This document contains a multiple choice test for RN students on women's health topics. The questions cover intimate partner violence, premenstrual syndrome, breast health, menstrual disorders, sexually transmitted infections, and fertility issues. The correct answers are not provided, but the questions assess nurses' knowledge on screening, diagnosing, treating, and educating patients about these common women's health concerns.
1. Intimate partner violence is a significant problem, with about 1 in 4 women in the US experiencing such violence at some point.
2. Screening patients for intimate partner violence is important, as recommended by the American Nurses Association, so that nurses can identify signs of abuse and direct women to helpful resources.
3. Cultural perceptions of abuse may differ, but violence is illegal and harmful; nurses should emphasize available support resources when discussing intimate partner violence with culturally diverse clients.
TEST BANK For Family Practice Guidelines, 5th Edition by Jill C. Cash; Cheryl...rightmanforbloodline
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TEST BANK For Family Practice Guidelines, 5th Edition by Jill C. Cash; Cheryl A. Glass, Verified Chapters 1 - 23, Complete Newest Version.
TEST BANK For Family Practice Guidelines, 5th Edition by Jill C. Cash; Cheryl A. Glass, Verified Chapters 1 - 23, Complete Newest Version.
TEST BANK For Family Practice Guidelines, 5th Edition by Jill C. Cash; Cheryl A. Glass, Verified Chapters 1 - 23, Complete Newest Version.
TEST BANK For Family Practice Guidelines, 5th Edition by Jill C. Cash; Cheryl...robinsonayot
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TEST BANK For Family Practice Guidelines, 5th Edition by Jill C. Cash; Cheryl A. Glass, Verified Chapters 1 - 23, Complete Newest Version.pdf
TEST BANK For Family Practice Guidelines, 5th Edition by Jill C. Cash; Cheryl A. Glass, Verified Chapters 1 - 23, Complete Newest Version.pdf
This document contains 35 multiple choice questions related to nursing care for clients with various cancers and psychiatric conditions. The questions cover topics like cancer treatments, side effects of chemotherapy drugs, risk factors for different cancers, nursing assessments and interventions.
1. The document provides 24 multiple choice questions about caring for clients with various mental health and psychiatric conditions. The questions cover topics like substance abuse, eating disorders, suicide risk, domestic violence, and child abuse. Correct answers are identified which focus on safety, treatment priorities, addressing unrealistic perceptions, and monitoring for signs of issues like malnutrition or self-harm.
2. Common themes throughout include ensuring client safety, establishing treatment goals to address the underlying condition, providing support and education, and monitoring for signs of medical or psychological issues resulting from the client's condition.
3. The questions assess a nurse's knowledge of priorities, appropriate interventions, and best practices for caring for clients with complex mental health and psychiatric needs.
Test Bank for Ebersole and Hess Gerontological Nursing and Healthy Aging 5th ...nursing premium
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A Test bank is a ready-made electronic Q&A testing resource that is tailored to the contents of an individual textbook. Feedback is often provided on answers given by students, containing page references to the book.
1. A 42-year-old woman presented with several symptoms including weight gain, abnormal menstruation, high lipid levels, and high blood pressure. She is being evaluated for a diagnosis of metabolic syndrome. Having low LDL levels is not a diagnostic criterion.
2. A male diabetic patient asked about lifestyle strategies for weight loss. The recommendation is 30 minutes of moderate physical activity 3-4 days per week.
3. During starvation, the body's carbohydrate stores in glycogen last approximately 72 hours.
The document contains multiple-choice nursing questions covering various topics. The questions assess nursing knowledge in areas like: labor and delivery care, psychiatric nursing, pediatric nursing, medication administration, surgical care, and more. Correct answers are identified for each question to test understanding of important nursing concepts.
1. Intimate partner violence is a significant problem, with about 1 in 4 women in the US experiencing such violence at some point.
2. Screening patients for intimate partner violence is important, as recommended by the American Nurses Association, so that nurses can identify signs of abuse and direct women to helpful resources.
3. Cultural perceptions of abuse may differ, but violence is illegal and harmful; nurses should emphasize available support resources when discussing intimate partner violence with culturally diverse clients.
TEST BANK For Family Practice Guidelines, 5th Edition by Jill C. Cash; Cheryl...rightmanforbloodline
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TEST BANK For Family Practice Guidelines, 5th Edition by Jill C. Cash; Cheryl A. Glass, Verified Chapters 1 - 23, Complete Newest Version.
TEST BANK For Family Practice Guidelines, 5th Edition by Jill C. Cash; Cheryl A. Glass, Verified Chapters 1 - 23, Complete Newest Version.
TEST BANK For Family Practice Guidelines, 5th Edition by Jill C. Cash; Cheryl A. Glass, Verified Chapters 1 - 23, Complete Newest Version.
TEST BANK For Family Practice Guidelines, 5th Edition by Jill C. Cash; Cheryl...robinsonayot
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TEST BANK For Family Practice Guidelines, 5th Edition by Jill C. Cash; Cheryl A. Glass, Verified Chapters 1 - 23, Complete Newest Version.pdf
TEST BANK For Family Practice Guidelines, 5th Edition by Jill C. Cash; Cheryl A. Glass, Verified Chapters 1 - 23, Complete Newest Version.pdf
This document contains 35 multiple choice questions related to nursing care for clients with various cancers and psychiatric conditions. The questions cover topics like cancer treatments, side effects of chemotherapy drugs, risk factors for different cancers, nursing assessments and interventions.
1. The document provides 24 multiple choice questions about caring for clients with various mental health and psychiatric conditions. The questions cover topics like substance abuse, eating disorders, suicide risk, domestic violence, and child abuse. Correct answers are identified which focus on safety, treatment priorities, addressing unrealistic perceptions, and monitoring for signs of issues like malnutrition or self-harm.
2. Common themes throughout include ensuring client safety, establishing treatment goals to address the underlying condition, providing support and education, and monitoring for signs of medical or psychological issues resulting from the client's condition.
3. The questions assess a nurse's knowledge of priorities, appropriate interventions, and best practices for caring for clients with complex mental health and psychiatric needs.
Test Bank for Ebersole and Hess Gerontological Nursing and Healthy Aging 5th ...nursing premium
Â
A Test bank is a ready-made electronic Q&A testing resource that is tailored to the contents of an individual textbook. Feedback is often provided on answers given by students, containing page references to the book.
1. A 42-year-old woman presented with several symptoms including weight gain, abnormal menstruation, high lipid levels, and high blood pressure. She is being evaluated for a diagnosis of metabolic syndrome. Having low LDL levels is not a diagnostic criterion.
2. A male diabetic patient asked about lifestyle strategies for weight loss. The recommendation is 30 minutes of moderate physical activity 3-4 days per week.
3. During starvation, the body's carbohydrate stores in glycogen last approximately 72 hours.
The document contains multiple-choice nursing questions covering various topics. The questions assess nursing knowledge in areas like: labor and delivery care, psychiatric nursing, pediatric nursing, medication administration, surgical care, and more. Correct answers are identified for each question to test understanding of important nursing concepts.
The document contains multiple choice nursing questions covering various topics such as medication administration, client education, assessment, and priority setting. Some key topics addressed include methadone intoxication, antipsychotic medication compliance, amniotomy monitoring, calcium supplementation during pregnancy, cultural considerations during a procedure, priority interventions for various conditions, and post-procedure instructions for an arteriogram. The questions assess understanding of best nursing practices.
This document contains 11 scenarios describing different patient presentations related to contraception and consent for procedures. The scenarios cover topics such as contraceptive options for breastfeeding women, initiating contraception in the postpartum period, contraindications for various contraceptive methods based on medical conditions, obtaining consent from minors, and forensic evidence collection following sexual assault.
The document contains questions about health, illness, disease, and nursing models related to health promotion and illness prevention. It addresses topics like the definitions of health and illness, stages of illness behavior, impact of illness on families, risk factors, levels of prevention, and models for understanding health behaviors. Key models discussed include Rosenstock's Health Belief Model and the Agent-Host-Environment Model. The questions assess understanding of core concepts addressed in nursing education around promoting health and preventing disease.
This document describes a study analyzing clinical log entries from medical students participating in a longitudinal integrated clerkship (LIC) in regional, rural, and remote areas of Australia. The analysis found that 14.8% of patient presentations involved repeat experiences with the same patients. Student narratives revealed that LIC fostered a sense of belonging within the healthcare community, supported their development of professional skills and abilities, and helped them recognize their own humanity in their role as doctors. The conclusion states that LIC has great potential to shape future physicians if preceptors, practices, hospitals, and patients welcome students into the community of practice.
The document discusses building partnerships between clinicians, patients, and families in family medicine. It emphasizes the importance of developing rapport, organizing interviews effectively, and converting resistance into cooperation. It provides guidance on using open-ended questions, active listening, emphasizing strengths, and assessing motivation for change.
Here are some suggestions I would give to the client considering herbal therapy:
- Herbal therapies are not regulated like prescription medications, so it's important to do research on safety and potential interactions with any medications you take. Not all herbal remedies are safe.
- Consult with your doctor before starting any herbal therapy to discuss whether it may interfere with your current health conditions or treatment plan. Some herbs can have drug interactions.
- Look for herbal products that are third-party tested to ensure quality and accurate labeling of ingredients. Consider consulting an herbalist or naturopath.
- Start with a low dose and monitor your body's response, as herbal effects can vary between individuals. Be aware of
TEST BANK For Wongâs Essentials of Pediatric Nursing, 11th Edition by Marilyn...kevinkariuki227
Â
TEST BANK For Wongâs Essentials of Pediatric Nursing, 11th Edition by Marilyn Hockenberry, Cheryl Rodgers, Verified Chapters 1 - 31, Complete Newest Version.pdf
TEST BANK For Wongâs Essentials of Pediatric Nursing, 11th Edition by Marilyn Hockenberry, Cheryl Rodgers, Verified Chapters 1 - 31, Complete Newest Version.pdf
maternal child health nursing MCQ 2.docxMarieBagunu
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May is experiencing an incomplete abortion, as she is 9 weeks pregnant but began having cramps and bleeding and was found to have a dilated cervix on examination. A history of genital herpes would alert a nurse that a pregnant client is at risk for a spontaneous abortion. For a client newly admitted with a possible ectopic pregnancy, the priority nursing action would be to monitor the client's temperature.
1. A nurse responds to the cardiac monitor alarm of a patient an.docxmonicafrancis71118
Â
1. A nurse responds to the cardiac monitor alarm of a patient and observes that the patient has atrial flutter. The patient is sitting up in the bed and is responsive. Which of the following actions should the nurse take first?
a. Institute carotid sinus massage
b. Assess the patient for dyspnea
c. Initiate CPR
d. Place the patient Trendelenburg position
2. The night after an exploratory laparotomy, a patient who has a nasogastric tube attached to low suction reports nausea. A nurse should take which of the following action first?
a. Administer antiemetic medication
b. Determine the patency of the patientâs NG tube
c. Instruct the patient to take deep breaths
d. Asses the patientâs pain level
3. A nurse from medical-surgical unit is asked to work on the orthopedic unit. The medical-surgical nurse has no orthopedic nursing experience. Which client should be assigned to the medical-surgical nurse?Â
a. a client with a cast for a fractured femur and who has numbness and discoloration of the toes
b. a client with balanced skeletal traction and who needs assistance with morning care
c. a client who had an above-the-knee amputation yesterday and has a temperature of 101.4F degrees
d. a client who had a total hip replacement 2 days ago and needs blood glucose
4. A nurse is caring for four clients and is preparing to do her initial rounds. Which client should the nurse assess first?
a. A patient with diabetes being discharged today
b. A patient with a trach with lots of secretions
c. A patient scheduled for PT this morning
d. A patient with a pressure ulcer that needs a dressing change
5. A nurse enters a room and finds a client lying on the floor. Which action should the nurse perform first?Â
a. Call for help
b. Determine if the patient is responsive
c. Assist the patient back to bed
d. Ask the patient what happened
6. The nurse plans care for a client in the post-anesthesia care unit. Which assessment should the nurse make first?Â
a. Respiratory status
b. Level of consciousness
c. Level of pain
d. Reflexes and movement of extremities
7. A nurse in the clinic is reviewing the diet of a 28-year old female who reports several months of intermittent abdominal pain, abdominal bloating, and flatulence. Which is a priority for the nurse to counsel the client to avoid in her diet?Â
a. Fiber
b. Yogurt
c. Broccoli
d. Simple carbs
8. A nurse in a long term facility is planning care for an elderly client with confusion. Which action should the nurse take first?Â
a. Sit the patient in the activity chair
b. Apply a vest restraint
c. Apply wrist restraints in the bed
d. Have a staff member sit with the patient for the entire shift
9. The nurse is providing care in the emergency department to the client with chest pain. Which action is most important for the nurse to do first?Â
a. Start an IV
b. Administer oxygen
c. Administer morphine
d. Start a lidocaine IV drip
10. A nurse arrives on the scene of a multi-motor vehicle accident. The nurse determines that.
12SOAP Note Patient with UTIUnited StateEttaBenton28
Â
1
2
SOAP Note Patient with UTI
United State University
FNP xxx: Common Illness Across the Lifespan -Clinical Practicum
Dr. xxxx
SOAP Note Patient with UTI
ID: L.U. a female patient presented to the clinic accompany by self, patient is a reliable historian.
Clientâs Initials: L.U
Age :65 years.
Race: African American
Gender: Female
Date of Birth: 08
Insurance: BlueCross BlueShield .
Marital Status: Married
Subjective: â I have been having pain and burning during urination for two weeks now and the pain goes to my lower abdomen, and I have been unable to hold urine, I now urinate on myself because I can no longer hold it until I get to the bathroomâ.
CC: Pain and burning during urination.
HPI:
Patient stated symptoms began within the past two weeks and have worsened over the past seven days. The patient complains of severe pain and burning sensation during urination that radiates to lower abdomen, with urgency. The urine is cloudy and has a foul smell odor. After attempting to pass urine, the pain subsides for a little while, yet it reoccurs. Patient states that she has been sexually active only with the same partner for the past 15 years. On assessment patient reports pain of 8 /10 on pain scale. Patient denies having blood in urine, fever, headache, shortness of breath or chest pain at the moment.
ROS
Constitutional: Patient states she is in good state of health she denies headache , chest pain weakness fever chills, weight loss or gain.
Eyes: Denies double vision, change in vision factors, or blurry vision.
Ears/Nose/Mouth/Throat: denies sore throat, hearing issues, or nose congestion.
Cardiovascular: denies any kind of orthopnea, rapid heart rate, palpitations, or chest pain.
Pulmonary: Denies
Gastrointestinal: c/o moderate to severe pain in the abdominal area.
Genitourinary: acknowledged presence of increase in urgency and frequency of urination. Major pain while urinating for the past ten days.
Musculoskeletal: Denies any kind of pain
Integumentary & breast: Denies issues
Neurological: Denies issues
Psychiatric: Denies any kind of depression or mood swing
Endocrine: Denies having any problem
Hematologic/Lymphatic: Denies
Allergic/Immunologic: No Known allergy
Past Medical History:
¡ Medical problem list: patient denies having any major illnesses and only reports headaches and sometimes common seasonal allergy or cold.
¡ Denies history of chronic medical problems with father or mother.
¡ Preventative care: None indicated
¡ Surgeries: Denies
¡ Hospitalizations: Denies
¡ LMP: Patient states she do have a 28 days menstrual cycle and the last cycle was 2 weeks ago. She has had three pregnancies and three cesarean section.
Allergies: No known food or drug allergy
¡ Medications: Patient takes only Centrum vitamins and sometimes Tylenol for headache. Family History: Patientâs mother has hypertension that she manages by taking daily medication and exercising. The patientâs father has hypertension too a ...
1
2
SOAP Note Patient with UTI
United State University
FNP xxx: Common Illness Across the Lifespan -Clinical Practicum
Dr. xxxx
SOAP Note Patient with UTI
ID: L.U. a female patient presented to the clinic accompany by self, patient is a reliable historian.
Clientâs Initials: L.U
Age :65 years.
Race: African American
Gender: Female
Date of Birth: 08
Insurance: BlueCross BlueShield .
Marital Status: Married
Subjective: â I have been having pain and burning during urination for two weeks now and the pain goes to my lower abdomen, and I have been unable to hold urine, I now urinate on myself because I can no longer hold it until I get to the bathroomâ.
CC: Pain and burning during urination.
HPI:
Patient stated symptoms began within the past two weeks and have worsened over the past seven days. The patient complains of severe pain and burning sensation during urination that radiates to lower abdomen, with urgency. The urine is cloudy and has a foul smell odor. After attempting to pass urine, the pain subsides for a little while, yet it reoccurs. Patient states that she has been sexually active only with the same partner for the past 15 years. On assessment patient reports pain of 8 /10 on pain scale. Patient denies having blood in urine, fever, headache, shortness of breath or chest pain at the moment.
ROS
Constitutional: Patient states she is in good state of health she denies headache , chest pain weakness fever chills, weight loss or gain.
Eyes: Denies double vision, change in vision factors, or blurry vision.
Ears/Nose/Mouth/Throat: denies sore throat, hearing issues, or nose congestion.
Cardiovascular: denies any kind of orthopnea, rapid heart rate, palpitations, or chest pain.
Pulmonary: Denies
Gastrointestinal: c/o moderate to severe pain in the abdominal area.
Genitourinary: acknowledged presence of increase in urgency and frequency of urination. Major pain while urinating for the past ten days.
Musculoskeletal: Denies any kind of pain
Integumentary & breast: Denies issues
Neurological: Denies issues
Psychiatric: Denies any kind of depression or mood swing
Endocrine: Denies having any problem
Hematologic/Lymphatic: Denies
Allergic/Immunologic: No Known allergy
Past Medical History:
¡ Medical problem list: patient denies having any major illnesses and only reports headaches and sometimes common seasonal allergy or cold.
¡ Denies history of chronic medical problems with father or mother.
¡ Preventative care: None indicated
¡ Surgeries: Denies
¡ Hospitalizations: Denies
¡ LMP: Patient states she do have a 28 days menstrual cycle and the last cycle was 2 weeks ago. She has had three pregnancies and three cesarean section.
Allergies: No known food or drug allergy
¡ Medications: Patient takes only Centrum vitamins and sometimes Tylenol for headache. Family History: Patientâs mother has hypertension that she manages by taking daily medication and exercising. The patientâs father has hypertension too a ...
1. This document contains 10 multiple choice nursing questions and answers related to caring for patients with immune disorders, rheumatoid arthritis, osteoarthritis, and herpes zoster.
2. The questions cover topics like identifying the stage of HIV infection based on symptoms and CD4 count, common symptoms of immunodeficiency, appropriate nursing diagnoses and interventions for patients with joint disorders, and the diagnostic test used to confirm herpes zoster.
3. The questions are meant to test nursing knowledge of assessing, diagnosing, and planning care for patients with various immune and musculoskeletal conditions.
Irritable Bowel Syndrome with Constipation: Patient POV CME Program TranscriptDevi Seal
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This transcript is for an accredited CME program on IBS-C presented by Brian Lacy, MD.
