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Nursing Fundamentals – Professional Practice, Ethics, Interventions & NCLEX Review (Latest)

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Concise Q&A for Nursing Fundamentals exam/NCLEX. Covers State Board of Nursing (continuing education for license renewal), standards of practice (safe care knowledge/skills/attitudes), NCLEX definition of nurse, ethical dilemmas vs moral distress, patient refusal of blood transfusion (follow patient wishes), confidentiality (fidelity), paternalism, nursing ethics (care regardless of personal beliefs), EMTALA (emergency treatment regardless of ability to pay), mandatory reporting (elder abuse), Cheyne-Stokes respirations, COPD smoking cessation (body repairs damage), pneumonia teaching (fluids thin secretions), orthostatic hypotension (supine/sitting/standing), pain assessment (JCAHO requirement), nursing history vs medical history, initial focused assessment (stepped on nail), nursing diagnosis (grieving), culture (belief system guiding behavior), culture shock, nosocomial infections (UTI most common), large BP cuff for obese patient, parenteral route for nausea/vomiting, crisis intervention (immediate stress reduction), hypovolemic shock post-accident, breath sounds (deep breath through mouth), insulin injection (air into both vials, withdraw regular first), PEG tube feeding (HOB 30-45° first), liver disease prolongs drug half-life, IV morphine fastest pain relief, teratogenic drugs (avoid in pregnancy), encouraging elaboration (“Go on…”), prevent IV infiltration (avoid flexion sites), stage I pressure ulcer (frequent turning), prayer as coping, walking 20 min 3x/week (long-term coping), flush NG tube after meds, phlebitis (red streak, hard vein), open-ended questions (“Tell me about…”), smoking → cardiovascular disease, absorption (drug to bloodstream), teach older adults (allow time to express/ask), low-flow oxygen (nasal cannula for COPD), verify NG order (potassium elixir in NGT? clarify), add liquid meds to small amount food, restful environment aids healing, medication right violated = time, diphenhydramine dry mouth (side effect), pulse ox 85% → carbon monoxide poisoning, heparin subq (never massage), congruent relationship (words/actions match), 0.25 mg (proper decimal), psychomotor skill evaluation (uses cane correctly), consult drug formulary if unfamiliar, colitis with bloody diarrhea (candidate for TPN), buccal route (inside cheek), open posture (sit facing patient), activity intolerance → postpone teaching, complete physical exam before starting exercise, asthma affected by air pollution, stressors (work, family, aging parent), urinary incontinence → risk for skin breakdown, clean-catch urine (wipe front to back, midstream), vitamin C may cause false-negative fecal occult blood, handoff report (changes, treatments, teaching), environmental loss (transfer to nursing home), difficult grieving (sudden death of young spouse), brain stem function loss for death declaration, preoperative phase (decision to surgery → entry to OR), preoperative nursing focus (prepare mentally/physically), vitamin E concern before surgery (anticoagulant effect), palliative surgery (relieve pain), intraoperative focus (patient safety), confused patient consent (family member signs), general anesthesia (“knocked out”), health protection (quitting smoking after dad’s lung cancer), tertiary prevention (post-MI stents + meds), cyanosis in African American (bluish tinge of mucous membranes), ptosis → stroke, capillary refill (press nail tip), xerostomia (dry mouth) from decreased saliva, impaired tactile perception → risk for injury, flush NG tube after meds, delegate IV med to LPN → check Nurse Practice Act first, teaching goal (will perform… within 3 days), arrange another time for discharge teaching if distracted, hypertension goal (restrict sodium), post-NG insertion → x-ray verification before feeding, post-op gas (walk, avoid gas-producing foods, possible constipation), delegate to CNA (collect stool, assist with fracture pan), delegate scheduling (nurse manager), CNA liable for shaving nick (according to Hayes), protein most important for wound healing, hopelessness (“What does it matter?”), hospice (regular visits to maintain self-worth), anticipatory grief (helps progress to healthier state), prepare for dying patient (develop personal understanding of own feelings about death), pain assessment (don’t ask about family drug abuse), withhold pain med only if client wants to remain alert for visitor, end-of-life dyspnea (document only is wrong answer? morphine sulfate is correct), nonpharmacologic pain intervention (ensuring 8 hours sleep), lithotomy position complication (nonpalpable dorsalis pedis pulses), post-op absent bowel sounds (document only, expected), identify substance abuser (anticipate withdrawal needs), cardiovascular disease from smoking, stage III pressure ulcer (assess pain, monitor pulses/nutrition, elevate heel), insomnia (sleep diary, eliminate caffeine/chocolate, relaxation skills), indirect safety intervention (night light to bathroom path).

Meer zien Lees minder
Instelling
Nursing Fundamentals –
Vak
Nursing Fundamentals –

Voorbeeld van de inhoud

NURSING FUNDAMENTALS: PROFESSIONAL
AND CLINICAL PRACTICE EXAM ASSESSMENT,
ETHICS, AND INTERVENTIONS IN NURSING
LATEST UPDATE


Which organization can require nurses to take continuing education courses as a condition of licensure
renewal?

