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    Exam Review

    1. A nurse is admitting a client who reports they are currently unemployed. Which of the following factors of the social determinants of health (SDOH) is challenging for the client?
      A)
      Economic stability
      B)
      Social and community context
      C)
      Education
      D)
      Neighborhood environment
    2. The busy emergency department at a hospital has experienced a sharp increase in negative outcomes among clients with heart conditions in the past month, Which of the following actions should the nursing staff take to improve client outcomes?
      A)
      increase the workload of high-risk tasks among registered nurses (RNS)
      B)
      Decrease collaboration between nurses at different levels.
      C)
      Decrease the workload of low-risk tasks among licensed practical nurses (LPNS).
      D)
      Increase delegation between nurses at different levels.
    3. A nurse is discussing error reduction during the medication administration process. At which of the following phases of the medication administration process does error detection occur after reaching the client?
      A)
      Ordering
      B)
      Dispensing
      C)
      Transcribing
      D)
      Administration
    4. A community clinic recently added a bilingual nurse to their staff to provide better health teaching with their Hispanic and Latino clients. Which of the following is an indication of improved client health outcomes?
      A)
      A client can find a bilingual veterinarian in the neighborhood
      B)
      A client is more aware of the bus schedules in the community.
      C)
      A client has found a local daycare for their children.
      D)
      A client has stabilized their blood glucose levels
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    Exam Review

    1. A nurse is discussing emergency response with a newly licensed nurse. The nurse should identify which of the following as a triage officer during the time of a disaster?
      A)
      Members of the Federal Emergency Management Agency (FEMA)
      B)
      Responding law enforcement officers
      C)
      Representatives from the American Red Cross
      D)
      Nurses and other emergency medical personnel
    2. A community health nurse is teaching a group of community members about disaster preparedness. Which of the following statements should the nurse include in the teaching about when to plan for a disaster?
      A)
      "Planning for a disaster is pointless because disasters are unpredictable."
      B)
      "Planning for a disaster should occur during the disaster."
      C)
      Planning for a disaster should happen before a disaster occurs
      D)
      "Planning for a disaster should happen after a disaster occurs.
    3. A nurse is the triage officer in the emergency department when four clients arrive following a factory explosion. Which of the following clients should the nurse care for first?
      A)
      An unconscious adult client who has a sucking chest wound, respirations of 38/min, and capillary refill of <2 seconds
      B)
      A conscious adult client who has a dislocated right shoulder, respiratory rate of 18/min, and capillary refill of <2 seconds
      C)
      A conscious adult client who reports shortness of breath, has a respiratory rate of 24/min, and capillary refill of <2 seconds
      D)
      An unconscious adult client who has no respirations, capillary refill is 2 seconds, and paramedics have already tried to reposition airway without results
    4. A charge nurse is discussing staff nurses' responsibilities in preplanning for response to a disaster. Which of the following responsibilities should the nurse include in the discussion?
      A)
      Evaluate the impact of a disaster on the community.
      B)
      Assess survivors of a disaster for levels of psychological stress
      C)
      Identify community resources that are available.
      D)
      Link victims with support agencies to help with food, clothing, shelter, and counseling needs.
    Page 2 of 12

    Exam Review

    1. A nurse is providing culturally competent care to a client who is terminally ill. Which of the following should the nurse perform when providing care to clients with diverse backgrounds?
      A)
      Instruct the client to complete all their treatments
      B)
      implement multiple specialty care providers.
      C)
      Encourage the client to be placed in the nursing home.
      D)
      Be nonjudgmental in their health care practices.
    2. An assistive personnel (AP) contacts a nurse manager and reports that on the last shift a nurse seemed distracted and that a client reported that the nurse smelled of alcohol. The AP alleges that the nurse was drinking alcohol during the shift. Which of the following actions should the nurse manager take first?
      A)
      Develop a disciplinary plan for the nurse.
      B)
      Refer the nurse to the state board of nursing diversion program.
      C)
      Perform an investigation into the facts surrounding the incident.
      D)
      Confront the nurse.
    3. A nurse on a quality control committee is evaluating the results of recently implemented measures designed to reduce client medication errors. Which of the following methods should the nurse use to evaluate the success of the changes?
      A)
      Conduct a study about the time and money costs of implementing the change.
      B)
      Provide the staff with a questionnaire to quantity staff satisfaction with the changes.
      C)
      Compare the number of medication errors before and after the action was implemented.
      D)
      Establish a benchmark to identify a standard of performance.
    4. A nurse is teaching a class on health promotion and illness prevention. The nurse should include that which of the following is an example of secondary prevention?
      A)
      Performing monthly breast self-examinations
      B)
      Referring a client who has had a mastectomy to a support group
      C)
      Providing a community program on stress reduction
      D)
      Teaching foot care to a client who has diabetes
    Page 3 of 12

