Exam (elaborations)
NUR 150 Final Exam Study Guide With complete solution Newest 2024/25 RATED A+
- Course
- Institution
NUR 150 Final Exam Study Guide With complete solution Newest 2024/25 RATED A+
[Show more]
Content preview
NUR 150 Final Exam Study Guide Withcomplete solution Newest 2024/25
RATED A+
"I know it seems strange, but I feel guilty being pregnant after the death of my son last
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
year," said a woman during her routine obstetrical examination. The nurse spends extra
ll ll ll ll ll ll ll ll ll ll ll ll ll
time with this woman, helping her realize bonding with this unborn child will not mean she
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
is replacing the one who died. Which nursing technique does this demonstrate?
ll ll ll ll ll ll ll ll ll ll ll ll
a. Providing curative therapy
ll ll ll
b. Promoting spirituality
ll ll
c. Facilitating mourning
ll ll
d. Eradicating grief - Correct Answers c
ll ll ll ll ll ll ll ll ll ll
A confused patient with a urinary catheter, nasogastric tube, and intravenous line keeps
ll ll ll ll ll ll ll ll ll ll ll ll ll
touching these needed items for care. The nurse has tried to explain to the patient that
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
these lines should not be touched, but the patient continues. Which is the best action by
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
the nurse at this time?
ll
ll
ll ll ll ll
a. Apply restraints loosely on the patient's dominant wrist.
ll ll ll ll ll ll ll ll ll
b. Notify the health care provider that restraints are needed immediately.
ll ll ll ll ll ll ll ll ll ll
c. Try other approaches to prevent the patient from touching these care items.
ll ll ll ll ll ll ll ll ll ll ll ll
d. Allow the patient to pull out lines to prove that the patient needs to be restrained. -
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
Correct Answers c
ll ll ll ll ll ll
A female nurse is called into the supervisor's office regarding her deteriorating work
ll ll ll ll ll ll ll ll ll ll ll ll ll
performance since the loss of her spouse 2 years ago. The woman begins sobbing and
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
says that she is "falling apart" at home as well. Which type of grief is the female nurse
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
experiencing?
ll
ll
a. Normal grief
ll ll
b. Perceived grief
ll ll
c. Complicated grief
ll ll
d. Disenfranchised grief - Correct Answers c
ll ll ll ll ll ll ll ll ll ll
A goal for a patient with diabetes is to demonstrate effective coping skills. Which patient
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
behavior will indicate to the nurse achievement of this outcome?
ll ll ll ll ll ll ll ll ll ll
a. States feels better after talking with family and friends
ll ll ll ll ll ll ll ll ll
b. Consumes high-carbohydrate foods when stressed
ll ll ll ll ll
c. Dislikes the support group meetings
ll ll ll ll ll
d. Spends most of the day in bed - Correct Answers a
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
A hospital's wound nurse consultant made a recommendation for nurses on the unit about
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
how to care for the patient's dressing changes. Which action should the nurses take next?
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
,a. Include dressing change instructions and frequency in the care plan.
ll ll ll ll ll ll ll ll ll ll
b. Assume that the wound nurse will perform all dressing changes.
ll ll ll ll ll ll ll ll ll ll
c. Request that the health care provider look at the wound.
ll ll ll ll ll ll ll ll ll ll
d. Encourage the patient to perform the dressing changes. - Correct Answers a
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
A male patient in stable condition is in the intensive care unit (ICU) and is asking to see his
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
spouse and two daughters. What should the nurse do?
ll
ll
ll ll ll ll ll ll ll ll
a. Allow only 5 to 10 minutes with the family.
ll ll ll ll ll ll ll ll ll
b. Allow the wife and daughters to visit at the patient's request.
ll ll ll ll ll ll ll ll ll ll ll
c. Allow the two daughters to visit, and let the wife visit when they leave.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
d. Allow the wife and one daughter to enter the ICU but not the other daughter. - Correct
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
Answers b
ll ll ll ll ll
A new nurse is confused about using evaluative measures when caring for patients and
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
asks the charge nurse for an explanation. Which response by the charge nurse is most
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
accurate?
ll
a. "Evaluative measures are multiple-page documents used to evaluate nurse
ll ll ll ll ll ll ll ll ll
performance."
ll
"Evaluative measures include assessment data used to determine whether patients have
ll ll ll ll ll ll ll ll ll ll
met their expecte
ll ll ll
b. outcomes and goals."
ll ll ll
"Evaluative measures are used by quality assurance nurses to determine the progress a
ll ll ll ll ll ll ll ll ll ll ll ll
nurse is making fr
ll ll ll ll
c. novice to expert nurse."
ll ll ll ll
d. "Evaluative measures are objective views for completion of nursing interventions." -
ll ll ll ll ll ll ll ll ll ll ll ll
Correct Answers b
ll ll ll ll ll ll
A new nurse notes that the health care unit keeps a listing of patient names in a closed
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
book behind the front desk of the nursing station so patients can be located easily. Which
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
action
ll
is most appropriate for the nurse to take?
ll
ll ll ll ll ll ll ll
a. Talk with the nurse manager about the listing being a violation of the Health Insurance
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
Portability an Accountability Act (HIPAA).
ll ll ll ll ll
b. Use the book as needed while keeping it away from individuals not involved in patient
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
care.
ll
c. Move the book to the upper ledge of the nursing station for easier access.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
d. Ask the nurse manager to move the book to a more secluded area. - Correct Answers b
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
A new nurse writes the following nursing diagnoses on a patient's care plan. Which nursing
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
diagnosis will cause the nurse manager to intervene?
