NUR Exam Bundle with Complete Solutions Graded A+

When removing the initial surgical dressing by order of the surgeon, the nurse assesses a moderate amount of watery pinkish-red bleeding at the site. The nurse accurately documents this drainage as: Sanguinous Serosanguinous Purulent Serous - ANSWER-Serosanguinous When removing the initial su...

Primary Care - ANSWER-emphasizes on health promotion: prenatal, well baby care, family planning, screenings Secondary Care - ANSWER-diagnosis and treatment of acute illness: hospital setting, diagnostic centers, urgent & emergent care centers Tertiary Care - ANSWER-provision of specialized and...

Noticing - ANSWER-Indicate when a situation is normal, abnormal or has changed. Get an initial grasp on the situation Application to thinking noticing - ANSWER-Collect: Subjective & objective data VS, Complaints, self-described symptoms. What nurse notices, such as rashes, swelling, bruising, et...

Is the following statement true or false? The six phases of the nursing process are linear in nature. - ANSWER-False The nursing student is reviewing assessment findings to organize existing cues into a pattern. This is known as which phase of the nursing process? A. Assessment B. Diagnosi...

RN delegating to LPN. Which would you be able to do within your scope of practice? - ANSWER-Insert IV in 45 year old rating pain 10/10 about to go to the Cath lab Nurse taking care of male patient with burns over 50% of body. Pt. has been in ER for 20 minutes. The nurse would take which action fi...

Ways to prevents falls - ANSWER--bed in lowest position -call light What to do when someone falls - ANSWER--asses -call provider Most at risk for falls - ANSWER--immobile -elderly Documentation for restraints - ANSWER--type of restraints -how long they are on -how often to be removed ...

How much of the feeling message do facial expressions communicate? - ANSWER-half What kind of questions do you not ask when communication therapeutically? - ANSWER-don't ask "why" questions What kind of questions do you want to ask when communicating therapeutically? - ANSWER-open ended que...

the patient with possible bacterial pneumonia was prescribed IV antibiotics. what is the most important step, the nurse should nurse verify prior administering of this medication - ANSWER-verify medication allergies based on the current knowledge of health promotion, what factors should the nurse...

You are making a home visit to a family of 5 children. The youngest, aged 5, has a temp of 101.1 F, is lethargic, and has a poor appetite. This assessment leads you to the diagnosis of influenza. Based on your knowledge that influenza is an airborne communicable disease, all of the following patient...

nursing process - ANSWER-Systematic problem-solving method by which nurses individualize care for each client. The five steps of the nursing process are assessment, diagnosis, planning, implementation, and evaluation. assessing - ANSWER-the process of collecting, organizing, validating, and docum...

The factor that best advanced the practice of nursing in the twenty-first century was: a. growth of cities b. teachings of christianity c. better education of nurses d. improved conditions for women - ANSWER-c. Graduate nurses must pass a licensure examination administered by the: a. State B...

What does ANA stand for? - ANSWER-American Nurses Association what is the ANA definition of nursing - ANSWER-The diagnosis and treatment of human responses to actual and potential health problems What are nurses to their patient? - ANSWER-advocates Who was the first nurse? - ANSWER-Florence...

Handwashing - ANSWER-Simplest, easiest, cheapest way to prevent spread of disease Correct hand washing should occur when: - ANSWER-1. before/after doing a procedure that involves direct or indirect client contact 2. after contact with wastes 3. after handling food or receptacles 4. between cli...

Health Information Technology - ANSWER-the use of information systems and other information technology to record, monitor, and deliver patient care, and to perform managerial and organizational functions in health care Health care information system (HIS) - ANSWER-consists of "computer hardwa...

The ______________ gets soft and spongy, thins out, and dilates during pregnancy. The first pregnancy takes longer to do this. - ANSWER-cervix The ___________ is the lower uterine segment just above the cervix, and is often the site for Cesarean incision (the tissue is the thinnest). - ANSWER-ist...

Non- maleficence - ANSWER-Prevention of intentional harm *DO NO HARM* Beneficence - ANSWER-Doing good or causing good to be done *Kind action* Autonomy - ANSWER-Self determination, & freedom of choice *Independence* Paternalism - ANSWER-One individual assumes the right to make decisions ...

who developed the general systems theory? - ANSWER-Ludwig Von Bertalanffy which theory describes how to break things into parts and then learn how the parts work together in systems? - ANSWER-general systems theory which theory defines adaptation as the adjustment of living matter to other liv...

SEIZURES SECTION LO #1 Recognize clinical relevance (2 questions) What are seizures? (LO #1) - ANSWER--Seizures are a disturbance of electrical activity in the brain that may affect consciousness, motor activity, and sensation -Single occurrences What are Convulsions? (LO #1) - ANSWER...

