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Final_Exam_Nursing_101 Practice Questions

9.The family of a client in a burn unit asks the nurse for information. The nurse sits with the family and discusses their concerns. What type of communication is this?

A) Intrapersonal

B) Interpersonal

C) Organizational

D) Focused

10. Which of the following is an example of nonverbal communication?

A) A nurse says, “I am going to help you walk now.” B) A nurse presents information to a group of clients.

C) A client’s face is contorted with pain.

D) A client asks the nurse for a pain shot.

11.A nursing student caring for an unconscious client knows that communication is important even if the client does not respond. Which nonverbal action by the nursing student would communicate caring?

A) Making constant eye contact with the client

B) Waving to the client when entering the room

C) Sighing frequently while providing care

D) Holding the client’s hand while talking

12. Which of the following statements is true of factors that influence communication? A) Nurses provide the same information to all clients, regardless of age.

B) Men and women have similar communication styles.

C) Culture and lifestyle influence the communication process.

D) Distance from a client has little effect on a nurse’s message.

13.A nurse is sitting near a client while conducting a health history. The client keeps edging away from the nurse. What might this mean in terms of personal space?

A) The nurse is outside the client’s personal space.

B) The nurse is in the client’s personal space.

C) The client does not like the nurse.

D) The client has concerns about the questions.

14. Why is communication important to the “assessing” step of the nursing process? A) The major focus of assessing is to gather information.

B) Assessing is primarily focused on physical findings.

C) Assessing involves only nonverbal cues.

D) Written information is rarely used in assessment.

15.A nurse uses the SBAR method to hand off the communication to the health care team. Which of the following might be listed under the “B” of the acronym?

A) Vital signs

B) Mental status

C) Client request

D) Further testing

16. What is the goal of the nurse in a helping relationship with a client?

A) To provide hands-on physical care

B) To ensure safety while caring for the client

C) To assist the client to identify and achieve goals

D) To facilitate the client’s interactions with others

17. What action by the nurse will facilitate the helping relationship during the orientation phase?

A) Providing assistance to meet activities of daily living

B) Introducing oneself to the client by name

C) Designing a specific teaching plan of care

D) Preparing for termination of the relationship

18. Which of the nursing roles is primarily performed during the working phase of the helping relationship? A) Educator and counselor

B) Provider of care

C) Leader and managerD) Researcher

19.Which term describes a nurse who is sensitive to the client’s feelings, but remains objective enough to help the client achieve positive outcomes?

A) Competent

B) Caring

C) Honest

D) Empathic

20. What is the primary focus of communication during the nurse–client relationship?

A) Time available to the nurse

B) Nursing activity to be performed

C) Client and client needs

D) Environment of the client

21. Which of the following is an example of a closed-ended question or statement?

A) “How did that make you feel?”

B) “Did you take those drugs?”

C) “What medications do you take at home?”D) “Describe the type of pain you have.”

22.A client tells the nurse that he is very worried about his surgery. Which of the following responses by the nurse is a cliché?

A) “Tell me what you are worried about.”

B) “Have you spoken to your family about your concerns?”

C) “Do you want to cancel your surgery?”D) “Don’t worry, everything will be fine.”

23.A nurse tells a client, “Aren’t you going to get out of bed or are you just going to sleep all day and night?” This is an example of which of the following barriers to communication? A) Using comments that give advice

B) Using judgmental or belittling language

C) Using leading questions

D) Using probing questions

24.A nurse is caring for a client who is visually impaired. Which of the following is a recommended guideline for communication with this client?

A) Ease into the room without acknowledging presence until the client can be touched.

B) Speak in a louder tone of voice to make up for lack of visual cues.

C) Explain reason for touching client before doing so.

D) Keep communication simple and concrete.

25.A client has been recently diagnosed with diabetes. He is seen in the emergency room every day with high blood sugar. The client apologizes to the nurse for bothering them every day, but he cannot give himself insulin injections. What should the nurse’s response be?

A) “I myself cannot take insulin injections.”

B) “Has someone taught you how to take them?”

C) “You should learn to take injections yourself.”

D) “Ask the doctor to change the medications.”

26.A nurse pays a house visit to a client who is on total parenteral nutrition. The client expresses that he misses enjoying food with his family. What is the most appropriate response by the nurse? A) Tell me more about how it feels to eat with your family.

B) You can sit with your family at meal times, even though you don’t eat.

C) In a few weeks you may be allowed to eat a little; you may enjoy then.

D) I know that you must be missing your favorite foods.

27.A nurse is caring for a client with myasthenia gravis. The client is having difficulty forming words and his tone is nasal.

Which of the following is an effective communication strategy for this client? A) Engage the client in a lengthy discussion to strengthen his voice.

B) Encourage the client to speak quickly while talking.

C) Repeat what the client has said to verify the meaning.

D) Nod continuously when the client is talking.

28.The nurse has engaged the services of an interpreter when interviewing a client who speaks a language that the nurse does not understand. The interpreter is functioning in which role during the communication process?

A) Sender

B) Encoder

C) Receiver

D) Communication channel

29.A client comes to the clinic complaining of abdominal pain. Which first question would be most appropriate for the nurse to ask to facilitate the assessment? A) “Do you have sharp, stabbing pain?”

B) “Is the pain associated with meals?”

C) “What activities exaggerate the pain?”

D) “Does the pain increase on palpation?”

