NUR- 172 - QUIZ-EXAM 1 QUESTIONS WITH
COMPLETE SOLUTIONS
A client had a total hip replacement earlier in the day. The nurse
sits with the client to establish some goals. One goal they agree
on is to ambulate 1 to 2 miles each day. This is an example of
which type of goal?
A. independent
B. Long-term
C. Intermediate
D. Immediate Correct Answers C. Long-term
Rationale: The client and family are included in establishing
goals for the nursing actions. Immediate goals are those that can
be attained within a short period. Intermediate and long-term
goals require a longer time to be achieved and usually involve
preventing complications and other health problems and
promoting self-care and rehabilitation.
A nurse is unsure how best to respond to a client's vague
complaint of "feeling off." The nurse is attempting to apply the
principles of critical thinking, including metacognition. How can
the nurse best foster metacognition?
A. By evaluating her responses to similar situations in the past
B. By thinking about the way that an "ideal" nurse would
respond in this situation
C. By eliciting input from a variety of trusted colleagues
D. By examining the way that she thinks and applies reason
Correct Answers D. By examining the way that she thinks and
applies reason
,Rationale: Critical thinking includes metacognition, the
examination of one's own reasoning or thought processes, to
help refine thinking skills. Metacognition is not characterized by
eliciting input from others or evaluating previous responses.
An adults temperature is 36.6 degrees C. What is it in
Fahrenheit? Correct Answers 97.9F (36.6*1.8) + 32= 97.88 =
97.9F (round to the nearest tenth)
An order is written for Dilaudid 10mg IM q 3-4h prn pain. The
nurse recognizes that this dose is well above the usual dose for
this medication. The nurse should do which of the following?
a. just give 1 mg as that was probably the intended order
b. call the doctor to clarify the order
c. administer the meds as ordered and monitor the patient
closely.
d. refuse to give the med to the patient and notify the nursing
supervisor. Correct Answers b. Call the doctor to clarify the
order
Assault Correct Answers threat or an attempt to make bodily
contact with another person without that person's permission
Battery Correct Answers assault that is carried out
Commission is?
A. Failing to do something that should have been done
B. Doing something that should not have been done Correct
Answers B.
, Example of malpractice Correct Answers nurse performing a
minor surgery without training
Expert Witness Correct Answers nurse who explains to the
judge and jury what happened based on the patient's record and
who offers an opinion as to whether the nursing care met
acceptable standards of practice
Fact Witness Correct Answers nurse who has knowledge of the
actual incident prompting a legal case; bases testimony on
firsthand knowledge of the incident, not on assumptions
Identify whether the drug classification listed is pharmacologic
or therapeutic.
1. antihypertensives
2. ace-inhibitors (ACE-Is) Correct Answers 1. therapeutic
2. pharmacologic
Incident Report Correct Answers a report of any event that is
not consistent with the routine operation of the health care
facility that results in or has the potential to result in harm to a
patient, employee, or visitor
liability Correct Answers legal responsibility for one's acts
(and failure to act); includes responsibility for financial
restitution of harms resulting from negligent acts
Malpractice Correct Answers failure to act as a reasonably
prudent PROFESSIONAL would have acted under the same
circumstances.
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