NursGuru

    Exam Review

    1. A nurse is providing an in-service to a group of newly licensed nurses on standards of practice and the role of the Board of Nursing (BON). Which of the following information should the nurse include?
      A)
      Clinical practice guidelines provide a protocol or a set of guidelines to follow for specific health care problems or situations.
      B)
      Quality and Safety Education for Nurses (QSEN) establishes competencies for nurses before licensure.
      C)
      The nurse should include the BON regulates and monitors laws and rules set by the Nurse Practice Act.
      D)
      The National League of Nursing (NLN) promotes excellence in nursing education. The NLN's four core values are caring, integrity, diversity, and excellence.
    2. A nurse is teaching a newly licensed nurse about professionalism. The nurse should include that which of the following demonstrates unprofessional behavior by a nurse?
      A)
      Witnessing a client consent for a surgical procedure.
      B)
      Confirming that a client appears competent to consent to a surgical procedure.
      C)
      Witnessing a client consent for a surgical procedure.
      D)
      Explaining the steps of a surgical procedure to a client.
    3. A nurse is writing a teaching plan using the Specific, Measurable, Attainable, Relevant, and Timed Outcome (SMART) goals for a client who is learning to walk with crutches. Which of the following are timed components of the SMART outcome goals? Select all that apply.
      (SATA)
      A)
      The client will explain 4 principles of crutch safety.
      B)
      The client will teach back information about safe crutch walking on day 1.
      C)
      The client will walk 10 feet by day 2.
      D)
      The client will demonstrate safe crutch walking.
      E)
      The client will walk 20 feet by day 3.
      F)
      The client will not lean on the crutches to support their body weight.
      G)
      The client will explain how to keep crutches in working condition.
      H)
      The client will ambulate 5 feet in one day.
    4. A nurse administers the wrong medication to a client. After assessing the client, the nurse contacts the provider and completes an incident report. Which of the following components of professionalism is the nurse demonstrating?
      A)
      Advocacy
      B)
      Accountability
      C)
      Fairness
      D)
      Confidence

    Exam Review

    1. A nurse is providing a presentation to a group of nurses on lifelong learning in nursing. Which of the following resources should the nurse include in the teaching? Select all that apply.
      (SATA)
      A)
      Nursing blogs online
      B)
      Scholarly journals
      C)
      Workshops
      D)
      Online continuing education
      E)
      Nursing topics on social media
    2. A nurse checks a client to evaluate the effectiveness of a pain medication. Which of the following components of professionalism is the nurse demonstrating?
      A)
      Fairness
      B)
      Confidence
      C)
      Responsibility
      D)
      Advocacy
    3. A nurse is assessing a client who has an oral temperature of 39° C (102.2° F). Which of the following findings should the nurse expect?
      A)
      Decreased peripheral pulses
      B)
      Dilated pupils
      C)
      Respiratory rate 10/min
      D)
      Heart rate 108/min
    4. A nurse manager is preparing to discuss breach of confidentiality with their staff. Which of the following statements should the nurse manager plan to make? Select all that apply.
      (SATA)
      A)
      "The State Board of Nursing can reprimand you for a breach of client confidentiality."
      B)
      "The civil penalties for breach of confidentiality can include imprisonment."
      C)
      "A breach in confidentiality is considered an act of professional negligence.”
      D)
      "Your institution can receive monetary fines for a breach in confidentiality."
      E)
      "Your employer can terminate your employment if there is a breach in confidentiality."

    Exam Review

    1. A nurse is assessing a client who reports acute pain at a level of 7 on a scale of 0 to 10. Which of the following findings should the nurse expect?
      A)
      Hypoglycemia
      B)
      Bradycardia
      C)
      Decreased respiratory rate
      D)
      Hypertension
    2. A nurse is preparing an educational session about The Joint Commission (TJC). Which of the following information should the nurse include?
      A)
      TJC is an organization that monitors insurance claims.
      B)
      TJC provides licensure for health care providers.
      C)
      TJC provides accreditation to facilities.
      D)
      TJC is a for-profit organization.
    3. Exhibits Identify the findings at 1100, that require follow-up. Select all that apply.
      A)
      T38.6° C (101.5° F), oral
      B)
      Apical HR 108/min
      C)
      BP 112/54 mm Hg, supine
      D)
      R 22/min
      E)
      Pulse oximetry 90% on 40% O2 via face mask
      F)
      Mucous membranes pink.
    4. A nurse is answering questions at a school meeting about government entities that regulate health care. The nurse should include that which of the following organizations advocates for the delivery of culturally competent health care?
      A)
      Center for Medicare and Medicaid Services (CMS)
      B)
      Administration for Children and Families (ACF)
      C)
      Indian Health Service (IHS)
      D)
      Administration on Aging (AOA)

