NUR 634 MIDTERM EXAM NEWEST n n n n
ACTUAL EXAM (2 VERSIONS) WITH COM n n n n n
PLETE QUESTIONS AND DETAILED ANSWE n n n n
RS GRADED A | BRAND NEW!!!
n n n n n
VERSION A n
During a staff meeting, nurses discuss the problems with accessin
n n n n n n n n n
g research studies to incorporate evidence-
n n n n n
based clinical decision making into their practice. Which suggesti
n n n n n n n n
on by the nurse manager would best help these problems?
n n n n n n n n n
a. Form a committee to conduct research studies.
n n n n n n
b. Post published research studies on the units bulletin boards.
n n n n n n n n
c. Encourage the nurses to visit the library to review studies. n n n n n n n n n
d. Teach the nurses how to conduct electronic searches for rese
n n n n n n n n n
arch studies. - n n
n✔✔✔ Correct Answer > ANS: D Facilitating support for EBP woul
n n n n n n n n n n
d include teaching the nurses how to conduct electronic searches
n n n n n n n n n
; time to visit the library may not be available for many nurses. Act
n n n n n n n n n n n n n
ually conducting research studies may be helpful in the long-
n n n n n n n n n
run but not an immediate solution to reviewing existing research.
n n n n n n n n n
,When performing a physical examination, safety must be conside
n n n n n n n n
red to protect the examiner and the patient against the spread of
n n n n n n n n n n n n
infection. Which of these statements describes the most appropr
n n n n n n n n
iate action the nurse should take when performing a physical exa
n n n n n n n n n n
mination?
a. Washing ones hands after removing gloves is not necessary, a n n n n n n n n n
s long as the gloves are still intact.
n n n n n n n
b. Hands are washed before and after every physical patient e
n n n n n n n n n
ncounter.
c. Hands are washed before the examination of each body syst
n n n n n n n n n
em to prevent the spread of bacteria from one part of the body
n n n n n n n n n n n n n
to another. n
d. Gloves are worn throughout the entire examination to demo
n n n n n n n n
nstrate to the patient concern regarding the spread of infectious
n n n n n n n n n
diseases -
n n
✔✔✔ Correct Answer > ANS: B The nurse should wash his or he
n n n n n n n n n n n n n
r hands before and after every physical patient encounter; after
n n n n n n n n n n
contact with blood, body fluids, secretions, and excretions; after
n n n n n n n n
contact with any equipment contaminated with body fluids; an
n n n n n n n n n
d after removing gloves.
n n n
Hands should be washed after gloves have been removed, even if
n n n n n n n n n n n
the gloves appear to be intact. Gloves should be worn when pote
n n n n n n n n n n n
ntial contact with any body fluids is present.
n n n n n n n
When reviewing the concepts of health, the nurse recalls that the
n n n n n n n n n n n
components of holistic health include which of these? n n n n n n n
,a. Disease originates from the external environment. n n n n n
b. The individual human is a closed system.
n n n n n n
c. Nurses are responsible for a patients health state.
n n n n n n n
d. Holistic health views the mind, body, and spirit as interdepen
n n n n n n n n n
dent. - n
✔✔✔ Correct Answer > ANS: D Consideration of the whole pers
n n n n n n n n n n n
on is the essence of holistic health, which views the mind, body,
n n n n n n n n n n n n
and spirit as interdependent. The basis of disease originates fro
n n n n n n n n n
m both the external environment and from within the person. B
n n n n n n n n n n
oth the individual human and the external environment are ope
n n n n n n n n n
n systems, continually changing and adapting, and each person is
n n n n n n n n n
responsible for his or her own personal health state.
n n n n n n n n n
The nurse recognizes that the concept of prevention in describing
n n n n n n n n n
health is essential because:
n n n n
a. Disease can be prevented by treating the external e n n n n n n n n
nvironment.
b. The majority of deaths among Americans under age 65 years a
n n n n n n n n n n
re not preventable.
n n
c. Prevention places the emphasis on the link between health a n n n n n n n n n
nd personal behavior.
n n
d. The means to prevention is through treatment provided by p
n n n n n n n n n
rimary health care practitioners. - n n n n
✔✔✔ Correct Answer > ANS: C A natural progression to preve
n n n n n n n n n n n
ntion rounds out the n n n
, present concept of health. Guidelines to prevention place the emph
n n n n n n n n n
asis on the link between health and personal behavior.
n n n n n n n n
20. The nurse is performing a physical assessment on a newly a
n n n n n n n n n n
dmitted patient. An example of objective information obtaine
n n n n n n n
d during the physical assessment includes the
n n n n n n
a. Patients history of allergies. n n n
B . Patients use of medications at home.
n n n n n n n
c. Last menstrual period 1 month ago. n n n n n
d. 2 5 cm scar on the right lower forearm. -
n n n n n n n n n
n✔✔✔ Correct Answer > ANS: D Objective data are the patients
n n n n n n n n n n n
record, laboratory studies, and condition that the health profess
n n n n n n n n
ional observes by inspecting, percussing, palpating, and ausculta
n n n n n n n
ting during the physical examination. The other responses reflec
n n n n n n n n
t subjective data.
n n
A visiting nurse is making an initial home visit for a patient who h
n n n n n n n n n n n n n
as many chronic medical problems. Which type of data base is m
n n n n n n n n n n n
ost appropriate to collect in this setting?