Patient POV: Incorporating Shared Decision Making in IBS-C Management
Palliative care motivational style ĂĄmsterdammanu campiĂąez
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This document discusses communication strategies in palliative care, including dealing with ambivalence, resistance, and breaking bad news. It presents case studies and evaluates how motivational interviewing techniques can help address common challenges in palliative care consultations, such as discussing prognosis, treatment goals, and end-of-life decisions with patients who may have conflicting values or perceptions. While motivational interviewing is generally well-suited to palliative care discussions, not all its techniques directly apply, as palliative care aims to help patients make values-consistent choices rather than guide them to particular decisions. Ambivalence is common in palliative care, and communication is important for ethical practice.
This document provides information about pleural effusion including its definition, causes, frequency, and outcomes. It begins with an introduction to the case study and defines pleural effusion as a collection of fluid in the pleural space caused by excessive filtration or defective absorption. Pleural effusions can be transudates or exudates depending on the underlying cause. Common causes discussed include infections, tuberculosis, and cancers. International frequencies are reported to be similar, with some developed countries seeing increasing rates possibly due to improved healthcare access. Complications and outcomes depend on specific causes, with viral infections often resolving spontaneously but empyema having higher mortality if not treated early.
test bank for Maternity and Women's Health Care 13th Edition Lowdermilk.pdfnursing premium
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A Test bank is a ready-made electronic Q&A testing resource that is tailored to the contents of an individual textbook. Feedback is often provided on answers given by students, containing page references to the book.
An unexpected pregnancy can elicit a range of emotions and requires making difficult decisions. Common signs of pregnancy include missed periods, breast changes, frequent urination, and nausea. Home or blood tests can confirm pregnancy. Options include continuing the pregnancy and placing the baby for adoption or foster care, or having an abortion, which is safest in the first 12 weeks. Making this decision involves considering one's support system, beliefs, finances, and ability to care for a child. Abortions are a common procedure but can also be emotionally difficult and women should seek support.
AETCOM module: Bioethics for Undergraduate Medical Studentslavanyasumanthraj
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The Attitude, Ethics & Communication module introduced by the National Medical Commission is being followed in Medical Colleges. Here's a simple understanding of aspects on Bioethics & solution to Phase 2 MBBS modules
TEST BANK For Advanced Practice Nursing in the Care of Older Adults, 2nd Edit...kevinkariuki227
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TEST BANK For Advanced Practice Nursing in the Care of Older Adults, 2nd Edition by Laurie Kennedy-Malone, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK For Advanced Practice Nursing in the Care of Older Adults, 2nd Edition by Laurie Kennedy-Malone, Verified Chapters 1 - 19, Complete Newest Version.pdf
1. Lists crimes and crime involvement on the Mendez brothers.2.I.docxambersalomon88660
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The document discusses an investigation into crimes allegedly committed by the Mendez brothers. It details evidence found at the crime scene and interviews conducted with the Mendez brothers. Photos related to the investigation are also included as part of the document.
1. Lists and analyzes strengths and weaknesses based on each of th.docxambersalomon88660
Â
1. Lists and analyzes strengths and weaknesses based on each of the listed content areas, and draws on evidence from the given Web site.
2. Discusses specific changes that can be made in the workplace are discussed, while giving clear and relevant examples for why changes are necessary. Evaluates how personal skill set can be used to effect change in workplace.
3. Provides a thoughtful reflection on areas for growth. Pinpoints at least one specific goal for leadership growth, and outlines a well-organized and realistic implementation plan to meet the goal.
4. Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.
5. There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.
6. Writer is clearly in command of standard, written, academic English.
7. All format elements are correct.
8. In-text citations and a reference page are complete. The documentation of cited sources is free of error.
.
1. List eight basic initiatives that companies can use to gain c.docxambersalomon88660
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1. List eight basic initiatives that companies can use to gain competitive advantage.Â
2. What factors make one computer more powerful than another?Â
3. What are the advantages of open source software over proprietary software?Â
4. _______ means data about data.
.
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Similar to Womens Health Test for RN studentMultiple ChoiceIdentify the c.docx
The document contains multiple choice nursing questions covering various topics such as medication administration, client education, assessment, and priority setting. Some key topics addressed include methadone intoxication, antipsychotic medication compliance, amniotomy monitoring, calcium supplementation during pregnancy, cultural considerations during a procedure, priority interventions for various conditions, and post-procedure instructions for an arteriogram. The questions assess understanding of best nursing practices.
This document contains 11 scenarios describing different patient presentations related to contraception and consent for procedures. The scenarios cover topics such as contraceptive options for breastfeeding women, initiating contraception in the postpartum period, contraindications for various contraceptive methods based on medical conditions, obtaining consent from minors, and forensic evidence collection following sexual assault.
The document contains questions about health, illness, disease, and nursing models related to health promotion and illness prevention. It addresses topics like the definitions of health and illness, stages of illness behavior, impact of illness on families, risk factors, levels of prevention, and models for understanding health behaviors. Key models discussed include Rosenstock's Health Belief Model and the Agent-Host-Environment Model. The questions assess understanding of core concepts addressed in nursing education around promoting health and preventing disease.
This document describes a study analyzing clinical log entries from medical students participating in a longitudinal integrated clerkship (LIC) in regional, rural, and remote areas of Australia. The analysis found that 14.8% of patient presentations involved repeat experiences with the same patients. Student narratives revealed that LIC fostered a sense of belonging within the healthcare community, supported their development of professional skills and abilities, and helped them recognize their own humanity in their role as doctors. The conclusion states that LIC has great potential to shape future physicians if preceptors, practices, hospitals, and patients welcome students into the community of practice.
The document discusses building partnerships between clinicians, patients, and families in family medicine. It emphasizes the importance of developing rapport, organizing interviews effectively, and converting resistance into cooperation. It provides guidance on using open-ended questions, active listening, emphasizing strengths, and assessing motivation for change.
Here are some suggestions I would give to the client considering herbal therapy:
- Herbal therapies are not regulated like prescription medications, so it's important to do research on safety and potential interactions with any medications you take. Not all herbal remedies are safe.
- Consult with your doctor before starting any herbal therapy to discuss whether it may interfere with your current health conditions or treatment plan. Some herbs can have drug interactions.
- Look for herbal products that are third-party tested to ensure quality and accurate labeling of ingredients. Consider consulting an herbalist or naturopath.
- Start with a low dose and monitor your body's response, as herbal effects can vary between individuals. Be aware of
TEST BANK For Wongâs Essentials of Pediatric Nursing, 11th Edition by Marilyn...kevinkariuki227
Â
TEST BANK For Wongâs Essentials of Pediatric Nursing, 11th Edition by Marilyn Hockenberry, Cheryl Rodgers, Verified Chapters 1 - 31, Complete Newest Version.pdf
TEST BANK For Wongâs Essentials of Pediatric Nursing, 11th Edition by Marilyn Hockenberry, Cheryl Rodgers, Verified Chapters 1 - 31, Complete Newest Version.pdf
maternal child health nursing MCQ 2.docxMarieBagunu
Â
May is experiencing an incomplete abortion, as she is 9 weeks pregnant but began having cramps and bleeding and was found to have a dilated cervix on examination. A history of genital herpes would alert a nurse that a pregnant client is at risk for a spontaneous abortion. For a client newly admitted with a possible ectopic pregnancy, the priority nursing action would be to monitor the client's temperature.
1. A nurse responds to the cardiac monitor alarm of a patient an.docxmonicafrancis71118
Â
1. A nurse responds to the cardiac monitor alarm of a patient and observes that the patient has atrial flutter. The patient is sitting up in the bed and is responsive. Which of the following actions should the nurse take first?
a. Institute carotid sinus massage
b. Assess the patient for dyspnea
c. Initiate CPR
d. Place the patient Trendelenburg position
2. The night after an exploratory laparotomy, a patient who has a nasogastric tube attached to low suction reports nausea. A nurse should take which of the following action first?
a. Administer antiemetic medication
b. Determine the patency of the patientâs NG tube
c. Instruct the patient to take deep breaths
d. Asses the patientâs pain level
3. A nurse from medical-surgical unit is asked to work on the orthopedic unit. The medical-surgical nurse has no orthopedic nursing experience. Which client should be assigned to the medical-surgical nurse?Â
a. a client with a cast for a fractured femur and who has numbness and discoloration of the toes
b. a client with balanced skeletal traction and who needs assistance with morning care
c. a client who had an above-the-knee amputation yesterday and has a temperature of 101.4F degrees
d. a client who had a total hip replacement 2 days ago and needs blood glucose
4. A nurse is caring for four clients and is preparing to do her initial rounds. Which client should the nurse assess first?
a. A patient with diabetes being discharged today
b. A patient with a trach with lots of secretions
c. A patient scheduled for PT this morning
d. A patient with a pressure ulcer that needs a dressing change
5. A nurse enters a room and finds a client lying on the floor. Which action should the nurse perform first?Â
a. Call for help
b. Determine if the patient is responsive
c. Assist the patient back to bed
d. Ask the patient what happened
6. The nurse plans care for a client in the post-anesthesia care unit. Which assessment should the nurse make first?Â
a. Respiratory status
b. Level of consciousness
c. Level of pain
d. Reflexes and movement of extremities
7. A nurse in the clinic is reviewing the diet of a 28-year old female who reports several months of intermittent abdominal pain, abdominal bloating, and flatulence. Which is a priority for the nurse to counsel the client to avoid in her diet?Â
a. Fiber
b. Yogurt
c. Broccoli
d. Simple carbs
8. A nurse in a long term facility is planning care for an elderly client with confusion. Which action should the nurse take first?Â
a. Sit the patient in the activity chair
b. Apply a vest restraint
c. Apply wrist restraints in the bed
d. Have a staff member sit with the patient for the entire shift
9. The nurse is providing care in the emergency department to the client with chest pain. Which action is most important for the nurse to do first?Â
a. Start an IV
b. Administer oxygen
c. Administer morphine
d. Start a lidocaine IV drip
10. A nurse arrives on the scene of a multi-motor vehicle accident. The nurse determines that.
12SOAP Note Patient with UTIUnited StateEttaBenton28
Â
1
2
SOAP Note Patient with UTI
United State University
FNP xxx: Common Illness Across the Lifespan -Clinical Practicum
Dr. xxxx
SOAP Note Patient with UTI
ID: L.U. a female patient presented to the clinic accompany by self, patient is a reliable historian.
Clientâs Initials: L.U
Age :65 years.
Race: African American
Gender: Female
Date of Birth: 08
Insurance: BlueCross BlueShield .
Marital Status: Married
Subjective: â I have been having pain and burning during urination for two weeks now and the pain goes to my lower abdomen, and I have been unable to hold urine, I now urinate on myself because I can no longer hold it until I get to the bathroomâ.
CC: Pain and burning during urination.
HPI:
Patient stated symptoms began within the past two weeks and have worsened over the past seven days. The patient complains of severe pain and burning sensation during urination that radiates to lower abdomen, with urgency. The urine is cloudy and has a foul smell odor. After attempting to pass urine, the pain subsides for a little while, yet it reoccurs. Patient states that she has been sexually active only with the same partner for the past 15 years. On assessment patient reports pain of 8 /10 on pain scale. Patient denies having blood in urine, fever, headache, shortness of breath or chest pain at the moment.
ROS
Constitutional: Patient states she is in good state of health she denies headache , chest pain weakness fever chills, weight loss or gain.
Eyes: Denies double vision, change in vision factors, or blurry vision.
Ears/Nose/Mouth/Throat: denies sore throat, hearing issues, or nose congestion.
Cardiovascular: denies any kind of orthopnea, rapid heart rate, palpitations, or chest pain.
Pulmonary: Denies
Gastrointestinal: c/o moderate to severe pain in the abdominal area.
Genitourinary: acknowledged presence of increase in urgency and frequency of urination. Major pain while urinating for the past ten days.
Musculoskeletal: Denies any kind of pain
Integumentary & breast: Denies issues
Neurological: Denies issues
Psychiatric: Denies any kind of depression or mood swing
Endocrine: Denies having any problem
Hematologic/Lymphatic: Denies
Allergic/Immunologic: No Known allergy
Past Medical History:
¡ Medical problem list: patient denies having any major illnesses and only reports headaches and sometimes common seasonal allergy or cold.
¡ Denies history of chronic medical problems with father or mother.
¡ Preventative care: None indicated
¡ Surgeries: Denies
¡ Hospitalizations: Denies
¡ LMP: Patient states she do have a 28 days menstrual cycle and the last cycle was 2 weeks ago. She has had three pregnancies and three cesarean section.
Allergies: No known food or drug allergy
¡ Medications: Patient takes only Centrum vitamins and sometimes Tylenol for headache. Family History: Patientâs mother has hypertension that she manages by taking daily medication and exercising. The patientâs father has hypertension too a ...
1
2
SOAP Note Patient with UTI
United State University
FNP xxx: Common Illness Across the Lifespan -Clinical Practicum
Dr. xxxx
SOAP Note Patient with UTI
ID: L.U. a female patient presented to the clinic accompany by self, patient is a reliable historian.
Clientâs Initials: L.U
Age :65 years.
Race: African American
Gender: Female
Date of Birth: 08
Insurance: BlueCross BlueShield .
Marital Status: Married
Subjective: â I have been having pain and burning during urination for two weeks now and the pain goes to my lower abdomen, and I have been unable to hold urine, I now urinate on myself because I can no longer hold it until I get to the bathroomâ.
CC: Pain and burning during urination.
HPI:
Patient stated symptoms began within the past two weeks and have worsened over the past seven days. The patient complains of severe pain and burning sensation during urination that radiates to lower abdomen, with urgency. The urine is cloudy and has a foul smell odor. After attempting to pass urine, the pain subsides for a little while, yet it reoccurs. Patient states that she has been sexually active only with the same partner for the past 15 years. On assessment patient reports pain of 8 /10 on pain scale. Patient denies having blood in urine, fever, headache, shortness of breath or chest pain at the moment.
ROS
Constitutional: Patient states she is in good state of health she denies headache , chest pain weakness fever chills, weight loss or gain.
Eyes: Denies double vision, change in vision factors, or blurry vision.
Ears/Nose/Mouth/Throat: denies sore throat, hearing issues, or nose congestion.
Cardiovascular: denies any kind of orthopnea, rapid heart rate, palpitations, or chest pain.
Pulmonary: Denies
Gastrointestinal: c/o moderate to severe pain in the abdominal area.
Genitourinary: acknowledged presence of increase in urgency and frequency of urination. Major pain while urinating for the past ten days.
Musculoskeletal: Denies any kind of pain
Integumentary & breast: Denies issues
Neurological: Denies issues
Psychiatric: Denies any kind of depression or mood swing
Endocrine: Denies having any problem
Hematologic/Lymphatic: Denies
Allergic/Immunologic: No Known allergy
Past Medical History:
¡ Medical problem list: patient denies having any major illnesses and only reports headaches and sometimes common seasonal allergy or cold.
¡ Denies history of chronic medical problems with father or mother.
¡ Preventative care: None indicated
¡ Surgeries: Denies
¡ Hospitalizations: Denies
¡ LMP: Patient states she do have a 28 days menstrual cycle and the last cycle was 2 weeks ago. She has had three pregnancies and three cesarean section.
Allergies: No known food or drug allergy
¡ Medications: Patient takes only Centrum vitamins and sometimes Tylenol for headache. Family History: Patientâs mother has hypertension that she manages by taking daily medication and exercising. The patientâs father has hypertension too a ...
1. This document contains 10 multiple choice nursing questions and answers related to caring for patients with immune disorders, rheumatoid arthritis, osteoarthritis, and herpes zoster.
2. The questions cover topics like identifying the stage of HIV infection based on symptoms and CD4 count, common symptoms of immunodeficiency, appropriate nursing diagnoses and interventions for patients with joint disorders, and the diagnostic test used to confirm herpes zoster.
3. The questions are meant to test nursing knowledge of assessing, diagnosing, and planning care for patients with various immune and musculoskeletal conditions.
Irritable Bowel Syndrome with Constipation: Patient POV CME Program TranscriptDevi Seal
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This transcript is for an accredited CME program on IBS-C presented by Brian Lacy, MD.
Patient POV: Incorporating Shared Decision Making in IBS-C Management
Palliative care motivational style ĂĄmsterdammanu campiĂąez
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This document discusses communication strategies in palliative care, including dealing with ambivalence, resistance, and breaking bad news. It presents case studies and evaluates how motivational interviewing techniques can help address common challenges in palliative care consultations, such as discussing prognosis, treatment goals, and end-of-life decisions with patients who may have conflicting values or perceptions. While motivational interviewing is generally well-suited to palliative care discussions, not all its techniques directly apply, as palliative care aims to help patients make values-consistent choices rather than guide them to particular decisions. Ambivalence is common in palliative care, and communication is important for ethical practice.
This document provides information about pleural effusion including its definition, causes, frequency, and outcomes. It begins with an introduction to the case study and defines pleural effusion as a collection of fluid in the pleural space caused by excessive filtration or defective absorption. Pleural effusions can be transudates or exudates depending on the underlying cause. Common causes discussed include infections, tuberculosis, and cancers. International frequencies are reported to be similar, with some developed countries seeing increasing rates possibly due to improved healthcare access. Complications and outcomes depend on specific causes, with viral infections often resolving spontaneously but empyema having higher mortality if not treated early.
test bank for Maternity and Women's Health Care 13th Edition Lowdermilk.pdfnursing premium
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A Test bank is a ready-made electronic Q&A testing resource that is tailored to the contents of an individual textbook. Feedback is often provided on answers given by students, containing page references to the book.
An unexpected pregnancy can elicit a range of emotions and requires making difficult decisions. Common signs of pregnancy include missed periods, breast changes, frequent urination, and nausea. Home or blood tests can confirm pregnancy. Options include continuing the pregnancy and placing the baby for adoption or foster care, or having an abortion, which is safest in the first 12 weeks. Making this decision involves considering one's support system, beliefs, finances, and ability to care for a child. Abortions are a common procedure but can also be emotionally difficult and women should seek support.
AETCOM module: Bioethics for Undergraduate Medical Studentslavanyasumanthraj
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The Attitude, Ethics & Communication module introduced by the National Medical Commission is being followed in Medical Colleges. Here's a simple understanding of aspects on Bioethics & solution to Phase 2 MBBS modules
TEST BANK For Advanced Practice Nursing in the Care of Older Adults, 2nd Edit...kevinkariuki227
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TEST BANK For Advanced Practice Nursing in the Care of Older Adults, 2nd Edition by Laurie Kennedy-Malone, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK For Advanced Practice Nursing in the Care of Older Adults, 2nd Edition by Laurie Kennedy-Malone, Verified Chapters 1 - 19, Complete Newest Version.pdf
Similar to Womens Health Test for RN studentMultiple ChoiceIdentify the c.docx (19)
1. Lists crimes and crime involvement on the Mendez brothers.2.I.docxambersalomon88660
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The document discusses an investigation into crimes allegedly committed by the Mendez brothers. It details evidence found at the crime scene and interviews conducted with the Mendez brothers. Photos related to the investigation are also included as part of the document.