Critical care nursing - ANSWER-A specialty that manages human responses to life threatening problems i.e., ICU, step-down units, rapid response teams, OR/PACU, dialysis, ED have advanced assessment skills and the ability to use advanced technology Palliative care - ANSWER-Any form of care o...

nursing process - ANSWER-Problem-solving approach to identifying and treating client problems x - ANSWER-GOALS OF NURSING PROCESS response - ANSWER-Determine _________ to human problems, level of wellness, and need for assistance provide - ANSWER-___________ physical and emotional care, tea...

Which description of the state Nurse Practice Act is correct? a. It is a judicial decision. b. It is a federal senate bill. c. It is a statute enacted by state legislature. d. It is a law enacted by the federal government. - ANSWER-c. It is a statute enacted by state legislature. Nurse Practi...

What is subjective data? - ANSWER-data stated by the patient/family member (SUBJECTIVE is what they SAY). What is objective data? - ANSWER-data observed by inspecting, percussing, palpating, and auscultating the patient (OBJECTIVE is what you OBSERVE). What is the nursing process? - ANSWER-the...

4 frameworks of nursing - ANSWER-- valuing - environment - humanity - health sub- concepts of nursing - ANSWER-- knowledge - responsibility - accountability - leadership/ management - research - professional role humanity - ANSWER-unique human being, functioning as an integrated...

Laws established in each state in the United States to regulate the practice of nursing - ANSWER-nurse practice act the range of roles, functions, responsibilities, & activities which RN's are educated and able to perform. - ANSWER-scope of nursing practice a method of DVT prevention that imp...

Palpitation - ANSWER-Method of examining by feeling a part of the body with the fingers or hand Auscultation - ANSWER-Listening for sounds within the body Cyanosis - ANSWER-Blush coloring of the skin and mucous membranes Percussion - ANSWER-Act of striking one object against another for the...

Which of the following is not a dimension of wellness? a. Intellectual health b. Spiritual health c. Occupational health d. Societal health e. Emotional health f. Financial health - ANSWER-d Drug and alcohol abuse screening is an example of (Select all that apply) a. Primary prevention ...

Primary focus of Public Health Nursing - ANSWER-"to generate organized community efforts to address the public interest in health by applying scientific and technical knowledge to prevent disease and promote health" (IOM, 1988 p. 1; Williams, 1995). Accomplished by many groups (public & private...

The use of the best clinical evidence in making patient care decisions - ANSWER-EBP (evidence based practice) evolves from the integration of the best research evidence with clinical expertise and patients' needs and values - ANSWER-EBP EBP [is/is not] a cost-cutting practice or method for ra...

Florence Nightingale - ANSWER-Nursing's first science theorist Established sanitary nursing care units Founder of modern nursing Began professional education of nursing Clara Barton - ANSWER-Played a role in establishing the American Red Cross and persuaded congress to ratify their treaty wit...

What are 6 ways to Prevent Alterations in Skin Integrity - ANSWER-1. Identification 2. Inspection 3. Nutrition 4. Hydration 5. Protection 6. Assessment How does Identification prevent alterations in skin integrity - ANSWER-Identify high risks people Ex. Immobility, obese, diabetes, depress...

why do you interview before assessing a pt - ANSWER-gather health history, ID coherence, build relationship, know what to focus on what are the 7 facets of health - ANSWER-developmental environment social physical emotional cultural spiritual (DE SPECS) what is the nursing process - ANS...

A nurse volunteering at the free clinic in her community informs a client seeking treatment for hypertension that the family's children may qualify for enrollment in the State Children's Health Insurance Program (SCHIP). The nurse's intervention can reduce health disparities for these vulnerable ...

evidence based practice - ANSWER-Evidence-based practice allows one to systematically use the best available evidence from research with the integration of individual clinical expertise, as well as the patient's values and preferences, to make clinical decisions. highest level of EBP research - ...

Maslow's Hierarchy of Needs - ANSWER-1. Physiological needs 2. Safety and security 3. Love and belonging 4. Self-esteem 5. Self-actualization Autonomy - ANSWER-Respecting the rights of others to make their own decisions Nonmaleficence - ANSWER-Obligation to do no harm to others Benefic...

3 Concepts of Full spectrum nursing - ANSWER-Clinical Judgement, Critical Thinking, and Problem Solving. Clinical Judgement - ANSWER-Observing, comparing, contrasting, and evaluating the client's condition to determine whether change has occurred. Critical Thinking - ANSWER-A reflective think...

Nursing Process - ANSWER-five-step systematic method for giving patient care; involves assessing, diagnosing, planning, implementing, and evaluating nursing - ANSWER-the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering thr...

Health - ANSWER-State of optimal functioning or well-being. Licensure - ANSWER-To be given a license to practice nursing in a state or province after successfully meeting requirements. Nurse Practice Act - ANSWER-Law established to regulate nursing practice. Nursing - ANSWER-Profession that...

In pre-conference, Joan's instructor asks her if she thinks that nursing is a profession, and Joab responds that she does. What are some characteristics that identify nursing as a profession? Select all that apply A. Nursing provides a specific service B. Nursing requires an extended body of kn...

