PRN exam 2 questions with complete
solutions
Electronic Health Record (EHR) set up as a goal of the 2009 American recovery and
Reinvestment Act, for the purpose of providing a: - ANSWERS-a comprehensive record of a
patient's history and care across all facilities and admissions
A home health patient with a bleeding ulcer informs the nurse that she ate a bowl of chili with
jalapenos. An inappropriate communication block with a judgmental tone by the nurse would
be: - ANSWERS-"I don't think that was a smart thing for you to do considering your ulcer."
A patient needs to have a triangular bandage applied. The nurse should position the sling so
that the hand is _____ inch(es) below the elbow. - ANSWERS-4
A clinic nurse is documenting in a patient medical record about the pain that brought the
patient to seek medical attention. The best description is: - ANSWERS-"Periumbilical sharp pain
at pain level of 7 to 8 for last 3 hours, started 2 hours after lunch. No relief from antacids."
The nurse has selected an outcome for the patient to eat all of the food on the breakfast tray
each day. Assessing that the patient has eaten all of the breakfast, the nurse would give positive
feedback by saying: - ANSWERS-"Hurray! You finished your whole meal! What would you like for
tomorrow?"
The best way for a nurse to reinforce learning during a return demonstration by the patient is
for the nurse to: - ANSWERS-give recognition and praise for the parts the patient does well and
to assist or teach when the patient becomes confused or forgetful
A team leader of a busy oncology unit has had three unexpected discharges today and two new
admissions. He needs to communicate the changes to his staff and reorganize the plan to
,facilitate an effective workflow for the rest of the shift. Which team communication strategy
would work best in this scenario? - ANSWERS-Huddle
An aspect of computer use in patient care in which the LPN may need to be proficient includes: -
ANSWERS-input of data such as requests for radiographs or laboratory services.
The nurse is aware that the knowledge deficit of a postpartum patient with her first child that
can be safely addressed by the community nurse after discharge is: - ANSWERS-weaning the
child from breastfeeding.
A nurse is aware that the medication orders on the MAR should be verified with the medical
record orders every _____. - ANSWERS-24 hours
When the nurse enters the room, the patient is laughing out loud at something on TV. The
patient stops and apologizes for the laughter, saying, "I guess I ought not be laughing at all since
I am stuck here with two broken legs." The nurse can use evidence-based information when she
responds: - ANSWERS-"Laughter truly is the best medicine as it has a positive effect on the
immune system."
The nurse evaluates the effectiveness of patient education relative to how to use an eye shield
after eye surgery is to: - ANSWERS-have the patient demonstrate that he can secure the eye
shield.
The nurse is aware that the use of false reassurance is harmful to the nurse-patient relationship,
because this communication block: - ANSWERS-discounts the patient's stated concerns.
The nurse chooses to use touch in the nurse-patient relationship because touch: - ANSWERS-can
convey caring and support when words are difficult.
When communicating with a preschooler, the nurse should: - ANSWERS-consider the
developmental level, using familiar words.
, An example of a nurse communicating with a patient using open-ended questions would be: -
ANSWERS-"What was your daughter's reaction to your desire for hospice?"
When a patient states, "I don't feel like walking today," the nurse's most therapeutic verbal
response would be: - ANSWERS-"You don't want to walk today?"
The most effective communication from a nurse leader to a team member that is most likely to
have a positive outcome would be: - ANSWERS-"Jane, please give me a list of those vital signs
before breakfast."
An emaciated semiconscious bed bound patient does not remain in a side lying position and
repeatedly turns onto her back, where she is developing a pressure area over her sacrum. The
nurse should add to the nursing care plan to: - ANSWERS-place the patient on her stomach
(prone position) using a small pillow below her diaphragm.
The nurse uses professional knowledge about body mechanics to prevent the most common
occupational disorder in nurses, which is: - ANSWERS-back injuries from lifting and twisting.
The nurse designing a patient education plan for a patient admitted to the hospital for
treatment of a heart problem after years of treating the ailment at home with herbal remedies
and practices common in his cultural group should: - ANSWERS-help the patient to identify
optimum outcomes that can be achieved through education and compromise.
A laissez faire leader would be most likely to: - ANSWERS-allow team members to function
independently.
