NUR 111 Test 3 with correct answers 2024.

The nurse is preparing a presentation on infections. Which factor regarding chronic infections should be included? A. Chronic infections do not affect young children. B. Chronic infections generally appear suddenly. C. Chronic infections only affect susceptible hosts. D. Chronic infections can persist for long periods. - answer-D. Chronic infections can persist for long periods. An older adult client with diabetes has an inflamed area on a toe that is suspected of being cellulitis. Which manifestation of infection should the nurse expect in this client? (Select all that apply.) A. Elevated RBC count B. Pain C. Inflammation D. Fever E. Elevated WBC count - answer-B. Pain, C. Inflammation A client with an upper respiratory infection is receiving radiation treatments. What is the reason the nurse explains the risk of infection to the client? A. Radiation kills both cancerous and healthy cells. B. Radiation only kills the targeted cells. C. Radiation is only destructive to tissue. D. Radiation is lethal to only cancerous cells. - answer-A. Radiation kills both cancerous and healthy cells The public health nurse is teaching community members about the reasons to get an annual flu shot. Which reason should the nurse include? (Select all that apply.) A. Infants, young children, and people aged 50 or older are more likely to get the flu. B. People without health insurance are at higher risk of getting the flu. C. The predominant flu virus strain changes from year to year. D. People living in apartment buildings have a higher probability of getting the flu. E. The new vaccine has specific antigens predicted for that year. - answer-A. Infants, young children, and people aged 50 or older are more likely to get the flu. C. The predominant flu virus strain changes from year to year. E. The new vaccine has specific antigens predicted for that year. The nurse is assessing a client. What is the reason the nurse asks the client to rate the level of stress experienced over the last 6 months? A. To determine if the client remembers events in the last 6 months B. To document the client's ability to answer difficult questions C. To measure the client's severity of emotional stressors D. To determine if the client can use a health scale rating - answer-C. To measure the client's severity of emotional stressors The nurse is assessing a child who reports feeling nauseated and just "sick." Which type of organism should the nurse suspect is causing the child's illness? A. Bacteria B. Influenza C. Parasite D. Virus - answer-D. Virus The nurse is teaching a group of new mothers about the best way to prevent infections in children. Which statement by the new mothers should indicate to the nurse that the teaching was effective? A. "My child has a natural immunity to most microorganisms." B. "I should not take my child out in public more than once a week." C. "Proper hand hygiene should be used consistently." D. "I should make sure my child takes a full spectrum of vitamins." - answer-C. "Proper hand hygiene should be used consistently." The infection control nurse in the nursing home is interviewing a new resident. Which question should the nurse ask to assess the client's risk of infection? A. "How have your previous infections been treated?" B. "How long did you live in your previous home?" C. "Are you a high-school graduate?" D. "Do you exercise regularly?" - answer-A. "How have your previous infections been treated?" The nurse is assessing a client who reports shortness of breath, fever, and a productive cough. Which diagnostic test should the nurse anticipate being prescribed? A. Bronchoscopy B. Sputum culture and sensitivity C. CT scan D. HIV serology - answer-B. Sputum culture and sensitivity A client who is coughing has blood in the sputum. In which phase of the nursing process should the nurse document these findings? A. Implementation B. Assessment C. Diagnosis D. Evaluation - answer-B. Assessment The nurse is caring for a client with cellulitis. What is the reason the nurse applies warm saline compresses to the area? A. Infection control B. Tissue integrity maintenance C. Enhanced blood flow D. Pain reduction - answer-D. Pain reduction A client has an area of eschar over a wound. What is the reason the nurse expects this wound to be debrided? A. To promote healing of deep tissues before superficial tissues B. To dry the tissues of the wound C. To remove dead tissue D. To approximate the wound edges - answer-C. To remove dead tissue A client with a fever of 102.5°F (39.2°C), chills, and dyspnea is experiencing respiratory distress. Which collaborative intervention should the nurse identify as the priority? A. Administer intravenous fluids of normal saline at 100 mL/hr. B. Obtain a sputum culture. C. Apply oxygen via face mask and notify the healthcare provider. D. Administer acetaminophen. - answer-C. Apply oxygen via face mask and notify the healthcare provider. The infection control nurse is discussing the pharmacologic challenges of treating infection with a group of nurses. Which statement should the infection control nurse include? A. "We look for an effective agent with little toxicity." B. "We offer the agent that we have samples of in our office." C. "We try at least two agents to see which is more effective." D. "We look at the newest agent on the market." - answer-A. "We look for an effective agent with little toxicity." The nurse is caring for a client who is positive for HIV. Which classification of medication that targets the phases of HIV replication should the nurse expect to be prescribed? A. Antifungal B. Antipyretic C. Antiretroviral D. Antibiotic - answer-C. Antiretroviral The nurse is discussing interventions to prevent infection with a group of new colleagues. Which statement indicates that this discussion has been effective? A. "Limiting exposure to the client to every 2 hours decreases the spread of infections." B. "Proper hand hygiene is the key to reducing the spread of infection." C. "The use of personal protective equipment is the main way to reduce the spread of infection." D. "Wearing gloves is the best way to reduce the spread of infection." - answer-B. "Proper hand hygiene is the key to reducing the spread of infection." A vial of blood has fallen on the floor of a client's room. Which agent should the nurse expect to be used to clean this spill? A. Hydrogen peroxide B. Triclosan C. Chlorine D. Phenol - answer-C. Chlorine A school-age client with a fever is being tested for possible kidney failure. Which collaborative intervention should the nurse make a priority for this client? A. Practicing medical asepsis B. Performing hand hygiene C. Using sterile technique D. Administering prescribed intravenous antibiotics - answer-D. Administering prescribed intravenous antibiotics A preschool-age client is experiencing "burning" with urination and a fever of 102°F (38.9°C). Which intervention should the nurse make a priority? (Select all that apply.) A. Teaching about vaccinations B. Administering prescribed fluids C. Providing warming blankets D. Administering prescribed antipyretics E. Monitoring intake and output closely - answer-B. Administering prescribed fluids D. Administering prescribed antipyretics E. Monitoring intake and output closely A preadolescent client is experiencing fatigue, headache, sore throat, and a low-grade fever over the last 2 days. Which disease process should the nurse assess for if this client has an allergy to corticosteroids? A. Rubella B. Chickenpox C. Measles D. Mononucleosis - answer-D. Mononucleosis The nurse is teaching a client experiencing inflammation. Which sign of inflammation should the nurse include in the teaching? (Select all that apply.) A. Paralysis B. Redness C. Pain D. Swelling E. Paresthesia - answer-B. redness, C. pain, D. swelling The mother of a 10-year-old client is pleased to hear that the child's blood work for inflammation was negative but asks why the child continues to have symptoms. Which response by the nurse is the most appropriate? A. "The child is experiencing a mild case of inflammation." B. "Blood tests are not useful to diagnose the presence of inflammation." C. "The level of inflammation has subsided." D. "Normal results are common in children with inflammation." - answer-D. "Normal results are common in children with inflammation." A pregnant client is diagnosed with an inflammatory disorder. Which disorder should the nurse monitor for in the client? A. Preeclampsia B. Low-birth-weight infant birth C. Placenta previa D. Preterm birth - answer-A. Preeclampsia The nurse is caring for an older client whose C-reactive protein test is elevated. Which interpretation should the nurse derive from this result? A. The client is suffering from gallbladder disease. B. The client probably has suffered a stroke. C. The increased result may be an indicator of overall poor health. D. The result is an indication that the client has asthma. - answer-C. The increased result may be an indicator of overall poor health. A client asks how to prevent developing inflammation when aging. Which response should the nurse make to this client? A. "The best way is to eat a diet high in refined sugars and low in fiber." B. "Avoid over-the-counter medications and supplements." C. "The best way is to avoid known triggers, if you have them." D. "Smoking has been shown to decrease inflammation." - answer-C. "The best way is to avoid known triggers, if you have them." The nurse is teaching a client who is newly diagnosed with inflammation. Which systemic manifestation of inflammation should the nurse include in the teaching? (Select all that apply.) A. White blood cell count of 4000/mm3 B. Respiratory rate of 22 breaths per minute C. Oral temperature of 101°F D. Blood pressure of 148/88 mmHg E. Heart rate of 104 beats per minute - answer-B. Respiratory rate of 22 breaths per minute C. Oral temperature of 101°F E. Heart rate of 104 beats per minute During a home visit, the nurse is concerned that a client is experiencing acute inflammation. Which finding caused the nurse to make this determination? (Select all that apply.) A. Skin area hot to touch B. Pink and red wound tissue C. Skin area reddened D. Skin area swollen E. Pain level of 7 on a scale from 1 to 10 - answer-A. Skin area hot to touch C. Skin area reddened D. Skin area swollen E. Pain level of 7 on a scale from 1 to 10 The nurse conducts screening for inflammatory diseases with clients of a community health clinic. Which test should the nurse perform? A. Skin test B. Urine test C. MRI D. X-ray - answer-A. skin test The nurse is caring for a client with localized inflammation. Which finding should the nurse expect to assess in this client? (Select all that apply.) A. Palpable warmth of the extremity B. Tenderness with palpation or movement C. White blood cell count of 15,000 D. Localized edema E. Oral temperature of 101°F - answer-A. Palpable warmth of the extremity B. Tenderness with palpation or movement D. Localized edema The nurse cares for a client newly diagnosed with inflammation. Which laboratory test should the nurse expect to be prescribed? A. Serum chemistries B. Prothrombin time (PT) C. Hemoglobin and hematocrit (H/H) D. Erythrocyte sedimentation rate (ESR) - answer-D. Erythrocyte sedimentation rate (ESR) The nurse is planning care for a client with limited knee function due to arthritis. Which intervention should the nurse include in this client's plan of care? (Select all that apply.) A. Assessing pain level and providing medication as prescribed B. Encouraging rest of the affected joint C. Providing antipyretics as prescribed D. Encouraging participation in physical therapy as prescribed E. Providing antiarthritis medications as prescribed - answer-A. Assessing pain level and providing medication as prescribed B. Encouraging rest of the affected joint D. Encouraging participation in physical therapy as prescribed E. Providing antiarthritis medications as prescribed The nurse is caring for a client with severe systemic inflammation. Which medication should the nurse expect to find listed on the client's medication administration record (MAR)? A. Regular insulin B. Sumatriptan C. Dexamethasone D. Esomeprazole - answer-C. Dexamethasone A client with inflammation is prescribed naproxen. Which information should the nurse include when teaching about this medication? (Select all that apply.) A. "Do not abruptly discontinue this medication." B. "Take this medication with food or milk." C. "This medication might interact with diuretics." D. "Watch for bleeding or bruising while on this medication." E. "This medication increases the risk for infection." - answer-B. "Take this medication with food or milk." C. "This medication might interact with diuretics." D. "Watch for bleeding or bruising while on this medication." The nurse prepares to administer dexamethasone to a client with diabetes experiencing inflammation. For which side effect should the nurse monitor in the client? A. Increased temperature B. Hyperglycemia C. Hypotension D. Hyperkalemia - answer-B. Hyperglycemia A client with inflammation caused by a severe ankle injury is being prepared for discharge. Which intervention to reduce inflammation should the nurse include when teaching the client and family? (Select all that apply.) A. Positioning B. Application of ice packs C. Coping skills D. Aerobic exercise E. Limiting fluid intake - answer-A. Positioning B. Application of ice packs C. Coping skills A client is being treated for an inflammatory response. Which strategy should the nurse emphasize to prevent episodes of inflammation in the future? A. Avoiding a trigger B. Taking aspirin prophylactically C. Eating a well-balanced diet D. Engaging in frequent hand washing - answer-A. Avoiding a trigger The nurse is evaluating teaching provided to a client with chronic inflammation. Which client statement indicates to the nurse that teaching has been successful? A. "I limit doing things that aggravate the pain." B. "I ignore the pain until I can't stand it anymore." C. "I think it would be best if I just died right now." D. "I lie in bed most days." - answer-A. "I limit doing things that aggravate the pain." The nurse is preparing teaching materials for the parents of a 7-year-old child who is newly diagnosed with a severe allergy to dust. Which instruction should the nurse include in this teaching? A. "Place plants on high shelves in the home." B. "Remove stuffed toys from the home." C. "Ensure that all rooms in the home are carpeted." D. "Avoid exposure to all animals and pets." - answer-B. "Remove stuffed toys from the home." The nurse is caring for a child who is suspected of having an inflammatory disorder involving internal organs. Which diagnostic test should the nurse expect will be ordered for the child? A. Bronchoscopy B. Exhaled breath condensates C. Bronchoalveolar lavage D. Blood tests - answer-B. Exhaled breath condensates A client with inflammation asks about foods or supplements that can reduce inflammation. Which nutrient should the nurse list as being beneficial to the client? (Select