NR 222 Unit 3 Exam 1 (Real Exam: Questions-Answers)

NR 222 Unit 3 Exam 1 (Real Exam: Questions-Answers) NR 222 Unit 3 Exam 1 (Real Exam: Questions-Answers) A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse implementing? Educator Manager Advocate Caregiver Save A nurse attends a workshop on current nursing issues provided by the American Nurses Association. Which type of education did the nurse receive? Question 2 options: Graduate education Inservice education Continuing education Registered nurse education Save Question 3 (1 point) A patient is scheduled for surgery. When getting ready to obtain the informed consent, the patient tells the nurse, “I have no idea what is going to happen. I couldn’t ask any questions.” The nurse does not allow the patient to sign the permit and notifies the health care provider of the situation. Which role is the nurse displaying? Question 3 options: Manager Patient educator Patient advocate Clinical nurse specialist Save Question 4 (1 point) The patient requires routine gynecological services after giving birth to her son, and while seeing the nurse-midwife, the patient asks for a referral to a pediatrician for the newborn. Which action should the nurse-midwife take initially? Question 4 options: Provide the referral as requested. Offer to provide the newborn care. Refer the patient to the supervising provider. Tell the patient that is not allowed to make referrals. Save Question 5 (1 point) A nurse is using a guide that provides principles of right and wrong to provide care to patients. Which guide is the nurse using? Question 5 options: Code of ethics Standards of practice Standards of professional performance Quality and safety education for nurses Save Next Page Page 1 of 8 ________________________________________ A graduate of a baccalaureate degree program is ready to start working as an RN in the emergency department. Which action must the nurse take first? Question 6 options: Obtain certification for an emergency nurse. Pass the National Council Licensure Examination. Take a course on genomics to provide competent emergency care. Complete the Hospital Consumer Assessment of Healthcare Providers Systems. Save Question 7 (1 point) The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should consider which information when planning care for this patient? Question 7 options: Capitation provides the hospital with a means of recovering variable charges. The hospital will be paid for the full cost of the patient’s hospitalization. Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost. Medicare will pay the national average for the patient’s condition. Save Question 8 (1 point) A nurse is teaching a family about health care plans. Which information from the nurse indicates a correct understanding of the Affordable Care Act? Question 8 options: A family can choose whether to have health insurance with no consequences. Primary care physician payments from Medicaid services can equal Medicare. Adult children up to age 26 are allowed coverage on the parent’s plan. Private insurance companies can deny coverage for any reason. Save Question 9 (1 point) A nurse is following the PDSA cycle for quality improvement. Which action will the nurse take for the letter “A”? Question 9 options: Act Alter Assess Approach Save Question 10 (1 point) A nurse is using research findings to improve clinical practice. Which technique is the nurse using? Question 10 options: Performance improvement Integrated delivery networks Nursing-sensitive outcomes Utilization review committees Save Next Page Which finding indicates the best quality improvement process? Question 11 options: Staff identifies the wait time in the emergency department is too long. Administration identifies the design of the facility’s lobby increases patient stress. Director of the hospital identifies the payment schedule does not pay enough for overtime. Health care providers identify the inconsistencies of some of the facility’s policy and procedures. Save Question 12 (1 point) A nurse hears a co-worker state that anybody could be a nurse since it is so automated with infusion devices and electronic monitoring; technology is doing the work. What is the nurse’s best response? Question 12 options: “Technology use has to be combined with nursing judgment.” “The focus of effective nursing care is technology.” “If it’s so easy, why don’t you do it?” “That is true in the 20th century.” Save Question 13 (1 point) A nurse wants to become a specialist in public health nursing. Which educational requirement will the nurse have to obtain? Question 13 options: A baccalaureate degree in nursing Preparation at the basic entry level The same level of education as the community health nurse A graduate level education with a focus in public health science Save Question 14 (1 point) The community health nurse is administering flu shots to children at a local playground. What