n n n n n n
a. A follow- n
up data base to evaluate changes at appropriate intervals
n n n n n n n n
b. An episodic data base because of the continuing, complex
n n n n n n n n n
medical problems of this patient n n n n
ACTUAL EXAM (2 VERSIONS) WITH COM n n n n n
PLETE QUESTIONS AND DETAILED ANSWE n n n n
RS GRADED A | BRAND NEW!!!
n n n n n
VERSION A n
During a staff meeting, nurses discuss the problems with accessin
n n n n n n n n n
g research studies to incorporate evidence-
n n n n n
based clinical decision making into their practice. Which suggesti
n n n n n n n n
on by the nurse manager would best help these problems?
n n n n n n n n n
a. Form a committee to conduct research studies.
n n n n n n
b. Post published research studies on the units bulletin boards.
n n n n n n n n
c. Encourage the nurses to visit the library to review studies. n n n n n n n n n
d. Teach the nurses how to conduct electronic searches for rese
n n n n n n n n n
arch studies. - n n
n✔✔✔ Correct Answer > ANS: D Facilitating support for EBP woul
n n n n n n n n n n
d include teaching the nurses how to conduct electronic searches
n n n n n n n n n
; time to visit the library may not be available for many nurses. Act
n n n n n n n n n n n n n
ually conducting research studies may be helpful in the long-
n n n n n n n n n
run but not an immediate solution to reviewing existing research.
n n n n n n n n n
,When performing a physical examination, safety must be conside
n n n n n n n n
red to protect the examiner and the patient against the spread of
n n n n n n n n n n n n
infection. Which of these statements describes the most appropr
n n n n n n n n
iate action the nurse should take when performing a physical exa
n n n n n n n n n n
mination?
a. Washing ones hands after removing gloves is not necessary, a n n n n n n n n n
s long as the gloves are still intact.
n n n n n n n
b. Hands are washed before and after every physical patient e
n n n n n n n n n
ncounter.
c. Hands are washed before the examination of each body syst
n n n n n n n n n
em to prevent the spread of bacteria from one part of the body
n n n n n n n n n n n n n
to another. n
d. Gloves are worn throughout the entire examination to demo
n n n n n n n n
nstrate to the patient concern regarding the spread of infectious
n n n n n n n n n
diseases -
n n
✔✔✔ Correct Answer > ANS: B The nurse should wash his or he
n n n n n n n n n n n n n
r hands before and after every physical patient encounter; after
n n n n n n n n n n
contact with blood, body fluids, secretions, and excretions; after
n n n n n n n n
contact with any equipment contaminated with body fluids; an
n n n n n n n n n
d after removing gloves.
n n n
Hands should be washed after gloves have been removed, even if
n n n n n n n n n n n
the gloves appear to be intact. Gloves should be worn when pote
n n n n n n n n n n n
ntial contact with any body fluids is present.
n n n n n n n
When reviewing the concepts of health, the nurse recalls that the
n n n n n n n n n n n
components of holistic health include which of these? n n n n n n n
,a. Disease originates from the external environment. n n n n n
b. The individual human is a closed system.
n n n n n n
c. Nurses are responsible for a patients health state.
n n n n n n n
d. Holistic health views the mind, body, and spirit as interdepen
n n n n n n n n n
dent. - n
✔✔✔ Correct Answer > ANS: D Consideration of the whole pers
n n n n n n n n n n n
on is the essence of holistic health, which views the mind, body,
n n n n n n n n n n n n
and spirit as interdependent. The basis of disease originates fro
n n n n n n n n n
m both the external environment and from within the person. B
n n n n n n n n n n
oth the individual human and the external environment are ope
n n n n n n n n n
n systems, continually changing and adapting, and each person is
n n n n n n n n n
responsible for his or her own personal health state.
n n n n n n n n n
The nurse recognizes that the concept of prevention in describing
n n n n n n n n n
health is essential because:
n n n n
a. Disease can be prevented by treating the external e n n n n n n n n
nvironment.
b. The majority of deaths among Americans under age 65 years a
n n n n n n n n n n
re not preventable.
n n
c. Prevention places the emphasis on the link between health a n n n n n n n n n
nd personal behavior.
n n
d. The means to prevention is through treatment provided by p
n n n n n n n n n
rimary health care practitioners. - n n n n
✔✔✔ Correct Answer > ANS: C A natural progression to preve
n n n n n n n n n n n
ntion rounds out the n n n
, present concept of health. Guidelines to prevention place the emph
n n n n n n n n n
asis on the link between health and personal behavior.
n n n n n n n n
20. The nurse is performing a physical assessment on a newly a
n n n n n n n n n n
dmitted patient. An example of objective information obtaine
n n n n n n n
d during the physical assessment includes the
n n n n n n
a. Patients history of allergies. n n n
B . Patients use of medications at home.
n n n n n n n
c. Last menstrual period 1 month ago. n n n n n
d. 2 5 cm scar on the right lower forearm. -
n n n n n n n n n
n✔✔✔ Correct Answer > ANS: D Objective data are the patients
n n n n n n n n n n n
record, laboratory studies, and condition that the health profess
n n n n n n n n
ional observes by inspecting, percussing, palpating, and ausculta
n n n n n n n
ting during the physical examination. The other responses reflec
n n n n n n n n
t subjective data.
n n
A visiting nurse is making an initial home visit for a patient who h
n n n n n n n n n n n n n
as many chronic medical problems. Which type of data base is m
n n n n n n n n n n n
ost appropriate to collect in this setting?
n n n n n n
a. A follow- n
up data base to evaluate changes at appropriate intervals
n n n n n n n n
b. An episodic data base because of the continuing, complex
n n n n n n n n n
medical problems of this patient n n n n