    Exam Review

    1. A nurse is caring for a client who has substance use disorder who has expressed interest in receiving treatment to stop using. Which of the following interventions is an example of a tertiary intervention strategy for this client?
      A)
      Inform the client about needle exchange programs.
      B)
      Recommend the client be screened for Hepatitis B.
      C)
      Reinforce the importance of eating a well-balanced diet.
      D)
      Provide information on drug rehabilitation facilities since the client has expressed readiness to change.
    2. A nurse is discussing culturally competent care at a nursing staff inservice. Which of the following information should the nurse include when discussing clients' cultures?
      A)
      Nonverbal communication is important in few cultures.
      B)
      Nurses should focus on clients' cultures, rather than their ethnicity, when providing care.
      C)
      Culture plays no role in determining when a client will seek medical care.
      D)
      Nurses should expect clients to adapt to the care provided regardless of culture.
    3. A nurse is providing medication education to clinicians who provide care at a local community health center. A small number of clients who regularly attend the community center identify as being part of an underrepresented culture. Which of the following benefits does the provision of culturally competent care provide to the client?
      A)
      Receiving culturally competent care can reduce the chance that the client will need psychotropic medications.
      B)
      if the client is comfortable, they are more likely to continue to seek treatment.
      C)
      Providing culturally competent care can reduce the client's feelings that they are risking relationships and jobs by seeking care.
      D)
      without culturally competent care, the client might pay more out of pocket for treatment.
    4. A community health nurse is researching social determinants of health in the differing populations they serve. The nurse should identify that which of the following factors place populations at the highest risk for negative health outcomes?
      A)
      Transportation access
      B)
      Poverty
      C)
      Genetics
      D)
      Language barriers
    Page 4 of 12

    Exam Review

    1. During shift report, the nurse identifies that a near miss involving duplicate anticoagulant dosing was not documented or reported. Which conclusion reflects the nurse's best understanding of quality improvement principles?
      A)
      Only errors causing harm should be reported to maintain efficiency
      B)
      Reporting the incident helps identify system issues contributing to unsafe conditions
      C)
      Reporting the incident assigns responsibility to the nurse involved
      D)
      Incidents should remain within the unit to avoid external review
    2. A nurse is caring for a 45-year-old patient recently diagnosed with hypertension. The patient is from a Hispanic cultural background and shares that they would like to use herbal teas and meditation in addition to prescribed medications. Which nursing action demonstrates cultural competence?
      A)
      Assessing the patient's knowledge of complementary therapies and evaluating potential interactions with antihypertensive medications.
      B)
      Asking the patient to provide their herbal tea recipe so the nurse can recommend it to other patients.
      C)
      Redirecting the patient to follow evidence-based practice only and discouraging cultural remedies,
      D)
      informing the patient that herbal remedies should not be used because only prescribed medications are effective.
    3. A is nurse assisting with field triage following a motor-vehicle crash involving a bus with multiple victims. The nurse assesses a child who has an open fracture of the femur. Which of the following actions should the nurse take?
      A)
      Perform a complete head-to-toe assessment.
      B)
      Locate the child's parents to obtain consent for treatment.
      C)
      Place a yellow triage tag on the child.
      D)
      Notify the emergency department of the child's imminent arrival.
    4. A nurse is providing teaching with a nursing colleague about sentinel events. Which of the following statements by the nursing colleague indicates an understanding?
      A)
      "An example of a sentinel event is administering incompatible blood products to a client."
      B)
      "An example of a sentinel event is administering a prescribed sedative to a client for insomnia
      C)
      "An example of a sentinel event is administering client medications 30 minutes late."
      D)
      "An example of a sentinel event is documenting vital signs at the wrong time in the client's electronic health record."
    Page 5 of 12

    Exam Review

    1. A nurse is teaching a newly licensed nurse about the needs of clients who are a part of a vulnerable population. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
      A)
      "I will make sure to do a limited assessment that focuses on the client's stated reason for the visit."
      B)
      "I will address the problem that the client believes is the most significant."
      C)
      "I will avoid asking clients for income or financial information, because this is an invasion of privacy."
      D)
      "I will not include the client cultural traditions as I complete my assessment.
    2. A nurse is participating in a disaster simulation in which a toxic substance is released into a crowded stadium. Multiple clients are transported to the facility. Which of the following activities would be the lowest priority for the nurse?
      A)
      Maintaining a client tracking system
      B)
      Transferring a client to the discharge location
      C)
      Performing concise client assessment
      D)
      Preventing cross-contamination of clients
    3. A nurse is discussing health insurance coverage with state legislators. Which of the following disadvantages related to health insurance should the nurse include in the discussion that is specific to clients who live in rural communities rather than urban areas?
      A)
      Limited access to primary care providers
      B)
      Financial risk that is typical of underinsured clients
      C)
      Lack of government-provided health insurance
      D)
      Limited availability of managed care insurance
    4. A nurse is teaching a group of newly hired nurses about the requirements for disaster planning. Which of the following statements by one of the newly hired nurses indicates an understanding of the teaching?
      A)
      "An actual disaster cannot take the place of a disaster drill."
      B)
      "Disaster drills should be held on a regular basis."
      C)
      "A staff nurse can function as the incident commander."
      D)
      "A physician must triage victims of a disaster in the emergency department."
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