BLUEPRINT EXAM 2 QUESTIONS & ANSWERS
A nurse assess a patient's fluid and status and decides that the patient needs to drink
more fluids. The nurse then encourages the patient to drink more fluids. Which concept
is the nurse demonstrating? - Answer -Autonomy
Autonomy is a essential element of professional nursing that involves the imitation of
independent interventions without medical orders.
The nurse is caring for a patent whose insurance coverage is Medicare. The nurse
should consider which information when planning care for this patient? - Answer -
Diagnosis- related groups
DRG's provide a fixed reimbursement of cost
A nurse is teaching the staff about patient integrated health care system. Which model
of care should the nurse include in the teaching about seam-less care delivery? -
Answer -The patient centered medical home model.
An older- adult patient has extensive wound care needs after discharge from the
hospital. Which facility should the nurse discuss with the patient? - Answer -Skilled
nursing
Skilled nursing offers skilled care from a licensed nursing staff. Examples: wound care,
administration of IV fluids, long-term ventilator management, and physical rehab
The nurse is caring for a patient who is actively bleeding. The health care provider
prescribes blood transfusions. The patient's religious beliefs do not allow the use of
blood products. The nurse contacts the health care provider to request alternative
treatment. Which theory is the nurse using? - Answer -Leininger's Theory
Leininger's theory provide the patient with culturally specific nursing care that integrates
the patients cultural teachings, values, and beliefs into the plan of care.
A nurse is conducting research about the needs of depressed patients. The nurse writes
the following: Depression is a patient reporting a score above 7 on the Hamilton
Depression Rating Scale. What did the nurse write? - Answer -Operational Definition.
OP- state how concepts are measured.
In caring for patients, what must the nurse remember about evidence-based practice
(EBP)? - Answer -EBP id dependent on patients values and expectations.
The nurse is working on a committee to evaluate the need for increasing the levels of
fluoride in the drinking water of the community. Which concept is the nurse fostering? -
Answer -Passive health promotion
Passive health promotion- include public health and government legislative
interventions like public sanitation legislation.
, A female patient has been overweight for most of her life. She has tried dieting in the
past and has lost weight, only to regain it when she stopped dieting. The patient is
visiting the weight loss clinic/health club because she has decided to do it. She states
that she will join right after the holidays, in 3 months. Which stage is the patient
displaying? - Answer -Contemplation
Contemplation- considering a change within the next 6 months. Patient may be
ambivalent about the change or is thinking about making a change. "I have a problem
that I think I need to work on."
A nurse provides care that is receptive to patients' and families' perceptions of caring.
Which action will the nurse take? - Answer -Provides clear accurate information
A nurse is assessing an 18-month-old toddler. The nurse distinguishes normal from
abnormal findings by remembering Gesell's theory of development. Which information
will the nurse consider? - Answer -The cephalocaudal pattern
CP- describes the sequence in which growth is fastest at the top.
Gasell's theory- each child;s pattern of growth is unique and his pattern is directed by
gene activity.
A nurse is comparing physical growth patterns between school-aged children and
adolescents. Which principle should the nurse consider? - Answer -Secondary sex
characteristics.
Usually develops within adolescent years. Sexual mutation occurs with the development
of primary and secondary sexual characteristics.
A nurse is teaching a class about the effects of nutrition on fetal growth and
development. A pregnant patient asks the nurse how much weight should normally be
gained over the pregnancy. Which information should the nurse share with the patient -
Answer -25 to 35 pounds.
A school nurse is encouraging children to play a game of kickball. Which group of
children is the nurse most likely addressing? - Answer -School-aged children
At this age kids play involves peers and the pursuit of group goals.
A nurse is planning care for a 30-year-old. What is the goal is priority? - Answer -
maintain family relationships
Family is important during young adult hood
A nurse suspects an older-adult patient is experiencing caregiver neglect. Which
assessment findings are consistent with the nurse's suspicions? - Answer -Flea bites
and lice infestation
Caregiver neglect includes unsafe and unclean living conditions, soiled bedding, and/or
animal/insect infestation.