1. Lists and analyzes strengths and weaknesses based on each of th.docxambersalomon88660
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1. Lists and analyzes strengths and weaknesses based on each of the listed content areas, and draws on evidence from the given Web site.
2. Discusses specific changes that can be made in the workplace are discussed, while giving clear and relevant examples for why changes are necessary. Evaluates how personal skill set can be used to effect change in workplace.
3. Provides a thoughtful reflection on areas for growth. Pinpoints at least one specific goal for leadership growth, and outlines a well-organized and realistic implementation plan to meet the goal.
4. Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.
5. There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.
6. Writer is clearly in command of standard, written, academic English.
7. All format elements are correct.
8. In-text citations and a reference page are complete. The documentation of cited sources is free of error.
.
1. List eight basic initiatives that companies can use to gain c.docxambersalomon88660
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1. List eight basic initiatives that companies can use to gain competitive advantage.Â
2. What factors make one computer more powerful than another?Â
3. What are the advantages of open source software over proprietary software?Â
4. _______ means data about data.
.
1. Koffman Corporation is trying to raise capital. What method wou.docxambersalomon88660
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1. Koffman Corporation is trying to raise capital. What method would be the least risky to raise capital if it has a less-than-favorable credit rating?
¡ Bond issuance, since additional debt can provide the company with more leverage.
¡ Bond issuance, since nobody wants to buy shares of a company with a less-than-perfect credit rating.
¡ Stock issuance, since stocks are more valuable as finance instruments.
¡ Stock issuance, since a credit rating wonât negatively affect Koffmanâs ability to sell stock.
2. Bookmark question for later
Hal and Miranda have a general partnership business for landscaping projects. Hal makes a contract with a customer for a project one day while Miranda is absent and leaves on vacation the next day. Miranda does not feel she has the time to perform the contract for the customer. Which of the following is true?
¡ Indeterminable without more information.
¡ Miranda is obligated to perform the contract.
¡ Miranda may relinquish her obligation to perform the contract since Hal signed it without her knowledge.
¡ Only Hal is obligated to perform the contract.
3. Bookmark question for later
Kara wants to build a business. She has plenty of capital and potential investors and partners. She wants to avoid the burden of sole liability for her business and wants to be able to close the business when she is no longer interested in it. Which of the following would lead Kara to choose a sole proprietorship organization for her business?
¡ Avoidance of sole liability
¡ Ability to close the business easily
¡ Plenty of capital
¡ Many potential investors/partners
4. Bookmark question for later
Lily wants to build a business. She has very little capital. She does, however, have a partner with which she could run a business. Lily wants to be able to avoid being held personally liable for any problems the business has. Which of the following would lead Lily to choose a sole proprietorship organization for her business?
¡ None of the above
¡ Avoidance of personal liability
¡ Little capital
¡ Possession of a partner
5. Bookmark question for later
Abigail is a manager at her company. The company just launched an initiative to improve its corporate citizenship practices. Abilgail is responsible for all but which of the following areas?
¡ Vigilance of the board of directors
¡ Disclosure and transparency
¡ Integrity and ethical behavior
¡ Safeguarding shareholders' interests
6. Bookmark question for later
Match each event with the order in which it occurs in the formation of a corporation.
First
Fourth
Third
Second
Drag and drop the choices from below.
Incorporators select a name for the corporation
Novations are executed
Business selects a state of incorporation
Articles of incorporation are filed
Reset Answers
7. Bookmark question for later
Mario and Johnny want to start a business. They have very little capital. They are new partners and largely unfamiliar with each otherâs management practices. They are happy, however, to .
1. List all the entities that interact with the TIMS system. Start b.docxambersalomon88660
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1. List all the entities that interact with the TIMS system. Start by reviewing the data library,
previous e-mail messages, DFDs, and other documentation.
2. Draw an ERD that shows cardinality relationships among the entities. Send the diagram
to Jesse.
3. For each entity, Jesse wants to see table designs in 3NF. Use standard notation format to
show the primary key and the other fields in each table.
4. Jesse wants to use sample data to populate fields for at least three records in each table.
Better get started on this right away.
.
1. Know the terminology flash cards.2. Know the hist.docxambersalomon88660
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This document discusses the socio-political, ethical, and legal challenges of implementing a One Health approach to emerging infectious diseases. A One Health approach calls for cross-sector collaboration between human, animal, and environmental health to effectively control and prevent diseases at the human-animal interface. However, emerging infectious disease events involve complex social and economic factors beyond just pathogens. Effective policies require understanding these dynamics and being aligned with public values. Key challenges include developing social science research on disease impacts and responses, creating analytical frameworks to promote collaboration and knowledge sharing, engaging the public, integrating ethics into decision-making, and focusing on meaningful reform rather than rhetoric. Overcoming these challenges will be necessary for One Health to achieve its goals of emerging infectious disease control
1. Journal Entry The attached (BUROS Center for Testing).docxambersalomon88660
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1. Journal Entry:
The attached (BUROS Center for Testing) website link presents and explained the
seven assessment competencies needed by teachers in detail:
http://buros.org/standards-teacher-competence-educational-assessment-
students (Links to an external site.)Links to an external site. .
Read the information provided on this site and in your Journal self-reflect on the
following question: What is my current level of understanding and skill in these
competencies? In your self-reflection be sure to address EACH of the seven
competencies.
NOTE: It is a self-reflection, so you can NOT use any sources other than the
attached website.
DUE: in 24 hours
How nondirective therapy directs: The power of empathy in the context
of unconditional positive regard
Marvin Frankela*, Howard Rachlinb and Marika Yip-Bannicqc
aSarah Lawrence College, New York, USA; bStony Brook University, New York, USA; cNew
York University, New York, USA
(Received 26 November 2011; final version received 16 May 2012)
This paper explains how acceptance and empathy are vehicles for psychothe-
rapeutic change by showing how these factors function in nondirective client-
centered therapy. The paper argues that because the nondirective client-centered
therapistâs unconditional positive regard may conflict with the clientâs conditional
self-regard, the therapy cultivates a novel restructuring of the clientâs narrative.
By revealing how positive therapeutic change can result from the interplay of
unconditional positive regard and empathy, the article explains the effectiveness
of classical client-centered therapy in particular and accounts at least in part for
the effectiveness of other therapies that stress the healing properties of the
psychotherapeutic relationship.
Keywords: empathy; unconditional positive regard; Gestalt figure/ground
relationships
Wie nicht-direktive Therapie dirigiert
Dieser Artikel erklaĚrt, wie Akzeptanz und Empathie das Agens therapeutischer
VeraĚnderung sind, indem er zeigt, wie diese Faktoren in der nicht-direktiven
klient-zentrierten Therapie funktionieren. Gerade weil das bedingungslose
positive Beachten des nicht-direktiven klientzentrierten Therapeuten im Konflikt
liegen kann mit der Sicht des Klienten auf sich selbst, die voller Bedingungen
steckt, gerade deshalb kultiviert die Therapie eine neuartige Restrukturierung des
Klienten-Narrativs. Positive therapeutische VeraĚnderung resultiert aus dem
Zusammenspiel zwischen bedingungsloser positiver Beachtung und Empathie.
Die EffektivitaĚt der klassischen Klientzentrierten Therapie ist zumindest teilweise
die Ursache, wenn es um die Wirksamkeit anderer Therapien geht, die die
heilende Dimension der psychotherapeutischen Beziehung betonen.
CoĚmo dirige la terapia no directiva
Este escrito explica coĚmo la aceptacioĚn y la empatÄąĚa son vehÄąĚculos de cambio
psicoterapeĚutico, mostrando coĚmo funcionan estos factores en la terapia no
directiva centrada en el cliente. El.
1. Introduction and thesisThrough extensive research I hope to f.docxambersalomon88660
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1. Introduction and thesis
Through extensive research I hope to find the answer a specific question. How does culture affect the household? In this paper I will research various parenting styles, and how culture affects the parenting style and personalities. Through my research I am hoping to attain and comprehend how culture affects not only the household, but also how we view society.
2. Main Body
Various parenting Styles.
      Parenting norms
      Parenting Priorities Â
How does culture affect parenting?
      Classifications of parenting styles
      Cultural Influences on Parenting Styles
How does culture affect our personalities?
      What makes us different
      How we view certain topics
3. Closing
4. References
.
1. Is it important the hospital to have a licensure to ensure that.docxambersalomon88660
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1. Is it important the hospital to have a licensure to ensure that the licensees the minimal degree of competency necessary to ensure that public health,. safety, and the welfare are protected. Typically, they are granted at the state level, if the individual works in multiple jurisdictions, then they must licensed in each jurisdiction. Which the government authorize for grants permission to an individual practitioner or health care organizations to operate or to engage in an occupation or profession. Lincensure regulations are generally established to ensure that an organization or individuals is usually granted after some form of examination or proof of education and may be renewed periodically through payment of a fee and or proof of continuing education or professional competence. Organizational licensure is granted following an on site inspection to determine if minimum health and safety standards have been met. Maintenance of licensure is an on going requirement for the health care organization to operate and care for patients. Requirements needed to deliver when comes to health care to maintaining the licensure. Maintain the quality as new technology, financial resources, improve quality such to reduce waiting time, and implementing process to reduce the rate post operative infections.Ensure public safety the hospital is responsible the patients will not be harmed, responsibility to comply with laws and regulations related to public safety, and reduce staff injury within the organizations. When a hospital don't have a licensure some of them when dont follow rules such malpractice insurers, when don't comply with Joint Commission could seem poor management.
2. The general public does not have adequate information to judge provider qualifications or competence; thus, professional licensure laws are enacted to assure the public that practitioners have met the qualifications and minimum competencies required for practice. Licensure by a governmental agency signifies that the individual has met the minimal degree of competency and proficiency needed to ensure the safety and well-being of the consumer, clients or population being served. Licensure is necessary when the regulated activities are complex and require specialized knowledge and skill and independent decision making. The licensure process determines if the applicant has the necessary skills to safely perform a specified scope of practice by predetermining the criteria needed and evaluating licensure applicants to determine if they meet the criteria. Typically, licensure requirements include some combination of education, training and examination to demonstrate competency. Licensure requirements also involve continuing education, training, and, for some, periodic re-examination. If a hospital did not have this licensure there would be chaos. Readmission rates would be high, there would be no set standards of practice, no protocols or rules to follow and there would be confusion wit.
1. INTRODUCTIONÂ In recent years, energy harvesting fro.docxambersalomon88660
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The document provides details about a study that evaluated the performance of a tristable magnetic coupled piezoelectric energy harvester for harvesting energy from human walking and running. It establishes a theoretical model for the tristable energy harvester with a time-varying potential energy function based on characteristics of human motion. Experimental results showed that the tristable energy harvester exhibited better performance than a linear energy harvester when applied to human walking and running, with a maximum average output power of 16.38ÎźW. The study provides insights into enhancing energy harvesting from human motions using nonlinear harvester designs.
1. INTRODUCTIONThe rapid of economic growth in China, is a fou.docxambersalomon88660
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1. INTRODUCTION
The rapid of economic growth in China, is a foundation of urban expansion, associated with the rise in migrants in urban areas. According to data from Statistics Bureau in China, the urban proportion of the total populations reached 45.7% in 2008 compared to 17.9% in 1978, and is expected to reach 50% by 2020. The presence of a large number of rural labor force in the city, tend to look for adequate and affordable housing, which generate a peculiar outcome in most Chinese cities, urban villages. Urban villages, or Chengzhongcun in Chinese, they mean that the villages in the middle of the city, interact as urban expansion surrounded them (Chung, 2009).
According to land management law in China, the ownership of urban land is state, and the ownership of rural land is collective-owned the village. Besides, land belonging to the rural collectives can only used to solely agricultural and not allowed to sell in the land market. The earliest urban village emerged in China is due to the 1978 Economic Reforms. In order to fulfill the investment and development, the government tends to expropriated farmland in rural villages for urban use because of the limit of capital and time-consuming. Therefore, the settlement villages are been survived while their surrounding environment dramatically development, graduate leading to the formation of urban villages (Hao, et al, 2011).
On the other hand, rural migrants have been flooding into cities because of the demand of cheap labour force in urban areas and the states started to relax restrictions on rural-urban migration after Reforms, which generate great pressure on demand of housing. Generally, China's rental market can be segmented into three kinds: government provided credit houses; commercial residential building in the three level market; and renting houses in âvillagesâ (Hang and Iseman, 2009). However, the social housing for low-income households provided by government are excluded them because of the âHukouâ system, which is the household registration system to different urban and rural population. During the city transformation in China, the government ignored the two weakest groups: villagers who do not have lands and workers from village. It is undeniable that urban villages provide a positive environment for slowing down the unemployment problems of the villagers and the housing problems of the latter (Hao, 2012).
Meanwhile, due to the weak government jurisdiction in urban villages, landlords find out this is a new way to substantially maximize income by providing low-rent accommodation to rural migrants. In the process of farmland requisition, the state does not provide the landlords any employment opportunities after they losing their basis of livelihood, which causes them to have no competitive power in the labour market in the city. The huge profits from house renting business enable them to gain considerable revenue and make a new livelihood. In addiction, some of urban vi.
1. Introduction to the Topica. What is outsourcingi. Ty.docxambersalomon88660
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1. Introduction to the Topic
a. What is outsourcing?
i. Types of outsourcing.
ii. Will companies ever stop outsourcing?
b. Economic impacts of outsourcing.
i. Myths about outsourcing and job impact.
ii. What are the risks of outsourcing?
2. Background/Literature Review on Topic
a. Why do companies outsource
The economic argument for outsourcing
.
1. Introduction 1. Technology and communication 1. Technology .docxambersalomon88660
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1. Introduction
1. Technology and communication
1. Technology is changing everything that people used to do in the past
1. Communication can be done to people who are at far distance and technology has changed the lifestyle of the people (Drago, 2015).
1. People are rarely using face to face communication as most of them prefer using social networking sites.
1. Face to face communication enable one to express emotions either through facial expression or tone of the voice.
1. Thesis statement: To discuss reasons as to why face to face communication is better as compared to virtual communication.
1. Body section
1. Benefits of face to face communication
1. When people communicate face to face, it creates a motivation as there is exchange of the words as people are together.
1. It also enables one to see sense on what the other person is thinking about (Carlson, 2017).
1. Face to face communication is crucial in strengthening the bond whether for partnership, friendship and relationship in the workplace.
1. Face to face communication enable an individual to express emotions through either tone of the voice or using facial expression.
1. Disadvantages of virtual communication
1. Technical problems because virtual communication depends on the internet, software and machine and sometimes they have malfunction.
1. Some of the Apps which are used in virtual communication need skills for them to be operated.
1. Virtual communication cannot effectively solve problems which can be addressed by face to face communication (Marlow, Lacerenza & Salas, 2017).
1. Conclusion
1. Face to face communication enables people to express their emotions and motivates people.
1. It also strengthens bond between relationship and partnership.
1. Virtual communication depend on the use of garget and sometimes they fail.
.
1. In your definition of a well-run company, how important a.docxambersalomon88660
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1. In your definition of a "well-run" company, how important are the following?
a.) Provides excellent customer service
Very important
b.) Has efficient and flexible operations
Very important
c.) Offers high financial return to shareholders
Somewhat important
d.) Attracts and retains exceptional people
Very important
e.) Creates products or services that benefit society
Very important
f.) Adheres to a strong mission
Very important
g.) Invests in employee training and professional development
Very important
h.) Operates according to its values and a strong code of ethics
Very important
i.) Is a stable employer
Very important
j.) Provides competitive compensation
Very important
k.) Adheres to progressive environmental policies
Very important
l.) Produces high-quality products and services
Very important
2. Would you add something to the above list that you think is âvery importantâ? If so, what?
cares about the relationship between employees and management
3. Which of the following issues pose the greatest challenges for todayâs CEOs and senior executives?
Breakdown in trust between employees and management, Economic downturn, Lack of public trust in business
4. To what extent do you agree or disagree with the following statements?
a.) Business people are more likely to care about the social responsibilities of companies when the economy is strong.
Strongly agree
b.) When a multi-national company is entering a new market in a less-developed country, it? has a responsibility to go above and
beyond business success and contribute to the development of the local community.
Somewhat agree
c.) When it comes to the environment, all a company has to do is to comply with the law.
Strongly agree
d.) Companies should maintain their employeesâ job security even if they incur a short-term drop in profit as a result.
Strongly agree
e.) Most companies accurately report their earnings and profits.
Somewhat agree
f.) Corporate reputation is important to me in making my decision about the organization where I want to work.
Strongly agree
g.) Managers place too much emphasis on short-term performance measures when making business decisions.
Strongly agree
h.) I anticipate that my own values will sometimes conflict with what I am asked to do in business.
Somewhat disagree
5. If you answered the prior statement â4hâ with âsomewhat agreeâ or âstrongly agree,â please specify which kinds of values
conflicts you expect to face:
Some possible issues to consider:
n/a
6. Assume you are engaged in each of the following business activities/practices. How likely do you think it is that values conflicts
would arise?
a.) Managing personnel in manufacturing facilities/ plants
Very likely
b.) Outsourcing production operations
Somewhat likely
c.) Investing in less-developed countries
Very likely
d.) Downsizing
Very likely
e.) Financial reporting
Somewhat likely
f.) Natural resource exploration
Somewhat likely
g..
1. In Chapter four titled Academy Training you learned about academi.docxambersalomon88660
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1. In Chapter four titled Academy Training you learned about academies and the different approaches they take in training police recruits.  In Washington D.C., the Metropolitan Police Department teaches its recruits about Behavioral Science.  Question:  How important is this lesson, especially in todays environment which pits community versus the police?  Be specific when answering the question and give examples. at least be 8 sentences.
2. based on the reading authored by critical race scholar Alana Lentin, please explain the problem with replacing race with multiculturalism in debates on human differences/minority groups. And how, do you think, does multiculturalism tie in with racism in the United States?For those of you who want to further improve their understanding of the term multiculturalism beyond this weekâs assigned reading, I suggest you skim through the Stanford Encyclopedia of Philosophy entry on multiculturalism. must be at least 8 sentences. ( articles will be provided)
3. Frank Serpico was a plain clothes NYPD officer who decided not to take part in the embedded corruption that was embedded in the NYPD.When bosses wouldn't listen, he and another cop, Sgt. David Durk, found their way to the New York Times.For Friday write 400 words on who Serpico is/was, mention the history of corruption and the impact. What is the current impact (if any).And, as this a class on the Media and Police, make reference to the significance the NY Times played (as well as the impact of the best selling book and blockbuster film). Police bosses know about such corruption for years (as did elected officials). How did the media - in this case the NY Times force a change in decades long practices?Cite information. Not your own opinion.
.
1. In 200 words, describe how Hamlet promotes andor subverts th.docxambersalomon88660
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1. In 200 words, describe how Hamlet promotes and/or subverts the power of satirical imitation to reflect and/or reform authority.
