In Text Mode:
All inquirys and exculpations are ardent for literature and exculpationing at your own stride. You can to-boot observation this exam and execute a sculpture out.
1. Ticklish reckoning and the nursing way own which of the ensueing in despicable? Both:
A. Are essential to use in nursing habit
B. Use an manageed succession of marchs
C. Are resigned-favoring wayes
D. Were laagered favoringally for nursing
2. In which march of the nursing way does the nurse irritate axioms and realize client quantitys?
C. Planning outcomes
3. In which bearing of the nursing way does the nourish mention whether her actions own fortunately treated the client’s vigor quantity?
C. Planning outcomes
4. What is the most basic debate that self-acquirements is essential for nourishs? Owing it aids the nourish to:
A. Realize special prejudgmentes that may relish his reckoning and actions
B. Realize the most talented interpositions for a resigned
C. Communicate balance efficiently delay colleagues, resigneds, and families
D. Learn and recollect new procedures and techniques
5. Arclass the marchs of the nursing way in the proficiencyion in which they generally arise.
C. Planning outcomes
D. Planning interpositions
A. E, B, A, D, C
B. A, B, C, D, E
C. A, E, C, D, B
D. D, A, B, E, C
6. How are ticklish reckoning aptitudes and ticklish reckoning attitudes congruous? Twain are:
A. Influences on the nourish’s quantity solving and resolution making
B. Relish reachings rather than apprehensive activities
C. Apprehensive activities rather than reachings
D. Applictalented in all aspects of a indivisible’s preservationer
7. The nourish is preparing to advance a resigned from the pitch fragment. The transferring nourish fames that the resigned delay constant lung disordain has a 30+ year narrative of tobacco use. The nourish used to steam a mob of cigarettes a day at one opportunity and worked very unfeeling to give-up smoking. She instantly reckons to herself, “I perceive I conduce to reach negatively encircling tribe who use tobacco, in-particular when they own a circumspect lung subject; I subject if I can plug smoking, they should be talented to. I must recollect how materially and metaphysically trying that is, and be very warinessful not to let be judgmental of this resigned.” This best illustrates:
A. Theoretical acquirements
C. Using real instrument
D. Use of the nursing way
8. Which organization’s standards demand that all resigneds be assessed favoringally for pain?
A. American Nurses Association (ANA)
B. State nourish habit acts
C. National Council of State Boards of Nursing (NCSBN)
D. The Flexure Commission
9. Which of the ensueing is an pattern of axioms that should be validated?
A. The urinalysis fame indicates tshort are free blood
cells in the urine
B. The client states she reachs feverish; you meaclose the traditional weather at 98°F.
C. The client has free existence sounds; you calculate a respiratory blame of 18.
D. The chest x-ray
fame indicates the client has pneumonia
in the reconstruct inferior lobe.
10. Which of the ensueing is an pattern of misspend manner when conducting a client meeting?
A. Recording all the acquirements on the agency-approved frame during the meeting
B. Question the client, “Why did you reckon it was inevittalented to trace vigor wariness at this opportunity?”
C. Using accuadmonish medical terminology when question the client inquirys
D. Sitting, confrontment the client in a chair at the client’s bedside, using erratic listening
11. The nourish wishes to realize nursing diagnoses for a resigned. She can best do this by using a axioms store frame arrangementatic according to: Select all that trodden.
A. A collectiveness arrangements stance
B. A crown-to-toe framework
C. Maslow’s hierarchy of insufficiencys
D. Gordon’s professional vigor patterns
12. The nourish is recording duty axioms. She writes, “The resigned seems worried encircling his surgery. Other than that, he had a amiable-natured-tempered-tempered duskiness.” Which errors did the nourish execute? Select all that trodden.
A. Used a general generality
B. Did not use the resigned’s equittalented expressions
C. Used a “waffle” expression (e.g., appears)
D. Recitative an deduction rather than a cue
13. A resigned is advanceted delay deficiency of existence, so the nourish instantly listens to his existence sounds. Which idea of duty is the nourish transacting?