The nurse designs care for the immobilized patient to help combat the major dangers of
immobilization, which include: (Select all that apply.) - ANSWERS-pneumonia.
permanent loss of function.
solutions
Electronic Health Record (EHR) set up as a goal of the 2009 American recovery and
Reinvestment Act, for the purpose of providing a: - ANSWERS-a comprehensive record of a
patient's history and care across all facilities and admissions
A home health patient with a bleeding ulcer informs the nurse that she ate a bowl of chili with
jalapenos. An inappropriate communication block with a judgmental tone by the nurse would
be: - ANSWERS-"I don't think that was a smart thing for you to do considering your ulcer."
A patient needs to have a triangular bandage applied. The nurse should position the sling so
that the hand is _____ inch(es) below the elbow. - ANSWERS-4
A clinic nurse is documenting in a patient medical record about the pain that brought the
patient to seek medical attention. The best description is: - ANSWERS-"Periumbilical sharp pain
at pain level of 7 to 8 for last 3 hours, started 2 hours after lunch. No relief from antacids."
The nurse has selected an outcome for the patient to eat all of the food on the breakfast tray
each day. Assessing that the patient has eaten all of the breakfast, the nurse would give positive
feedback by saying: - ANSWERS-"Hurray! You finished your whole meal! What would you like for
tomorrow?"
The best way for a nurse to reinforce learning during a return demonstration by the patient is
for the nurse to: - ANSWERS-give recognition and praise for the parts the patient does well and
to assist or teach when the patient becomes confused or forgetful
A team leader of a busy oncology unit has had three unexpected discharges today and two new
admissions. He needs to communicate the changes to his staff and reorganize the plan to
,facilitate an effective workflow for the rest of the shift. Which team communication strategy
would work best in this scenario? - ANSWERS-Huddle
An aspect of computer use in patient care in which the LPN may need to be proficient includes: -
ANSWERS-input of data such as requests for radiographs or laboratory services.
The nurse is aware that the knowledge deficit of a postpartum patient with her first child that
can be safely addressed by the community nurse after discharge is: - ANSWERS-weaning the
child from breastfeeding.
A nurse is aware that the medication orders on the MAR should be verified with the medical
record orders every _____. - ANSWERS-24 hours
When the nurse enters the room, the patient is laughing out loud at something on TV. The
patient stops and apologizes for the laughter, saying, "I guess I ought not be laughing at all since
I am stuck here with two broken legs." The nurse can use evidence-based information when she
responds: - ANSWERS-"Laughter truly is the best medicine as it has a positive effect on the
immune system."
The nurse evaluates the effectiveness of patient education relative to how to use an eye shield
after eye surgery is to: - ANSWERS-have the patient demonstrate that he can secure the eye
shield.
The nurse is aware that the use of false reassurance is harmful to the nurse-patient relationship,
because this communication block: - ANSWERS-discounts the patient's stated concerns.
The nurse chooses to use touch in the nurse-patient relationship because touch: - ANSWERS-can
convey caring and support when words are difficult.
When communicating with a preschooler, the nurse should: - ANSWERS-consider the
developmental level, using familiar words.
, An example of a nurse communicating with a patient using open-ended questions would be: -
ANSWERS-"What was your daughter's reaction to your desire for hospice?"
When a patient states, "I don't feel like walking today," the nurse's most therapeutic verbal
response would be: - ANSWERS-"You don't want to walk today?"
The most effective communication from a nurse leader to a team member that is most likely to
have a positive outcome would be: - ANSWERS-"Jane, please give me a list of those vital signs
before breakfast."
An emaciated semiconscious bed bound patient does not remain in a side lying position and
repeatedly turns onto her back, where she is developing a pressure area over her sacrum. The
nurse should add to the nursing care plan to: - ANSWERS-place the patient on her stomach
(prone position) using a small pillow below her diaphragm.
The nurse uses professional knowledge about body mechanics to prevent the most common
occupational disorder in nurses, which is: - ANSWERS-back injuries from lifting and twisting.
The nurse designing a patient education plan for a patient admitted to the hospital for
treatment of a heart problem after years of treating the ailment at home with herbal remedies
and practices common in his cultural group should: - ANSWERS-help the patient to identify
optimum outcomes that can be achieved through education and compromise.
A laissez faire leader would be most likely to: - ANSWERS-allow team members to function
independently.
The nurse designs care for the immobilized patient to help combat the major dangers of
immobilization, which include: (Select all that apply.) - ANSWERS-pneumonia.
permanent loss of function.
