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Nursing care during the Civil War was |
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Plagued by communicable diseases made worst by unsanitary conditions |
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What historical event first led to the realization of the contribution of African-Americans to nursing? |
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Mary Seacole’s efforts to care for soldiers during the Crimean War. |
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The Health Insurance Portability and Accountability Act (HIPAA, 1996) provides – |
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Regulations to ensure privacy and security of patient data |
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A nurse is preparing a presentation and is reviewing websites to collect information on stem cell research. One site does not contain headings to direct the reader, and hyperlinks do not connect to the stated information. Which criterion to establish a reputable website is missing? |
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An explosion just occurred at the local factory , and hundreds of employees have sustained varying degrees of injury. Which type of nursing leadership is most effective in this situation? |
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A nurse manager is concerned with restocking the emergency cart, creating the staff schedule, requesting floor stock from pharmacy, and checking the orders on patient charts. Which type of leader accurately describes this nurse? |
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Place the following five major management functions into correct sequential order. |
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C. Planning E. Organizing A. Staffing B. Directing D. Controlling |
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The charge nurse assigns two registered nurses to provide care as a team for laboring patients. What are the supervisory needs of each of these RNs? |
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D.The charge nurse who made the assignments is responsible for supervising each of the RNs |
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Which of the following would have the highest priority when one is determining to whom to delegate a task? |
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E. The credentials of the person whom the task is being delegated. |
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A nurse is caring for a client who just consented to an elective abortion. The nurse is unsure of his/her own values as they relate to this issue. The nurse must – |
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Definition
A. Know his/her own values and how these values relate to beliefs and the philosophy of nursing. |
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The nurse who admits making medication error and immediately files an incident report is demonstrating – |
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Three illegal immigrants with no health insurance or money sustained life threathening injures during an automotive accident. Two of these individuals had head trauma and lacerated internal organs. The decision was made to provide extended care in the trauma center after emergency surgery was performed to save their lives. The third individual received only minor injuries, which were treated in the emergency department. The care of the two critical clients was based on the ethical priniciple of – |
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A nurse who is infected with human immunodeficiency virus (HIV) while working in the operating room seeks revenge by deliberately placing clients at risk by not adhering to universal precautions. The nurse is violating the principle of – |
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14. While assisting in the labor room, the nurse is helping to stimulate a newborn infant who was a low Apgar score. The nurse stumbles, allowing the baby to fall to the floor, resulting in the infant’s death. The situation is referred to as |
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15. A nurse is checking orders at the front desk when a visitor asks the room number of his father. The nurse leaves the chart open while looking up the room number on the computer, allowing the visitor to read the patient’s recent X ray report. Which law would protect this client from other’s having access to his or her medical information? |
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Definition
Health Insurance and Portability and Accountability Act of 1996. |
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16. The nursing shortage escalates, and certain geographic areas must institute delivery models that require fewer numbers of registered nurses. Which type of nursing delivery models would be appropriate? |
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Definition
Team Nursing and Functional Nursing |
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17. A patient receives care for heart failure on a nursing unit which the interdisciplinary team members, including nurses, respiratory therapists, physical therapists, and dietitians, report to a supervising RN, who is responsible for coordinating the patient’s care. What type of nursing care delivery model is represented in this nursing unit? |
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18. A researcher is using data collected by the government on the use of prescription drugs by older adults. The new research question, “Why do older adults adhere to a prescription drug regimen?” was based on data from the previous study. The researcher is participating in which type of research? |
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19. The advantage of meta-analysis is that multiple studies are statistically analyzed, enhancing the power of the results. The disadvantage is that – |
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The findings are only as reliable and valid as the original studies. |
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20. An RN suspects that an employer hires nursing students at a higher rate of pay and allows them to perform certain procedures that require the skills of a RN. The nursing students enjoy the autonomy and extra pay. Before the RN participates in whistle-blowing, he or she should – |
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Definition
Collect adequate documentation and, if possible consult with the state nurses association before reporting to the state agency responsible for regulation of the employer. |
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During a public talk, a nurse is asked, “With the increased use of foreign nurses to alleviate the nursing shortage, who ensures that foreign nurses are treated fairly?” The nurse responds that monitoring of foreign nurses’ employment is the jurisdiction of the – |
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When participating in a grassroots political strategies, the nurse should: |