2. In 300 words, compare and contrast how three albums that we have discussed in class promote and/or subvert the power of recording artists to satirically reform both the music industry and popular culture. (The Who Sell Out by The Who, Milo Goes To College by the Descendants, The Beatles(âWhite Albumâ) by the Beatles, Little Dark Age by MGMT)
Part I: Health Care Finance
Overview
CHAPTER 2: FOUR THINGS THE HEALTH
CARE MANAGER NEEDS TO KNOW
ABOUT FINANCIAL MANAGEMENT
SYSTEMS
Four Segments that Make a Financial
Management System Work
⢠Original Records â Provide evidence that
some event has occurred.
⢠The Information System â Gathers this
evidence.
⢠The Accounting System â Records the
evidence.
⢠The Reporting System â Produces reports of
the effects.
Four Segments That Make a Financial
System Work
⢠The healthcare manager needs to know that
these separate elements exist and that they
work together for an end result.
Structure of the Information System
⢠Identify the inputs
⢠Identify the outputs
⢠Examine the Figure 2-1 diagram in the chapter
Function of Flow Sheets
⢠Flow sheets illustrate the flow of activities that
capture information.
Flow Sheets are Useful Because
⢠They picture who is responsible for what piece
of information as it enters the system
⢠Examine the two examples of patient
information flows in the chapter
Figure 2-2: Flowsheets
Figure 2-3: Flowsheets
The Chart of Accounts
⢠Outlines the elements of your company in an
organized manner.
⢠Maps out account titles with a method of
numeric coding.
⢠Is designed to compile financial data in an
uniform manner that can be decoded by the
user.
The Chart of Accounts
⢠Every organization has differences in its Chart
of Accounts that expresses the unique
differences in its own organizational structure.
⢠Examine the three examples of different Chart
of Accounts formats in Exhibits 2-1, 2-2 and 2-
3.
Exhibit 2â1 Chart of Accounts, Format I
Exhibit 2â2 Chart of Accounts, Format II
Exhibit 2â3 Chart of Accounts, Format III
Basic System Elements: Books and
Records
⢠Capture transactions
⢠Figures 2-4 and 2-5 illustrate this concept.
Books and Records: The Sequence IsâŚ
⢠Initial transaction to subsidiary journal to
general ledger;
⢠Review, adjust, balance through the trial
balance;
⢠Create reports (financial statements)
The Annual Management Cycle
⢠Affects the type and status of information the
manager uses
The Annual Management Cycle
⢠The type and status of information used by the
manager includes:
⢠Daily and Weekly Reports â Generally contain
raw data
⢠Quarterly Reports and Statistics â Generally
have been verified, adjusted and balanced. Called
âinterimâ reports; often used as milestones by
managers.
⢠Annual Year End Reports â Generally.
1. Image 1 courtesy of httpswww.virginiahospitalcenter.com.docxambersalomon88660
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1.
Image 1 courtesy of: https://www.virginiahospitalcenter.com/
2.
Image 2 courtesy of: Police magazine October 2013 Issue
3.
Image 3 courtesy of: Forbes magazine April 9, 2012 Issue
4.
Image 4 courtesy of: National Geographic magazine June/July 2015 Issue
In a 2 page APA formatted paper with an additional reference page (template here), analyze the strategic use of sensory visuals:
1. Analyze the use of color; address how it attracts the eye of the targeted audience. How might the targeted audience interpret the color and emotionally respond?
2. Analyze the use of lines; address how it directs the eyes of the viewers. Which types of lines are used? How might the targeted audience interpret the line usage and emotionally respond?
3. Analyze the use of contrast and balance; address how it attracts the eye of the targeted audience. How might the targeted audience emotionally respond to the visual balance and contrast? What if the contrast and balance elements were not there or were different? How would that change the viewer response?
Support the items above by including relevant quotes and paraphrases from academic/scholarly sources.
Be sure to clearly address how these four visual sensory elements attract the eyes of a specific target audience more readily than other audiences. For a thorough analysis, always consider the effect on viewers if these four visuals were used differently or not used at all.
.
1. If I were to create an SEL program, I would focus on self-awar.docxambersalomon88660
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1. If I were to create an SEL program, I would focus on: self-awareness, relationship skills and decision-making. I would focus on these skills and values because they are integral in developing emotional intelligence. Self-awareness could be instilled through different activities where a person takes different tests and conducts activities to learn more about their own emotions. By understanding and managing their emotions, they can be more aware to how they act. Additionally, relationship skills can be built through participating in different group activities in which they must work together to solve a problem. These group activities will also integrate decision-making, where participants will learn how to respectfully voice opinions and listen to those of others. At the end of the program, there will be a final group activity which integrates the three core skills, and one must display self-awareness, relationship skills and decision-making to complete the activity.
2. This program would be helpful in teaching factors of emotional intelligence, but it would not teach every important aspect. The first strength of this program would be that it teaches self-awareness before relationship skills, because knowing how to manage and process self-emotions is extremely important when working in a team. Additionally, a strength would be that it is an activity-based program, which will keep kids entertained and learning at the same time. The limitation of this program is that it cannot teach everything about social emotional learning such as social awareness or stress management, however it will be a good start in SEL.
1. The three skills that I would focus on if I were to create an SEL program would be Self-Management, Social Awareness, Responsible Decision Making. These skills are the most essential because self-management is pretty much controlled self-awareness, social awareness is critical to being successful with the other skills, and responsible decision making is critical to any sort of personal and relationship success. I plan on instilling these skills by integrating different forms of activities and exams to ensure that these skills are achieved for their intended purposes. For social awareness I would place people into groups who all have different activities and emotions going on and then quiz them in the end. Self-management can be instilled by keeping tallies of individual outbursts when one gets upset and even putting them in upsetting situations and seeing how the handle them. Additionally, responsible decision making can be more activity and an exam where different situations happen and individuals are rated on how they react to them.Â
2. The strengths of my program are that they are extremely interactive and also give numerical results. With the combination of interactive activities with other people, real life testing scenarios, and exams it is easy to see the results of individuals to see where they are both st.
1. Identify and discuss the factors that contribute to heritage cons.docxambersalomon88660
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1. Identify and discuss the factors that contribute to heritage consistency in your culture (African American) or religion: (ex. religion, beliefs and practices, values and norms)2. Describe traditional aspects of healthcare within your culture or religion3. Address the demographics of your culture or religion in the United States4. Describe barriers to obtaining healthcare that affect your culture or religion.5. Describe how your cultureâs or religionâs  beliefs and norms might impact communication with a healthcare provider
Paper should
be in your own words
, typed in 12 point font, double spaced, 1 inch margins, between two to three pages in length.
Do not
copy and paste from the internet as this is plagiarism and you will receive a zero for the assignment. You may use one or two quotes from sources as long as the source is given credit. Cite your sources for the paper.
I am an African American Female.
.
1. I think that the top three management positions in a health pla.docxambersalomon88660
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1. I think that the top three management positions in a health plan are Chief Executive Officer (CEO), Hospital Administrator and Chief of Nurses. The reason they rank over the rest is because their positions are compelling and crucial in the healthcare. Â The CEO position is the person who is responsible of management, organizing operations, planning, budgeting, negotiating contracts, studying financial reports. They are the ones in charge of the entire organization and it is imperative that they ensure that everything runs professionally and effectively. Then the Hospital Administrator position is the person responsible of making sure they are working promptly and effectively to generate and manage the budget, quality assurance policies and the hiring of physicians. Their job is also to be responsible in making sure they are up to date with all government regulations and law compliance and by not doing so it can cost them their job and cause fines to their organization. Last is the Chief of Nursing position is the person who is responsible of the overseeing of the nursing staff, they see the departmentâs budget, they must report to high level staff-members like the CEO, they maintain a high standard of care, review patientsâ data and medical records to professionally relate and interact with physicians, patients and family members. You can tell by reading the responsibilities of these positions you realize how essential they are to the health plan and how every responsibility is meticulous to each position. Â Even though I picked these 3 as the top management position I still feel that all positions hold an important part in the health plan.
2. Healthcare industry offers many different opportunities in its field, working in this industry you have many choices where to choose from like for instance become a secretary to being an analyst or end up being a doctor. There is room to explore different careers and work closely with a variety of professionals. In this growing market the top three careers that would be more in demand would be Nurses, Physicians and Physical Therapists. There is a vast list of opportunities in health care that if you work with effort you will. As we all know nurses are every where and at all times even if the doctor's are not present. They make home visits to check on patient's health and keeping track of their health. Going through nursing is not a piece of cake there is a lot to be learn physically, emotionally and mentally. Becoming a physician is becoming less popular since there are so many other choices out there people see that becoming a physician is a lot of hassle and instead become something else. This career choice will be need in the next few years. Physical Therapy is my third option, with all this baby boomer community the demand for doctor's specially therapist will increase for at least 20% in the next few years. This generation of elderly community is more aware of their health and will seek more tre.
Level 3 NCEA - NZ: A Nation In the Making 1872 - 1900 SML.pptHenry Hollis
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The History of NZ 1870-1900.
Making of a Nation.
From the NZ Wars to Liberals,
Richard Seddon, George Grey,
Social Laboratory, New Zealand,
Confiscations, Kotahitanga, Kingitanga, Parliament, Suffrage, Repudiation, Economic Change, Agriculture, Gold Mining, Timber, Flax, Sheep, Dairying,
Andreas Schleicher presents PISA 2022 Volume III - Creative Thinking - 18 Jun...EduSkills OECD
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Andreas Schleicher, Director of Education and Skills at the OECD presents at the launch of PISA 2022 Volume III - Creative Minds, Creative Schools on 18 June 2024.
This document provides an overview of wound healing, its functions, stages, mechanisms, factors affecting it, and complications.
A wound is a break in the integrity of the skin or tissues, which may be associated with disruption of the structure and function.
Healing is the bodyâs response to injury in an attempt to restore normal structure and functions.
Healing can occur in two ways: Regeneration and Repair
There are 4 phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. This document also describes the mechanism of wound healing. Factors that affect healing include infection, uncontrolled diabetes, poor nutrition, age, anemia, the presence of foreign bodies, etc.
Complications of wound healing like infection, hyperpigmentation of scar, contractures, and keloid formation.
The chapter Lifelines of National Economy in Class 10 Geography focuses on the various modes of transportation and communication that play a vital role in the economic development of a country. These lifelines are crucial for the movement of goods, services, and people, thereby connecting different regions and promoting economic activities.
Elevate Your Nonprofit's Online Presence_ A Guide to Effective SEO Strategies...TechSoup
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Whether you're new to SEO or looking to refine your existing strategies, this webinar will provide you with actionable insights and practical tips to elevate your nonprofit's online presence.
How to Setup Warehouse & Location in Odoo 17 InventoryCeline George
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In this slide, we'll explore how to set up warehouses and locations in Odoo 17 Inventory. This will help us manage our stock effectively, track inventory levels, and streamline warehouse operations.
How to Setup Warehouse & Location in Odoo 17 Inventory
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Womens Health Test for RN studentMultiple ChoiceIdentify the c.docx
1. Womens Health Test for RN student
Multiple ChoiceIdentify the choice that best completes the
statement or answers the question.
1.
The nurse is aware that the risk for a woman being involved in
intimate partner violence in this country is:
a.
1 in 2.
b.
1 in 4.
c.
1 in 6.
d.
1 in 8.
2.
When presenting a talk to high school students on intimate
partner violence, the nurse explains that:
a.
proportionately, more men become homicide victims than do
women.
b.
violence often begins early in a relationship and gets
progressively worse.
c.
intimate partner abuse is generally confined to the lower
socioeconomic strata.
d.
violence occurs randomly without any association with family
violence during childhood.
2. 3.
A nurse works with a diverse clientele. When discussing
intimate partner violence (IPV) with women from differing
cultural backgrounds, the nurse should emphasize that:
a.
rates of IPV are roughly the same among different
cultural/ethnic groups.
b.
women should take advantage of the resources available to
victims of IPV.
c.
although cultural perceptions of abuse may differ, harming
others is illegal.
d.
interventions in IPV situations should not take immigration
status into account.
4.
A clinic nurse is taking a history from a woman who has vague
complaints she canât describe well. The nurse is frustrated and
consults a more experienced nurse who advises checking the
chart for:
a.
chronic illnesses.
b.
psychiatric problems.
c.
missed appointments.
d.
drug or alcohol abuse.
5.
3. A woman seen in the emergency department has facial injuries
she states were the result of being hit during an attempted
purse-snatching. Which diagnostic finding would lead the nurse
to believe the patientâs account is accurate? The patient has:
a.
a mandibular fracture.
b.
loose and missing teeth.
c.
a zygomatic arch fracture.
d.
an orbital blow out fracture.
6.
A woman is complaining of a sore throat and difficulty
swallowing over the last several weeks. Her complete blood
count (CBC) and rapid strep swab are normal. The nurse should
next assess for:
a.
an intact gag reflex.
b.
a history of smoking.
c.
signs of strangulation.
d.
intimate partner violence.
7.
The nurse is counseling a pregnant woman who is in a violent
relationship about some of the consequences of intimate partner
violence (IPV) during pregnancy. Which statement by the nurse
is inconsistent with current knowledge about this situation?
a.
Violence tends to decrease when a woman is pregnant.
4. b.
Babies born to women experiencing violence often are
premature.
c.
Approximately one-third of homicides of pregnant women are
related to IPV.
d.
Kidney infections occur more often in pregnant women
experiencing IPV.
8.
A woman is experiencing intimate partner violence (IPV) and
the nurse is trying to assist her to identify resources. The
woman states she has no real friends anymore and her family
wonât help her. The nurse can most likely conclude that:
a.
no one believes the woman is being harmed.
b.
the violence is not as bad as the woman says it is.
c.
the family and friends are tired of trying to help her.
d.
the abuser has isolated her and intimidated her support system.
9.
The manager of a busy clinic initiates a policy for screening for
intimate partner violence (IPV) in accordance with the
American Nurses Association (ANA) 2000 position statement.
The manager explains to the staff that this means:
a.
assessing all patients for the presence of IPV at every visit.
b.
asking women who have injuries if they have been harmed.
c.
5. only asking women who share a residence with someone about
IPV.
d.
performing an IPV assessment if the patient shares a concern
about it.
10.
A nurse is counseling a woman in a violent relationship about
ways to keep herself safe. Which recommendation by the nurse
is inconsistent with this goal? The nurse tells the patient to:
a.
change the locks on the doors and install window locks.
b.
try to leave the house when it appears violence is imminent.
c.
pre-pack a bag with important items in case she needs to flee.
d.
hide in a closet or small room when her partner is becoming
violent.
11.
A woman wonders if she has premenstrual syndrome. The nurse
explains that the most important criteria for this diagnosis is:
a.
psychological symptoms that disrupt her life.
b.
the timing of the symptoms in the menstrual cycle.
c.
the presence of at least five major and three minor symptoms.
d.
a constellation of symptoms that occur during her cycle.
12.
6. The nurse understands that the âluteal phaseâ of the menstrual
cycle is the:
a.
onset and duration of the monthly menstrual cycle.
b.
period of time that begins with ovulation and ends with the
beginning of menstruation.
c.
first half of the cycle when the ovarian graafian follicle is
growing.
d.
time when the corpus luteum produces 80% of the circulating
estrogen.
13.
A nurse is providing community education on premenstrual
syndrome (PMS). Which statement by the nurse is inconsistent
with current knowledge about this condition?
a.
âIndirect costs are higher than direct medical costs for PMS.â
b.
âThe direct economic costs associated with PMS are
substantial.â
c.
âSymptoms must occur for at least six cycles for a diagnosis of
PMS to be made.â
d.
âThere are at least 100 distinct signs and symptoms related to
PMS.â
14.
The nurse explains to a patient that the main difference between
premenstrual syndrome (PMS) and premenstrual dysphoric
disorder (PMDD) is:
7. a.
the symptoms are more severe and disabling in PMDD.
b.
psychiatric symptoms are present exclusively in PMDD.
c.
the absence of gastrointestinal symptoms in PMDD.
d.
that no effective treatment exists for PMDD.
15.
A patient is in the clinic with symptoms of premenstrual
syndrome (PMS). She reports extreme fatigue, depression, and a
feeling of worthlessness. Which action by the nurse takes
priority? The nurse should:
a.
prepare the patient for a pelvic exam.
b.
order blood work for hormone levels.
c.
assess the patient for suicidal thoughts.
d.
take a thorough history of the patientâs complaints.
16.
A woman with symptoms of premenstrual syndrome (PMS) asks
whether or not she should have serum hormone testing. The best
response by the nurse is:
a.
âYes, hormone levels are important in establishing a diagnosis
of PMS.â
b.
âYes, we can draw serial hormone levels throughout your
menstrual cycle.â
c.
8. âNo, actually hormone levels are similar in women with and
without PMS.â
d.
âNot right now, unless you are in the follicular stage of your
menstrual cycle.â
17.
A patient has symptoms she thinks are related to premenstrual
syndrome (PMS). A strategy the nurse can teach the patient that
would help with confirming the diagnosis is to:
a.
monitor how long each menstrual cycle lasts.
b.
keep a symptom diary for two to three menstrual cycles.
c.
avoid caffeine and other stimulants while menstruating.
d.
investigate the relationship between symptoms and exercise.
18.
A nurse is teaching a woman with premenstrual syndrome
(PMS) about exercise as a treatment modality. Which
instruction by the nurse is most accurate?
a.
âAvoid low-intensity exercise like yoga and stretching.â
b.
âVigorous exercise is better than moderate exercise for PMS.â
c.
âYou need to exercise moderately at least 75 minutes a week.â
d.
âExercising moderately for about 150 minutes a week can help
with PMS symptoms.â
9. 19.
A woman with premenstrual syndrome asks about alternative
and complementary medicine practices that might be helpful for
her. The nurse explains that:
a.
evening primrose (Oenothera biennis) has been proven
beneficial in relieving PMS symptoms.
b.
chasteberry has not been approved for use for PMS symptoms in
any country.
c.
good randomized trials of relaxation therapy demonstrate a
clear benefit in PMS symptom relief.
d.
there are some herbal remedies that may help to reduce PMS
symptoms, but claims about the benefits associated with other
herbal products are unsubstantiated.
20.
A woman who has premenstrual syndrome (PMS) has been
prescribed spironolactone (Aldactone) for her symptoms. The
nurse would evaluate that treatment with this medication has
been effective when the patient says:
a.
âI am so glad I donât get my period anymore because of this
medication.â
b.
âI have really noticed a decrease in my bloating while on this
medication.â
c.
âMy anxiety and depression have slowly gotten better with this
medicine.â
d.
âMy partner and I like that this medication decreases my PMS
symptoms and provides contraception.â
10. 21.
A patient asks how obesity is related to the development of
breast cancer. The best response by the nurse is that:
a.
adipose tissue can hide the developing tumors easily.
b.
limited exercise contributes to several types of cancer.
c.
estrogen is produced in adipose tissue after menopause.
d.
larger breasts in heavy women are more prone to cancer.
22.