Select one:

a. American Nurses Association

b. National League for Nursing

c. Sigma Theta Tau

d. State Board of Nursing - CORRECT ANSWER>> State Board of Nursing



Which of the following best explains the importance of standards of practice?

Select one:

a. Nurses and other healthcare providers have the same standards of practice

b. Standard of practice only apply to nurses who work in hospital settings.

c. Standards of practice identify the knowledge, skills, and attitudes nurses need to provide safe care

d. Standards of practice differ among registered nurses because the roles are different based on the
population they serve. - CORRECT ANSWER>> Standards of practice identify the knowledge, skills,
and attitudes nurses need to provide safe care.

,Which of the following best describes the legal definition of a nurse? Assume all education programs
are accredited.

Select one:

a. Graduate of a nursing education program and has passed the National Council Licensure Exam

b. Person with advanced training and certified to administer medications in most healthcare settings

c. Graduate licensed to practice in an acute care setting or a home care environment

d. Graduate with advanced education licensed to practice under the direct supervision of a
physician - CORRECT ANSWER>> Graduate of a nursing education program and has passed the
National Council Licensure Exam (NCLEX)



A patient who is being discharged asks the nurse, "Can I take you out for dinner to show my
appreciation for all that you have done for me? I really like you." The nurse's best response is which of
the following?

Select one:

a. "Yes, that would be nice. It is really great to be appreciated."

b. "No, and please do not ask again. You should have been told that already."

c. "Thank you; however, I have to refuse, even though the thought is appreciated."

d. "We will have to wait 3 days after you have been discharged to have a relationship." -
CORRECT ANSWER>> Thank you; however, I have to refuse, even though the thought is
appreciated.



Which of the following concepts refers to conflicts that arise between two or more ethical principles in
patient care scenarios?

Select one:

a. Nursing ethics

b. Bioethics

c. Ethical dilemma

d. Moral distress - CORRECT ANSWER>> Moral distress



A mentally competent patient has an extremely low blood count and will likely die without a blood
transfusion. The patient knows the risk, but continues to refuse the blood. Which action by the nurse
is the most appropriate?

Select one:

a. Assume the patient is confused and give the blood anyway.

,b. Request a psychological evaluation to ensure that the patient understands the risk.

c. Request a psychological evaluation to ensure that the patient understands the risk.

d. Follow the patient's wishes and do not administer a blood transfusion. - CORRECT ANSWER>>
Follow the patient's wishes and do not administer a blood transfusion



Confidentiality will be maintained by a nurse who believes in and values the ethical principle of:

Select one:

a. Fidelity

b. Veracity

c. Beneficence

d. Autonomy - CORRECT ANSWER>> Fidelity



A 60-year-old patient with a treatable form of breast cancer has decided not to pursue radiation or
chemotherapy. The nurse believes that the patient should be treated. She coerces her into receiving
treatment by continuing to remind the patient about her responsibilities for raising her children. What
type of behavior has the nurse displayed?

Select one:

a. Autonomy

b. Paternalism

c. Non-maleficense

d. Beneficence - CORRECT ANSWER>> Paternalism



The nurse believes that abortion is murder, of the unborn child. While at work, the nurse is assigned a
woman with septicemia following an abortion. Which concept most specifically requires the nurse to
provide high-quality care for this patient?

Select one:

a. Ethics

b. Morals

c. Bioethics

d. Nursing Ethics - CORRECT ANSWER>> Nursing ethics

, A pregnant 15-year-old girl presents to the emergency department (ED) of the local private hospital.
She has been transported by her mother and appears to be in active labor. The girl is crying
uncontrollably and says she is scared and experiencing painful contractions. Her mother states, "We
don't have any money or insurance, but this hospital is closer than the public hospital, and she needs
help now." What is the first step that the ED staff should take?

Select one:

a. Inform her mother that she will need to transport her daughter to the nearest public hospital.

b. Examine her to determine whether her condition is stable or whether she requires immediate
medical attention.

c. Explain to the girl and her mother that the hospital only accepts patients who can pay the hospital bill.

d. Arrange for an ambulance to transport her to the nearest public hospital. - CORRECT ANSWER>>
Examine her to determine whether her condition is stable or whether she requires immediate
medical attention.



An 87-year-old patient has just been diagnosed with cancer. Her durable power of attorney names her
son as her surrogate decision maker. He arrives at the patient's bedside to discuss treatment options
with her. The patient is alert and oriented. Her son tells you that he does not want her to receive any
treatment (chemotherapy) because of the side effects and her age. The patient tells you that she
wants to try the treatment. Which decision should be followed by the nurse?

Select one:

a. The patient

b. The patient's son

c. Both

d. Neither - CORRECT ANSWER>> The patient



Upon initial assessment of a 75-year-old patient, you identify bruises and scratches on the patient's
arms, legs, and trunk in various stages of healing. You notify your supervisor when you suspect the
patient may be a victim of physical abuse. You are complying with which of the following state laws?

Select one:

a. Good Samaritan Law

b. Mandatory Reporting Law

c. Nurse Practice Act

d. Nursing Standards of Practice - CORRECT ANSWER>> Mandatory Reporting Law

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Vak
Nursing Fundamentals –

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