    Exam Review

    1. A nurse is updating the Minimum Data Set (MDS) forms for the residents of a long-term care facility. A nursing colleague asks about the significance of MDS documentation. Which of the following statements should the nurse make?
      A)
      "The MDS forms are provided to the facility with analysis of each resident's prescribed medications."
      B)
      "The MDS forms provide documentation of each resident's assessment, including their cognitive and physical status."
      C)
      "The MDS forms are completed by the provider each month."
      D)
      "The MDS forms are faxed to health care providers at the end of each quarter."
    2. A nurse is caring for four clients who are all requesting assistance. Which of the following clients should the nurse assist first?
      A)
      A client who is requesting a bedpan.
      B)
      A client who reports their IV pump is beeping.
      C)
      A client who is postoperative and is reporting nausea.
      D)
      A client who reports they have fallen while ambulating.
    3. A nurse is planning a presentation on health promotion activities for clients who have hypertension. Which of the following should the nurse utilize as a resource for this information?
      A)
      Clinical practice guidelines for the management of high blood pressure
      B)
      Acute care facility protocol for clients who are experiencing a hypertensive crisis
      C)
      Standards of care for monitoring clients who have a history of blood pressure elevation
      D)
      A critical pathway for clients who have had a stroke
    4. A nurse is discussing the process of evidence-based practice (EBP) with a newly licensed nurse. Which of the following statements made by the newly licensed nurse indicates an understanding of the process?
      A)
      "There are four steps in the process of EBP."
      B)
      "Reviewing the effectiveness of the findings is the last step of the EBP process."
      C)
      "Reliance on personal experiences is important to the process of EBP"
      D)
      "Identifying the problem is the first step of the EBP process."

    Exam Review

    1. A charge nurse is providing an in-service to a group of nurses about benefits of an interprofessional team. Which of the following information should the nurse include?
      A)
      Decrease the number of visits to client by staff
      B)
      Decrease number of referrals needed for client
      C)
      Increase in length of stay for client
      D)
      Efficiency in client-care services
    2. A nurse is performing discharge teaching with a client who has a wound that requires home health care. Which of the following team members should the nurse contact for consultation?
      A)
      Respiratory therapist
      B)
      Social worker
      C)
      Dietician
      D)
      Occupational therapist
    3. A nurse is discussing informatics with a newly licensed nurse. The nurse identifies that informatics is defined as the use of information and technology for which of the following?
      A)
      Managing knowledge
      B)
      Producing clinical pathways
      C)
      Providing a safe place to provide care
      D)
      Preventing burnout
    4. A charge nurse is providing teaching to a newly licensed nurse on the advantages of electronic documentation. Which of the following information should the nurse include in the teaching?
      A)
      Decrease in coordination of client care
      B)
      Increase of duplicate tests performed on client
      C)
      Portal that allows clients to interact with providers
      D)
      Same day access to client health record

    Exam Review

    1. A charge nurse is providing an in-service on documentation with a group of staff nurses. Which of the following should the nurse include as a component of an electronic health record?
      A)
      Demographic data
      B)
      Billing payments
      C)
      Driver's license
      D)
      Facility policies
    2. A nurse is reviewing with another nurse a method of documentation that includes data, action, and response (DAR) when charting client care. Which of the following methods of documentation is the nurse referring to?
      A)
      Focus charting
      B)
      Problem-oriented medical record (POMR)
      C)
      SOAP documentation
      D)
      PIE model
    3. A nurse is designing a poster presentation for staff nurses about therapeutic communication. Which of the following techniques should the nurse include?
      A)
      Asking for explanations
      B)
      Asking open-ended questions
      C)
      Offering approval or disapproval
      D)
      Offering sympathy
    4. A nurse is teaching a class about the steps of the inflammatory response. The nurse should include that which of the following is the first step in the inflammatory response?
      A)
      Release of inflammatory markers, such as C-reactive protein
      B)
      Recognition of harmful stimuli by pattern receptors on cell surfaces
      C)
      Inflammatory cells are activated
      D)
      Inflammatory pathways are triggered