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Nur 134 Exam 1 Review Questions With Complete Solutions.

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Nur 134 Exam 1 Review Questions With Complete Solutions. Which activity performed by a nurse is related to maintaining competency in nursing practice? A) Asking another nurse about how to change the settings on a medication pump B) Regularly attending unit staff meetings C) Participat...

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  • September 16, 2024
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  • 2024/2025
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  • Nur-134
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Nur 134 Exam 1 Review Questions With
Complete Solutions.

Which activity performed by a nurse is related to maintaining competency in nursing
practice?

A) Asking another nurse about how to change the settings on a medication pump
B) Regularly attending unit staff meetings
C) Participating as a member of the professional nursing council
D) Attending a review course in preparation for a certification exam - correct answer.D)
Attending a review course in preparation for a certification exam

Which of the following are examples of a nurse participating in primary care activities?
(select all that apply)

A) Providing prenatal teaching on nutrition to a pregnant woman during the first
trimester
B) Assessing the nutritional status of older adults who come to the community center for
lunch
C) Working with patients in a cardiac rehab program
D) Providing home wound care to a patient
E) Teaching a class to parents at the local elementary school about the importance of
immunizations - correct answer.A) Providing prenatal teaching on nutrition to a
pregnant woman during the first trimester
B) Assessing the nutritional status of older adults who come to the community center for
lunch
E) Teaching a class to parents at the local elementary school about the importance of
immunizations

Which of the following statements is true regarding Magnet status recognition for a
hospital?

A) Nursing is run by Magnet manager who makes decisions for the nursing units
B) Nurses in Magnet hospitals make all of the decisions on the clinical units
C) Magnet is a term that is used to describe hospitals that are able to hire the nurses
they need
D) Magnet is a special designation for hospitals that achieve excellence in nursing
practice - correct answer.Magnet is a special designation for hospitals that achieve
excellence in nursing practice

,The nurse is working in a tertiary care setting. Which activity does the nurse perform
while providing tertiary care?

A) Conducting blood pressure screenings at a local food bank
B) Administering influenza vaccines for older adults at the local senior center
C) Inserting an indwelling catheter for a patient on a medical-surgical unit
D) Performing endotracheal suctioning for a patient of a ventilator in the medical ICU -
correct answer.D) Performing endotracheal suctions for a patient of a ventilator in the
medical ICU

A nurse is providing restorative care to a patient following an extended hospitalization
for an acute illness. Which of the following is the most appropriate outcome for this
patient's restorative care?

A) Patient will be able to walk 200 ft without shortness of breath
B) Wound will heal without signs of infection
C) Patient will express concerns related to return home
D) Patient will identify strategies to improve sleep habits - correct answer.A) Patient will
be able to walk 200 ft without shortness of breath

Which of the following describe characteristics of an integrated health care system?
(select all that apply)

A) The focus is holistic
B) Participating hospitals follow the same model of health care delivery
C) The system coordinates a continuum of services
D) The focus of health care providers is finding a cure for patients
E) Members of the health care team link electronically to use the EHR to share the
patient's health care record - correct answer.A) The focus is holistic
C) The system coordinates a continuum of services
E) Members of the health care team link electronically to use the EHR to share the
patient's health care record

The school nurse has been following a 9-year-old student who has shown behavioral
problems in class. The student acts out and does not follow teacher instructions. The
nurse plans to meet with the student's family to learn more about social determinants of
health that might be affecting the student. Which of the following potential social
determinants should the nurse assess? (Select all the apply)

A) The student's seating placement in the classroom
B) The level of support parents offer when the student completes homework
C) The level of violence in the family's neighborhood
D) The age at which the child first began having behavioral problems
E) The cultural values about education held by the family - correct answer.B) The level
of support parents offer when the student completes homework
C) The level of violence in the family's neighborhood

,E) The cultural values about education held by the family

A nurse is assigned to care for an 82-year-old patient who will be transferred from the
hospital to a rehab center. The patient and her husband have selected the rehab center
closest to their home. The nurse learns that the patient will be discharged in 3 days and
decides to make the referral on the day of discharge. The nurse reviews the
recommendations for physical therapy and applies the information to the fall prevention
strategies in the hospital. What discharge planning action by the nurse has not been
addressed correctly?

A) Patient and family involvement in referral
B) Timing of referral
C) Incorporation of referral discipline recommendation into plan of care
D) Determination of discharge date - correct answer.B) Timing of referral

Which of the following are common barriers to effective discharge planning? (Select all
that apply)

A) Ineffective communication among providers
B) Lack of role clarity among health care team members
C) Number of hospital beds to manage patient volume
D) Patients' long-term disabilities
E) The patient's cultural background - correct answer.A) Ineffective communication
among providers
B) Lack of role clarity among health care team members

A nurse newly hired at a community hospital learns about intentional hourly rounding
during orientation. Which of the following are known evidence-based outcomes from
intentional rounding? (Select all that apply.)

A) Reduction in nurse staffing requirements
B) Improved patient satisfaction
C) Reduction in patient falls
D) Increased costs
E) Reduction in patient use of nurse call system - correct answer.B) Improved patient
satisfaction
C) Reduction in patient falls
E) Reduction in patient use of nurse call system

What are the 3 levels of prevention describing the focus of health care-related
activates? - correct answer.1) Health promotion and disease prevention
2) Curing disease
3) Reducing complication

What is the focus of Intensive Care Units (ICU)? - correct answer.Patients receive
close monitoring and intensive medical care

, What is the focus of Mental health facilities? - correct answer.Patients with emotional
and behavioral problems receive special treatment and care

Describe the Care transitions program model of discharge planning that focus on the
patient and their family caregiver? - correct answer.Emphasizes the role of transition
coach in managing/facilitating discharge of the patient to home or a rehab center. Based
on four pillars that have different interventions depending on the stage of the
hospitalization

Describe the Transitional care model of discharge planning that focus on the patient and
their family caregiver? - correct answer.Emphasizes comprehensive discharge planning
for chronically ill, high-risk, older patients, which contains six key components

Describe the High-intensity care model (GRACE) of discharge planning that focus on
the patient and their family caregiver? - correct answer.Headed by both a nurse
practitioner and a social worker; the focus is to help patients manage their health
conditions, coordinate their health care, and achieve optimal health

Four factors that have been identified to improve patient satisfaction? - correct
answer.1) Relational communication techniques
2) Hourly rounding
3) Nursing staffing patterns
4) Bedside shift report

Identify the 2 main reasons for a nursing shortage? - correct answer.1) Baby boomers
aging and the need for health care growing
2) Nursing schools struggle to expand their capacity to meet the rising demands

Identify the 8 principles of patient-centered care? - correct answer.1) Respect for a
patient's values, preferences, and expressed needs
2) Coordination and integration of care
3) Information and education
4) Physical comfort
5) Emotional support and alleviation of fear and anxiety
6) Involvement of family and friends
7) Continuity and transition
8) Access to care

Health promotion programs are designed to help patients?

A) Reduce the incidence of disease
B) Maintain maximal function
C) Reduce the need to use more expensive health care services
D) All of the above - correct answer.D) All of the above

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