Nursing 138 - Exam 1 Part 2 Samuel Merritt University
Questions With Complete Solutions
A patient is 65 years old, healthy, and middle class. He/she is
doing research on Medicare. Which of the following Medicare
options are available to him/her? Correct Answers Medicare Part
...... ... ...
B
Medicare Part A
Medicare Part C
Medicare Part D
A 65 year-old patient gets admitted to the hospital for chronic
heart failure (CHF) and declares to the nurse that s/he is an
alcoholic and is considering changing his/her behavior. What
should the nurse say to the patient? Correct Answers "You
...... ......
shouldn't wait a year to stop drinking, you should stop
immediately."
"My dad was an alcoholic for 30 year and he died from CHF at
60."
"I will gather some information for you about alcohol addiction
programs."
"Drinking alcohol is fun, you don't necessarily need to stop any
time soon."
A nurse gives her/his patient the wrong dose of morphine. S/he
immediately tells her charge nurse and states that s/he had
trouble reading the numbers on the medication. The charge
nurse notices that over the past three weeks, many nurses have
complained of their inability to read the small numbers on the
medication bottles. What should the charge nurse do? Correct ......
,Answers Immediately fire the nurses that are having trouble
.... ..
seeing the labels.
Recommend to the nurses that they get their eyes checked and
report back.
Develop a comprehensive checklist for administering
medication.
Participate in a root cause analysis of the ongoing and
dangerous problem.
There are three levels of prevention in health care. Select all that
apply: Correct Answers A. Health promotion
...... ......
B. Initial assessment
C. Diagnosis / treatment
D. Health restoration
A local hospital has noticed a drastic increase in deaths
associated with nursing errors. What process should the hospital
implement first in order to address and further prevent such
errors? Correct Answers A. Design and implement Checklists
...... .... ..
B. Color coded labels on medications
C. Increase pharmaceutical staff
D. Only allow doctors to administer medications
Jennie and Jayson are nursing students who have just finished
their first day of clinical rotations. They decide to meet up with
some friends afterwards to discuss the details of their first day.
Jennie notices that Jayson has taken photos of his patients from
earlier that day and is showing them to his friends. He is also
saying their full names and revealing their conditions. Jennie
decides to bring this to the attention of the clinical instructor, as
well as reminding Jayson of the HIPAA regulations. In this
,situation, which of the following "C's of Caring" is Jennie most
appropriately utilizing? Correct Answers A. Caring
...... ......
B. Competence
C. Conscience
D. Comportment
What type of unit is a nurse working on, if it has it's own
admitting, pharmacy, lab, and radiology departments ? Correct
......
Answers 1. case managed unit
.... ..
2. patient focused unit
3. hospice unit
4. oncology unit
A patient comes onto the surgical floor after just going through
surgery to correct a hemopneumothorax. A newly hired nurse is
put in charge of the patient and notices that the patient's vital
signs are slowly rising, but still within normal range. The charge
nurse just went on break and is nowhere to be found. What
should he/she do? Correct Answers Call a code blue
...... ......
immediately.
Wait to see if the patient's vital signs go outside of normal
range.
Call the attending physician for help.
Wait for the charge nurse to come back.
A twenty year old male comes in for a physical assessment for
his new job. During the interview he says that he smokes a pack
of cigarettes a day. He knows they are bad for him, but says that
since he is young he has plenty of time to quit and not suffer any
consequences. What is the best way to take him from the
precontemplation stage to the contemplation stage about quitting
, smoking? Correct Answers Mention that he should quit every
...... ......
time he comes in.
Teach him about the dangers of smoking, focusing on his age.
Give him pamphlets about the dangers of smoking.
Show him what a smoker's lung looks like compared to a health
lung.
When practicing self-care it is important to maintain a healthy
lifestyle. What lifestyle practices can help anybody maintain a
healthy lifestyle? Choose all that apply. Correct Answers ......
Nutrition
......
Meditation
Recreation
Rock-climbing
A patient postoperative gallbladder removal was transferred to
the surgical floor. The nurse did not properly monitor and
review trends in the patients vital signs. The patient went into
shock and died. What could the hospital have done to prevent
this outcome? Correct Answers 1. Have more doctors on staff to
...... ......
attend to postoperative patients.
2. Have only the charge nurse provide care for postoperative
patients.
3. Have nurses prepared and supported to handle possible
complications that can occur with postoperative patients.
4. Have a case manager assigned to all postoperative patients.
Because of cultural and linguistic differences, a client has failed
to follow a health promotion plan developed by a nurse. What
should the nurse do ? Correct Answers 1. Speak to the clients
...... ......
physician about noncompliance.
