NursGuru

    Exam Review

    1. Which community focused nursing intervention will provide the greatest impact in meeting the needs of the community?
      A)
      Performing a community assessment and developing a plan.
      B)
      Ensuring all homes have a smoke detector.
      C)
      Providing transportation for medically fragile clients.
      D)
      Monitoring health conditions for environmental exposures.
    2. In order to remain a patient advocate, a nurse may seek assistance when dealing with a patient's end-of-life situation from which resource?
      A)
      National league for nursing
      B)
      Ethics committee
      C)
      Administrative assistant
      D)
      State board of nursing
    3. The nurse cares for several patients on a medical-surgical unit and is now ending the shift. When giving hand-off report to the oncoming nurse, what information does the nurse include to facilitate a smooth transition of care? Select all that apply.
      (SATA)
      A)
      Vital sign trends.
      B)
      Medications due and treatments scheduled.
      C)
      Date of admission.
      D)
      The number of attempts to restart the patient's IV.
      E)
      Problems with staffing and missing supplies.
      F)
      Current laboratory results.
    4. The nurse is utilizing SBAR to communicate assessment findings to the health care provider. What additional information can the nurse add before beginning SBAR?
      A)
      Incorporate personal feelings about the patient
      B)
      Introduce self to the provider
      C)
      Include the names of family members at bedside
      D)
      Implicate others in the patient's care

    Exam Review

    1. A local health department asks the nurse to design a program to improve residents' understanding of medication labels. Which nursing action is most effective to support health literacy?
      A)
      Provide detailed medical terminology during teaching sessions
      B)
      Use role-play activities to demonstrate how to interpret labels
      C)
      Encourage participants to consult only with physicians
      D)
      Require participants to complete independent online research
    2. A hospital is implementing a new electronic health record (EHR) system to improve patient care and streamline documentation processes. As a senior nurse, you are part of the team responsible for facilitating this change. Some staff members are resistant to the new system, expressing concerns about its complexity and the time required for training. What strategies would you use to address the resistance and encourage collaboration among the staff? Select all that apply.
      (SATA)
      A)
      Use a combination of in-person workshops, online tutorials, and hands-on practice.
      B)
      Involve staff in discussions and decisions about the new system to increase ownership and reduce resistance.
      C)
      Offer detailed information about the benefits and functionalities of the EHR system to alleviate concerns.
      D)
      Use surveys to gather staff feedback on the implementation process for evaluation
    3. Nurses are aware that it is important to understand the vision, mission, and values of their organization for which of the following reasons? Select all that apply.
      (SATA)
      A)
      To identify conflicts with coworkers
      B)
      To comply with hospital management directives
      C)
      To ensure alignment with personal goals
      D)
      To guide ethical decision-making
      E)
      To contribute to organizational culture
    4. Victims from a chemical spill are being sprayed in the decontamination area. The emergency room nurse is responsible for showering the incoming victims. One patient refuses to remove their undergarments. Which action demonstrates the nurse is following the decontamination protocol?
      A)
      Allow the patient to remain in undergarments during spraying
      B)
      Transport the patient to an isolation room in ER
      C)
      Spray the patient on areas that were exposed to chemicals
      D)
      Refuse to allow the patient to leave the decontamination area until comply.

    Exam Review

    1. Which statement(s) if made by the nurse manager demonstrates effective change management? Select all that apply.
      (SATA)
      A)
      "If this approach doesn't work, at least we can say we've tried."
      B)
      "We cannot lose sight of the mission and values of our institution as we begin to integrate these changes."
      C)
      "In order for this plan to work, everyone must agree to be a participant."
      D)
      "Although this task is going to be difficult, we have the full support of hospital administration."
      E)
      "Let's wait until administration has completed their reorganization before we implement change."
    2. Which of the following are responsibilities of the registered nurse when delegating tasks? Select all that apply.
      (SATA)
      A)
      Providing clear instructions and expectations
      B)
      Ensuring the task is completed correctly
      C)
      Determining if the delegatee is competent
      D)
      Evaluating patient outcomes after the task is done
      E)
      Assigning tasks within the providers scope of practice during emergencies
    3. A newly licensed nurse is preparing to insert an intravenous (IV) catheter in a client to provide antibiotic therapy. Which of the following sources should the nurse review for the correct procedure to follow?
      A)
      Institutional policy and procedure manual
      B)
      Website
      C)
      A more experienced nurse
      D)
      State nurse practice act
    4. A new nurse manager on telemetry has been in the position for three months. The charge nurse and the administrator disagree on how much time the nurse manager should allot to various aspects of the role. Staff members on the unit complain that the nurse manager is unavailable for clinical concerns because of being off the unit while attending meetings. Which is the most appropriate method for the nurse manager to facilitate the process of role transition?
      A)
      Develop policies consistent with the nurse manager's prior workplace.
      B)
      Attend a workshop on how to deal with difficult people.
      C)
      Schedule a series of meetings with staff and the administrator to clarify
      D)
      Decide to give the position three more months and then leave if things do not improve.

