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Functional ability
Question 12
Question
Which of the following contributions of Florence Nightingale had an immediate impact on improving patients’ health?
Answer
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A clean environment
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Changing the delivery of care in hospitals
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Improving nursing education
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Establishing nursing as a distinct profession
Question 13
Question
Which of the following procedure techniques has the most effect on the accuracy of an apical pulse count?
Answer
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Using your ring finger to palpate the intercostal spaces
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Counting the rate for 1 full minute
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Exposing only the left side of the chest
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Determining why assessment of apical pulse is indicated
Question 14
Question
Which of the following examples includes both objective and subjective data?
Answer
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The client states she has trouble sleeping and that she drinks Dutch Bros. coffee in the evening.
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The client states he gets frequent headaches and that he takes aspirin for the pain.
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The client’s cholesterol is elevated, and he states he likes Kentucky Fried Chicken.
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The client’s blood pressure is 132/68 and her heart rate is 88.
Question 15
Question
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?
Answer
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Supine
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Side-lying
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Prone
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Semi-Fowler's
Question 16
Question
The American Red Cross was established by:
Answer
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Clara Braxton
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Barta Clarice
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Clara Barton
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Bart Simpson
Question 17
Question
Which task can be delegated to nursing assistive personnel (NAP)?
Answer
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Assess the client's skin condition
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Change pressure ulcer dressings every shift
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Turn and reposition the client every 2 hours
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Apply hydrocolloid dressing to the pressure ulcer
Question 18
Question
A patient is admitted to the hospital with tuberculosis. Which precautions must the nurse institute when caring for this patient?
Answer
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Airborne transmission
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Indirect contact
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Direct contact
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Droplet transmission
Question 19
Question
Which of the following nursing activities is of highest priority for maintaining medical asepsis?
Answer
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Wearing a gown
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Applying sterile drapes
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Washing hands
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Donning gloves
Question 20
Question
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?
Answer
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Assessment
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Plan interventions
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Diagnosis
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Plan outcomes