all that apply.) A. Omega-3 fatty acids B. Antioxidant vitamins C. Probiotics D. Saturated fats E. Foods rich in cholesterol - answer-A. Omega-3 fatty acids B. Antioxidant vitamins C. Probiotics The nurse is listing consequences of malignant hyperthermia. Which consequence should be included? (Select all that apply.) A. Renal failure B. Pulmonary edema C. Gastroenteritis D. Cardiac dysrhythmias E. Disseminated intravascular coagulation - answer-A. Renal failure B. Pulmonary edema D. Cardiac dysrhythmias E. Disseminated intravascular coagulation Which type of body temperature changes in response to the environment? A. Surface B. Metabolic C. Physiologic D. Core - answer-A. Surface The nurse observes a mother stroking her child's arms and legs with a cool, damp washcloth. Which method of heat transfer is the mother using to reduce the fever? A. Evaporation B. Metabolism C. Conduction D. Radiation - answer-A. Evaporation An older adult client asks the nurse, "Why is my body temperature only 99°F if I have this serious infection?" Which is the nurse's best response? A. "Your body temperature fluctuates significantly, so a true temperature is difficult to obtain." B. "Body temperature in an older adult is not a reliable indicator of the seriousness of an illness." C. "I will to take your temperature rectally, since it is the only reliable route in somebody your age." D. "The true temperature will not register because you are a mouth breather." - answer-B. "Body temperature in an older adult is not a reliable indicator of the seriousness of an illness." The nurse is assessing a client who fell into a cold lake. Which assessment finding indicates that the client's body is attempting to regulate its temperature? (Select all that apply.) A. Cold hands B. Sweating C. Thirst D. Shivering E. Sleepiness - answer-A. Cold hands D. Shivering On a hot, humid day, a client presents with a body temperature of 40.9°C (105.6°F), dry and flush skin, vomiting, low blood pressure, and muscle cramps. Which type of injury should the nurse suspect based on the manifestations? A. Malignant hyperthermia B. Hypothermia C. Normothermia D. Heat stroke - answer-D. Heat stroke The nurse is preparing to use the tympanic membrane to measure the temperature of a 4-year-old child. Which approach should the nurse take when completing this measurement? A. Pull the pinna back and down. B. Pull the earlobe back and up. C. Pull the pinna back and up. D. Pull the earlobe back and down. - answer-C. Pull the pinna back and up. Which is a noninvasive method that the nurse uses to assess a client's temperature? (Select all that apply.) A. Tympanic membrane B. Rectal C. Oral D. Axillary E. Temporal artery - answer-D. Axillary E. Temporal artery The nurse is planning to assess a 4-year-old child to help determine the cause of the child's fever. Which body system is a priority to assess? (Select all that apply.) A. Neurologic B. Musculoskeletal C. Gastrointestinal D. Respiratory E. Urinary - answer-C. Gastrointestinal D. Respiratory E. Urinary The nurse provided teaching to an older adult client about fevers. Which client statement indicates that the teaching was effective? A. "I may not have a fever when I get sick or have an infection." B. "The rectal route is the best way to have my temperature taken." C. "I am less sensitive to environmental temperatures than when I was younger." D. "Cancer is the top source of fever in older adults." - answer-A. "I may not have a fever when I get sick or have an infection." The nurse is evaluating teaching provided to the parents of 2-year-old twins regarding temperature measurement devices in the home. Which observation indicates that teaching has been effective? (Select all that apply.) A. An electronic thermometer with disposable covers is available for use. B. Separate mercury glass thermometers are available for each child. C. Pad and pencil are placed next to the temperature-measuring device. D. Mercury glass thermometers are removed from the home. E. There is no evidence of a temperature-measuring device in the home. - answer-A. An electronic thermometer with disposable covers is available for use. C. Pad and pencil are placed next to the temperature-measuring device. D. Mercury glass thermometers are removed from the home. The nurse is preparing a presentation to parents about vehicle safety and heat-related injuries. Which important teaching point should be included? A. Keep important articles in the backseat to ensure checking the area before leaving the vehicle. B. Store car keys in a visible place and within the children's reach in case of an emergency. C. Leave a child alone in the car only if the outside temperature is below 80°F. D. Stay with a child in the car for up to 10 minutes with the windows cracked open. - answer-A. Keep important articles in the backseat to ensure checking the area before leaving the vehicle. A school nurse is recommending a school-wide initiative to reduce the risk of heat-related injuries in athletes. Which recommendation should the nurse include? A. Increase access to fresh, cold water. B. Encourage the school to move athletic activities indoors. C. Reduce athletic activities at the school. D. Cancel athletic games when the temperature is above 80°F. - answer-A. Increase access to fresh, cold water. The nurse is at a party when a guest faints due to suspected hyperthermia. What should the nurse do first? A. Run inside and call 911. B. Remove clothing and lightly mist the guest with cool water. C. Help the guest get inside, and call 911. D. Send someone to call 911 and stay with the guest. - answer-D. Send someone to call 911 and stay with the guest. The nurse provided teaching to the parent of a newborn about thermoregulation. Which statement by the parent indicates that learning has occurred? A. "I should use an oral thermometer whenever I take the baby's temperature." B. "I should put a hat on my baby to prevent heat loss through the head." C. "I should report a temperature greater than 102°F to the doctor." D. "I should avoid bathing the baby for at least 6 weeks." - answer-B. "I should put a hat on my baby to prevent heat loss through the head." The nurse is providing teaching for a client who is taking a nonsteroidal anti-inflammatory drug (NSAID). What are common side effects that the nurse should include in the teaching? (Select all that apply.) A. Upset stomach B. Blood coagulation C. Bleeding D. Ulcer formation E. Ringing in the ears - answer-A. Upset stomach C. Bleeding D. Ulcer formation The nurse is preparing information at a community health fair about safety during hot weather. Which information should the nurse include? (Select all that apply.) A. Drink extra fluids when exercising or working out of doors. B. Drink fluids throughout the day. C. Wear a hat. D. Limit the intake of alcohol to the end of the day. E. Spend time outdoors during the hours of 10 a.m. and 2 p.m. - answer-A. Drink extra fluids when exercising or working out of doors. B. Drink fluids throughout the day. C. Wear a hat. The nurse is working on a committee to develop emergency department policies for the administration of antipyretics. Which should be included? A. Administer antipyretics as soon as possible. B. Admit the client to the hospital if a second dose of an antipyretic is required. C. Wait until a fever reaches 101°F before administering an antipyretic. D. Avoid antipyretics until clients are admitted to the hospital. - answer-A. Administer antipyretics as soon as possible. The mother of a 13-day-old newborn calls the nurse in