is the rationale for this nurse’s action? Question 14 options: To prevent individual illness To prevent community outbreak of illness To prevent outbreak of illness in the family To prevent needs of the local population groups Save Question 15 (1 point) A nurse attended a seminar on community-based health care. Which information indicates the nurse has a good understanding of community-based health care? Question 15 options: It occurs in hospitals. Its focus is on ill individuals. Its priority is health promotion. It provides services primarily to the poor. The instructor is teaching student nurses about identifying members of vulnerable populations when the nursing student asks, “Why is it that not all poor people are considered members of vulnerable populations?” How should the nurse respond? Question 16 options: “All poor people are members of a vulnerable population.” “Poor people are members of a vulnerable population only if they take drugs.” “Poor people are members of a vulnerable population only if they are homeless.” “Members of vulnerable groups frequently have a combination of risk factors.” Save Question 17 (1 point) The nurse is making a home visit to a Korean mother after the birth of girl. The spouse is pressing different parts of the patient’s hand and lower arm to relieve a headache. What is the nurse’s next action? Question 17 options: Tell the spouse to stop and give the mother acetaminophen. Let the spouse finish and then give the mother medication. Ask the mother and/or spouse to explain the procedure. Explain to the spouse that it will not work. Save Question 18 (1 point) The nurse is working with a 16-year-old pregnant female who tells the nurse that she needs an abortion. The nurse, acting as a counselor, provides the patient with information on alternatives to abortion, but after several sessions, the patient still insists on having the abortion. What should the nurse, in the counselor role, do next? Question 18 options: Encourage the patient to speak with a “Right-to-Life” advocate. Refuse to provide a referral to an abortion service. Provide referral to an abortion service. Delay referral to an abortion service. Save Question 19 (1 point) A nurse is testing meditation for migraine headaches and the expected outcome of care when performing this intervention. Which type of theory is the nurse using? Question 19 options: Grand Prescriptive Descriptive Middle-range Save Question 20 (1 point) The nurse researcher is evaluating whether holding pressure at an injection site after injecting the anticoagulant enoxaparin will reduce bruising at the injection site. This study involves a prescriptive theory. What is the nurse’s rationale for involving a prescriptive theory? Question 20 options: It explains why bruising occurs. It is broad in scope and complex. It tests a specific nursing intervention. It reflects a wide variety of nursing care situations. Save Next Page Page 4 of 8 ________________________________________ A nurse is using nursing theory and the nursing process simultaneously to plan nursing care. How will the nurse use nursing theory and the nursing process in practice? Question 21 options: Nursing theory can direct how a nurse uses the nursing process. Nursing theory requires the nursing process to develop knowledge. Nursing theory with the nursing process has a minor role in professional nursing. Nursing theory combined with the nursing process is specific to certain ill patients. Save Question 22 (1 point) The nurse views the patient as an open system that needs help in coping with stressors. Which theorist is the nurse using? Question 22 options: King Levine Neuman Johnson Save Question 23 (1 point) The patient is newly diagnosed with diabetes and will be discharged in the next day or so. The nurse is teaching the patient how to draw up and self-administer insulin. Which nursing theory is the nurse utilizing? Question 23 options: Watson’s theory Orem’s theory Roger’s theory Henderson’s theory Save Question 24 (1 point) Which action indicates the nurse is using the nursing process in patient care? Question 24 options: Generates nursing knowledge for use in nursing practice. Conceptualizes an aspect of nursing to predict nursing care. Develops nursing care as a specific, distinct phenomenon. Delivers nursing care using a systematic approach. Save Question 25 (1 point) A nurse is using theoretical knowledge in nursing practice to provide patient care. Which nursing behavior is an example of theoretical knowledge? Question 25 options: Reads about different concepts Reflects on clinical experiences Combines the art and science of nursing Creates a narrow understanding of nursing practice Save Next Page The nurse is reviewing a research article on a patient care topic. Which area should entice the nurse to read the article? Question 26 options: Literature review Introduction Methods Results Save Question 27 (1 