A nurse wishes to plan a breast health educational activity. In
order to have the greatest potential impact, in which location
should the nurse conduct the activity? The nurse should plan to
conduct this activity in:
a.
a busy shopping mall.
b.
several local fitness centers.
c.
high school and college health centers.
d.
a predominantly African-American church.
23.
To increase comfort, the nurse advises women to perform breast
self-examination (BSE)
a.
one week after their menstrual cycle.
b.
11. one week before their menstrual cycle.
c.
without regard to their menstrual cycle.
d.
whenever it is most comfortable for them.
24.
The nurse knows the best position for the patient to assume
when performing self breast palpation is:
a.
sitting upright with one arm above the head.
b.
lying flat on the back on a supportive mattress.
c.
standing in front of a mirror in order to see well.
d.
reclining in bed with a pillow under the shoulder.
25.
The nurse working with a patient in her 40s would advise her to
have a clinical breast examination every:
a.
one year.
b.
two years.
c.
three years.
d.
five years.
26.
A patient is complaining of tender masses in her breasts that
tend to change in size related to her menstrual cycle. The nurse
12. can counsel this patient to try:
a.
drinking several cups of green tea each day.
b.
reducing her intake of caffeine and other stimulants.
c.
sleeping on her side with pillows supporting the breasts.
d.
using ice packs on the tender areas for 20 minutes at a time.
27.
A patient is complaining of tender, warm lumps in her breast
and tender, swollen ipsilateral lymph nodes. Which question by
the nurse would elicit the most useful information? The nurse
asks:
a.
âAre you currently breastfeeding?â
b.
âWhere in your menstrual cycle are you?â
c.
âHave you had any recent breast trauma?â
d.
âDo you have a family history of breast cancer?â
28.
A patient has a breast lump discovered during a clinical breast
examination. The provider directs the patient to return after her
next menstrual period for another examination. The nurse can
most likely conclude that the patient:
a.
has had a screening mammogram within the last year.
b.
does not have significant risk factors for breast cancer.
c.
13. frequently has lumps detected on her clinical breast exam.
d.
has fibrocystic breast disease, making clinical judgment
difficult.
29.
A woman has been diagnosed with breast cancer in situ and
questions the nurse as to what that means. The best explanation
by the nurse is that this type of cancer:
a.
is only found in one area of the breast that was biopsied.
b.
is confined to its original location and has not spread.
c.
can be treated with locally administered chemotherapy.
d.
only occurs in one breast or the other; it is not bilateral.
30.
A woman has unilateral breast swelling and complains that the
affected breast is itching and has peeling skin. The nurse
anticipates the physician will order:
a.
a mammogram.
b.
a dermatology consultation.
c.
magnetic resonance imaging (MRI).
d.
a positron emission tomography (PET scan).
31.
The nurse reviewing a patientâs chart sees the term
14. âmetrorrhagiaâ and knows that this woman is experiencing:
a.
excess bleeding in either the amount or in the length of time.
b.
bleeding that occurs at abnormal times during an ovulatory
cycle; more often than every 21 days.
c.
variable bleeding that occurs between the regular menses.
d.
bleeding at abnormal times during an anovulatory cycle.
32.
A patient with painful menstrual periods (dysmenorrhea) is
advised to take a nonsteroidal anti-inflammatory drug such as
ibuprofen (Motrin) for her discomfort. When she asks why
ibuprofen is better than acetaminophen (Tylenol), the nurse
explains that ibuprofen works better because:
a.
acetaminophen tends to cause more side effects when taken for
cramps.
b.
ibuprofen tends to work more quickly than either acetaminophen
or aspirin.
c.
menstrual cramps are related to an inflammation of the cervical
tissue and ibuprofen decreases the inflammation.
d.
the pain is related to an excessive production of prostaglandins,
and ibuprofen inhibits the synthesis of prostaglandins.
33.
A physician tells the nurse that a patient has a positive âwhiff
test.â The nurse anticipates that the physician will write the
patient a prescription for:
15. a.
metronidazole (Flagyl).
b.
miconazole (Monistat).
c.
boric acid gelatin capsules.
d.
clotrimazole (Gyne-Lotrimin).
34.
A patient has come to the clinic for a physical exam and
complains of having her fourth vaginal yeast infection in 6
months. The diagnostic test results that the nurse would be most
interested in is the:
a.
Pap test.
b.
blood glucose.
c.
complete blood count.
d.
absolute neutrophil count.
35.
The nurse evaluates that teaching related to toxic shock
syndrome (TSS) has been effective when the patient states:
a.
âI should change my tampons frequently.â
b.
âI can use super absorbent tampons any time.â
c.
âI should not use tampons at all during my period.â
d.
âI can take ibuprofen for fever if I think I have TSS.â
16. 36.
A woman is being prescribed leuprolide (Lupron) for
endometriosis. The nurse determines that patient teaching has
been effective when the patient states:
a.
âSide effects will be similar to menopause.â
b.
âA serious side effect is permanent bone loss.â
c.
âI can take this medication for years if needed.â
d.
âIf I get ankle swelling, I should call my doctor.â
37.
The nurse understands that âdysfunctional uterine bleedingâ is
diagnosed:
a.
most often in women who experience normal monthly menstrual
periods.
b.
more often than any other cause of abnormal vaginal bleeding.
c.
after all pathologic causes of bleeding have been excluded.
d.
when menstrual bleeding is either abnormally heavy or lengthy.
38.
A woman with heavy vaginal bleeding who does not wish to
have more children is discussing endometrial ablation with the
nurse. Which statement by the nurse is inconsistent with
knowledge about this procedure? The nurse tells the patient:
a.
17. âSince the endometrium scars after this procedure, the bleeding
is halted.â
b.
âFollowing this procedure, you will not need to use any
contraception when you resume sexual activity.â
c.
âThere are several methods that have been approved for
endometrial ablation.â
d.
âEndometrial ablation is usually reserved for patients who have
not responded to other treatments.â
39.
A patient undergoing a workup for infertility also complains of
hirsutism and acne. The nurse anticipates diagnostic testing for:
a.
uterine fibroids.
b.
benign leiomyomata.
c.
follicular ovarian cysts.
d.
polycystic ovary syndrome.
40.
A nurse counseling a patient about infection with the Human
Immunodeficiency Virus (HIV) explains that the virus is
detectable in plasma within:
a.
3 days.
b.
5 days.
c.
1 week.
18. d.
1 month.
41.
A nurse in a womenâs health clinic explains to a new graduate
nurse that they follow current recommendations for opt-out
Human Immunodeficiency Virus (HIV) testing. The nurse
explains this means that patients:
a.
are told about the testing but need to give specific consent for
it.
b.
are informed about testing but consent is assumed unless they
decline.
c.
can choose not to be informed of the test results when they are
available.
d.
can specify that they want results sent directly to them, not to
the provider.
42.
A woman just diagnosed with chlamydia tells the nurse she is
relieved that itâs âjust chlamydiaâ and not something âserious.â
The best response by the nurse is to say:
a.
âYouâre right; chlamydia is easily cured with common
antibiotics.â
b.
âYes, chlamydia is not as serious as other STDs since it isnât
associated with any long-term effects.â
c.
âChlamydia can increase the risk of contracting âseriousâ
infections like HIV.â
19. d.
âAll STDs are equally serious because they show that you
engage in unsafe behavior.â
43.
The nurse caring for a woman with a chlamydial infection
anticipates an order for which medication?
a.
metronidazole (Flagyl) 2 grams orally administered one time
b.
ceftriaxone (Rocephin) 250 mg IM administered once
c.
doxycycline (Vibramycin) 100 mg orally bid for 7 days
d.
acyclovir (Zovirax) 800 mg every 4 hours orally for 7 days
44.
A patient diagnosed with gonorrhea was treated in the clinic
with a single dose of cefixime (Suprax), 400 mg orally. Two
weeks later she returns stating her symptoms are back. The
nurse would most likely conclude that:
a.
the womanâs sex partner(s) had not been treated.
b.
cefixime is not the best drug to use in this patient.
c.
the patientâs particular strain of gonorrhea is resistant to this
medication.
d.
the prescribed dose was too low to be effective against N.
gonorrhoeae.
45.
20. A patient is being treated for trichomoniasis with metronidazole
(Flagyl). Which instruction specific to this medication should
the nurse give the patient?
a.
âDonât drink alcohol until 24 hours after you have finished this
medication.â
b.
âAvoid getting any direct sunlight for 1 week after you finish
the Flagyl.â
c.
âMake sure you take all the medication that has been prescribed
for you.â
d.
âSince only one dose is needed, we will watch you take it
before you leave.â
46.
A nurse is assisting with a pelvic examination and the provider
comments that the patient has âcervical motion tenderness.â
With which condition does the nurse associate this finding?
a.
gonorrhea
b.
chlamydia
c.
trichomoniasis
d.
pelvic inflammatory disease
47.
A patient in the clinic has what appears to be a chancre. The
nurse anticipates ordering tests to confirm which disease?
a.
syphilis
21. b.
chlamydia
c.
gonorrhea
d.
trichomoniasis
48.
A nurse is counseling a patient who engages in risky sexual
behavior about getting tested for sexually transmitted diseases
(STDs). The patient is hesitant to get tested, stating she is too
embarrassed to do so. Which action by the nurse would most
likely result in the patientâs agreeing to undergo STD
screening? The nurse should advise the patient that:
a.
records are kept confidential and not shared with outsiders.
b.
home screening for some common diseases is now available.
c.
there are serious consequences of having undiagnosed STDs.
d.
health-care providers have seen many patients with STDs
before.
49.
The nurse knows that the transformation zone is the area where
the:
a.
darker pink columnar cells line the vagina.
b.
cervix communicates with the uterine body.
c.
process of squamous metaplasia does not occur.
d.
22. squamous cells constantly replace columnar cells.
50.
A nurse is assisting with a pelvic examination and traditional
Pap testing. Which action by the nurse is most important for the
accuracy of the test results? The nurse should:
a.
suspend the sample in a special liquid preservative.
b.
preserve the specimen on a special agar-coated slide.
c.
preserve the specimen within 5 seconds of collection.
d.
allow the sample to air dry on the slide before analysis.
51.
A nurse is explaining recommended guidelines for cervical
cancer screening to a community group. Which statement by the
nurse is most accurate? The nurse explains that women:
a.
aged 21 to 29 should be screened every 2 years.
b.
over age 60 do not need regular cervical screening.
c.
30 years of age and older need to continue annual screening.
d.
need their first screen when they become sexually active.
52.
A nurse explains to a patient that a colposcopy is:
a.
vaporization of abnormal cells using a laser beam.
b.
23. a treatment that involves freezing of precancerous cells.
c.
a specialized examination for the early detection and treatment
of cancer.
d.
a sampling method that uses a curette to obtain specimens.
53.
A patient had an endocervical sampling procedure 2 days ago
and calls the clinic complaining of a thin vaginal discharge that
looks like it contains âcoffee grounds.â The best response by
the nurse is to say:
a.
âThis may indicate an infection; call us if you develop a fever
over 101.5°F.â
b.
âThis is an abnormal reaction to the drugs used during the
procedure.â
c.
âThis is a normal result of the material used to stop cervical
bleeding.â
d.
âThis might indicate an allergy to the solution used in the
procedure.â
54.
A nurse is giving a patient post-procedure education after
cryosurgery. The nurse determines that additional teaching is
needed when the patient states: âI should:
a.
continue to obtain repeat Pap testing as directed.â
b.
avoid inserting anything into my vagina for 2 to 3 weeks.â
c.
24. call the office if I develop a foul-smelling watery vaginal
discharge.â
d.
contact my health-care provider if I develop increasing pelvic
pain.â
55.
The nurse providing education to a group of adolescents on the
human papilloma virus (HPV) explains that:
a.
newer HPV vaccines require only one injection.
b.
only latex condoms prevent the spread of HPV.
c.
most people infected with HPV have visible warts.
d.
condoms may not totally prevent the spread of HPV.
56.
A nurse is counseling a woman ready to initiate a new sexual
relationship about testing for sexually transmitted infections
(STIs). Which information about human papilloma virus (HPV)
should the nurse provide to the patient?
a.
âOwing to the link between HPV and cervical cancer, testing for
HPV is crucial.â
b.
âHPV screening is not recommended since it is common and
difficult to diagnose.â
c.
âSince there are no treatments for HPV, there isnât a real reason
to screen for it.â
d.
âYou should be screened for all STIs, including HPV, with all
25. new relationships.â
57.
A clinic nurse wants to develop a program that will impact the
prevalence of cervical cancer in the community. To design a
program that has maximum effects, the nurse should plan to:
a.
incorporate routine screening for human papilloma virus into
clinic policy.
b.
create a pamphlet for patients that discusses how to avoid the
known risk factors.
c.
provide culturally relevant education on regular Pap testing and
needed follow up.
d.
lobby elected representatives for federal funds to pay for
cervical cancer screening.
58.
A nurse is counseling a 52-year-old woman who relates that her
periods have become very heavy over the last year and wonders
if she is entering menopause. The best action by the nurse
would be to:
a.
assure the patient that at her age, she is most likely entering
into menopause.
b.
discuss ways to manage irregular and heavy perimenopausal
menstrual cycles.
c.
provide education on medical and nonpharmacological methods
to treat menopause.
d.
26. explain that heavy bleeding needs investigation even if the
patient is perimenopausal.
59.
The nurse caring for perimenopausal women understands that
urogenital problems associated with menopause:
a.
are unusual and do not often pose much difficulty.
b.
are common and often worsen with advancing age.
c.
usually canât be effectively treated once they manifest.
d.
often are worse at the start of menopause, then improve.
60.
The nurse has instructed a patient on performing Kegel
exercises. The nurse determines that further instruction is
needed when the patient says, âI will:
a.
hold each contraction for 6 seconds.â
b.
do these exercises 5 to 10 times each day.â
c.
perform 10 repetitions as quickly as I can.â
d.
contract the muscles like trying to stop my urine flow.â
61.
A post-menopausal woman is complaining about vaginal dryness
that interferes with sexual intimacy and causes discomfort.
Which statement would be inconsistent with a nurseâs
knowledge about sexuality in post-menopausal women?
27. a.
âFrequent sexual activity actually helps with vaginal
lubrication.â
b.
âVegetable oil may feel better than lubricants that contain
alcohol.â
c.
âIf intercourse causes discomfort, you should refrain from
having it.â
d.
âIf you donât have high blood pressure, you can try vitamin E
supplements.â
62.
A nurse providing education to a community group on
symptoms of menopause relates that the most common symptom
reported by perimenopausal women is:
a.
hot flashes.
b.
hot flushes.
c.
night sweats.
d.
mood swings.
63.
A woman reports to the nurse that she uses a traditional healing
approach to manage menopausal symptoms that includes qi gong
to unblock the flow of vital energy and blood through her
meridians. The nurse realizes the woman is seeing a practitioner
of :
a.
homeopathy.
28. b.
ayurvedic medicine.
c.
naturopathic medicine.
d.
traditional Chinese medicine.
64.
A woman asks the nurse about using soy products to reduce her
menopausal symptoms. Which information should the nurse
provide?
a.
âSoy can be found in many products, including ginseng tea.â
b.
âSoy is a dietary supplement and there is no proof as to its
effectiveness.â
c.
âThese products are good for long-term management of
vasomotor symptoms.â
d.
âLike all the other isoflavones, soy products are monitored for
safety and purity.â
65.
A nurse is counseling a patient about hormone therapy (HT) for
symptoms of menopause. The most appropriate information the
nurse can share would be:
a.
âIf you want an estrogen-progestogen product, they only come
in pill form.â
b.
âHormone therapy was found to cause breast cancer in recent
research trials.â
c.
29. âThe benefits of short-term HT may outweigh the risks if used
for a short time.â
d.
âWomen with cardiovascular risks should use HT just to help
decrease that risk.â
66.
A woman wants to have her physician write a prescription for
compounded, bio-identical hormone therapy (HT). Which
information from the nurse is most appropriate?
a.
âCompounded hormones are not yet regulated by the FDA.â
b.
âCompounding produces bio-identical hormones that are highly
effective.â
c.
âIndividualized bio-identical, compounded hormones are more
natural than standard prescriptions.â
d.
âThere is research that shows compounded hormones are safe
and effective.â
Multiple ResponseIdentify one or more choices that best
complete the statement or answer the question.
67.
The nurse instructing the patient about self care after a
myomectomy includes directions to: (Select all answers that
apply.)
a.
take stool softeners as needed.
b.
take all medications as directed.
c.
resume intercourse in 2 days.
30. d.
eat high protein, high iron foods.
68.
Which of the following instructions would be useful for the
patient with a herpes outbreak? (Select all answers that apply.)
a.
Keep lesions dry with a blow dryer set on hot.
b.
Take a warm bath with baking soda added to the water.
c.
Kelp powder and sunflower seed oil may help the discomfort.
d.
Try placing compresses containing peppermint oil on the lesions
for comfort.
69.
The nurse knows that signs and symptoms of early cervical
cancer may include: (Select all answers that apply.)
a.
pelvic pain.
b.
weight loss.
c.
abnormal vaginal bleeding.
d.
continuous vaginal discharge.
e.
menstrual periods that become heavier.
70.
The nurse is counseling a woman with incontinence who is
unable to perform Kegel exercises. The nurse explains that
31. alternatives the woman could consider are: (Select all answers
that apply.)
a.
biofeedback.
b.
vaginal cones.
c.
incontinent pads.
d.
electric stimulation.
WomansHealthCompanionRN
Multiple ChoiceIdentify the choice that best completes the
statement or answers the question.
1.
The nurse is aware that the risk for a woman being involved in
intimate partner violence in this country is:
a.
1 in 2.
b.
1 in 4.
c.
1 in 6.
d.
1 in 8.
2.
When presenting a talk to high school students on intimate
partner violence, the nurse explains that:
a.
proportionately, more men become homicide victims than do
women.
32. b.
violence often begins early in a relationship and gets
progressively worse.
c.
intimate partner abuse is generally confined to the lower
socioeconomic strata.
d.
violence occurs randomly without any association with family
violence during childhood.
3.
A nurse works with a diverse clientele. When discussing
intimate partner violence (IPV) with women from differing
cultural backgrounds, the nurse should emphasize that:
a.
rates of IPV are roughly the same among different
cultural/ethnic groups.
b.
women should take advantage of the resources available to
victims of IPV.
c.
although cultural perceptions of abuse may differ, harming
others is illegal.
d.
interventions in IPV situations should not take immigration
status into account.
4.
A clinic nurse is taking a history from a woman who has vague
complaints she canât describe well. The nurse is frustrated and
consults a more experienced nurse who advises checking the
chart for:
a.
chronic illnesses.
33. b.
psychiatric problems.
c.
missed appointments.
d.
drug or alcohol abuse.
5.
A woman seen in the emergency department has facial injuries
she states were the result of being hit during an attempted
purse-snatching. Which diagnostic finding would lead the nurse
to believe the patientâs account is accurate? The patient has:
a.
a mandibular fracture.
b.
loose and missing teeth.
c.
a zygomatic arch fracture.
d.
an orbital blow out fracture.
