Answers
/.How many practice hours must you have before you apply for certification
through either ANCC or AMSN?
a. 500 hours
b. 1,000 hours
c. 2,000 hours
d. 3,000 hours
/.All of the following are components of the Planning, Implementation and
Outcomes domain of the nursing practice according to the ANCC except:
a. nursing care planning
b. therapeutic communication
c. patient safety measures
d. patient teaching
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/.Which nursing theorist describes the following five levels of nursing experience:
novice, advanced beginner, competent, proficient and expert?
a. Patricia Benner
b. Kurt Lewin
c. Madeleine Leininger
d. Dorothea Orem
Benner described five levels of nursing experience and developed exemplars and
paradigm cases to illustrate each level. Lewin described the "Change Management
Model" of unfreezing, changing and freezing. Leininger's theory is also called
transcultural nursing. This theory attempts to provide culturally congruent nursing care
through "cognitively based assistive, supportive, facilitative or enabling acts or decisions
that are mostly tailor-made to fit with individual, group's or institution's cultural values,
beliefs and lifeways."
, /.Which of the following findings is a characteristic of a patient with unstable
angina?
a. "My chest pain goes away when I rest."
b. "I sometimes experience chest pain at rest." c. "Nitroglycerin always relieves
my chest pain." d. "The chest pain only occurs when I walk too fast."
/.Which ECG finding would indicate the most unstable condition?
a. inverted T wave
b. ST-segment depression
c. ST-segment elevation
d. Q wave
/.Which of the following would be a symptom of worsening heart failure (HF)?
a. dyspnea and crackles on auscultation
b. clear lung sounds and 1+ edema of the legs
c. resolution of chest pain
d. a brain natriuretic peptide (BNP) of 80
/.You are caring for a patient with newly diagnosed systolic heart failure (HF). He
states that he has a slight limitation in physical activity. He says that he is
comfortable when he is resting, but he becomes short of breath and fatigued with
ordinary physical activity. Based on the New York Heart Association (NYHA)
Functional Classification, which stage of HF is he in?
a. Stage I
b. Stage II
c. Stage III
d. Stage IV
/.The nurse is providing education to a patient about modifiable risk factors for
hypertension. Which of the following is a modifiable risk factor?
a. age
b. ethnicity
c. genetics
d. obesity