ll ll ll ll ll ll ll ll
a. Wandering
ll ll
b. Hemorrhage
ll ll
c. Urinary retention
ll ll ll
,d. Impaired swallowing - Correct Answers b
ll ll ll ll ll ll ll ll ll ll
A nurse administers an antihypertensive medication to a patient at the scheduled time of
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
0900. The nursing assistive personnel (NAP) then reports to the nurse that the patient's
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
blood pressure was low when it was taken at 0830. The NAP states that was busy and had
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
not had a chance to tell the nurse yet. The patient begins to complain of feeling dizzy and
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
light-headed. The blood pressure is rechecked and it has dropped even lower. In which
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
phase of the nursing process did the
ll ll ll ll ll ll ll
nurse first make an error?
ll ll ll ll
a. Assessment
ll
b. Diagnosis
ll
c. Implementation
ll
d. Evaluation - Correct Answers a
ll ll ll ll ll ll ll ll ll
A nurse attends a seminar on teaching/learning. Which statement indicates the nurse has
ll ll ll ll ll ll ll ll ll ll ll ll ll
a good understanding of teaching/learning?
ll ll ll ll ll
a. "Teaching and learning can be separated."
ll ll ll ll ll ll
b. "Learning is an interactive process that promotes teaching."
ll ll ll ll ll ll ll ll
c. "Teaching is most effective when it responds to the learner's needs."
ll ll ll ll ll ll ll ll ll ll ll
d. "Learning consists of a conscious, deliberate set of actions designed to help the
ll ll ll ll ll ll ll ll ll ll ll ll ll
teacher." - Correct Answers c
ll ll ll ll ll ll ll ll ll
A nurse believes that the nurse-patient relationship is a partnership and that both are
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
equal participants. Which term should the nurse use to describe this belief?
ll ll ll ll ll ll ll ll ll ll ll ll
a. Critical thinking
ll ll
b. Authentic
ll
c. Mutuality
ll
d. Attend - Correct Answers c
ll ll ll ll ll ll ll ll ll
A nurse cares for the family's as well as the patient's needs using available resources.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
Which approach is the nurse using?
ll ll ll ll ll ll
a. Family as context
ll ll ll
b. Family as patient
ll ll ll
c. Family as system
ll ll ll
d. Family as caregivers - Correct Answers c
ll ll ll ll ll ll ll ll ll ll ll
A nurse develops a nursing diagnostic statement for a patient with a medical diagnosis of
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
pneumonia with chest x-ray results of lower lobe infiltrates. Which nursing diagnosis did
ll ll ll ll ll ll ll ll ll ll ll ll ll
the nurse write?
ll ll ll
a. Ineffective breathing pattern related to pneumonia
ll ll ll ll ll ll
b. Risk for infection related to chest x-ray procedure
ll ll ll ll ll ll ll ll
, c. Risk for deficient fluid volume related to dehydration
ll ll ll ll ll ll ll ll
d. Impaired gas exchange related to alveolar-capillary membrane changes - Correct
ll ll ll ll ll ll ll ll ll ll ll
Answers d
ll ll ll ll ll
A nurse encounters a family who experienced the death of their adult child last year. The
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
parents are talking about the upcoming anniversary of their child's death. The nurse
ll ll ll ll ll ll ll ll ll ll ll ll ll
spends time with them discussing their child's life and death. Which nursing principle does
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
the nurse's
ll ll
action best demonstrate? ll ll
a. Facilitation of normal mourning
ll ll ll ll ll
b. Pain-management technique
ll ll
c. Grief evaluation
ll ll
d. Palliative care - Correct Answers a
ll ll ll ll ll ll ll ll ll ll
ll A nurse has compassion fatigue. What is the nurse experiencing?
ll ll ll ll ll ll ll ll ll
a. Lateral violence and intrapersonal conflict
ll ll ll ll ll
b. Burnout and secondary traumatic stress
ll ll ll ll ll
c. Short-term grief and single stressor
ll ll ll ll ll
d. Physical and mental exhaustion - Correct Answers b
ll ll ll ll ll ll ll ll ll ll ll ll
A nurse has instituted a turn schedule for a patient to prevent skin breakdown. Upon
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
evaluation, the nurse finds that the patient has a stage II pressure ulcer on the buttocks.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
Which action will the nurse take next?
ll ll ll ll ll ll ll
a. Reassess the patient and situation.
ll ll ll ll ll
b. Revise the turning schedule to increase the frequency.
ll ll ll ll ll ll ll ll
c. Delegate turning to the nursing assistive personnel.
ll ll ll ll ll ll ll
d. Apply medication to the area of skin that is broken down. - Correct Answers a
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
A nurse hears a co-worker state that anybody could be a nurse since it is so automated
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
with infusion devices and electronic monitoring; technology is doing the work. What is the
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
nurse's best response? ll ll
a. "Technology use has to be combined with nursing judgment."
ll ll ll ll ll ll ll ll ll
b. "The focus of effective nursing care is technology."
ll ll ll ll ll ll ll ll
c. "If it's so easy, why don't you do it?"
ll ll ll ll ll ll ll ll ll
d. "That is true in the 20th century." - Correct Answers a
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
A nurse hears the following comments from different patients. Which patient comment
ll ll ll ll ll ll ll ll ll ll ll ll
does the nurse identify as faith?
ll ll ll ll ll ll
a. I go to church every Sunday.
ll ll ll ll ll ll
b. I believe there is life after death.
ll ll ll ll ll ll ll
c. I have something to look forward to each day.
ll ll ll ll ll ll ll ll ll
d. I get a feeling of awe when looking at the sunset. - Correct Answers b
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller STUVATE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72349 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now