6.
A woman is complaining of a sore throat and difficulty
swallowing over the last several weeks. Her complete blood
count (CBC) and rapid strep swab are normal. The nurse should
next assess for:
a.
an intact gag reflex.
b.
a history of smoking.
c.
signs of strangulation.
d.
intimate partner violence.
34. 7.
The nurse is counseling a pregnant woman who is in a violent
relationship about some of the consequences of intimate partner
violence (IPV) during pregnancy. Which statement by the nurse
is inconsistent with current knowledge about this situation?
a.
Violence tends to decrease when a woman is pregnant.
b.
Babies born to women experiencing violence often are
premature.
c.
Approximately one-third of homicides of pregnant women are
related to IPV.
d.
Kidney infections occur more often in pregnant women
experiencing IPV.
8.
A woman is experiencing intimate partner violence (IPV) and
the nurse is trying to assist her to identify resources. The
woman states she has no real friends anymore and her family
wonât help her. The nurse can most likely conclude that:
a.
no one believes the woman is being harmed.
b.
the violence is not as bad as the woman says it is.
c.
the family and friends are tired of trying to help her.
d.
the abuser has isolated her and intimidated her support system.
9.
35. The manager of a busy clinic initiates a policy for screening for
intimate partner violence (IPV) in accordance with the
American Nurses Association (ANA) 2000 position statement.
The manager explains to the staff that this means:
a.
assessing all patients for the presence of IPV at every visit.
b.
asking women who have injuries if they have been harmed.
c.
only asking women who share a residence with someone about
IPV.
d.
performing an IPV assessment if the patient shares a concern
about it.
10.
A nurse is counseling a woman in a violent relationship about
ways to keep herself safe. Which recommendation by the nurse
is inconsistent with this goal? The nurse tells the patient to:
a.
change the locks on the doors and install window locks.
b.
try to leave the house when it appears violence is imminent.
c.
pre-pack a bag with important items in case she needs to flee.
d.
hide in a closet or small room when her partner is becoming
violent.
11.
A woman wonders if she has premenstrual syndrome. The nurse
explains that the most important criteria for this diagnosis is:
a.
psychological symptoms that disrupt her life.
36. b.
the timing of the symptoms in the menstrual cycle.
c.
the presence of at least five major and three minor symptoms.
d.
a constellation of symptoms that occur during her cycle.
12.
The nurse understands that the âluteal phaseâ of the menstrual
cycle is the:
a.
onset and duration of the monthly menstrual cycle.
b.
period of time that begins with ovulation and ends with the
beginning of menstruation.
c.
first half of the cycle when the ovarian graafian follicle is
growing.
d.
time when the corpus luteum produces 80% of the circulating
estrogen.
13.
A nurse is providing community education on premenstrual
syndrome (PMS). Which statement by the nurse is inconsistent
with current knowledge about this condition?
a.
âIndirect costs are higher than direct medical costs for PMS.â
b.
âThe direct economic costs associated with PMS are
substantial.â
c.
âSymptoms must occur for at least six cycles for a diagnosis of
PMS to be made.â
37. d.
âThere are at least 100 distinct signs and symptoms related to
PMS.â
14.
The nurse explains to a patient that the main difference between
premenstrual syndrome (PMS) and premenstrual dysphoric
disorder (PMDD) is:
a.
the symptoms are more severe and disabling in PMDD.
b.
psychiatric symptoms are present exclusively in PMDD.
c.
the absence of gastrointestinal symptoms in PMDD.
d.
that no effective treatment exists for PMDD.
15.
A patient is in the clinic with symptoms of premenstrual
syndrome (PMS). She reports extreme fatigue, depression, and a
feeling of worthlessness. Which action by the nurse takes
priority? The nurse should:
a.
prepare the patient for a pelvic exam.
b.
order blood work for hormone levels.
c.
assess the patient for suicidal thoughts.
d.
take a thorough history of the patientâs complaints.
16.
A woman with symptoms of premenstrual syndrome (PMS) asks
38. whether or not she should have serum hormone testing. The best
response by the nurse is:
a.
âYes, hormone levels are important in establishing a diagnosis
of PMS.â
b.
âYes, we can draw serial hormone levels throughout your
menstrual cycle.â
c.
âNo, actually hormone levels are similar in women with and
without PMS.â
d.
âNot right now, unless you are in the follicular stage of your
menstrual cycle.â
17.
A patient has symptoms she thinks are related to premenstrual
syndrome (PMS). A strategy the nurse can teach the patient that
would help with confirming the diagnosis is to:
a.
monitor how long each menstrual cycle lasts.
b.
keep a symptom diary for two to three menstrual cycles.
c.
avoid caffeine and other stimulants while menstruating.
d.
investigate the relationship between symptoms and exercise.
18.
A nurse is teaching a woman with premenstrual syndrome
(PMS) about exercise as a treatment modality. Which
instruction by the nurse is most accurate?
a.
âAvoid low-intensity exercise like yoga and stretching.â
39. b.
âVigorous exercise is better than moderate exercise for PMS.â
c.
âYou need to exercise moderately at least 75 minutes a week.â
d.
âExercising moderately for about 150 minutes a week can help
with PMS symptoms.â
19.
A woman with premenstrual syndrome asks about alternative
and complementary medicine practices that might be helpful for
her. The nurse explains that:
a.
evening primrose (Oenothera biennis) has been proven
beneficial in relieving PMS symptoms.
b.
chasteberry has not been approved for use for PMS symptoms in
any country.
c.
good randomized trials of relaxation therapy demonstrate a
clear benefit in PMS symptom relief.
d.
there are some herbal remedies that may help to reduce PMS
symptoms, but claims about the benefits associated with other
herbal products are unsubstantiated.
20.
A woman who has premenstrual syndrome (PMS) has been
prescribed spironolactone (Aldactone) for her symptoms. The
nurse would evaluate that treatment with this medication has
been effective when the patient says:
a.
âI am so glad I donât get my period anymore because of this
medication.â
40. b.
âI have really noticed a decrease in my bloating while on this
medication.â
c.
âMy anxiety and depression have slowly gotten better with this
medicine.â
d.
âMy partner and I like that this medication decreases my PMS
symptoms and provides contraception.â
21.
A patient asks how obesity is related to the development of
breast cancer. The best response by the nurse is that:
a.
adipose tissue can hide the developing tumors easily.
b.
limited exercise contributes to several types of cancer.
c.
estrogen is produced in adipose tissue after menopause.
d.
larger breasts in heavy women are more prone to cancer.
22.
A nurse wishes to plan a breast health educational activity. In
order to have the greatest potential impact, in which location
should the nurse conduct the activity? The nurse should plan to
conduct this activity in:
a.
a busy shopping mall.
b.
several local fitness centers.
c.
high school and college health centers.
d.
41. a predominantly African-American church.
23.
To increase comfort, the nurse advises women to perform breast
self-examination (BSE)
a.
one week after their menstrual cycle.
b.
one week before their menstrual cycle.
c.
without regard to their menstrual cycle.
d.
whenever it is most comfortable for them.
24.
The nurse knows the best position for the patient to assume
when performing self breast palpation is:
a.
sitting upright with one arm above the head.
b.
lying flat on the back on a supportive mattress.
c.
standing in front of a mirror in order to see well.
d.
reclining in bed with a pillow under the shoulder.
25.
The nurse working with a patient in her 40s would advise her to
have a clinical breast examination every:
a.
one year.
b.
two years.
42. c.
three years.
d.
five years.
26.
A patient is complaining of tender masses in her breasts that
tend to change in size related to her menstrual cycle. The nurse
can counsel this patient to try:
a.
drinking several cups of green tea each day.
b.
reducing her intake of caffeine and other stimulants.
c.
sleeping on her side with pillows supporting the breasts.
d.
using ice packs on the tender areas for 20 minutes at a time.
27.
A patient is complaining of tender, warm lumps in her breast
and tender, swollen ipsilateral lymph nodes. Which question by
the nurse would elicit the most useful information? The nurse
asks:
a.
âAre you currently breastfeeding?â
b.
âWhere in your menstrual cycle are you?â
c.
âHave you had any recent breast trauma?â
d.
âDo you have a family history of breast cancer?â
28.
43. A patient has a breast lump discovered during a clinical breast
examination. The provider directs the patient to return after her
next menstrual period for another examination. The nurse can
most likely conclude that the patient:
a.
has had a screening mammogram within the last year.
b.
does not have significant risk factors for breast cancer.
c.
frequently has lumps detected on her clinical breast exam.
d.
has fibrocystic breast disease, making clinical judgment
difficult.
29.
A woman has been diagnosed with breast cancer in situ and
questions the nurse as to what that means. The best explanation
by the nurse is that this type of cancer:
a.
is only found in one area of the breast that was biopsied.
b.
is confined to its original location and has not spread.
c.
can be treated with locally administered chemotherapy.
d.
only occurs in one breast or the other; it is not bilateral.
30.
A woman has unilateral breast swelling and complains that the
affected breast is itching and has peeling skin. The nurse
anticipates the physician will order:
a.
a mammogram.
b.
44. a dermatology consultation.
c.
magnetic resonance imaging (MRI).
d.
a positron emission tomography (PET scan).
31.
The nurse reviewing a patientâs chart sees the term
âmetrorrhagiaâ and knows that this woman is experiencing:
a.
excess bleeding in either the amount or in the length of time.
b.
bleeding that occurs at abnormal times during an ovulatory
cycle; more often than every 21 days.
c.
variable bleeding that occurs between the regular menses.
d.
bleeding at abnormal times during an anovulatory cycle.
32.
A patient with painful menstrual periods (dysmenorrhea) is
advised to take a nonsteroidal anti-inflammatory drug such as
ibuprofen (Motrin) for her discomfort. When she asks why
ibuprofen is better than acetaminophen (Tylenol), the nurse
explains that ibuprofen works better because:
a.
acetaminophen tends to cause more side effects when taken for
cramps.
b.
ibuprofen tends to work more quickly than either acetaminophen
or aspirin.
c.
menstrual cramps are related to an inflammation of the cervical
tissue and ibuprofen decreases the inflammation.
45. d.
the pain is related to an excessive production of prostaglandins,
and ibuprofen inhibits the synthesis of prostaglandins.
33.
A physician tells the nurse that a patient has a positive âwhiff
test.â The nurse anticipates that the physician will write the
patient a prescription for:
a.
metronidazole (Flagyl).
b.
miconazole (Monistat).
c.
boric acid gelatin capsules.
d.
clotrimazole (Gyne-Lotrimin).
34.
A patient has come to the clinic for a physical exam and
complains of having her fourth vaginal yeast infection in 6
months. The diagnostic test results that the nurse would be most
interested in is the:
a.
Pap test.
b.
blood glucose.
c.
complete blood count.
d.
absolute neutrophil count.
35.
The nurse evaluates that teaching related to toxic shock
46. syndrome (TSS) has been effective when the patient states:
a.
âI should change my tampons frequently.â
b.
âI can use super absorbent tampons any time.â
c.
âI should not use tampons at all during my period.â
d.
âI can take ibuprofen for fever if I think I have TSS.â
36.
A woman is being prescribed leuprolide (Lupron) for
endometriosis. The nurse determines that patient teaching has
been effective when the patient states:
a.
âSide effects will be similar to menopause.â
b.
âA serious side effect is permanent bone loss.â
c.
âI can take this medication for years if needed.â
d.
âIf I get ankle swelling, I should call my doctor.â
37.
The nurse understands that âdysfunctional uterine bleedingâ is
diagnosed:
a.
most often in women who experience normal monthly menstrual
periods.
b.
more often than any other cause of abnormal vaginal bleeding.
c.
after all pathologic causes of bleeding have been excluded.
d.
47. when menstrual bleeding is either abnormally heavy or lengthy.
38.
A woman with heavy vaginal bleeding who does not wish to
have more children is discussing endometrial ablation with the
nurse. Which statement by the nurse is inconsistent with
knowledge about this procedure? The nurse tells the patient:
a.
âSince the endometrium scars after this procedure, the bleeding
is halted.â
b.
âFollowing this procedure, you will not need to use any
contraception when you resume sexual activity.â
c.
âThere are several methods that have been approved for
endometrial ablation.â
d.
âEndometrial ablation is usually reserved for patients who have
not responded to other treatments.â
39.
A patient undergoing a workup for infertility also complains of
hirsutism and acne. The nurse anticipates diagnostic testing for:
a.
uterine fibroids.
b.
benign leiomyomata.
c.
follicular ovarian cysts.
d.
polycystic ovary syndrome.
40.
48. A nurse counseling a patient about infection with the Human
Immunodeficiency Virus (HIV) explains that the virus is
detectable in plasma within:
a.
3 days.
b.
5 days.
c.
1 week.
d.
1 month.
41.
A nurse in a womenâs health clinic explains to a new graduate
nurse that they follow current recommendations for opt-out
Human Immunodeficiency Virus (HIV) testing. The nurse
explains this means that patients:
a.
are told about the testing but need to give specific consent for
it.
b.
are informed about testing but consent is assumed unless they
decline.
c.
can choose not to be informed of the test results when they are
available.
d.
can specify that they want results sent directly to them, not to
the provider.
42.
A woman just diagnosed with chlamydia tells the nurse she is
relieved that itâs âjust chlamydiaâ and not something âserious.â
The best response by the nurse is to say:
49. a.
âYouâre right; chlamydia is easily cured with common
antibiotics.â
b.
âYes, chlamydia is not as serious as other STDs since it isnât
associated with any long-term effects.â
c.
âChlamydia can increase the risk of contracting âseriousâ
infections like HIV.â
d.
âAll STDs are equally serious because they show that you
engage in unsafe behavior.â
43.
The nurse caring for a woman with a chlamydial infection
anticipates an order for which medication?
a.
metronidazole (Flagyl) 2 grams orally administered one time
b.
ceftriaxone (Rocephin) 250 mg IM administered once
c.
doxycycline (Vibramycin) 100 mg orally bid for 7 days
d.
acyclovir (Zovirax) 800 mg every 4 hours orally for 7 days
44.
A patient diagnosed with gonorrhea was treated in the clinic
with a single dose of cefixime (Suprax), 400 mg orally. Two
weeks later she returns stating her symptoms are back. The
nurse would most likely conclude that:
a.
the womanâs sex partner(s) had not been treated.
b.
cefixime is not the best drug to use in this patient.
50. c.
the patientâs particular strain of gonorrhea is resistant to this
medication.
d.
the prescribed dose was too low to be effective against N.
gonorrhoeae.
45.
A patient is being treated for trichomoniasis with metronidazole
(Flagyl). Which instruction specific to this medication should
the nurse give the patient?
a.
âDonât drink alcohol until 24 hours after you have finished this
medication.â
b.
âAvoid getting any direct sunlight for 1 week after you finish
the Flagyl.â
c.
âMake sure you take all the medication that has been prescribed
for you.â
d.
âSince only one dose is needed, we will watch you take it
before you leave.â
46.
A nurse is assisting with a pelvic examination and the provider
comments that the patient has âcervical motion tenderness.â
With which condition does the nurse associate this finding?
a.
gonorrhea
b.
chlamydia
c.
trichomoniasis
51. d.
pelvic inflammatory disease
47.
A patient in the clinic has what appears to be a chancre. The
nurse anticipates ordering tests to confirm which disease?
a.
syphilis
b.
chlamydia
c.
gonorrhea
d.
trichomoniasis
48.
A nurse is counseling a patient who engages in risky sexual
behavior about getting tested for sexually transmitted diseases
(STDs). The patient is hesitant to get tested, stating she is too
embarrassed to do so. Which action by the nurse would most
likely result in the patientâs agreeing to undergo STD
screening? The nurse should advise the patient that:
a.
records are kept confidential and not shared with outsiders.
b.
home screening for some common diseases is now available.
c.
there are serious consequences of having undiagnosed STDs.
d.
health-care providers have seen many patients with STDs
before.
49.
52. The nurse knows that the transformation zone is the area where
the:
a.
darker pink columnar cells line the vagina.
b.
cervix communicates with the uterine body.
c.
process of squamous metaplasia does not occur.
d.
squamous cells constantly replace columnar cells.
50.
A nurse is assisting with a pelvic examination and traditional
Pap testing. Which action by the nurse is most important for the
accuracy of the test results? The nurse should:
a.
suspend the sample in a special liquid preservative.
b.
preserve the specimen on a special agar-coated slide.
c.
preserve the specimen within 5 seconds of collection.
d.
allow the sample to air dry on the slide before analysis.
51.
A nurse is explaining recommended guidelines for cervical
cancer screening to a community group. Which statement by the
nurse is most accurate? The nurse explains that women:
a.
aged 21 to 29 should be screened every 2 years.
b.
over age 60 do not need regular cervical screening.
c.
30 years of age and older need to continue annual screening.
53. d.
need their first screen when they become sexually active.
52.
A nurse explains to a patient that a colposcopy is:
a.
vaporization of abnormal cells using a laser beam.
b.
a treatment that involves freezing of precancerous cells.
c.
a specialized examination for the early detection and treatment
of cancer.
d.
a sampling method that uses a curette to obtain specimens.
53.
A patient had an endocervical sampling procedure 2 days ago
and calls the clinic complaining of a thin vaginal discharge that
looks like it contains âcoffee grounds.â The best response by
the nurse is to say:
a.
âThis may indicate an infection; call us if you develop a fever
over 101.5°F.â
b.
âThis is an abnormal reaction to the drugs used during the
procedure.â
c.
âThis is a normal result of the material used to stop cervical
bleeding.â
d.
âThis might indicate an allergy to the solution used in the
procedure.â
54. 54.
A nurse is giving a patient post-procedure education after
cryosurgery. The nurse determines that additional teaching is
needed when the patient states: âI should:
a.
continue to obtain repeat Pap testing as directed.â
b.
avoid inserting anything into my vagina for 2 to 3 weeks.â
c.
call the office if I develop a foul-smelling watery vaginal
discharge.â
d.
contact my health-care provider if I develop increasing pelvic
pain.â
55.
The nurse providing education to a group of adolescents on the
human papilloma virus (HPV) explains that:
a.
newer HPV vaccines require only one injection.
b.
only latex condoms prevent the spread of HPV.
c.
most people infected with HPV have visible warts.
d.
condoms may not totally prevent the spread of HPV.
56.
A nurse is counseling a woman ready to initiate a new sexual
relationship about testing for sexually transmitted infections
(STIs). Which information about human papilloma virus (HPV)
should the nurse provide to the patient?
a.
âOwing to the link between HPV and cervical cancer, testing for
55. HPV is crucial.â
b.
âHPV screening is not recommended since it is common and
difficult to diagnose.â
c.
âSince there are no treatments for HPV, there isnât a real reason
to screen for it.â
d.
âYou should be screened for all STIs, including HPV, with all
new relationships.â
57.
A clinic nurse wants to develop a program that will impact the
prevalence of cervical cancer in the community. To design a
program that has maximum effects, the nurse should plan to:
a.
incorporate routine screening for human papilloma virus into
clinic policy.
b.
create a pamphlet for patients that discusses how to avoid the
known risk factors.
c.
provide culturally relevant education on regular Pap testing and
needed follow up.
d.
lobby elected representatives for federal funds to pay for
cervical cancer screening.
