NUR 634 MIDTERM EXAM NEWEST
ACTUAL EXAM (2 VERSIONS) WITH
COMPLETE QUESTIONS AND DETAILED
ANSWERS GRADED A | BRAND NEW!!!
VERSION A
During a staff meeting, nurses discuss the problems with
accessing research studies to incorporate evidence-based
clinical decision making into their practice. Which suggestion by
the nurse manager would best help these problems?
a . Form a committee to conduct research studies.
b . Post published research studies on the units bulletin boards.
c . Encourage the nurses to visit the library to review studies.
d . Teach the nurses how to conduct electronic searches for
research studies. - ✔✔✔ Correct Answer > ANS: D Facilitating
support for EBP would include teaching the nurses how to
conduct electronic searches; time to visit the library may not be
available for many nurses. Actually conducting research studies
may be helpful in the long-run but not an immediate solution to
reviewing existing research.
,When performing a physical examination, safety must be
considered to protect the examiner and the patient against the
spread of infection. Which of these statements describes the
most appropriate action the nurse should take when
performing a physical examination?
a . Washing ones hands after removing gloves is not necessary,
as long as the gloves are still intact.
b . Hands are washed before and after every physical patient
encounter.
c . Hands are washed before the examination of each body
system to prevent the spread of bacteria from one part of the
body to another.
d . Gloves are worn throughout the entire examination to
demonstrate to the patient concern regarding the spread of
infectious diseases - ✔✔✔ Correct Answer > ANS: B The nurse
should wash his or her hands before and after every physical
patient encounter; after contact with blood, body fluids,
secretions, and excretions; after contact with any equipment
contaminated with body fluids; and after removing gloves.
Hands should be washed after gloves have been removed, even
if the gloves appear to be intact. Gloves should be worn when
potential contact with any body fluids is present.
When reviewing the concepts of health, the nurse recalls that
the components of holistic health include which of these?
,a . Disease originates from the external environment.
b . The individual human is a closed system.
c . Nurses are responsible for a patients health state.
d . Holistic health views the mind, body, and spirit as
interdependent. - ✔✔✔ Correct Answer > ANS: D
Consideration of the whole person is the essence of holistic
health, which views the mind, body, and spirit as
interdependent. The basis of disease originates from both the
external environment and from within the person. Both the
individual human and the external environment are open
systems, continually changing and adapting, and each person is
responsible for his or her own personal health state.
The nurse recognizes that the concept of prevention in
describing health is essential because:
a . Disease can be prevented by treating the external
environment.
b . The majority of deaths among Americans under age 65 years
are not preventable.
c . Prevention places the emphasis on the link between health
and personal behavior.
d . The means to prevention is through treatment provided by
primary health care practitioners. - ✔✔✔ Correct Answer >
ANS: C A natural progression to prevention rounds out the
, present concept of health. Guidelines to prevention place the
emphasis on the link between health and personal behavior.
20. The nurse is performing a physical assessment on a newly
admitted patient. An example of objective information
obtained during the physical assessment includes the
a . Patients history of allergies.
B . Patients use of medications at home.
c . Last menstrual period 1 month ago.
d . 2 5 cm scar on the right lower forearm. - ✔✔✔ Correct
Answer > ANS: D Objective data are the patients record,
laboratory studies, and condition that the health professional
observes by inspecting, percussing, palpating, and auscultating
during the physical examination. The other responses reflect
subjective data.
A visiting nurse is making an initial home visit for a patient who
has many chronic medical problems. Which type of data base is
most appropriate to collect in this setting?
a . A follow-up data base to evaluate changes at appropriate
intervals
b . An episodic data base because of the continuing, complex
medical problems of this patient
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