the clinic and reports that the newborn has an axillary temperature of 101.8°F. Which intervention should the nurse suggest to the mother? A. Bring the newborn to the emergency department for evaluation. B. Administer acetaminophen and call back if the fever does not go away. C. Take the temperature again orally after giving the newborn a cold bath. D. Put the newborn in warm clothing while the fever is present. - answer-A. Bring the newborn to the emergency department for evaluation. The nurse provided teaching to the parents of a 7-year-old child about antipyretics. Which statement by the parent indicates that learning has occurred? A. "I will not give aspirin or any other medication with aspirin in it to my child." B. "I will only use acetaminophen to reduce swelling from now on." C. "I will give my child ibuprofen on an empty stomach." D. "I will call the healthcare provider before giving acetaminophen to my child." - answer-A. "I will not give aspirin or any other medication with aspirin in it to my child." The preceptor is monitoring a graduate nurse's assessment of a male client who recently immigrated to the United States from China. Which assessment activity by the graduate nurse indicates the need for follow-up regarding culturally competent care? A. Inquire if the client speaks any English. B. Ask the client about food preferences or food preparation needs. C. Determine if the client has any daily spiritual practices. D. Discourage use of acupuncture or cupping for pain relief. - answer-D. Discourage use of acupuncture or cupping for pain relief. The nurse is preparing a presentation on social differences for colleagues. Which statement should the nurse include in the presentation? A. "Clients from present-oriented cultures are generally receptive to preventive healthcare measures." B. "Practices regarding proximity to others, body movements, and touch are similar across groups." C. "Individuals with an external locus of control are more likely to take preventive healthcare measures than those with an internal locus of control." D. "Subcultures can maintain heritage and identity through dress, foods eaten, and cultural festivities." - answer-D. "Subcultures can maintain heritage and identity through dress, foods eaten, and cultural festivities." Which should the nurse include when caring for a client of a different culture? A. Instruct client to take ordered medications. B. Be nonjudgmental in healthcare beliefs. C. Enforce use of Western healthcare practices. D. Enforce use of specialty practitioners. - answer-B. Be nonjudgmental in healthcare beliefs. The nurse manager is planning a presentation for a group of nurses about culture and diversity. Which barrier to respecting a client's culture should the nurse manager include in the presentation? (Select all that apply.) A. Incorporating the client's beliefs into the plan of care B. Refusal of Western healthcare providers to believe in mind-body connection C. Clients may not trust the current healthcare system and the providers D. Refusing to allow family members to be involved in managing illness and disease E. Belief that illnesses are linked to scientific pathophysiology and not changes in energy - answer-B. Refusal of Western healthcare providers to believe in mind-body connection C. Clients may not trust the current healthcare system and the providers D. Refusing to allow family members to be involved in managing illness and disease E. Belief that illnesses are linked to scientific pathophysiology and not changes in energy The nurse belongs to a Christian denomination that considers homosexuality sinful. However, while working with a lesbian client, the nurse maintains an open, interpersonal rapport with the client while providing consistent, effective care. Which term best describes the nurse's behavior? A. Enculturation B. Cultural humility C. Assimilation D. Stereotyping - answer-B. Cultural humility The nurse is preparing a presentation on health disparities in the United States. Which information is appropriate for the nurse to include? (Select all that apply.) A. Gay and lesbian individuals face greater discrimination in health care than transgender individuals. B. Undocumented immigrants are more likely to have diseases such as HIV and tuberculosis than those with legal status. C. African American women are at greater risk for heart disease than any other single population. D. Muslim individuals are less likely to be engaged in seeking preventive health measures. E. American Indians have a lower incidence of diabetes than any other race. - answer-B. Undocumented immigrants are more likely to have diseases such as HIV and tuberculosis than those with legal status. C. African American women are at greater risk for heart disease than any other single population. D. Muslim individuals are less likely to be engaged in seeking preventive health measures. Which is a core belief about health in non-Western cultures? A. Health is a state of harmony that encompasses mind, body, and spirit. B. Health is the absence of disease. C. Health is the strength to do anything you want. D. Health is an attribute of youth. - answer-A. Health is a state of harmony that encompasses mind, body, and spirit. The nurse is researching cultures and diversity in health care. Which cultural characteristic that affects health care should the nurse classify as an environmental control? A. Personal boundaries B. Skin color C. Preventive medicine D. Emphasis on the past - answer-C. Preventive medicine The nurse is providing care to a non-English-speaking client who is noncompliant with care. The client has expressed a desire to use traditional culturally based therapies. Which should the nurse identify as a potential cultural barrier in the client following the recommended care? (Select all that apply.) A. Cultural belief that discussing the disease can influence the disease process B. Lack of trust in the healthcare system and providers C. The lack of insurance to cover the necessary medication and related supplies D. The importance of the beliefs and cultural practices of the client's family and community E. The belief that illness is not related to pathophysiology - answer-A. Cultural belief that discussing the disease can influence the disease process B. Lack of trust in the healthcare system and providers D. The importance of the beliefs and cultural practices of the client's family and community E. The belief that illness is not related to pathophysiology The nurse is reviewing the medical records of a small urgent care clinic to identify clients who may be considered vulnerable. Which client should the nurse include as those who may be vulnerable? (Select all that apply.) A. A 32-year-old woman who lists the local shelter as her home address B. An 82-year-old man living alone with no family nearby C. A 22-year-old woman who is crying and anxious due to fighting with her roommate D. A 17-year-old teenager enrolled in an afterschool boys' and girls' program E. A 42-year-old man with a psychiatric history who lives in his car in a nearby park - answer-A. A 32-year-old woman who lists the local shelter as her home address B. An 82-year-old man living alone with no family nearby E. A 42-year-old man with a psychiatric history who lives in his car in a nearby park The nurse is performing a cultural assessment on an adult client. Which information should the nurse include? (Select all that apply.) A. The kinds of food and drink the client prefers B. The client's region or country of origination C. Whether the client