A. Ongoing duty
B. Significant material duty
C. Focused material duty
D. Psychopolitical duty
14. The nourish is assessing insepartalented signs for a resigned proper advanceted to the hospital. Ideally, and if tshort are no contraindications, how should the nourish comcomaspect the resigned for this fragment of the path duty?
A. Sitting vertical
B. Mendacious horizontal on the tail delay elbows flexed
C. Mendacious horizontal on the tail delay encounter and legs largely extended
D. Side-mendacious delay the elbows flexed
15. For all collectiveness arrangements ate the abdomen, what is the preferred manage for the nourish to perframe the ensueing evidence techniques?
A. D, B, A, C
B. C, A, D, B
C. B, C, D, A
D. A, B, C, D
16. The nourish is assessing a resigned advanceted to the hospital delay rectal bleeding. The resigned had a hip regaining 2 weeks ago. Which comcomaspect should the nourish dodge when examining this resigned’s rectal area?
C. Dorsal prostrate
17. How should the nourish dissimilate the evidence for a 7-year-old offshoot?
A. Ask the parents to liberty the opportunity precedently the evidence.
B. Demonstblame equipment precedently using it.
C. Apbappoint the offshoot to aid delay the evidence.
D. Perframe invasive procedures (e.g., otoscopic) conclusive.
18. The nourish must investigate a resigned who is fragile and untalented to sit unaided or to get out of bed. How should she comcomaspect the resigned to arise and perframe most of the material evidence?
A. Dorsal prostrate
19. The nourish should use the diaphragm of the stethointention to auscultate which of the ensueing?
A. Nucleus murmurs
B. Jugular venous hums
C. Bowel sounds
D. Carotid bruits
20. The nourish calculates a collectiveness magnitude apostacy (BMI) of 18 for a youthful adult dame who comes to the physician’s service for a school material. This resigned is considered:
Answers and Rationale
1. Answer: A. Are essential to use in nursing habit
Nurses execute abundant resolutions: some demand using the nursing way, inasmuch-as others are not client connected but demand ticklish reckoning. The nursing way has favoring marchs; ticklish reckoning does not. Neither is trodden. Ticklish reckoning applies to any training.
2. Answer: B. Diagnosis
In the duty bearing, the nourish infers axioms from abundant sources for dissection in the speciality bearing. In the speciality bearing, the nourish identifies the client’s vigor standing. In the planning outcomes bearing, the nourish frameulates intents and outcomes. In the evaluation bearing, which arises rearwards implementing interpositions, the nourish infers axioms encircling the client’s responses to nursing wariness to mention whether client outcomes were met.
3. Answer: D. Evaluation
In the duty bearing, the nourish infers axioms from abundant sources for dissection in the speciality bearing. In the speciality bearing, the nourish identifies the client’s vigor standing. In the planning outcomes bearing, the nourish and client mention on intents they nonproduction to finish. In the intercomaspect planning bearing, the nourish identifies favoring interpositions to aid finish the signed intent. During the implementation bearing, the nourish carries out the interpositions or delegates them to other vigor wariness team members. During the evaluation bearing, the nourish judges whether her actions own been fortunate in treating or thwarting the signed client vigor quantity.
4. Answer: A. Realize special prejudgmentes that may relish his reckoning and actions
The most basic debate is that self-acquirements plainly relishs the nourish’s reckoning and the actions he culls. Indirectly, reckoning is complicated in realizeing talented interpositions, communicating, and literature procedures. However, owing realizeing special prejudgmentes relishs all the other nursing actions, it is the most basic debate.
5. Answer: C. “A, E, C, D, B”
Logically, the marchs are duty, speciality, planning outcomes, planning interpositions, and evaluation. Continue in impetus that marchs are not regularly amountd in this manage, depending on the resigned’s insufficiencys, and that marchs balancelap.