3. Sense of being male, female or some combination - ANSWER-Gender Identity is the individual's 1. Sexual Behavior 2. Sexual Organization 3. Sense of being male, female or some combination 4. Sense of preferring one sex over the other 2. Awareness of and positive attitudes towards sexual fun...

What is the American Nurses Association (ANA)? - ANSWER--A professional organization for nurses that develops various standards of nursing practice and promotes change through policy development -Primary mission is to advance the profession of nursing to improve health for all -Establishes the Co...

Describe the communication process - Stimulus, source (seder/encoder), message, channel, receiver (decoder), feedback/communication Identify factors that influence communication - Developmental level, gender, sociocultural differences, roles and responsibilities, space/territoriality, physical/me...

PTSD - ANSWER--one of a group of trauma or stressor-related disorders -formerly classified as anxiety disorder -evolves after exposure to traumatic event PTSD Etiology - ANSWER--more likely to occur, longer lasting when stressor is intentional human action -flashbacks, often triggered by daily...

What category does "pain relief" fall into concerning patient's caring and comforting needs? A. Physiologic B. Psycho-spiritual C. Social/Relational D. Environmental - ANSWER-A. Physiologic What category does "reducing anxiety" fall into concerning patient's caring and comforting nee...

Cross training - ANSWER-eventually lead to what we refer to now as PCT or patient care technician. National Council of State Boards of Nursing defines - ANSWER-individuals who are trained to assist the licensed nurse in the role of providing direct nursing care to health care UAP - ANSWER-Unli...

What is nursing? - ANSWER-there is no specific definition of nursing, it comes from past experiences whether it is from being a patient or watching medical shows. nursing is not a person but an action that is performed. what is the focus of nursing? - ANSWER-outcomes of general actions what do...

Which of the following factors from health care providers has contributed to the development of antibiotic resistant organisms? A. Selecting antibiotic therapy when a fever was not present. B. Administering antibiotics for viral infections C. Extending the use of antibiotics for prophylactic or...

The nurse teaches a patient about pursed lip breathing. Which action by the patient would indicate to the nurse that further teaching is needed? The patient practices by blowing through a straw. The patient's ratio of inhalation to exhalation is 1:3. The patient inhales slowly through the ...

Concept - ANSWER-describes a phenomenon, which is described by a concept that is either empirical or abstract. Empirical concept - ANSWER-one that can be either observed or experienced through senses Abstract concept - ANSWER-cannot be observed. Ex) hope or caring o Conceptual model - ANSWE...

What is a nurse? - ANSWER-Nurses are highly trained, well educated, caring, and competent. Why is nursing considered a profession? - ANSWER--Standard education -Knowledge to role -Selfless concern for others -Code of ethics -Autonomy, Accountability, Responsibility -Professional organiz...

Why is nursing considered a profession? - ANSWER-Education, knowledge, selfless concern for others, follow a code of ethics, practice autonomy, accountability, and responsibility, professional organizations What is a nurse? - ANSWER-Highly trained, well educated, caring, and competent. 6 basic...

What is an assessment? - ANSWER--A data collection process -A continuous process -A method to establish a baseline What is primary subjective data? Give an example. - ANSWER-Client reports feelings/thoughts Ex. "I have a headache" What is secondary subjective data? Give an example. - ANSW...

As needed - ANSWER-PRN By mouth - ANSWER-PO Intramuscular - ANSWER-IM intavenously - ANSWER-IV Intradermal - ANSWER-ID Every 2 hours - ANSWER-Q2H Every 3 hours - ANSWER-Q3H Every 12 hours - ANSWER-Q12H Tablet - ANSWER-TAB Before Meals - ANSWER-AC Discontinue - ANSWER-DO...

The primary reasons for delay or failure to access health care includes which of the following - ANSWER-Inability to afford insurance, lack of transportation, refusal of services by providers The nurse is providing care to a patient with a large abdominal wound that requires packing and a wet to ...

The nurse practices in the conformity with the code of ethics for professional nurses. Which of the following best defines the code? A. provides rational to improve self-health care in client populations B. ensures the protection of clients from all harmful practices C. Designates the necessit...

Informatics - ANSWER-use information and technology to communicate, manage knowledge, mitigate error, and support decision making Health Informatics - ANSWER-discipline that uses technology to sort, process, organize and retrieve information in healthcare so it can be shared among providers and c...

What are the four nursing aims? - ANSWER-1. Promote health 2. Prevent illness 3. Restore health 4. facilitate coping with disability or death What are the 7 criteria for nursing profession? (be able to ID examples of how nursing schieves the criteria discussed in class- select all that apply)...

informatics - ANSWER-information technology focus in information management - how information is organized and presented affects care that you can provide - the computer is just a tool healthcare informatics - ANSWER-capture, retrieval, storage, presenting, and sharing healthcare information...