NP1 Exam 1 Review Questions and Answers 100% Correct

NP1 Exam 1 Review Questions and Answers 100% Correct You are preparing presentation for you classmates regarding the clinical care coordination conference for a patient with terminal cancer. As part of the preparation you have your classmates read the Nursing Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this document is important. Which of the following statements best describes this code? a. improves self-health care b. protects the patient's confidentiality c. ensures identical care to all patients d. defines the principles of right and wrong to provide patient care D An 18-year old woman is in the emergency department with fever and cough. The nurse obtains her vital signs, listens to her lung and heart sounds, determines her level of comfort, and collects blood and sputum samples for analysis. Which standard of practice is performed? a. diagnosis b. evaluation c. assessment d. implementation C A patient in the emergency department has developed wheezing and shortness of breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice is performed? a. planning b. evaluation c. assessment d. implementation D A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient's wishes with them. The nurse is acting as the patient's: a. educator b. advocate c. caregiver d. case manager B The nurse spends time with the patient and family reviewing the dressing change procedure for the patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in which professional role? a. educator b. advocate c. caregiver d. case manager A The examination for registered nurse (RN) licensure is exactly the same in every state in the United States. This examination: a. guarantees safe nursing for all patients b. ensures standard nursing care for patients c. ensures that honest and ethical care is provided d. provides a minimal standard of knowledge for an RN in practice D Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles and responsibilities. Which of the following are examples? (Select all that apply.) A. Caregiver B. Autonomy and accountability C. Patient advocate D. Health promotion E. Lobbyist A, B, C, D Match the advanced practice nurse specialty with the statement about the role. 1. Clinical nurse specialist 2. Nurse anesthetist 3. Nurse practitioner 4. Nurse-midwife a. Provides independent care, including pregnancy and gynecological services b. Expert clinician in a specialized area of practice such as adult diabetes care c. Provides comprehensive care, usually in a primary care setting, directly managing the medical care of patients who are healthy or have chronic conditions d. Provides care and services under the supervision of an anesthesiologist 1B, 2D, 3C, 4A Healthcare reform will bring changes in the emphasis of care. Which of the following models is expected from health care reform? a. moving from an acute illness to a health promotion, illness prevention model b. moving from an illness prevention to a health promotion model c. moving from an acute illness to a disease management model d. moving from a chronic care to an illness prevention model A A nurse meets with the registered dietician and physical therapist to develop a plan of care that focuses on improving nutrition and mobility for a patient. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? a. patient-centered care b. safety c. teamwork and collaboration d. informatics C A critical care nurse is using a computerized decision support system to correctly position her ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? a. patient-centered care b. safety c. teamwork and collaboration d. informatics D The nurses on an acute care medical floor notice an increase in pressure ulcer formation in their patients. A nurse consultant decides to compare two types of treatment. The first is the procedure currently used to assess for pressure ulcer risk. The second uses a new assessment instrument to identify at-risk patients. Given this information, the nurse consultant exemplifies which career? a. clinical nurse specialist b. nurse administrator c. nurse educator d. nurse researcher D Nurses in an acute care hospital are attending a unit based education program to learn how to use a new pressure-relieving device for patients at risk for pressure ulcers. This is which type of education? a. continuing education b. graduate education c. in-service education d. professional registered nurse education C Which of the following Internet resources can help consumers compare quality care measures? (Select all that apply) a. WebMD b. Hospital Compare c. Magnet Recognition Program d. Hospital Consumer Assessment of Healthcare e. The American Hospital Association's webpage B and D A community center is presenting a nurse-led program on the Patient Protection and Affordable Care Act. Which statement made by a participate indicates a need for the further teaching? a. "my small company will now have to offer the 75 employees health insurance or pay a penalty" b. "as long as my son is a full-time student in college, I will be able to keep him on my health insurance until he is 26 year olds" c. "I signed up for the state health insurance exchange before the designated deadline to make sure I had health insurance" d. "since I have now been diagnosed with diabetes, my health insurance plan cannot charge me higher premiums" B Which activity performed by a nurse is related to maintaining competency in nursing practice? a. asking another