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Definition
Educate candidates about the effects of the nursing shortage on the quality of patient care and patient safety |
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The nurse manager is preparing the budget for the renal dialysis unit for the new fiscal year and predicts a 10% daily census increase with a corresponding increase in revenues and expenditures for the upcoming year. The nurse manager is using which budget method? |
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The first step in the budget development process is to: |
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Identify the organization’s strategic goals and objectives. |
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A quality improvement team was collecting data to determine how nurses use their time and to identify areas to improve nurses’ efficiency. The team found that 60% of nurses’ time was spent charting, 30% was spent in direct patient care activities, and 10% was spent on patient and family teaching. Which type of chart would best support the data collected by the quality improvement team? |
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An older adult has atrial fibrillation that causes the heart to have an irregular rhythm. The client uses imagery to alter the dysrhythmia. The client is using which type of complementary alternative medicine (CAM)? |
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A patient with kyphosis is visiting a practitioner of chiropractic medicine for the first time and asks, “How does this therapy work?” The practitioner replies, “I will use my hands along with heat to correct the misalignment of your spine by placing pressures on the nerves that have produced pain. The misalignment of your spine is referred to as: |
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An RN enjoys caring for complex patients in acute care and is interested in returning to school for a graduate degree as a generalist to gain greater autonomy over decisions at the bedside for those patients with multifaceted dynamic health status. This nurse should consider a career opportunity such as: |
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. A nurse in an acute care facility helps patients understand how to prevent diabetic neuropathies. This nurse is functioning in the role of: |
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An RN working in a long-term care facility routinely supervises nurses’ aides and licensed practical nurses. The facility is considering unionization. The RN has been correctly informed that she: |
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Definition
Can vote in the election because nurses who serve in supervisory roles are not considered part of the management team. |
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Term
Collective bargaining is a method of: |
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Definition
Equalizing power between employees and employers that strengthens the employees’ position to negotiate for wages and benefits. |
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The triage nurse becomes concerned and notifies the nursing supervisor when several individuals come to the emergency department within a 30-minute time frame with pinpoint pupils, decreased level of consciousness, and respiratory distress. Each patient’s condition deteriorates rapidly, and respiratory failure ensues. The nursing supervisor instructs all staff members to don personal protective equipment (PPE). What is the rationale for the level of PPE the staff should use? |
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Level C, because biologic agents are the probably cause. |
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A nurse is conducting a community awareness class for the pre-impact phase of a terrorist attack and states: |
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“The most common agent used by terrorists is: D. Explosive because the materials are easy to find and conceal.” |
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. In nursing school, it was required that a folder containing patient names be placed on the food cart so intake could easily and accurately be recorded. The novice nurse begins work after graduation and notices that often, intakes are estimated because no recordings are made as the trays are picked up. At the staff meeting, the novice nurse suggests that the practice learned from school be incorporated on the unit, and this is accepted by the staff as a means to improve quality. This situation represents: |
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A novice nurse completes a computer search on how to become an expert nurse. The novice nurse found Banner’s stages of becoming clinically competent and learned that most novice nurses enter the workforce at stage: |
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Two, when limited judgment calls are based on understanding gained from previous experiences. |
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A nurse is faced with choosing between returning to school for an advanced practice degree or accepting a position that is much coveted as a research assistant with a cardiology group. Time is spent at a local park contemplating how to best focus energy and visions for the future. The nurse is using which type of energy management? |
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A nurse is very interested in hospice care and is considering a position that has become open in that department. The nurse’s spouse and family are not in favor of the move. The nurse withdraws the application based on the obstacle of: |
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Definition
Fear of disrupting the status quo |
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Term
Which of the following statements used in a resume for a nurse just entering the workforce would produce the best results? |
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Definition
I will be graduating with honors |
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Term
Which of the following questions would be inappropriate for a nurse recruiter to ask during an interview? |
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Definition
“What is your religious preference? |
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During the NCLEX-RN examination, a student receives the test question, “The RN making patient care assignments delegates the task of ambulating a stable postoperative patient to which level of caregiver?” This question evaluates which phase of the nursing process? |
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41. A potential candidate who is attending a review for the NCLEX-RN examination asks, “How does computer adaptive testing (CAT) actually work?” The correct response by the reviewer is CAT: |
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Selects each question based on the candidate’s ability or inability to correctly answer previous questions. |
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