has insurance D. The language spoken at home E. The cultural or religious influences in decision making - answer-A. The kinds of food and drink the client prefers B. The client's region or country of origination D. The language spoken at home E. The cultural or religious influences in decision making Which aspect of organizational governance should reflect adherence to cultural competence standards within a healthcare facility? (Select all that apply.) A. Staff training B. Organizational practice implementation C. Policies and procedures D. Translation services E. Mission statement - answer-B. Organizational practice implementation C. Policies and procedures E. Mission statement A non-English-speaking immigrant mother seeks care at a local outpatient clinic in an area where many immigrants have settled. The mother is accompanied by 15-year-old child who speaks English. How should the nurse address the language barrier? A. Use signs and gestures to communicate. B. Ask the local immigrant service organization to provide an interpreter. C. Conduct a physical assessment with no explanations. D. Ask the child to act as translator. - answer-B. Ask the local immigrant service organization to provide an interpreter. The nurse makes a statement, "Chinese people drink only hot tea, so don't put coffee on their trays." The charge nurse identifies this remark is an example of which concept associated with culture? A. Stereotyping B. Diversity C. Ethnocentrism D. Prejudice - answer-A. Stereotyping Which statement by the nurse indicates a need for cultural competence training? A. "The client down the hall is on welfare. She will be back." B. "Do not bother the client in room 2 during his prayers." C. "Provide the client in room 3 a female nurse because she is Muslim." D. "The client in room 5 prefers hot beverages when ill." - answer-A. "The client down the hall is on welfare. She will be back." Which aspects of culture should the nurse consider when assessing a client? (Select all that apply.) A. Culture is defined by nonphysical traits. B. Customs are part of the culture of a client. C. Beliefs are a part of culture. D. A client's culture is determined by race. E. Values are a part of culture. - answer-A. Culture is defined by nonphysical traits. B. Customs are part of the culture of a client. C. Beliefs are a part of culture. E. Values are a part of culture. The nurse wants to provide culturally competent care to a client who lives on a long-term care unit. Which activity is appropriate for the nurse to implement? (Select all that apply.) A. Teaching the client about the U.S. healthcare system B. Asking the client and his family how the illness affects them C. Memorizing which foods members of each culture eat to restore health D. Seeking to understand one's own culture, its beliefs, and its assumptions E. Asking the client where he thinks illness originates - answer-B. Asking the client and his family how the illness affects them D. Seeking to understand one's own culture, its beliefs, and its assumptions E. Asking the client where he thinks illness originates The nurse is assessing a client of a different culture who has different religious beliefs than that of the nurse. Which statement or question by the nurse demonstrates cultural competence when assessing the client? (Select all that apply.) A. "May I ask what your partner might think about this plan of care?" B. "Would you prefer to be examined by a nurse who is of your sex?" C. "Are there certain times of the day that you need privacy for prayer or meditation?" D. "How do you feel about taking medications or blood products if they are prescribed?" E. "I cannot continue with this assessment if you are not willing to be compliant with my plan of care." - answer-A."May I ask what your partner might think about this plan of care?" B. "Would you prefer to be examined by a nurse who is of your sex?" C. "Are there certain times of the day that you need privacy for prayer or meditation?" D. "How do you feel about taking medications or blood products if they are prescribed?" The nurse is to provide an assessment for a client of Asian descent. Which factor would the nurse need to understand related to the client's worldview? (Select all that apply.) A. Healthcare beliefs B. Language C. Educational level D. Values E. Healthcare practices - answer-A. Healthcare beliefs B. Language D. Values E. Healthcare practices The nurse is treating a male client from India who is recovering from surgery. The nurse is concerned that several of the client's family members are gathered in the hospital room throughout the day, and that the client's mother insists on caring for the client even when the nurse is present. Which intervention would indicate that nurse needs more teaching? A. Provide the client with nutritional counseling and incorporate preferred foods into their meal plan. B. Teach the client and his family about safety issues such as crowding and self-medication. C. Remind the family that the nurse is equipped to provide the client with safe, effective care. D. Explain to both the client and his family members the necessity of early mobility. - answer-C. Remind the family that the nurse is equipped to provide the client with safe, effective care. The nurse is planning care for a client following a surgical procedure. Which collaborative action should the nurse include? (Select all that apply.) A. Changing the medication order after speaking with the client about adverse effects B. Informing the dietician that the client is on a special diet and needs reteaching about the diet C. Consulting the pharmacist regarding interactions between medications the client is prescribed D. Informing the pharmacist that the client's blood pressure (BP) is low and to hold the BP medication E. Updating the physical therapist regarding the client's physical activity and tolerance earlier in the day - answer-B. Informing the dietician that the client is on a special diet and needs reteaching about the diet C. Consulting the pharmacist regarding interactions between medications the client is prescribed E. Updating the physical therapist regarding the client's physical activity and tolerance earlier in the day The collaborative team treating a client includes the cardiologist, dietician, social services, and a nurse case manager. The team works together to establish a plan of care based on the client's goals. Which outcome is likely to result from this type of collaboration for the client? A. Decreased adherence with the plan of care B. Enhanced continuity of care C. Improved relationship between the physician and the client D. Increased healthcare costs - answer-B. Enhanced continuity of care The nurse wants to provide collaborative care for a client who has terminal cancer. Which action should the nurse include? A. Assessing the client's preferences regarding care B. Providing comfort interventions C. Consulting an oncology-certified nurse when planning care D. Giving the physician priority when delivering care - answer-C. Consulting an oncology-certified nurse when planning care The nurse has ideas on how to streamline charting in the electronic medical record. Which interprofessional team member should the nurse consult? A. Complementary healthcare provider B. Unlicensed assistive personnel C. Paramedical technologist D. Information technology expert - answer-D. Information technology expert A client tells the nurse that the pain medication is ineffective and causes too many side effects. Which interprofessional team member should the nurse