nurse about how to change the settings on a medication pump b. regularly attending unit staff meetings c. participating as a member of the professional nursing council d. attending a review course in preparation for a certification examination D A patient tells a nurse that she is enrolled in a preferred provider organization (PPO) but does not understand what this is. What is the nurse's best explanation of a PPO? a. this health plan is for people who cannot afford their own health insurance b. this health plan is operated by the government to provide healthcare to older adults c. this health plan gives you a list of physicians and hospital from which you can choose d. this is a fee-for-service plan in which you can choose any physician or hospital C Which of the following are examples of a nurse participating in primary care activities? (Select all that apply) a. providing prenatal teaching on nutrition to a pregnant woman during the first trimester b. assessing the nutritional status of older adults who come to the community center for lunch c. working with patients in a cardiac rehabilitation program d. providing home wound care to a patient e. teaching a class to parents at the local grade school about the importance of immunizations A, B, and E Nurses on a nursing unit are discussing the processes that led up to a near-miss error on the clinical unit. They are outlining strategies that will prevent this in the future. This is an example of nurses working on what issue in the health care system? a. patient safety b. evidence-based practice c. patient satisfaction d. maintenance of competency A Which of the following statements is true regarding Magnet status recognition for a hospital? a. nursing is run by a Magnet manager who makes decisions for the nursing units b. nurses in Magnet hospitals make all of the decisions on the clinical units c. Magnet is a term that is used to describe hospitals that are able to hire the nurses they need d. Magnet is a special designation for hospitals that achieve excellence in nursing practice D A group of staff nurses notice an increased incidence of medication errors on their unit. After further investigation it is determined that the nurses are not consistently identifying the patient correctly. A change is needed quickly. What type of quality improvement method would be most appropriate? a. PDSA b. Six Sigma c. Rapid-improvement event (RIE) d. A randomized controlled trial C Which of the following are characteristics of managed care systems? (Select all that apply) a. provider receives a predetermined payment for each patient in the program b. payment is based on a set fee for each service provided c. system includes a voluntary prescription drug program for an additional cost d. system tried to reduce costs while keeping patients healthy e. focus of care is on prevention and early intervention A, D, E Which of the following nursing activities is provided in a secondary health care environment? a. conducting blood pressure screenings for older adults at the Senior Center b. teaching a clinic patient with chronic obstructive pulmonary disease purse-lipped breathing techniques c. changing the postoperative dressing for a patient on a medical surgical unit d. doing endotracheal suctioning for a patient on a ventilator in the medical intensive care unit C, D A nurse is using the Plan-Do-Study-Act (PDSA) strategy to do a quality improvement project to decrease patient falls on a nursing unit. Place the steps in the correct sequence for PDSA. a. bedside change of shift report is piloted on tow medical surgical units b. patient satisfaction levels after implementation of the bedside report are compared to patient satisfaction levels before the change c. the nursing council develops a strategy for bedside change of shift report d. After modifications are made in the shift report elements, bedside shift report is implemented on all nursing units C, A, B, D The nursing staff is developing a quality program. Which of the following are nursing-sensitive indicators from the National Database of Nursing Quality Indicators (NDNQI) that the nurses can use to measure patient safety and quality for the unit? (Select all that apply) a. use of physical restraints b. pain assessment, intervention, and reassessment c. patient satisfaction with food preparation d. registered nurse (RN) education and certification e. number of outpatient surgical cases per year A, B, D A nurse is providing restorative care to a patient following an extended hospitalization for an acute illness. Which of the following is an appropriate goal for restorative care? a. patient will be able to walk 200 feet without shortness of breath b. wound will heal without signs of infection c. patient will express concerns related to return home d. patient will identify strategies to improve sleep habits A A nursing is presenting information to a management class of nursing students on the topic of financial reimbursement for achievement of established, measurable patient outcomes. The nurse is presenting information on the class on which topic? a. prospective payment system b. pay for performance c. capitation payment system d. managed care systems B A nurse is using data collected from the unit to monitor the incidence of falls after the unit implemented a new fall protocol. The nurse is working in which area? a. Quality improvement (QI) b. health care patient system c. nursing informatics d. computerized nursing network A