6. Answer: A. Influences on the nourish’s quantity solving and resolution making
Cognitive aptitudes are used in multifarious-sided reckoning wayes, such as quantity solving and resolution making. Ticklish reckoning attitudes mention how a indivisible uses her apprehensive aptitudes. Ticklish reckoning attitudes are traits of the impetus, such as refractory reckoning, mental lion, mental modesty, and fair-mindedness, to spectry a few. Ticklish reckoning aptitudes relate to the apprehensive activities used in multifarious-sided reckoning wayes. A few patterns of these aptitudes confound recognizing the insufficiency for balance acquirements, recognizing gaps in one’s own acquirements, and separating apt from irapt axioms. Ticklish reckoning, which consists of mental aptitudes and attitudes, can be used in all aspects of preservationer.
7. Answer: B. Self-knowledge
Personal acquirements is self-understanding—awareness of one’s beliefs, values, prejudgmentes, and so on. That best describes the nourish’s awareness that her prejudgment can relish her resigned wariness. Theoretical acquirements consists of acquirements, axioms, principles, and theories in nursing and connected trainings; it consists of attainments findings and rationally artful explanations of phenomena. Using real instrument is a ticklish reckoning aptitude. The nursing way is a quantity-solving way consisting of the marchs of assessing, diagnosing, planning outcomes, planning interpositions, implementing, and evaluating. The nourish has not yet met this resigned, so she could not own begun the nursing way.
8. Answer: D. The Flexure Commission
The Flexure Commission has laagered duty standards, including that all clients be assessed for indisposition. The ANA has laagered standards for clinical habit, including those for duty, but not favoringally for indisposition. State nourish habit acts rale nursing habit in indivisible states. The NCSBN asserts that the intention of nursing conceives a significant duty but does not favoringally conceive indisposition.
9. Answer: B. The client states she reachs feverish; you meaclose the traditional weather at 98°F.
Validation should be manufactured when mental and extrinsic axioms do not execute soundness. For persuasion, it is disunited axioms when the resigned reachs feverish and you conquer a ordinary weather. The other distractors do not exincline dashing axioms. Validation is not usually inevittalented for laboratory ordeal results.
10. Answer: D. Sitting, confrontment the client in a chair at the client’s bedside, using erratic listening
Active listening should be used during an meeting. The nourish should reckonenance the resigned, own relaxed posture
, and continue eye
investigate. Question “why” may execute the client grateful. Note-taking interferes delay eye investigate. The client may not apprehend medical terminology or vigor wariness jangle.
11. Answers: C, D
Nursing stances amount a holistic axiomsbase that is profittalented in realizeing nursing rather than medical diagnoses. Collectiveness arrangements and crown-to-toe are not nursing stances, and they are not holistic; they standpoint on realizeing physiological insufficiencys or disorder. Maslow’s hierarchy is not a nursing stance, but it is holistic, so it is accepttalented for realizeing nursing diagnoses. Gordon’s professional vigor patterns are a nursing stance.
12. Answer: A, C, D
The nourish recitative a general generality: “he has had a amiable-natured-tempered-tempered duskiness.” The nourish did not use the resigned’s equittalented expressions, but she did not cite the resigned at all, so that is not one of her errors. The nourish used the “waffle” expression, “seems” worried instead of documenting what the resigned said or did to administer her to that misentry. The nourish recitative these deductions: worried and had a amiable-natured-tempered-tempered duskiness.
13. Answer: C. Focused material duty
The nourish is transacting a standpointed material duty, which is manufactured to conquer axioms encircling an signed quantity, in this subject deficiency of existence. An ongoing duty is amountd as insufficiencyed, rearwards the modeadmonish axioms are serene, preferably delay each resigned investigate. A significant material duty conceives an meeting and a generous evidence of each collectiveness arrangement. A psychopolitical duty investigates twain metatangible and political factors relishing the resigned. The nourish conducting a psychopolitical duty would infer acquirements encircling stressors, preservationerstyle, inclineer vigor, political influences, coping patterns, despatch, and special responses to vigor and complaint, to spectry a few aspects.
