Nursing 138 - Exam 1 Part 1 Samuel Merritt University
Questions With Complete Solutions
A nurse is caring for a postpartum patient who underwent a
successful cesarean section, and is also a first time parent.
During the nursing assessment, what key transition(s) is/are
identified. Also, what transition condition should be paid special
attention to with regard to her surgery? Correct Answers 1.
...... ......
Organizational and Health-Illness transitions, environment
2. Developmental transition, level of planning
3. Developmental and Health-Illness transitions, expectations
4. Situational transition, environment
After administering a medication to a patient in the emergency
department, the nurse notices that this routinely administered
medication doesn't elicit the usual response in the patient. What
key intuitive process does the nurse use to help this patient?
Correct Answers 1. Pattern recognition
...... ......
2. Similarity recognition
3. Commonsense understanding
4. Intuitive analysis
A 67-year-old patient is seen in the emergency department after
falling and breaking his pelvis. After his recovery, he is sent
home with a bag full of medications as well as a referral for
,physical therapy. He is enrolled in Medicare plan part A and D.
Which services and/or items will he have to pay for out of
pocket in addition to his monthly premium? Correct Answers 1.
...... ......
Visit to the emergency department
2. Medications
3. Radiologist reading and interpreting the x-ray of his pelvis
4. Physical therapy
A hospital administrator mandates that all nurses wear white
uniforms while caring for patients in the hospital. According to
Burn in an article titled, "An Experiment in White", what is the
best rationale for this requirement? Correct Answers 1. To
...... ......
distinguish nurses from other hospital staff
2. To maintain a certain level of professionalism
3. To show respect for the traditional portrayal of nurses
4. To demonstrate prestige and honor for the profession
Which of the following transitions is considered a Health-Illness
transition? Correct Answers 1. The introduction of restraint-free
...... ......
care in a nursing home
2. Hospitals transitioning from paper to electronic patient
charting
3. The transition of a patient from the hospital to a rehabilitation
center
4. The transition of a woman into parenthood.
,A nurse caring for a client with recently diagnosed diabetes
mellitus instructs the client how to use a device to monitor blood
glucose. The nurse is demonstrating which nursing role? Correct ......
Answers The nurse is functioning as a counselor.
.... ..
The nurse is functioning as a teacher.
The nurse is functioning as a change agent.
The nurse is functioning as a communicator.
2. A charge nurse notices at the beginning of a shift the nurse
enters a client's room, completes necessary tasks, and leaves the
client's room without speaking to either the client or the client's
family. What should the charge nurse recommend the nurse do
first upon entering a client's room for the first time? Correct
......
Answers Encourage the nurse to greet the client and the client's
.... ..
family.
Advise the nurse to practice proper hand hygiene.
Advise the nurse to introduce his/herself by name and as a
registered nurse.
Indicate that the nurse should ask the client if they have any
needs or concerns.
A nursing student tells a classmate "These NCLEX questions we
have to write are impossible. I'm just going to write some
garbage questions and hope no one notices- I'm not a test author
and I don't have time for this!" How should the classmate
respond? Select all that apply. Correct Answers Encourage the
...... ......
nursing student to visit the student counseling office for options
in stress management.
Offer to assist the nursing student to with the assignment by
providing examples from textbooks and online.
, Recommend that the nursing student speak with the instructor
and ask to be excused from the assignment.
Recommend that the nursing student speak with the instructor
and ask for further assistance
The authors of Avoiding Socialization Pitfalls in Accelerated
Second-Degree Nursing Education: The Returning-to-School
Syndrome Model state that there are three stages of the
returning-to school syndrome model. At what stage, is there an
initial strong rejection of the new culture? Correct Answers 1.)
...... ......
Honeymoon
2.) Resolution
3.) Conflict
4.) Reintegration
A nurse is assigned a patient who is recovering very well from a
cerebrovascular accident. The patient is recovering speech,
movement and strength. However, she notices the patient is a
less talkative than the day before. The experienced nurse
recognizes that there might be a problem underlying the patient's
new behavior by using: Correct Answers 1. Skilled Know-How
...... ......
