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NURSING CONCEPTS EXAM/ PRACTICE QUESTIONS
2024 with Correct Detailed Answers.
To be effective, nurse managers should focus on which area?
- Cost-effective operation of the unit
- Motivation of staff
- Accomplishing organizational goals
- The patients and their needs - ANSWER - d. The patients and their needs
A nurse states she believes in the dignity of each patient. At break, she is overheard talking about a patient in a persistent vegetative state as a "lump." This represents an inconsistency in which quality of an effective leader?
- Dedication
- Magnanimity
- Integrity
- Humility - ANSWER - c. Integrity
A nurse delegates a bed bath to unlicensed assistive personnel (UAP). After lunch, the patient rings for the nurse and complains that he has not yet been cleaned up. He is very upset and angry. What should the nurse's next action be?
- Assist the patient in getting cleaned up.
- Write up the UAP for not carrying out the assignment.
- Report the UAP to the unit manager.
- Go find the UAP, and tell her to complete the bath immediately. - ANSWER - a. Assist the patient in
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getting cleaned up.
2 While caring for a patient on a med-surg floor, the nurse notes the presence of bright red stools. How does the nurse document this finding?
- Melena
- Hematochezia
- Hematemesis
- Occult bleeding - ANSWER - B
Melena is black tarry stools Occult bleeding is where there are broken down products of blood are present in the stool
While reading a patient's diagnostic evaluation, the nurse notes that the patient's GI tract has a cobblestone appearance. This is present in which disorder?
- Ulcerative colitis
- Irritable bowel disease
- Crohn disease
- Infective enterocolitis - ANSWER - C
Note also that ulcerative colitis is confined to the colon or rectum Crohn's disease may occur in various sites of GI tract
While reading the patient's diagnostic evaluation, the nurse reads that the patient has experienced a
twisting of the bowel. This type of obstruction is known as:
- Volvulus
- Intussusception
- Hernia
- Adhesion - ANSWER - A
In caring for a patient experiencing liver failure, which of the following lab values does the nurse expect to be elevated? (Select all that apply.)
- Aspartate Aminotransferase (AST)
- Alanine Aminotransferase (ALT)
- Albumin
- Ammonia 2 / 4
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- Bilirubin - ANSWER - A, B, D, E
Albumin would be decreased
A teenage boy sustains a severe closed head injury following an all-terrain vehicle (ATV) accident. He is in a state of deep sleep that requires vigorous stimulation to elicit eye opening. How should the nurse document this in the chart?
- Confusion
- Coma
- Obtundation
- Stupor - ANSWER - D
Stupor is a condition of deep sleep or unresponsiveness from which the person may be aroused or caused to open eyes only by vigorous and repeated stimulation.
When thought content and arousal level are intact but a patient cannot communicate, the patient has:
- Cerebral death
- Locked-in syndrome
- Dysphagia
- Cerebellar motor syndrome - ANSWER - B
Locked-in syndrome occurs when the individual cannot communicate through speech or body movement but is fully conscious, with intact cognitive function
The registered nurse on an inpatient medical unit delegates vital signs and morning care to the unlicensed assistive personnel (UAP) for five stable patients. The nurse asks the UAP to document the vital signs and report any abnormal results immediately. Which rights of delegation is the nurse demonstrating? (Select all that apply.)
- Right person
- Right circumstance
- Right time
- Right supervision
- Right patient - ANSWER - a. Right person 3 / 4
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- Right circumstance
- Right supervision
A nursing student is taking care of a patient with possible appendicitis and is curious about the best method of diagnosing this disorder. What does the nursing student have to consider in formulating a question using the PICO format (patient, population, or problem; intervention; comparison intervention; outcomes) to determine evidence-based practice?
- Problem: appendicitis; interventions: ultrasound versus CT scan; outcome: diagnosis of appendicitis
- Problem: pain; interventions: meperidine versus morphine; outcome: pain free
- Problem: fever; interventions: cooling measures versus antipyretics; outcome: normal temperature
- Problem: appendicitis; Interventions: complete blood count versus chemistry panel tests; outcome:
painless - ANSWER - d. Problem: appendicitis; Interventions: complete blood count versus chemistry
panel tests; outcome: painless
The nurse decides to access a systematic review database to determine evidence-based practice related to the patient's treatment plan for a diagnosis of otitis media (i.e., ear infection). What database can provide that type of resource?
- Cumulative Index of Nursing and Allied Health Literature (CINAHL)
- Cochrane
- PubMed
- MD Consult - ANSWER - b. Cochrane
The nurse researcher provides participants with informed consent so that what ethical principle is upheld?
- Respect for persons
- Beneficence
- Justice
- Ethics - ANSWER - a. Respect for persons
The nurse feels that the results of a recent literature search and analysis about handwashing should be implemented in the entire hospital system. With whom would the nurse be required to collaborate? a.Colleagues caring for patients in her unit
- Colleagues in the community
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