consult? (Select all that apply.) A. Dentist B. Dietician C. Physician D. Pharmacist E. Complementary healthcare provider - answer-C. Physician D. Pharmacist E. Complementary healthcare provider Which activities should the nurse recognize as supporting the building of skills for successful collaboration of interprofessional healthcare teams? (Select all that apply.) A. Focusing care delivery on individual groups B. Advocating for policy change with local legislation C. Role playing scenarios to practice communication skills D. Encouraging clinical problem solving through group work E. Practicing with additional credentials to increase nursing authority - answer-B. Advocating for policy change with local legislation C. Role playing scenarios to practice communication skills D. Encouraging clinical problem solving through group work E. Practicing with additional credentials to increase nursing authority The nurse manager wants to promote communication skills for successful collaboration among the nursing staff. Which communication style should the nurse use? A. Dominance in conversation B. Active listening C. Parallel communication D. Status-based communication - answer-B. Active listening The nurse wants to improve collaborative decision-making skills. Which action promotes collaboration between nurses and the interprofessional team? A. Delaying feedback on results to ensure that all collected data were reviewed by the team first B. Depending on physician leadership to ultimately make the decision for the team C. Sharing responsibility of the outcome of the decision D. Removing the client from the decision-making process - answer-C. Sharing responsibility of the outcome of the decision An organization has goals to promote mutual respect within the interprofessional team and to improve client outcomes. Which action by the organization supports mutual respect? A. Implementing interprofessional rounding B. Upholding the tradition of patriarchal nurse?physician relationships C. Promoting verbal acknowledgment of mutual respect D. Placing physician leaders for each hospital department - answer-A. Implementing interprofessional rounding The nurse is designing activities to promote skill building for nursing collaboration. Which activity should be included? (Select all that apply.) A. Reviewing scope of practice for nurses B. Performinga self-assessment of strengths C. Analyzing different communication styles D. Explaining how authority impacts care delivery E. Acknowledging that barriers to team building will never change - answer-A. Reviewing scope of practice for nurses B. Performing a self-assessment of strengths C. Analyzing different communication styles D. Explaining how authority impacts care delivery Which situation reflects primary sources of conflict? (Select all that apply.) A. A nurse who is gossiping about a coworker B. A nurse assistant who communicates assessment findings with the healthcare provider C. A nurse and a physical therapist who are collaborating to provide care to an elderly client D. A physician who does not believe that a nurse practitioner can provide "on-call" care to clients E. A nurse who places blame on the respiratory therapist for not administering a medication on time - answer-B. A nurse assistant who communicates assessment findings with the healthcare provider D. A physician who does not believe that a nurse practitioner can provide "on-call" care to clients E. A nurse who places blame on the respiratory therapist for not administering a medication on time The nurse is examining role expectations and boundary issues causing primary sources of conflict within a healthcare unit. Which issue should be addressed by the nursing staff? (Select all that apply.) A. Resistance to change B. Lack of understanding C. Inaccurate information D. Consistent cooperation E. Effective communication - answer-A. Resistance to change B. Lack of understanding C. Inaccurate information The nurse plans to discuss strategies to recognize and manage conflict. Which strategy should be included? (Select all that apply.) A. Calling in sick during conflict B. Addressing issues as they arise C. Ignoring each other when angry D. Treating each other with respect E. Acknowledging each other's accomplishments - answer-B. Addressing issues as they arise D. Treating each other with respect E. Acknowledging each other's accomplishments Two hospitals in a small town are trying to increase their nursing staff. In the hopes of attracting more applicants, one is offering sign-on bonuses to entice BSN-prepared staff members to join their team. Which type of conflict could occur in this situation? A. Interorganizational conflict B. Intergroup conflict C. Interpersonal conflict D. Intrapersonal conflict - answer-A. Interorganizational conflict Nurses are utilizing an approach that involves addressing an issue of conflict with a resolution that satisfies both parties. Which approach is being used? A. Accommodating B. Avoiding C. Competing D. Compromising - answer-D. Compromising A nurse is planning to teach a class about preventing workplace bullying. Which behavior should the nurse include? (Select all that apply.) A. Encouraging nonthreatening reporting B. Developing acceptable codes of conduct C. Isolating the victim to provide a safe environment D. Educating others about the ramifications of bullying E. Talking about the abuser to make the victim feel better - answer-A. Encouraging nonthreatening reporting B. Developing acceptable codes of conduct D. Educating others about the ramifications of bullying The nurse attended a class about preventing horizontal violence in the workplace. Which action by the nurse indicates that learning occurred? A. Allowing nurses who have been victims to approach and humiliate their abusers B. Teaching others through unit presentations about the ramifications of workplace violence C. Ignoring negative statements of others about nurses on the unit D. Encouraging gossip about peers and other staff members - answer-B. Teaching others through unit presentations about the ramifications of workplace violence Which act should the nurse recognize as horizontal violence? A. Physical threats by a nurse against a nursing assistant B. Battery of a client by a nurse C. Maltreatment of a housekeeper by the nurse D. Gossiping by one nurse against another nurse - answer-D. Gossiping by one nurse against another nurse The nurse experiences workplace bullying. Which action should the nurse anticipate from the administration to support steps toward successful resolution of this issue? A. Ignoring the report of bullying until it is reported more than once B. Asking the nurse to provide at least three witnesses to the event C. Encouraging the employee to transfer out of the department D. Obtaining details of the event before taking action - answer-D. Obtaining details of the event before taking action The nurse is involved in a situation of hostility with a co-worker that is escalating in an open area. Which action should the nurse take to best address the situation? A. Taking the interaction to a private place B. Calling for upper-level administration to assist C. Continuing the interaction in the current location D. Walking away from the employee and ignoring the situation - answer-A. Taking the interaction to a private place The nurse discusses the status of morning care completed by unlicensed assistive personnel (UAPs). Which behavior is the nurse demonstrating? A. Accountability B. Safety C. Client-centered care D. Responsibility - answer-A. Accountability