58.
A nurse is counseling a 52-year-old woman who relates that her
periods have become very heavy over the last year and wonders
if she is entering menopause. The best action by the nurse
would be to:
a.
56. assure the patient that at her age, she is most likely entering
into menopause.
b.
discuss ways to manage irregular and heavy perimenopausal
menstrual cycles.
c.
provide education on medical and nonpharmacological methods
to treat menopause.
d.
explain that heavy bleeding needs investigation even if the
patient is perimenopausal.
59.
The nurse caring for perimenopausal women understands that
urogenital problems associated with menopause:
a.
are unusual and do not often pose much difficulty.
b.
are common and often worsen with advancing age.
c.
usually canât be effectively treated once they manifest.
d.
often are worse at the start of menopause, then improve.
60.
The nurse has instructed a patient on performing Kegel
exercises. The nurse determines that further instruction is
needed when the patient says, âI will:
a.
hold each contraction for 6 seconds.â
b.
do these exercises 5 to 10 times each day.â
c.
perform 10 repetitions as quickly as I can.â
57. d.
contract the muscles like trying to stop my urine flow.â
61.
A post-menopausal woman is complaining about vaginal dryness
that interferes with sexual intimacy and causes discomfort.
Which statement would be inconsistent with a nurseâs
knowledge about sexuality in post-menopausal women?
a.
âFrequent sexual activity actually helps with vaginal
lubrication.â
b.
âVegetable oil may feel better than lubricants that contain
alcohol.â
c.
âIf intercourse causes discomfort, you should refrain from
having it.â
d.
âIf you donât have high blood pressure, you can try vitamin E
supplements.â
62.
A nurse providing education to a community group on
symptoms of menopause relates that the most common symptom
reported by perimenopausal women is:
a.
hot flashes.
b.
hot flushes.
c.
night sweats.
d.
mood swings.
58. 63.
A woman reports to the nurse that she uses a traditional healing
approach to manage menopausal symptoms that includes qi gong
to unblock the flow of vital energy and blood through her
meridians. The nurse realizes the woman is seeing a practitioner
of :
a.
homeopathy.
b.
ayurvedic medicine.
c.
naturopathic medicine.
d.
traditional Chinese medicine.
64.
A woman asks the nurse about using soy products to reduce her
menopausal symptoms. Which information should the nurse
provide?
a.
âSoy can be found in many products, including ginseng tea.â
b.
âSoy is a dietary supplement and there is no proof as to its
effectiveness.â
c.
âThese products are good for long-term management of
vasomotor symptoms.â
d.
âLike all the other isoflavones, soy products are monitored for
safety and purity.â
65.
A nurse is counseling a patient about hormone therapy (HT) for
59. symptoms of menopause. The most appropriate information the
nurse can share would be:
a.
âIf you want an estrogen-progestogen product, they only come
in pill form.â
b.
âHormone therapy was found to cause breast cancer in recent
research trials.â
c.
âThe benefits of short-term HT may outweigh the risks if used
for a short time.â
d.
âWomen with cardiovascular risks should use HT just to help
decrease that risk.â
66.
A woman wants to have her physician write a prescription for
compounded, bio-identical hormone therapy (HT). Which
information from the nurse is most appropriate?
a.
âCompounded hormones are not yet regulated by the FDA.â
b.
âCompounding produces bio-identical hormones that are highly
effective.â
c.
âIndividualized bio-identical, compounded hormones are more
natural than standard prescriptions.â
d.
âThere is research that shows compounded hormones are safe
and effective.â
Multiple ChoiceIdentify the choice that best completes the
statement or answers the question.
60. 1.
The nurse has a prescription to give ear drops to a 2-year-old
child. The nurse positions the childâs ear properly by pulling
the pinna of the ear:
a.
Upward and outward
b.
Downward and outward
c.
Downward and backward
d.
Upward and backward
2.
A client who was receiving enteral feedings in the hospital has
been started on a regular diet and is almost ready for discharge.
The client will be self-administering supplemental tube feedings
between meals for a short time after discharge. When the client
expresses concern about his or her ability to perform this
procedure at home, the nurse would best respond with which of
the following?
a.
âTell me more about your concerns about going home.â
b.
âDo you want to stay in the hospital a few more days?â
c.
âMaybe a friend will do the feeding for you.â
d.
âHave you discussed your feelings with your family and
doctor?â
3.
The nurse is administering enteral feedings via a nasogastric
61. (NG) tube. The nurse should do which of the following when
caring for this client to maintain client safety?
a.
Keep the client in a supine position.
b.
Change the NG tube with every other feeding.
c.
Check for tube placement and residual amount at least every 4
hours.
d.
Increase the rate of the feeding if the infusion falls behind
schedule.
4.
The client with pancreatitis is being weaned from parenteral
nutrition (PN). The client asks the nursewhy the PN cannot just
be stopped. The nurse includes in a response to the client that
which of the following complications could occur with sudden
termination of PN formula?
a.
Dehydration
b.
Hypokalemia
c.
Hypernatremia
d.
Rebound hypoglycemia
5.
The nurse hears in intershift report that a client receiving
parenteral nutrition (PN) at 100 mL/hr has bilateral crackles and
1+ pedal edema. When the nurse obtains a daily weight, the
nurse notes that the client has gained 4 lb in 2 days. Which of
the following nursing actions should the nurse take first?
62. a.
Encourage the client to cough and deep-breathe.
b.
Compare the intake and output records of the last 2 days.
c.
Slow the PN infusion rate to 50 mL/hr per infusion pump.
d.
Administer the prescribed daily diuretic, and check the client in
2 hours.
6.
The nurse is caring for a client receiving parenteral nutrition
(PN) via a central line. The nurse should monitor which of the
following to detect the development of the mostcommon
complication of PN?
a.
Temperature
b.
Daily weight
c.
Intake and output (I&O)
d.
Serum blood urea nitrogen (BUN) level
7.
The nurse is providing care to a client with continuous tube
feedings through a nasogastric (NG) tube. The nurse should
avoid doing which of the following, which is not part of the
standard care for a client receiving enteral nutrition?
a.
Check the residual every 4 hours.
b.
Check for placement every 4 hours.
c.
63. Hang a new feeding bag every 72 hours.
d.
Check for placement prior to administering medications through
the tube.
8.
The nurse is monitoring the nutritional status of the client
receiving enteral nutrition. The nurse monitors which of the
following to determine the effectiveness of the tube feedings for
this client?
a.
Daily weight
b.
Calorie count
c.
Serum protein level
d.
Daily intake and output
9.
A client is scheduled for insertion of a peripherally inserted
central catheter (PICC) and the nurse explains the advantages of
this catheter. The nurse determines that the client needs
additional information about the catheter if the client makes
which statement?
a.
âIt is reasonable in cost.â
b.
âThere is less pain and discomfort than other types of
catheters.â
c.
âThis type of catheter is very reliable.â
d.
âIt is specifically designed for short-term use.â
64. 10.
A nurse is making initial rounds on the nursing unit to check the
condition of assigned clients. The nurse notes that a clientâs
intravenous (IV) site is cool, pale, and swollen, and the solution
is not infusing. The nurse interprets that which of the following
complications has been experienced by the client?
a.
Phlebitis
b.
Infection
c.
Infiltration
d.
Thrombosis
11.
The nurse has been assigned to the care of four adult clients
who are receiving continuous intravenous (IV) infusions. The
nurse planning the work assignment for the shift makes a
notation to check the IV sites of these clients at which of the
following frequencies?
a.
Every hour
b.
Every 2 hours
c.
Every 3 hours
d.
Every 4 hours
12.
The client had a 1000-mL bag of 5% dextrose in 0.9% sodium
65. chloride hung at 15:00. The nurse, making rounds at 15:45,
finds the client is complaining of a pounding headache, is
dyspneic with chills, is apprehensive, and has an increased
pulse rate. The intravenous (IV) bag has 400 mL remaining. The
nurse should take which of the following actions first?
a.
Shut off the infusion.
b.
Sit the client up in bed.
c.
Remove the angiocatheter and IV.
d.
Place the client in Trendelenburgâs position.
13.
The nurse notes that the site of a clientâs peripheral intravenous
(IV) catheter is reddened, warm, painful, and slightly edematous
proximal to the insertion point of the IV catheter. After taking
appropriate steps to care for the client, the nurse documents in
the medical record that the client has experienced:
a.
Phlebitis of the vein
b.
Infiltration of the IV line
c.
Hypersensitivity to the IV solution
d.
Allergic reaction to the IV catheter material
14.
The nurse has a written prescription to discontinue an
intravenous (IV) line. The nurse obtains which of the following
supplies from the unit supply area for use in applying pressure
to the site after removing the IV catheter?
66. a.
Band-Aid
b.
Alcohol swab
c.
Betadine swab
d.
Sterile 2 2 gauze
15.
The nurse is preparing a continuous intravenous (IV) infusion at
the medication cart. As the nurse prepares to attach the distal
end of the IV tubing to a needleless device, the tubing drops and
hits the top of the medication cart. Which of the following is
the appropriate action by the nurse?
a.
Change the IV tubing.
b.
Attach a new needleless device.
c.
Wipe the tubing port with Betadine.
d.
Scrub the needleless device with an alcohol swab.
16.
The nurse is collecting data from an African-American client
scheduled for surgery. Which of the following questions would
be of least priority for the nurse to ask on initial assessment?
a.
âDo you ever experience chest pain?â
b.
âDo you have any difficulty breathing?â
c.
âDo you have a close family relationship?â
67. d.
âDo you frequently have episodes of headache?â
17.
The nurse is providing discharge instructions to an Asian-
American client regarding prescribed dietary modifications.
During the teaching session, the client continuously turns away
from the nurse. Which of the following nursing actions is most
appropriate?
a.
Continue with the instructions verifying client understanding.
b.
Walk around to the client so that you continuously face the
client.
c.
Identify the importance of the instructions for the maintenance
of health care.
d.
Give the client a dietary booklet, and return later to continue
with the instructions.
18.
The nurse is planning to instruct the Hispanic-American client
about nutrition and dietary restrictions. When developing the
plan for the instructions, the nurse is aware that this ethnic
group:
a.
Primarily eats raw fish
b.
Enjoys eating red meat
c.
Views food as a primary form of socialization
d.
Eats bland food and food that lacks color, flavor, and texture
68. 19.
The nurse is preparing to assist a Jewish-American client with
eating lunch. A kosher meal is delivered to the client. Which of
the following nursing actions is most appropriate in assisting
the client with the meal?
a.
Unwrap the eating utensils for the client.
b.
Replace the plastic utensils with metal eating utensils.
c.
Carefully place the food from the paper plates to glass plates.
d.
Ask the client to unwrap the eating utensils, and allow the client
to prepare the meal for eating.
20.
The nurse is assigned to collect data from a Hispanic-American
client during the hospital admission. When meeting the client,
the nurse should plan to do which of the following?
a.
Avoid touching the client.
b.
Greet the client with a handshake.
c.
Smile and use humor throughout the entire admission process.
d.
Avoid any affirmative nods during the conversations with the
client.
21.
The nurse is assisting in developing a postoperative plan of care
for a 40-year-old male Filipino-American client scheduled for
69. an appendectomy. The nurse includes which of the following in
the plan of care?
a.
Offer pain medication on a regular basis as prescribed.
b.
Offer pain medication when nonverbal signs of discomfort are
identified.
c.
Inform the client that he will need to ask for pain medication
when needed.
d.
Allow the client to maintain control and request pain medication
on his own.
22.
The nurse is planning the menu for a Chinese-American client
with the hospital dietitian. On collaboration with the dietitian,
the meal plan is designed to include which of the following
foods generally included in the diet of this cultural group?
a.
Milk
b.
Vegetables
c.
Rice pudding
d.
Fruit and yogurt
23.
The nurse is preparing to assist in examining a Hispanic-
American child who was brought to the clinic by the mother.
During assessment of the child, the nurse would avoid which of
the following?
a.
70. Admiring the child
b.
Taking the childâs temperature
c.
Obtaining an interpreter if necessary
d.
Asking the mother questions about the child
24.
The nurse plans to do dietary teaching with an African-
American client. The nurse understands that foods preferred by
individuals of this culture are which of the following?
a.
Rice
b.
Fruits
c.
Red meat
d.
Fried foods
25.
The registered nurse (RN) gives an inaccurate dose of a
medication to a client. Following an assessment of the client,
the nurse completes an incident report. The RN notifies the
nursing supervisor of the medication error and calls the
physician to report the occurrence. The nurse who administered
the inaccurate medication dose understands that the:
a.
Error will result in suspension.
b.
Incident will be reported to the board of nursing.
c.
Incident will be documented in the personnel file.
71. d.
Incident report is a method of promoting quality care and risk
management.
26.
The registered nurse (RN) has been caring for a terminally ill
client. The RN has developed a close relationship with the
family of the client. Which of the following nursing
interventions will the RN avoid in dealing with the family
during this difficult time?
a.
Making decisions for the family
b.
Encouraging family discussion of feelings
c.
Accepting the familyâs expressions of anger
d.
Facilitating the use of spiritual practices identified by the
family
27.
A registered nurse (RN) who works on the night shift enters the
medication room and finds a co-worker with a tourniquet
wrapped around the upper arm. The co-worker is about to insert
a needle, attached to a syringe containing a clear liquid, into the
antecubital area. The most appropriate initial action by the RN
is which of the following?
a.
Call security.
b.
Call the police.
c.
Call the nursing supervisor.
d.
72. Lock the co-worker in the medication room until help is
obtained.
28.
A hospitalized client tells the registered nurse (RN) that a living
will is being prepared and that the lawyer will be bringing the
will to the hospital today for witness signatures. The client asks
the RN for assistance in obtaining a witness to the will.
The most appropriate response to the client is which of the
following?
a.
âI will sign as a witness to your signature.â
b.
âYou will need to find a witness on your own.â
c.
âWhoever is available at the time will sign as a witness for
you.â
d.
âI will call the nursing supervisor to seek assistance regarding
your request.â
29.
The nurse caring for a newly admitted client is reviewing the
medication prescription sheet in preparation for administering
medications to the client. The nurse notes that the physician has
prescribed a medication dose that is twice the amount that the
client has reported taking prior to admission.
The most appropriate nursing action is to:
a.
Contact the physician directly.
b.
Administer the medication as prescribed.
c.
Question the client regarding the accuracy of the reported
73. dosage.
d.
Ask the physician about the prescription the next time the
physician makes rounds.
30.
The registered nurse (RN) is caring for a client with severe
cardiac disease. While caring for the client, the client states, âIf
anything should happen to me, please make sure that the doctors
do not try to push on my chest and revive me.â
The most appropriate nursing action is to:
a.
Tell the client that the family must agree with the request.
b.
Plan a client conference with the nursing staff to share the
clientâs request.
c.
Tell the client that it is necessary to notify the physician of the
clientâs request.
d.
Tell the client that this procedure cannot legally be refused by a
client if the physician believes that it is necessary to save the
clientâs life.
31.
The registered nurse (RN) has made an error in documenting an
assessment finding on a client in the clientâs record and obtains
the record to correct the error. The RN corrects the error by:
a.
Documenting a late entry into the clientâs record
b.
Trying to erase the error to make space for writing in the
correct data
c.
74. Using white correction fluid to delete the error and writing in
the correct data
d.
Drawing one line through the error, initialing and dating the
line, and then providing the correct information
32.
The registered nurse (RN) hears a client calling out for help.
The RN hurries down the hallway to the clientâs room and finds
the client lying on the floor. The RN performs a thorough
assessment and assists the client back to bed. The physician is
notified of the incident, and the nurse completes an incident
report. Which of the following would the RN document on the
incident report?
a.
The client fell out of bed.
b.
The client climbed over the side rails.
c.
The client was found lying on the floor.
d.
The client became restless and tried to get out of bed.
33.
An adult client is brought to the emergency department by
emergency medical services after being hit by a car. The name
of the client is not known. The client has sustained a severe
head injury and multiple fractures and is unconscious. An
emergency craniotomy is required. In regard to informed
consent for the surgical procedure, which of the following is the
best initial action?
a.
Obtain a court order for the surgical procedure.
b.
75. Transport the victim to the operating room for surgery.
c.
Call the police to identify the client and locate the family.
d.
Ask the emergency medical services team to sign the informed
consent.
34.
A client brought to the emergency department is dead on arrival
(DOA). The family of the client tells the physician that the
client had terminal cancer. The emergency department physician
examines the client and asks the registered nurse (RN) to
contact the medical examiner regarding an autopsy. The family
of the client tells the RN that they do not want an autopsy
performed. Which of the following responses to the family
is most appropriate?
a.
âAn autopsy is mandatory for any client who is DOA.â
b.
âThe decision is made by the medical examiner.â
c.
âI will contact the medical examiner regarding your request.â
d.
âIt is required by federal law. Why donât we talk about it, and
why donât you tell me how you feel?â
35.
The nurse is caring for a client whose physician prescribes
airborne precautions. The nurse notes that the client is
scheduled for magnetic resonance imaging (MRI). Which of the
following nursing actions is most appropriate in preparing the
client for the test?
a.
Place the client in gown, gloves, and mask.
76. b.
Request that the MRI technicians wear masks.
c.
Delay the test until airborne precautions are discontinued.
d.
Place a surgical mask on the client for transport and for contact
with other individuals.
36.
The nurse employed in the ambulatory care department hears a
client in the waiting room call out, âHelp, fire!â The nurse
rushes to the waiting room and finds the wastebasket on fire.
Which action should the nurse take first?
a.
Confine the fire.
b.
Extinguish the fire.
c.
Activate the fire alarm.
d.
Remove the clients from the waiting room.
37.
The physician writes a prescription to apply a heating pad to a
clientâs back. The nurse implements the prescription and avoids
which of the following?
a.
Setting the heating pad on a low setting
b.
Placing the heating pad under the client
c.
Assessing the heating pad periodically for proper electrical
function
d.
77. Assessing the skin integrity frequently for signs of burns
38.
The nurse is providing instructions to a client regarding the use
of ice packs to treat an eye injury. The nurse instructs the client
to:
a.
Place the ice pack directly on the eye.
b.
Avoid the use of commercially prepared ice bags.
c.
Keep the ice pack on the eye continuously for 24 hours.
d.
Wrap a plastic bag filled with ice with a pillowcase, and place it
on the eye.
39.
A filled blood specimen tube was dropped and broken in the
clientâs room. Which of the following actions by the nursing
assistant is incorrect?
a.
Uses tongs to collect any broken glass
b.
Wears gloves for the cleaning procedure
c.
Blots up the spill with a face cloth or cloth towel
d.
Disinfects the area of the blood spill with a dilute bleach
solution
40.
The nurse is assigned to care for a chemically dependent client
who has the potential for violent episodes. In planning to care
78. for the client, which of the following actions is the priority?
The nurse:
a.
Speaks slowly to the client
b.