point) A nurse writes the following PICOT question: How do patients with breast cancer rate their quality of life? How should the nurse evaluate this question? Question 27 options: A true PICOT question regardless of the number of elements A true PICOT question because the intervention comes before the control Not a true PICOT question because the comparison comes after the intervention Not a true PICOT question because the time is not designated Save Question 28 (1 point) A nurse is reviewing literature for an evidence-based practice study. Which study should the nurse use for the most reliable level of evidence that uses statistics to show effectiveness? Question 28 options: Meta-analysis Systematic review Single random controlled trial Control trial without randomization Save Question 29 (1 point) A nurse is reviewing research studies for evidence-based practice. Which article should the nurse use for qualitative nursing research? Question 29 options: An article about the number of falls after use of no side rails An article about infection rates after use of a new wound dressing An article about the percentage of new admissions on a new floor An article about emotional needs of dying patients and their families Save Question 30 (1 point) The nurse uses a PICOT question to develop an evidence-based change in protocol for a certain nursing procedure. However, to make these changes throughout the entire institution would require more evidence than is available at this time. What is the nurse’s best option? Question 30 options: Conduct a pilot study to investigate findings. Drop the idea of making the change at this time. Insist that management hire the needed staff to facilitate the change. Seek employment in another institution that may have the staff needed. Save Next Page The nurse is trying to identify common general themes relative to the effectiveness of cardiac rehabilitation from patients who have had heart attacks and have gone through cardiac rehabilitation programs. The nurse conducts interviews and focus groups. Which type of research is the nurse conducting? Question 31 options: Nonexperimental research Experimental research Qualitative research Evaluation research Save Question 32 (1 point) The nurse researcher is preparing to publish the findings and is preparing to add the limitations to the manuscript. Which area of the manuscript will the nurse researcher add this information? Question 32 options: Abstract Conclusion Study design Clinical implications Save Question 33 (1 point) A nurse is trying to decrease the rate of falls on the unit. After reviewing the literature, a strategy is implemented on the unit. After 3 months, the nurse finds that the falls have decreased. Which process did the nurse institute? Question 33 options: Performance improvement Peer-reviewed project Generalizability study Qualitative research Save Question 34 (1 point) A nurse identifies a clinical problem with pressure ulcers. Which step should the nurse take next in the research process? Question 34 options: Analyze results. Conduct the study. Determine method. Develop a hypothesis. Save Question 35 (1 point) A nurse is developing a care delivery outcomes research project. Which population will the nurse study? Question 35 options: Nurses Patients Administrators Health care providers Save Next Page After licensure, the nurse wants to stay current in knowledge and skills. Which programs are themost common ways nurses can do this? (Select all that apply.) Question 36 options: Continuing education Inservice education National Council Licensure Examination retakes Masters degree Doctoral preparation Save Question 37 (1 point) A nurse is teaching the staff about the Institute of Medicine competencies. Which examples indicate the staff has a correct understanding of the teaching? (Select all that apply.) Question 37 options: Apply globalization. Use transparency. Use evidence-based practice. Apply quality improvement. Use informatics. Save Question 38 (1 point) A nurse is working in a health care organization that has achieved Magnet status. Which components are indicators of this status? (Select all that apply.) Question 38 options: Exemplary professional practice Empirical quality results Structural empowerment Willingness to recommend the agency Transformational leadership Save Question 39 (1 point) A nurse is caring for vulnerable populations in a local community. Which patients will the nurse care for in this community? (Select all that apply.) Question 39 options: A 35-year-old living in own home A 47-year-old immigrant who speaks only Spanish A 15-year-old rape victim A 22-year-old pregnant woman A 40-year-old schizophrenic Save Question 40 (1 point) A nurse is using a nursing metaparadigm to define nursing. Which concepts will the nurse include? (Select all that apply.) Question 40 options: Person Disease Environment Health Nursing Save Next Page