The clinical instructor is concerned that a student nurse is having difficulty implementing the Code for Nursing Students. Which student behavior supports this concern? (Select all that apply.) A. Returning money that dropped out of a staff nurse's pocket while reaching for scissors B. Stating that a client has to wait for pain medication because there were more important tasks to do C. Asking a staff nurse for permission to observe a procedure at the bedside D. Requesting assistance to complete a complicated dressing change E. Placing the side rails in the down position for a confused client - answer-B. Stating that a client has to wait for pain medication because there were more important tasks to do E. Placing the side rails in the down position for a confused client The nurse is teaching a client with diabetes how to perform insulin injections. The client says, "I already know how to do it. I gave an injection to a friend before." Which standard of care should the nurse perform? A. Letting the client go home without seeing the client do the injection B. Telling the supervisor C. Documenting that the client refused to do the demonstration D. Asking the client to demonstrate the procedure to make sure - answer-D. Asking the client to demonstrate the procedure to make sure Which statement by the nurse promotes personal and professional accountability? A. "I passed the NCLEX after graduating from an accredited school." B. "I'm not a member of any professional organization." C. "I took the bar exam." D. "I do what I think is right." - answer-A. "I passed the NCLEX after graduating from an accredited school." The nurse is planning to teach a class about prevention of injuries. Which action reflecting the nurse's accountability should be included in the teaching? A. Assessing the client's current level of health and wellness B. Taking action to prevent further harm C. Keeping clients safe within the healthcare environment D. Assessing the client's level of comfort - answer-C. Keeping clients safe within the healthcare environment Nurses in a nursing program are collaborating with hospital leaders to reduce the impact of the nursing shortage. Which action should be included? (Select all that apply.) A. Recommending increasing the nurse-to-client staffing ratio B. Discussing increasing nursing salaries to be comparable with those of similar organizations C. Increasing recruitment of students into nursing as a second career D. Analyzing staffing options to increase flexibility E. Determining ways to increase the number of nursing scholarships - answer-B. Discussing increasing nursing salaries to be comparable with those of similar organizations D. Analyzing staffing options to increase flexibility E. Determining ways to increase the number of nursing scholarships Individuals in different locations communicated via simultaneous two-way video and audio transmissions to coordinate the magnetic resonance imaging (MRI) for a client reporting a sudden onset of tremors and weakness. Which best describes this scenario? A. Telecommunication B. Better modem C. Science D. Better legislation - answer-A. Telecommunication The foreign-trained nurse is recruited from that country to work for a medical hospital. Which factor related to the nursing shortage may have contributed to this solution? (Select all that apply.) A. Insufficient nursing faculty to educate students B. Aging nurse workforce C. New nurses entering the workforce at an older age D. Increased demand for foreign nurses E. Nurses' boredom - answer-A. Insufficient nursing faculty to educate students B. Aging nurse workforce C. New nurses entering the workforce at an older age The nurse is reading about means to ensure compliance with the Patient Self-Determination Act. Which item should the nurse question? A. Durable power of attorney B. Explanation of benefits C. Living will D. Advance directive - answer-B. Explanation of benefits Which helps to ensure that clients get the right care at the right time while avoiding unnecessary duplication of services and preventing medical errors? A. Quality and Safety Education for Nurses B. Affordable Care Act C. Accountable care organization D. Centers for Medicare and Medicaid Services - answer-C. Accountable Care Organization The nurse is providing care to a client from a different culture and notices that the client's spouse is always present and answers questions asked to the client. Which action should the nurse include? A. Ignoring the spouse B. Documenting all interaction C. Understanding cultural differences D. Reporting to the supervisor - answer-C. Understanding cultural differences During a hospital orientation, the nurse was given copies of hospital policies, procedures, and protocols and asked to perform chart reviews. Which goal is this task aiming to achieve? A. Developing resources for quick reference B. Earning continuing education units C. Knowing what needs to be communicated to the client D. Learning precautions - answer-C. Knowing what needs to be communicated to the client The nurse has introduced contemporary applications to a facility's services by offering yoga and meditation classes. Which statement describes the focus of this center? A. Health restoration B. Health and wellness C. Palliative care D. Infection prevention - answer-B. Health and wellness The nurse works at a multispecialty hospital with the main mission of providing quality care and client satisfaction. Which nursing behavior is a characteristic of competence? (Select all that apply.) A. Promoting effective communication B. Preventing medication errors C. Working alone D. Encouraging teamwork E. Knowing the law - answer-A. Promoting effective communication B. Preventing medication errors D. Encouraging teamwork The nurse is reviewing actions that reflect accountability. Which action should the nurse question? A. Having the ability to perform the procedure or intervention B. Performing the procedure under the policies and protocols of the organization C. Performing all procedures and tasks delegated even when unsure of how to perform them D. Accepting responsibility for doing the procedure - answer-C. Performing all procedures and tasks delegated even when unsure of how to perform them Which activity should the nurse consider professional development? (Select all that apply.) A. Joining an organization that governs the profession B. Increasing experience or seniority C. Living in a large home D. Purchasing a new car E. Pursuing advanced education - answer-A. Joining an organization that governs the profession B. Increasing experience or seniority E. Pursuing advanced education Which historical woman should the nurse know is regarded as American's first trained nurse? A. Lillian Wald B. Mary Mahoney C. Linda Richards D. Lavinia Dock - answer-C. Linda Richards The nurse instructs older, healthy clients on how to adjust their activities of daily living, exploring alternative options, and developing a sense of control. Which nursing role is this nurse reflecting? A. Counselor B. Client advocate C. Leader D. Teacher - answer-A. Counselor The nurse registered for courses on the following to further the nurse's knowledge: care coordination, critical care, and death and dying. Which is the best description of these courses? A. Practice resources B. Cultural competencies C. Continuing education D. Quick lessons - answer-C. Continuing education The nurse designs a learning activity that is aimed at increasing learner engagement. Which instructional tool is most likely to accomplish