A nurse assess a patient's fluid and status and decides that the patient needs to drink
more fluids. The nurse then encourages the patient to drink more fluids. Which concept
is the nurse demonstrating? - Answer -Autonomy
Autonomy is a essential element of professional nursing that involves the imitation of
independent interventions without medical orders.
The nurse is caring for a patent whose insurance coverage is Medicare. The nurse
should consider which information when planning care for this patient? - Answer -
Diagnosis- related groups
DRG's provide a fixed reimbursement of cost
A nurse is teaching the staff about patient integrated health care system. Which model
of care should the nurse include in the teaching about seam-less care delivery? -
Answer -The patient centered medical home model.
An older- adult patient has extensive wound care needs after discharge from the
hospital. Which facility should the nurse discuss with the patient? - Answer -Skilled
nursing
Skilled nursing offers skilled care from a licensed nursing staff. Examples: wound care,
administration of IV fluids, long-term ventilator management, and physical rehab
The nurse is caring for a patient who is actively bleeding. The health care provider
prescribes blood transfusions. The patient's religious beliefs do not allow the use of
blood products. The nurse contacts the health care provider to request alternative
treatment. Which theory is the nurse using? - Answer -Leininger's Theory
Leininger's theory provide the patient with culturally specific nursing care that integrates
the patients cultural teachings, values, and beliefs into the plan of care.
A nurse is conducting research about the needs of depressed patients. The nurse writes
the following: Depression is a patient reporting a score above 7 on the Hamilton
Depression Rating Scale. What did the nurse write? - Answer -Operational Definition.
OP- state how concepts are measured.
In caring for patients, what must the nurse remember about evidence-based practice
(EBP)? - Answer -EBP id dependent on patients values and expectations.
The nurse is working on a committee to evaluate the need for increasing the levels of
fluoride in the drinking water of the community. Which concept is the nurse fostering? -
Answer -Passive health promotion
Passive health promotion- include public health and government legislative
interventions like public sanitation legislation.
, A female patient has been overweight for most of her life. She has tried dieting in the
past and has lost weight, only to regain it when she stopped dieting. The patient is
visiting the weight loss clinic/health club because she has decided to do it. She states
that she will join right after the holidays, in 3 months. Which stage is the patient
displaying? - Answer -Contemplation
Contemplation- considering a change within the next 6 months. Patient may be
ambivalent about the change or is thinking about making a change. "I have a problem
that I think I need to work on."
A nurse provides care that is receptive to patients' and families' perceptions of caring.
Which action will the nurse take? - Answer -Provides clear accurate information
A nurse is assessing an 18-month-old toddler. The nurse distinguishes normal from
abnormal findings by remembering Gesell's theory of development. Which information
will the nurse consider? - Answer -The cephalocaudal pattern
CP- describes the sequence in which growth is fastest at the top.
Gasell's theory- each child;s pattern of growth is unique and his pattern is directed by
gene activity.
A nurse is comparing physical growth patterns between school-aged children and
adolescents. Which principle should the nurse consider? - Answer -Secondary sex
characteristics.
Usually develops within adolescent years. Sexual mutation occurs with the development
of primary and secondary sexual characteristics.
A nurse is teaching a class about the effects of nutrition on fetal growth and
development. A pregnant patient asks the nurse how much weight should normally be
gained over the pregnancy. Which information should the nurse share with the patient -
Answer -25 to 35 pounds.
A school nurse is encouraging children to play a game of kickball. Which group of
children is the nurse most likely addressing? - Answer -School-aged children
At this age kids play involves peers and the pursuit of group goals.
A nurse is planning care for a 30-year-old. What is the goal is priority? - Answer -
maintain family relationships
Family is important during young adult hood
A nurse suspects an older-adult patient is experiencing caregiver neglect. Which
assessment findings are consistent with the nurse's suspicions? - Answer -Flea bites
and lice infestation
Caregiver neglect includes unsafe and unclean living conditions, soiled bedding, and/or
animal/insect infestation.