    Exam Review

    1. A nurse is helping to triage a group of clients at a mass casualty incident who were involved in an explosion at a local factory. Which of the following clients should the nurse tag to be the priority for care?
      A)
      A client who has a piece of wood punctured into the chest wall and has an audible hissing sound coming from the wound site
      B)
      A client who has a simple fracture of the femur, multiple scratches on both legs, and is crying hysterically
      C)
      A client who has severe head injuries, respiratory rate 6/min, and is unresponsive
      D)
      A female who is pregnant at 20 weeks of gestation, has multiple cuts and abrasions, and is walking around
    2. Which of the following patients would be the best candidate for nursing case management?
      A)
      Diabetes Mellitus Type 2 with A1C of 4.8
      B)
      New episode of Atrial fibrillation since 2022
      C)
      A new case of the flu for a 70-year-old golfer
      D)
      Congestive Heart Failure with EF 35-40%
    3. The community has been affected by a major disaster. In order to receive information on available shelters, the emergency department charge nurse realizes which hospital employee is in charge?
      A)
      Incident commander
      B)
      Staff nurse
      C)
      Emergency room physician
      D)
      Nurse Manager
    4. A nurse explains to a group of nursing students why policy recommendations are important in community health. Which statement shows correct understanding?
      A)
      "Policies are primarily designed to address individual patient concerns."
      B)
      "Policies are suggestions that nurses may or may not follow."
      C)
      "Policies apply to lawmakers, not health professionals."
      D)
      "Policies ensure consistency in disease prevention strategies across populations."

    Exam Review

    1. A novice nurse is heard saying. "I'm so tired of all of this. My workload is too heavy, and the patients are so sick. And now I have to work with new support staff that will only bring me down further." This nurse is experiencing which approach to dealing with reality shock?
      A)
      Burned out
      B)
      Loner
      C)
      "Rutter"
      D)
      "Native"
    2. A new graduate nurse is on the floor with her preceptor. While taking care of her client, she notices a nurse case manager speaking with her client. The new graduate nurse asks her preceptor what roles does the nurse case manager have? How should the preceptor respond? Select all that Apply
      A)
      The nurse case manager enhances quality of care provided.
      B)
      The nurse case manager advocates for the client only.
      C)
      The nurse case manager coordinates care for individuals with medically complex needs.
      D)
      The nurse case manager facilitates continuity of care.
      E)
      The nurse case manager tries to improve the length of stay for client and use as many financial resources as possible.
    3. The nurse manager has just completed an in-service on conflict with the unit's charge nurses and asks them to identify the approach which involves working with the other party to find a mutually beneficial solution. The charge nurses select which approach?
      A)
      Avoidance
      B)
      Negotiation
      C)
      Collaborating
      D)
      Compromising
    4. After receiving change of shift report, the nurse prepares to administer morning medications. Which medication should the nurse administer first?
      A)
      Stimulant laxative to a patient who has not had a bowel movement in 3 days.
      B)
      Intravenous (IV) proton-pump inhibitor medication to a patient who is nothing by mouth (NPO).
      C)
      Rapid acting insulin to a patient who has breakfast tray in the room.
      D)
      Loop diuretic to a patient with a potassium (K+) level of 3.2 mEq/L.

    Exam Review

    1. A nurse is caring for a patient who is from a different cultural background. When beginning the cultural assessment, which action should the nurse take first?
      A)
      Gather information about previous patient interactions within the health care system.
      B)
      Gather data about the patient's cultural beliefs.
      C)
      Determine how the patient's culture will affect the effectiveness of nursing actions.
      D)
      Determine the patient's perception of his current health status.
    2. Prescribed: Linezolid 600 mg IVPB q12 h, infuse over 3 hours Available: Linezolid 600 mg/300 mL D5W How many mL/hr will the nurse program the IV pump?
    3. The nurse providing care for patients on the Medical Surgical unit is aware that certain acts can be considered boundary violations. Which is an example of serious boundary violations?
      A)
      Any form of abusive action toward the patient
      B)
      Providing nursing care to the patient
      C)
      Refusing gifts from a patient or family
      D)
      Listening to patient's complaints
    4. The nurse is busy with the admission of four clients to the acute care unit. Which actions by the nurse indicate that inappropriate delegation to an unlicensed assistive personnel (UAP) has occurred? Select all that apply.
      A)
      The nurse asks the UAP to administer acetaminophen for a client that has a temperature of 102°F (38.9°C) and a headache.
      B)
      The nurse asks the UAP to evaluate the results of the previous administration of furosemide given for peripheral edema.
      C)
      The nurse informs the UAP to assess the client for signs and symptoms of a urinary tract infection when collecting urine.
      D)
      The nurse asks the UAP to measure intake and output for a client with chronic kidney failure.
      E)
      The nurse asks the UAP to auscultate lung sounds on a client admitted with pulmonary edema and report findings.