Moves slowly when approaching the client
c.
Bargains with the client to prevent the violent episodes
d.
Projects an attitude of calmness when caring for the client
41.
A community health nurse is providing an educational session
on childhood poisoning at a local school. The topic of the
discussion is preventive measures to avoid accidental poisoning.
The nurse includes instructions that if an accidental poisoning
occurs to immediately:
a.
Call an ambulance.
b.
Call the poison control center.
c.
Induce vomiting.
d.
Bring the child to the emergency department.
42.
A nurse is conducting a basic life support (BLS) recertification
class and is discussing automated external defibrillation (AED)
when a member of the class asks the nurse to identify the
correct location for the placement of conductive gel pads to
treat ventricular fibrillation. The nurse correctly responds with:
a.
Bilaterally, under the right-sided and left-sided clavicles
79. b.
Parallel, between the umbilicus and the left-sided nipple
c.
Centered on the upper and lower halves of the sternum
d.
Under the right-sided clavicle and to the left of the nipple in the
midaxillary line
43.
The nurse is initiating one-rescuer cardiopulmonary
resuscitation (CPR) on an adult client. After ventilating the
client, the nurse places the hands in which of the following
positions to begin chest compressions?
a.
On the lower half of the sternum
b.
On the lower third of the sternum
c.
On the upper third of the sternum
d.
On the upper half of the sternum
44.
A nurse walking in a downtown business area witnesses a
worker fall from a ladder. The nurse rushes to the victim, who
is unresponsive. The nurse then opens the victimâs airway by
using the:
a.
Head tiltâchin lift
b.
Head tiltâjaw thrust
c.
Jaw thrust maneuver
d.
80. Chin lift position
45.
The nurse notes that a 5-year-old child is choking but is awake
and alert at this time. As the nurse rushes to aid the child, the
nurse plans to place the hands between which of the following
landmarks to do the abdominal thrust maneuver?
a.
The umbilicus and the groin
b.
The lower abdomen and chest
c.
The umbilicus and xiphoid process
d.
The groin and the xiphoid process
46.
The nurse employed in the pediatric unit working on the 11 PM
to 7 AM shift finds an infant unresponsive and without
respirations or a pulse. After opening the airway and initiating
ventilation, the nurse delivers chest compressions at a minimum
rate of:
a.
140 times/min
b.
100 times/min
c.
80 times/min
d.
60 times/min
47.
A nurse is undergoing annual recertification in basic life
81. support (BLS). The BLS instructor asks the nurse to identify
themost appropriate pulse point to use when determining
pulselessness on an infant. The nurse undergoing recertification
replies that the correct pulse point is:
a.
Radial
b.
Carotid
c.
Brachial
d.
Popliteal
48.
An automatic external defibrillator (AED) interprets that the
rhythm of a pulseless client is ventricular fibrillation. The nurse
takes which of the following actions next?
a.
Performs cardiopulmonary resuscitation (CPR) for 1 minute
before defibrillating
b.
Administers rescue breathing during the defibrillation
c.
Charges the machine and immediately pushes the discharge
buttons on the console
d.
Orders personnel away from the client, charges the machine,
and depresses the discharge buttons
49.
The client has been defibrillated unsuccessfully three times
using an automatic external defibrillator (AED). The nurse
determines that which of the following actions should be taken
next?
82. a.
Defibrillate one more time, and then terminate the resuscitation
effort.
b.
Perform cardiopulmonary resuscitation (CPR) for 5 minutes,
and then defibrillate three more times.
c.
Administer sodium bicarbonate intravenously, and resume
defibrillation attempts.
d.
Perform cardiopulmonary resuscitation (CPR) for 1 minute,
assess, and then defibrillate up to three more times.
50.
The nurse has completed four cycles of compressions after
beginning cardiopulmonary resuscitation (CPR) on a
hospitalized adult client. At this time, the nurse should:
a.
Stop CPR.
b.
Continue CPR.
c.
Prepare for defibrillation.
d.
Prepare for the administration of bicarbonate.
51.
The nurse is teaching cardiopulmonary resuscitation (CPR) to a
group of lay persons. Which of the following behaviors by one
of the participants would indicate the need for further review?
a.
Letting the fingers rest on the chest
b.
Keeping the shoulders directly over the hands
83. c.
Straightening the arms and locking the elbows
d.
Placing the heel of the hand over the lower half of the sternum
52.
The client with a perforated gastric ulcer who is scheduled for
emergency surgery cannot sign the operative consent form
because of sedation with opioid analgesics. The nurse takes
which priority action?
a.
Obtains a court order for the surgery
b.
Sends the client to surgery without the consent form being
signed
c.
Has the hospital chaplain sign the informed consent
immediately
d.
Obtains a telephone consent from the family member witnessed
by two persons
53.
The preoperative client expresses anxiety to the nurse about the
upcoming surgery. Which of the following statements by the
nurse is most likely to stimulate further discussion between the
client and the nurse?
a.
âIf itâs any help, everyone is nervous before surgery.â
b.
âI will be happy to explain the entire surgical procedure to
you.â
c.
âCan you share with me what youâve been told about your
84. surgery?â
d.
âLet me tell you about the care youâll receive after surgery and
the amount of pain you can anticipate.â
54.
The nurse is preparing the client for transfer to the operating
room (OR). The nurse should take which of the following
actions first?
a.
Ensure that the client has voided.
b.
Administer all the daily medications.
c.
Practice postoperative breathing exercises.
d.
Verify that the client has not eaten for the last 24 hours.
55.
The nurse is assigned to assist in caring for a client who
recently returned from the operating room (OR). On data
collection, the nurse notes that the clientâs vital signs are blood
pressure (BP), 118/70 mm Hg; pulse, 91 beats/min; and
respirations, 16 breaths/min. Preoperative vital signs were BP,
132/88 mm Hg; pulse, 74 beats/min; and respirations, 20
breaths/min. Which of the following actions should the nurse
plan to take first?
a.
Shake the client gently to arouse.
b.
Call the surgeon immediately.
c.
Cover the client with a warm blanket.
d.
85. Recheck the vital signs in 15 minutes.
56.
The nurse has just reassessed the condition of the postoperative
client who was admitted 1 hour ago to the surgical unit. The
nurse monitors which of the following parameters during the
next hour most carefully?
a.
Urinary output of 20 mL/hr
b.
Temperature of 37.6° C (99.6° F)
c.
Blood pressure of 116/78 mm Hg
d.
Serous drainage on the surgical dressing
57.
The client is admitted to the surgical unit postoperatively with a
wound drain (Jackson-Pratt) in place. Which of the following
correctly describes the primary purpose of a Jackson-Pratt?
a.
It decreases the risk of infection.
b.
It decreases the risk of evisceration and dehiscence.
c.
It provides an accurate measurement of wound drainage.
d.
It assists in the evacuation of fluid and blood from the surgical
wound.
58.
When performing a surgical dressing change of a clientâs
abdominal dressing, the nurse notes an increase in the amount
86. of drainage and separation of the incision line. The underlying
tissue is visible to the nurse. The priority nursing action at this
time is to:
a.
Apply a povidone-iodine (Betadine)âsoaked sterile dressing.
b.
Leave the incision exposed to the air to dry the area.
c.
Apply a sterile dressing soaked with normal saline.
d.
Irrigate the wound, and apply a dry sterile dressing.
59.
The nurse is reviewing the physicianâs prescription sheet for the
preoperative client, which states that the client must be NPO
after midnight. The nurse should clarify which of the following
medications should be given to the client and not withheld?
a.
Ferrous sulfate
b.
Atenolol (Tenormin)
c.
Cyclobenzaprine (Flexeril)
d.
Conjugated estrogen (Premarin)
60.
The client who underwent preadmission testing prior to a
surgical procedure had serum laboratory studies drawn,
including complete blood count, electrolytes, coagulation
studies, and creatinine. Which of the following laboratory
results should be reported to the surgeon immediately?
a.
Platelet count, 210,000/mm3
87. b.
Serum sodium (Na) level, 141 mEq/L
c.
Hemoglobin (Hgb) level, 8.9 g/dL
d.
Serum creatinine level, 0.8 mg/dL
61.
The client has just returned from the cardiac catheterization
laboratory. The left-sided femoral vessel was used as the access
site. The nurse should position the client:
a.
In a semi-Fowlerâs position
b.
With the head of the bed elevated 45 degrees
c.
With the head of the bed elevated no more than 15 degrees
d.
With the foot of the bed elevated as much as tolerated by the
client
62.
The nurse is assisting the physician with a bedside liver biopsy.
When the procedure is complete, the nurse assists the client into
which of the following positions?
a.
Left side-lying, with the right-sided arm elevated above the
head
b.
Right side-lying, with the left-sided arm elevated above the
head
c.
Left side-lying, with a small pillow or towel under the puncture
site
88. d.
Right side-lying, with a small pillow or towel under the
puncture site
63.
The client has a prescription for administering an enema. After
preparing the equipment and solution, the nurse assists the
client into which of the following positions?
a.
Left-sided lateral Sims position
b.
Right-sided lateral Sims position
c.
Left side-lying, with the head of the bed elevated 45 degrees
d.
Right side-lying, with the head of the bed elevated 45 degrees
64.
The client with right-sided pleural effusion by chest x-ray is
being prepared for a thoracentesis. The nurse assists the client
to which of the following positions for the procedure?
a.
Sims position, with the head of the bed flat
b.
Left side-lying position, with the head of the bed elevated 45
degrees
c.
Prone, with the head turned to the side supported by a pillow
d.
Right side-lying position, with the head of the bed elevated 45
degrees
65.
89. The client is about to undergo a lumbar puncture (LP). The
nurse tells the client that which of the following positions will
be used during the procedure?
a.
Side-lying position, with a pillow under the hip
b.
Prone, with a pillow under the abdomen
c.
Prone, in a slight Trendelenburgâs position
d.
Side-lying position, with legs pulled up and head bent down
onto chest
66.
The client has had surgery to repair a fractured left-sided hip.
The nurse will use which of the following important items when
repositioning the client from side to side in bed?
a.
Bed pillow
b.
Abductor splint
c.
Adductor splint
d.
Overhead trapeze
67.
The nurse has admitted a client to the clinical nursing unit
following right-sided mastectomy. The nurse plans to place the
right-sided arm in which of the following positions?
a.
Level with the right-sided atrium
b.
Elevated above shoulder level
90. c.
Elevated on one or two pillows
d.
Dependent to the right-sided atrium
68.
The nurse is inserting an indwelling urinary catheter into a male
client. As the catheter is inserted into the urethra, urine begins
to flow into the tubing. The nurse notes the urine beginning to
flow and next:
a.
Immediately inflates the balloon
b.
Inserts the catheter 2.5 to 5 cm farther, then inflates the balloon
c.
Inserts the catheter until resistance is met, then inflates the
balloon
d.
Withdraws the catheter approximately 1 inch, then inflates the
balloon
69.
The nurse is caring for a client with a chest tube who
accidentally disconnects the tube from the drainage system
when trying to get out of bed. The nurse takes which immediate
action?
a.
Has the client hold a breath
b.
Places the client in a prone position
c.
Immerses the end of the tube in sterile saline
d.
Places a sterile dressing over the end of the chest tube
91. 70.
The nurse caring for a client who has a pneumothorax notes
continuous bubbling in the water seal chamber of the clientâs
closed-chest drainage system. The nurse determines that which
of the following is occurring?
a.
The pneumothorax is resolving.
b.
The drainage chamber is full.
c.
The suction to the system is shut off.
d.
There is an air leak somewhere in the system.
71.
A nurse is inserting a nasogastric (NG) tube for an adult client.
During the procedure, the client begins to cough and have
difficulty breathing. The priority action at this time is which of
the following?
a.
Quickly insert the NG tube.
b.
Remove the tube, and notify the physician.
c.
Remove the tube, and reinsert when the client fully recovers.
d.
Pull back on the tube, and wait until the client is breathing
easily.
72.
The nurse has a prescription to give 30 mL of an antacid to a
client through a feeding tube. Which of the following is a
92. priority nursing action?
a.
Assess tube placement.
b.
Administer the antacid by gravity flow.
c.
Aspirate to determine residual volume.
d.
Follow medication administration with 30 mL of sterile saline.
73.
Treatment for a client with bleeding esophageal varices has
been unsuccessful and the physician decides to insert a
Sengstaken-Blakemore tube. The nurse brings which of the
following items to the bedside so that it is available at all
times?
a.
An obturator
b.
A Kelly clamp
c.
An irrigation set
d.
A pair of scissors
74.
The male client complains of pain as the nurse is inflating the
balloon following insertion of a Foley catheter. The nurse takes
which of the following actions immediately?
a.
Aspirate the fluid, withdraw the catheter slightly, and reinflate
the balloon.
b.
Remove the catheter, and reinsert a new one that is one size
93. smaller.
c.
Finish inflating the balloon; the discomfort is normal and
temporary.
d.
Aspirate the fluid, advance the catheter farther, and reinflate the
balloon.
75.
The unit manager is reviewing documentation describing a
clientâs progress in terms of a critical path (Care Map) for
postoperative colon resection recovery. The manager notes that,
although the documentation is complete, the client has made
minimal progress in the areas of mobility and pain control for
the prior 48 hours. The managerâs first activity after making the
observation of deviation from the path is to contact the clientâs:
a.
Family to determine what is wrong
b.
Assigned nurse to increase client care interventions
c.
Physician to determine measures to discharge the client
d.
Case manager to determine whether the predicted variance has
been negotiated with the health insurer
76.
The newly appointed vice president for nursing operations has
announced that the authority for decision making will be
decentralized and distributed throughout the organization. The
nurse managers anticipate that the channel of communication
and authority will be characterized by an organizational chart
that is:
a.
94. Flat
b.
Vertical
c.
Circular
d.
Horizontal
77.
Which client would the emergency department triage nurse
classify as emergent?
a.
A client with a displaced fracture
b.
A client with a temperature of 101° F
c.
A client with a simple laceration and soft tissue injury
d.
A client with crushing substernal pain who is short of breath
78.
The graduate nurse is interviewed by the manager of a unit that
has three vacancies and is told that the managerâs leadership
style is one of letting the staff nurses make the decisions about
the unitâs operations. When the interviewee meets with the day
nursing staff, the graduate nurse hears examples of unit issues
indicating that the managerâs approach is laissez-faire. Which
of the following questions should the graduate nurse ask to
confirm her suspicions?
a.
âDoes the manager facilitate decision making by the group?â
b.
âDoes the manager maintain control and make all decisions?â
c.
95. âDoes the manager assume a passive, nondirective approach?â
d.
âDoes the manager change style according to the needs of the
group?â
79.
The nurse manager meets with the staff nurses and announces
that management has developed a new policy and procedure that
is significantly different from old practices. Which of the
following statements, if made by the nurse manager, would
reflect the managerâs use of legitimate power?
a.
âThe health care system services a client population that
presents particular challenges. The changes made will enhance
client safety and reduce errors.â
b.
âIf you donât follow the new policy and procedure, Iâll have no
choice but to give you a notice about poor performanceâwhich
could lead to termination of your employment.â
c.
âEvery manager has the responsibility to see that these new
policies and procedures are followed 100% of the time. Please
join me in this organizationâs effort to continue to improve
quality care.â
d.
âYouâre just going to have to trust me on this one. I was a
member of the committee that wrote the policy and procedure,
and there are good reasons why the specific nursing actions
need to be done this new way.â
80.
For which of the following client situations would a
consultation with a rapid response team (RRT) be most
appropriate?
96. a.
45-year-old, 2 years after kidney transplant, second hospital day
for treatment of pneumonia, no urine output for 6 hours,
temperature 101.4° F, heart rate 98 beats/min, respirations 20
breaths/min, blood pressure 168/94 mm Hg
b.
72-year-old, 24 hours after removal of a chest tube that was
used to drain pleural fluid (effusion), temperature 97.8° F, heart
rate 92 beats/min, respirations 28 breaths/min, blood pressure
136/86 mm Hg, anxious about going home
c.
56-year-old, fourth hospital day after coronary artery bypass
procedure, sore chest, pain with walking, temperature 97° F,
heart rate 84 beats/min, respirations 22 breaths/min, blood
pressure 122/78 mm Hg, bored with hospitalization
d.
86-year-old, 48 hours after operative repair of fractured hip
(nail inserted), alert, oriented, using patient-controlled
analgesia (PCA) pump, temperature 96.8° F, heart rate 60
beats/min, respirations 16 breaths/min, blood pressure 120/82
mm Hg, talking with daughter
81.
The nurse assigned to four clients reviews client data at the
beginning of the shift. Which information is assessed as the
highest priority?
a.
Hemoglobin, 12.2 g/dL
b.
Potassium level, 3.6 mEq/L
c.
Pulse oximetry reading, 89%
d.
Urine output, 240 mL/8 hr
97. Multiple ResponseIdentify one or more choices that best
complete the statement or answer the question.
1.
The nurse is providing preoperative teaching with the client
about the use of an incentive spirometer in the postoperative
period. The nurse should include which of the following pieces
of information in discussions with the client? Select all that
apply.
a.
Sit leaning forward.
b.
Inhale deeply and quickly.
c.
Sit upright or lean slightly back.
d.
Hold the mouthpiece tightly with the teeth.
e.
Keep a tight seal between the lips and the mouthpiece.
f.
After maximum inspiration, hold the breath for 2 to 3 seconds
and exhale.
2.
From the following list of nursing activities, select those that
the registered nurse (RN) can delegate to the licensed practical
nurse or licensed vocational nurse (LPN/LVN).Select all that
apply.
a.
Assessment
b.
Urinary catheterization
c.
98. Endotracheal suctioning
d.
Intravenous push medication administration
e.
Intramuscular medication administration
f.
Subcutaneous medication administration
3.
Of the following list of responsibilities for disaster
preparedness in the United States, identify those that are
functions of the American Red Cross (ARC) as opposed to the
Federal Emergency Management Agency (FEMA). Select all
that apply.
a.
Provide monetary relief.
b.
Provide crisis counseling.
c.
Identify and train personnel.
d.
Deploy National Guard troops.
e.
Handle inquiries from families.
f.
Issue presidential declarations.
4.
The community health nurse is preparing to teach âpersonal and
family preparedness for disastersâ to a group of parents of
school-age children. From the following list of items to be kept
ready, identify the appropriate items that should be identified
by the nurse. Select all that apply.
a.
99. Flashlight
b.
Supply of batteries
c.
Battery-operated radio
d.
Extra pair of eyeglasses
e.
Three-week supply of nonperishable food
f.
Three-week supply of water (1 gallon per person per day)
5.
The nurse is providing instructions to the client being
discharged to home with a peripherally inserted central catheter
(PICC). The nurse provides which instructions to the
client? Select all that apply.
a.
Wear a Medic-Alert tag or bracelet.
b.
Report redness or swelling at the catheter insertion site.
c.
Have a repair kit available in the home for use if needed.
d.
Keep activity level to a minimum while this catheter is in place.
e.
Cover the PICC dressing with plastic when in the shower or
bath.