Questions With Complete Solutions
A patient is 65 years old, healthy, and middle class. He/she is
doing research on Medicare. Which of the following Medicare
options are available to him/her? Correct Answers Medicare Part
...... ... ...
B
Medicare Part A
Medicare Part C
Medicare Part D
A 65 year-old patient gets admitted to the hospital for chronic
heart failure (CHF) and declares to the nurse that s/he is an
alcoholic and is considering changing his/her behavior. What
should the nurse say to the patient? Correct Answers "You
...... ......
shouldn't wait a year to stop drinking, you should stop
immediately."
"My dad was an alcoholic for 30 year and he died from CHF at
60."
"I will gather some information for you about alcohol addiction
programs."
"Drinking alcohol is fun, you don't necessarily need to stop any
time soon."
A nurse gives her/his patient the wrong dose of morphine. S/he
immediately tells her charge nurse and states that s/he had
trouble reading the numbers on the medication. The charge
nurse notices that over the past three weeks, many nurses have
complained of their inability to read the small numbers on the
medication bottles. What should the charge nurse do? Correct ......
,Answers Immediately fire the nurses that are having trouble
.... ..
seeing the labels.
Recommend to the nurses that they get their eyes checked and
report back.
Develop a comprehensive checklist for administering
medication.
Participate in a root cause analysis of the ongoing and
dangerous problem.
There are three levels of prevention in health care. Select all that
apply: Correct Answers A. Health promotion
...... ......
B. Initial assessment
C. Diagnosis / treatment
D. Health restoration
A local hospital has noticed a drastic increase in deaths
associated with nursing errors. What process should the hospital
implement first in order to address and further prevent such
errors? Correct Answers A. Design and implement Checklists
...... .... ..
B. Color coded labels on medications
C. Increase pharmaceutical staff
D. Only allow doctors to administer medications
Jennie and Jayson are nursing students who have just finished
their first day of clinical rotations. They decide to meet up with
some friends afterwards to discuss the details of their first day.
Jennie notices that Jayson has taken photos of his patients from
earlier that day and is showing them to his friends. He is also
saying their full names and revealing their conditions. Jennie
decides to bring this to the attention of the clinical instructor, as
well as reminding Jayson of the HIPAA regulations. In this
,situation, which of the following "C's of Caring" is Jennie most
appropriately utilizing? Correct Answers A. Caring
...... ......
B. Competence
C. Conscience
D. Comportment
What type of unit is a nurse working on, if it has it's own
admitting, pharmacy, lab, and radiology departments ? Correct
......
Answers 1. case managed unit
.... ..
2. patient focused unit
3. hospice unit
4. oncology unit
A patient comes onto the surgical floor after just going through
surgery to correct a hemopneumothorax. A newly hired nurse is
put in charge of the patient and notices that the patient's vital
signs are slowly rising, but still within normal range. The charge
nurse just went on break and is nowhere to be found. What
should he/she do? Correct Answers Call a code blue
...... ......
immediately.
Wait to see if the patient's vital signs go outside of normal
range.
Call the attending physician for help.
Wait for the charge nurse to come back.
A twenty year old male comes in for a physical assessment for
his new job. During the interview he says that he smokes a pack
of cigarettes a day. He knows they are bad for him, but says that
since he is young he has plenty of time to quit and not suffer any
consequences. What is the best way to take him from the
precontemplation stage to the contemplation stage about quitting
, smoking? Correct Answers Mention that he should quit every
...... ......
time he comes in.
Teach him about the dangers of smoking, focusing on his age.
Give him pamphlets about the dangers of smoking.
Show him what a smoker's lung looks like compared to a health
lung.
When practicing self-care it is important to maintain a healthy
lifestyle. What lifestyle practices can help anybody maintain a
healthy lifestyle? Choose all that apply. Correct Answers ......
Nutrition
......
Meditation
Recreation
Rock-climbing
A patient postoperative gallbladder removal was transferred to
the surgical floor. The nurse did not properly monitor and
review trends in the patients vital signs. The patient went into
shock and died. What could the hospital have done to prevent
this outcome? Correct Answers 1. Have more doctors on staff to
...... ......
attend to postoperative patients.
2. Have only the charge nurse provide care for postoperative
patients.
3. Have nurses prepared and supported to handle possible
complications that can occur with postoperative patients.
4. Have a case manager assigned to all postoperative patients.
Because of cultural and linguistic differences, a client has failed
to follow a health promotion plan developed by a nurse. What
should the nurse do ? Correct Answers 1. Speak to the clients
...... ......
physician about noncompliance.
