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1. A nurse is discussing restorative health care with a newly licensed nurse.
Which of the following examples should the nurse include in the teaching?
(SATA)
A) Home health care
B) Rehabilitation facilities
C) Diagnostic centers
D) Skilled nursing facilities
E) Oncology centers: A) Home health care
B) Rehabilitation facilities
D) Skilled nursing facilities
2. A nurse is explaining the various types of health care coverage clients
might have to a group of nursing students. Which of the following health care
financing mechanisms are federally funded? (SATA)
A) Preferred provider organization (PPO)
B) Medicare
C) Long-term care insurance
D) Exclusive provider organization (EPO)
E) Medicaid: B) Medicare
E) Medicaid
3. A nurse manager is developing strategies to care for the increasing number
of clients who have obesity. Which of the following actions should the nurse
include as a primary health care strategy?
A) Collaborating with providers to perform obesity screenings during routine
office visits.
B) Ensuring the availability of specialized beds in rehab centers for clients
who have obesity.
C) Providing specialized intraoperative training regarding surgical treatments
for obesity
D) Educating acute care nurses on postoperative complications related to
obesity: A) Collaborating with providers to perform obesity screenings during rou-
tine office visits.
4. A nurse is discussing the purpose of regulatory agencies during a staff
meeting. Which of the following tasks should the nurse identify as the respon-
sibility of state licensing boards?
A) Monitoring evidence-based practice for clients who have a specific diagno-
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sis
B) Ensuring that HCP comply with regulations
C) Setting quality standards for accreditation of health care facilities
D) Determining if medications are safe for administration to clients: B) Ensur-
ing that HCP comply with regulations
5. A nurse is explaining the various levels of health care services to a group
of newly licensed nurses. Which of the following examples of care or care
settings should the nurse identify as tertiary care? (SATA)
A) ICU
B) Oncology treatment center
C) Burn center
D) Cardiac rehab
E) Home health care: A) ICU
B) Oncology treatment center
C) Burn center
6. A nurse is caring for a client who is 24 hours post operative following an
inguinal hernia repair. The client is tolerating clear liquids well, has active
bowel sounds, and is expressing a desire for "real food." The nurse tells the
client that she will call the surgeon and ask. The surgeon hears the nurses
report and prescribes a full liquid diet. The nurse used which of the following
levels of critical thinking?
A) Basic
B) Commitment
C) Complex
D) Integrity: A) Basic
7. A nurse receives a RX for an antibiotic for a client who has cellulitis. The
nurse checks the clients medical record, discovers that she is allergic to the
antibiotic, and calls the provider to request a RX for a different antibiotic.
Which of the following critical thinking attitudes did the nurse demonstrate?
A) Fairness
B) Responsibility
C) Risk taking
D) Creativity: B) Responsibility
8. A nurse is caring for a client who is 24 hours postoperative following abdom-
inal surgery. The nurse suspects the clients pain management is inadequate.
Which of the following data reinforce this suspicion? (SATA)
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A) The client seems easily agitated
B) The client is nonadherent with coughing, deep breathing, and dangling.
C) The client may have pain medication every 4 to 6 hr but accepts it every 6
to 7 hr.
D) The client reports tenderness in his right lower leg.
E) The clients vital signs are HR 110/min, RR 20/min, temp 98.6 F, and BP 136/80
mm Hg.: B) The client is nonadherent with coughing, deep breathing, and dangling.
C) The client may have pain medication every 4 to 6 hr but accepts it every 6 to 7 hr.
E) The clients vital signs are HR 110/min, RR 20/min, temp 98.6 F, and BP 136/80
mm Hg.
9. A nurse is caring for a client who has a new RX for antihypertensive med-
ication. Prior to administering the medication, the nurse uses an electronic
database to gather information about the medication and the effects it might
have on this client. Which of the following components of critical thinking is
the nurse using when he reviews the medication information?
A) Knowledge
B) Experience
C) Intuition
D) Competence: A) Knowledge
10. A nurse uses a head-to-toe approach to conduct a physical assessment of
a client who will undergo surgery the following week. Which of the following
critical thinking attitudes did the nurse demonstrate?
A) Confidence
B) Perseverance
C) Integrity
D) Discipline: D) Discipline
11. A nurse in a providers office is evaluating a client who reports losing
control of urine whenever she coughs, laughs, or sneezes. The client relates
a hx of three vaginal births, but no serious accidents of illnesses. Which of
the following interventions should the nurse suggest for helping to control of
eliminate the clients incontinence? (SATA)
A) Limit total daily fluid intake
B) Decrease of avoid caffeine
C) Take calcium supplements
D) Avoid drinking alcohol
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E) Use the Crede maneuver: B) Decrease of avoid caffeine
D) Avoid drinking alcohol
12. A client who has an indwelling catheter reports a need to urinate. Which of
the following actions should the nurse take?
A) Check to see whether the catheter is patent.
B) Reassure the client that it is not possible for her to urinate.
C) Recatheterize the bladder with a larger-gauge catheter.
D) Collect a urine specimen for analysis: A) Check to see whether the catheter
is patent.
13. A nurse is caring for a client who has a RX for a 24-hr urine collection.
Which of the following actions should the nurse take?
A) Discard the first voiding
B) Keep the urine in a singe container at room temp
C) Ask the client to urinate and pour the urine into a specimen container
D) Ask the client to urinate into the toilet, stop midstream, and finish urinating
into the specimen container.: A) Discard the first voiding
14. A nurse is reviewing factors that increase the risk of UTIs with a client who
has recurrent UTIs. Which of the following factors should the nurse include?
(SATA)
A) Frequent sexual intercourse
B) Lowering of testosterone levels
C) Wiping from front to back
D) Location of the urethra in relation to the anus
E) Frequent catheterization: A) Frequent sexual intercourse
D) Location of the urethra in relation to the anus
E) Frequent catheterization
15. A nurse is preparing to initiate a bladder-retraining program for a client
who has incontinence. Which of the following actions should the nurse take?
(SATA)
A) Establish a schedule of urinating prior to meal times.
B) Have the client record urination times
C) Gradually increase the urination intervals
D) Remind the client to hold urine until the next scheduled urination time
E) Provide a sterile container for urine: B) Have the client record urination times