2. Similarity Recognition
3. Sense of Silence
4. Deliberative Rationality
Questions With Complete Solutions
A nurse is caring for a postpartum patient who underwent a
successful cesarean section, and is also a first time parent.
During the nursing assessment, what key transition(s) is/are
identified. Also, what transition condition should be paid special
attention to with regard to her surgery? Correct Answers 1.
...... ......
Organizational and Health-Illness transitions, environment
2. Developmental transition, level of planning
3. Developmental and Health-Illness transitions, expectations
4. Situational transition, environment
After administering a medication to a patient in the emergency
department, the nurse notices that this routinely administered
medication doesn't elicit the usual response in the patient. What
key intuitive process does the nurse use to help this patient?
Correct Answers 1. Pattern recognition
...... ......
2. Similarity recognition
3. Commonsense understanding
4. Intuitive analysis
A 67-year-old patient is seen in the emergency department after
falling and breaking his pelvis. After his recovery, he is sent
home with a bag full of medications as well as a referral for
,physical therapy. He is enrolled in Medicare plan part A and D.
Which services and/or items will he have to pay for out of
pocket in addition to his monthly premium? Correct Answers 1.
...... ......
Visit to the emergency department
2. Medications
3. Radiologist reading and interpreting the x-ray of his pelvis
4. Physical therapy
A hospital administrator mandates that all nurses wear white
uniforms while caring for patients in the hospital. According to
Burn in an article titled, "An Experiment in White", what is the
best rationale for this requirement? Correct Answers 1. To
...... ......
distinguish nurses from other hospital staff
2. To maintain a certain level of professionalism
3. To show respect for the traditional portrayal of nurses
4. To demonstrate prestige and honor for the profession
Which of the following transitions is considered a Health-Illness
transition? Correct Answers 1. The introduction of restraint-free
...... ......
care in a nursing home
2. Hospitals transitioning from paper to electronic patient
charting
3. The transition of a patient from the hospital to a rehabilitation
center
4. The transition of a woman into parenthood.
,A nurse caring for a client with recently diagnosed diabetes
mellitus instructs the client how to use a device to monitor blood
glucose. The nurse is demonstrating which nursing role? Correct ......
Answers The nurse is functioning as a counselor.
.... ..
The nurse is functioning as a teacher.
The nurse is functioning as a change agent.
The nurse is functioning as a communicator.
2. A charge nurse notices at the beginning of a shift the nurse
enters a client's room, completes necessary tasks, and leaves the
client's room without speaking to either the client or the client's
family. What should the charge nurse recommend the nurse do
first upon entering a client's room for the first time? Correct
......
Answers Encourage the nurse to greet the client and the client's
.... ..
family.
Advise the nurse to practice proper hand hygiene.
Advise the nurse to introduce his/herself by name and as a
registered nurse.
Indicate that the nurse should ask the client if they have any
needs or concerns.
A nursing student tells a classmate "These NCLEX questions we
have to write are impossible. I'm just going to write some
garbage questions and hope no one notices- I'm not a test author
and I don't have time for this!" How should the classmate
respond? Select all that apply. Correct Answers Encourage the
...... ......
nursing student to visit the student counseling office for options
in stress management.
Offer to assist the nursing student to with the assignment by
providing examples from textbooks and online.
, Recommend that the nursing student speak with the instructor
and ask to be excused from the assignment.
Recommend that the nursing student speak with the instructor
and ask for further assistance
The authors of Avoiding Socialization Pitfalls in Accelerated
Second-Degree Nursing Education: The Returning-to-School
Syndrome Model state that there are three stages of the
returning-to school syndrome model. At what stage, is there an
initial strong rejection of the new culture? Correct Answers 1.)
...... ......
Honeymoon
2.) Resolution
3.) Conflict
4.) Reintegration
A nurse is assigned a patient who is recovering very well from a
cerebrovascular accident. The patient is recovering speech,
movement and strength. However, she notices the patient is a
less talkative than the day before. The experienced nurse
recognizes that there might be a problem underlying the patient's
new behavior by using: Correct Answers 1. Skilled Know-How
...... ......
2. Similarity Recognition
3. Sense of Silence
4. Deliberative Rationality