this goal? A. An electronic text B. An electronic slide presentation C. An audience response system D. A podcast - answer-C. An audience response system An English-speaking client from a different culture has minimal education and is not adhering to the prescribed treatment for hypertension. For which reason should the nurse advocate for this client? A. Lower literacy level B. Low income level C. Very ill or in pain D. Non-English speaking - answer-A. Lower literacy level The nurse is assessing a client from a different culture. Which item should the nurse include in the assessment to determine advocacy needs? (Select all that apply.) A. Food preferences B. Access to transportation C. Ability to cooperate and make decisions D. Medical history and family situation E. Reliability of information provided by the client - answer-C. Ability to cooperate and make decisions D. Medical history and family situation E. Reliability of information provided by the client Which advocacy role should the nurse use to effect change at the policy level? A. Collaborating with other healthcare professionals B. Advocacy for vulnerable and special populations C. Professional and public advocacy D. Family advocacy - answer-C. Professional and public advocacy An older adult client with limited financial resources is being treated for a stroke. Which factor should the nurse consider that may impact this client's care and recovery? A. The client may need to pay out-of-pocket for rehabilitation. B. The client will have limited options for long-term care facilities. C. The client may be eligible for a new care coordination model that includes home-based care. D. The client will not be eligible for rehabilitation. - answer-C. The client may be eligible for a new care coordination model that includes home-based care. The nurse notices that a coworker posted a picture of a client to a social media account after removing client identifiers and diagnosis information. Which action should the nurse take? A. Ask the coworker to remove the picture. B. Tell the client's family about the post and ask if the coworker was given permission. C. Report the situation to the coworker's manager. D. Report the situation to the nurse manager. - answer-D. Report the situation to the nurse manager. The nurse is teaching a client who is facing a difficult healthcare choice. Which should the nurse identify as the intended goal of this action? A. Enabling B. Informed consent C. Empowerment D. Codependency - answer-C. Empowerment The parents of a minor client retain legal counsel to prevent the hospital from discontinuing life support on their child, who has no neurologic functioning. Which advocacy concept should the nurse consider when communicating with the client's family? (Select all that apply.) A. Healthcare systems B. Culture and diversity C. Medical ethics D. Legal issues E. Rehabilitation nursing - answer-A. Healthcare systems B. Culture and diversity C. Medical ethics D. Legal issues The nurse is conflicted because a client wants to discontinue cancer treatment, whereas the healthcare provider does not. Which moral obligation should the nurse use to guide this client's care? A. The nurse supports clients' right to make their own healthcare decisions. B. The nurse defends the choice to continue cancer therapy because that is what is best for the client. C. The nurse explains to the client that culture and traditions are providing incorrect guidance. D. The nurse respects that the hospital has the final authority to make decisions for the client. - answer-A. The nurse supports clients' right to make their own healthcare decisions. The nurse is caring for a client whose religious beliefs do not permit some healthcare treatments. Which action should the nurse take to ensure client autonomy? (Select all that apply.) A. Monitor the safety and quality of care the client receives. B. Encourage sharing of beliefs and values by the client. C. Assist the client to achieve the client's healthcare goals. D. Support the client's choices even if they conflict with the healthcare provider's. E. Provide the client with the information needed to make an informed decision. - answer-B. Encourage sharing of beliefs and values by the client. D. Support the client's choices even if they conflict with the healthcare provider's. E. Provide the client with the information needed to make an informed decision. The nurse is caring for a family of low socioeconomic status in a rural community. Which action should the nurse take when advocating for this family? (Select all that apply.) A. Research the healthcare options available in the community. B. Provide information regarding healthcare treatment options at the appropriate level of health literacy. C. Find a local newspaper reporter willing to write an article about healthcare law. D. Ask the family what resources they are currently using to provide healthcare. E. Assess the family's healthcare values and resources. - answer-A. Research the healthcare options available in the community. B. Provide information regarding healthcare treatment options at the appropriate level of health literacy. D. Ask the family what resources they are currently using to provide healthcare. E. Assess the family's healthcare values and resources. The nurse prepares information for a community health fair. Which environmental health hazard should the nurse identify as most common? (Select all that apply.) A. Natural disasters B. Air pollution C. Wildfires D. Lack of community resources E. Water pollution - answer-B. Air pollution E. Water pollution The nurse reviews the determinants of environmental quality outlined by Healthy People 2020 and the Centers for Disease Control and Prevention's (CDC) environmental hazards and health effects. Which environmental hazard and health effect should the nurse identify that corresponds to the determinant of improving air and water quality? (Select all that apply.) A. Air pollution and respiratory health B. Asthma C. Clean water for health D. Carbon monoxide E. Investigations in response to flu outbreaks - answer-A. Air pollution and respiratory health B. Asthma C. Clean water for health D. Carbon monoxide The members of a community ask for ways to decrease water pollution. Which source of water pollution should the nurse include in the discussion? (Select all that apply.) A. Nitrates in the public water supply B. Disinfection by-products in drinking water C. Secondhand smoke exposure in public places D. Garbage in local ditches and drains E. Local factories adding to ground-level ozone - answer-A. Nitrates in the public water supply B. Disinfection by-products in drinking water D. Garbage in local ditches and drains The nurse is preparing to teach a community group about preventable birth defects. Which environmental hazard should be included in the teaching? A. Exposure to ground-level ozone B. Disinfection by-products in drinking water C. Exposure to some industrial chemicals D. Exposure to allergens and triggers - answer-B. Disinfection by-products in drinking water The nurse is teaching a group of community leaders about environmental hazards that can cause cancer. For which statement should the nurse provide more information? A. "Secondhand smoke in public places should be restricted to lower the cancer rates." B. "Exposure to ionizing radiation can cause cancer." C. "Cancer typically develops within 10 years of exposure." D. "Exposure to certain industrial chemicals can cause cancer." - answer-C. "Cancer typically develops within 10 years of exposure."