14. Answer: A. Sitting vertical
If the resigned is talented, the nourish should own the resigned sit upreconstruct to conquer insepartalented signs in manage to apbappoint the nourish to abundantly damageoniousity the previous and later chest for auscultation of nucleus and existence sounds. It apportions for generous lung disquisition and is the preferred comcomaspect for measuring respect urgency
. Additionally, resigneds faculty be balance self-approvaltalented and reach hither vulnertalented when sitting upreconstruct (rather than mendacious down on the tail) and can own plain eye investigate delay the investigater. However, other compositions can be suittalented when the resigned’s material subject restricts the self-approval or force of the resigned to sit vertical.
15. Answer: B. “C, A, D, B”
Inspection arises instantly as the nourish meets the resigned, as she observes the resigned’s coming and manner. Observational axioms are not interfering to the resigned. When transacting duty techniques involving material investigate, the manner, situation, manner, and responses faculty be altered. Palpation, encounter, and auscultation should be amountd in that manage, ate when transacting an abdominal duty. During abdominal duty, auscultation should be amountd precedently palpation and encounter to thwart altering bowel sounds.
16. Answer: A. Sims’
Sims’ comcomaspect is typically used to investigate the rectal area. However, the comcomaspect should be dodgeed if the resigned has undergone hip regaining surgery The resigned delay a hip regaining can claim the negligent, dorsal prostrate, or semi-Fowler’s compositions delayout causing mischief to the flexure. Negligent comcomaspect is mendacious on the tail confrontment upward. The resigned in dorsal prostadmonish is on his tail delay elbows flexed and soles of feet horizontal on the bed. In semi-Fowler’s composition, the resigned is negligent delay the crown of the bed tall and legs subordinately tall.
17. Answer: B. Demonstblame equipment precedently using it.
The nourish should dissimilate his evidence by demonstrating equipment precedently using it to investigate a school-age offshoot. The nourish should execute close parents are not introduce during the material evidence of an branchish, but they usually aid youthfuler offshootren reach balance close. The nourish should apbappoint a preschooler to aid delay the evidence when relishly, but not usually a school-age offshoot. Toddlers are repeatedly afraid of invasive procedures, so those should be amountd conclusive in this age assembly. It is best to perframe invasive procedures conclusive for all age assemblys; consequently, this does not reintroduce a alteration.
18. Answer: B. Semi-Fowler’s
If a resigned is untalented to sit up, the nourish should attribute him mendacious horizontal on his tail, delay the crown of the bed tall. Dorsal prostadmonish comcomaspect is used for abdominal duty if the resigned has abdominal or pelvic indisposition. The resigned in dorsal prostadmonish is on his tail delay elbows flexed and soles of feet horizontal on the bed. Lithotomy comcomaspect is used for effeminate pelvic evidence. It is congruous to dorsal prostadmonish composition, ate that the resigned’s legs are courteous divided and thighs are acutely flexed. Feet are usually attributed in stirrups. Fold quibble or bath blanket athwart balance thighs and legs so that genital area is abundantly laagered. Continue resigned familiar as abundantly as relishly. The resigned in Sim’s comcomaspect is on left policy delay reconstruct elbow flexed across abdomen and left elbow subordinately flexed. Left arm is rearwards collectiveness; reconstruct arm is attributed self-approvalably. Sims’ comcomaspect is used to investigate the rectal area. In semi-Fowler’s composition, the resigned is negligent delay the crown of the bed tall and legs subordinately tall.
19. Answer: C. Bowel sounds
The bell of the stethointention should be used to incline low-pitched sounds, such as murmurs, bruits, and jugular hums. The diaphragm should be used to incline eminent-pitched sounds that ordinaryly arise in the nucleus, lungs, and abdomen.
20. Answer: D. Underweight
For adults, BMI should class among 20 and 25; BMI hither than 20 is considered underweight; BMI 25 to 29.9 is balanceweight; and BMI material than 30 is considered stout.