30.When documenting client care, the nurse understands that the most important reason for correct and accurate documentation is which of the following?

A) Legal representation to care

B) Conveyance of information

C) Assisting in organization of care

D) Noting the client’s response to interventions

31.An older adult client who has had a colostomy for over 10 years states, “I won’t need any teaching about colostomies. I understand how to change the bag and care for my colostomy, but I’m not sure how to best clean my stoma.” What does this statement indicate? A) An incongruent relationship

B) A confused relationship

C) A non-therapeutic relationshipD) An evaluative relationship

32.Which of the following statements accurately describes the relationship between therapeutic communication and the nursing process? Select all that apply.

A) Effective communication techniques, as well as observational skills, are used extensively during the assessment step.

B) Only the written word in the form of a medical record is used during the diagnosing step of the nursing process.C) The implementing step requires communication among the client, nurse, and other team members to develop interventions and outcomes.

D) Verbal and nonverbal communication are used to educate, counsel, and support clients and their families during theimplementation phase.

E) Nurses rely on the verbal and nonverbal cues they receive from their clients to evaluate whether client objectives havebeen achieved.

33.A nurse who is discharging a client is terminating the helping relationship. Which of the following actions might the nurse perform in this phase? Select all that apply.

A) Making formal introductions

B) Making a contract regarding the relationship

C) Providing assistance to achieve goals

D) Helping client perform activities of daily living

E) Examining goals of the relationship to determine their achievement

34.A nurse tells a client that she will come back in 10 minutes to re-assess the client’s pain. When the nurse returns in 10 minutes, which aspect of the therapeutic relationship is the nurse developing?

A) Empathy

B) Sympathy

C) Trust

D) Closure

35. Which of the following should the nurse first consider when attempting to become culturally competent?

A) Personal cultural beliefs and prejudices

B) Understanding the client’s response

C) Avoiding labeling clients

D) Treating the client with dignity

Chapter 21, Teacher and Counselor

1.A male client age 61 years has been admitted to a medical unit with a diagnosis of pancreatitis secondary to alcohol use.

Which of the client’s following statements suggests that nurses’ education has resulted in affective learning?

A) “I’m starting to see how my lifestyle has caused me to end up here.”

B) “I understand why they’re not letting me eat anything for the time being.”

C) “My intravenous drip will keep me from getting dehydrated right now.”

D) “I can see how things could have been much worse if I hadn’t gotten to the hospital when I did.”

2.The nurse has been working with a client for several days during the client’s recovery from a femoral head fracture. How should a nurse best evaluate whether client education regarding the prevention of falls in the home has been effective?

A) “What changes will you make around your house to reduce the chance of future falls?”

B) “Do you have any questions about the fall prevention measures that we’ve talked about?”

C) “In light of what we’ve talked about, why is it important that you remove the throw rugs in your house?”

D) “Do you think that the safety measures I taught you are clear and realistic?”

3.A diabetes nurse educator is teaching a client, newly diagnosed with diabetes, about his disease process, diet, exercise, and medications. What is the goal of this education? A) To help the client develop self-care abilities

B) To ensure the client will return for follow-up care

C) To facilitate complete recovery from the disease

D) To implement ordered teaching and counseling

4.A nurse refers a client with a new colostomy to a support group. This nurse is practicing which of the following aims of nursing? A) Promoting health

B) Preventing illness

C) Restoring health

D) Facilitating coping

5. Which of the following is an essential component of the definition of learning?

A) Increases self-esteem

B) Decreases stress

C) Can be measured

D) Cannot be measured

6.A nursing faculty member is teaching a class of second-degree students who have an average age of 32. What is important to remember when teaching adult learners? A) A focus on the immediate application of new material

B) A need for support to reduce anxiety about new learning

C) Older students may feel inferior in terms of new learning

D) All students, regardless of age, learn the same

7.A nurse is designing a teaching program for individuals who have recently immigrated to the United States from Iraq.

Which of the following considerations is necessary for culturally competent client teaching? A) Use materials developed previously for U.S. citizens.

B) Use all visual materials when teaching content.

C) Use a lecture format to teach content with few questions.

D) Develop written materials in the client’s native language.

8. Which of the following strategies might a nurse use to increase compliance with education? A) Include the client and family as partners.

B) Use short, simple sentences for all ages.

C) Provide verbal instruction at all times.

D) Maintain clear role as the authority.

9.A young mother asks the nurse in a pediatric office for information about safety, diet, and immunizations for her baby. Which nursing diagnosis would be appropriate for this client?

A) Knowledge Deficit: Infant care

B) Impaired Health Maintenance

C) Readiness for Enhanced Parenting

D) Readiness for Enhanced Coping

10. Developing an education plan is comparable to what other nursing activity?

A) Documenting in the nurses notes

B) Formulating a nursing care plan

C) Performing a complex technical skill

D) Using a standardized form or format

11.A student is developing an education plan for her assigned client. The student wants to educate the client on what symptoms to report after chemotherapy. What would the student need to do first?

A) Ask other students what should be included in content.

B) Ask the client what he or she wants to know.

C) Tell the instructor that this topic hasn’t been covered yet.

D) Review information available in writing and on the Internet.

12.A mother of a toddler wants to learn how to do CPR. What education strategy would be most effective in helping her learn? A) Lecture

B) Discussion

C) DemonstrationD) Discovery

13. A nurse instructs a client to tell her about the side effects of a medication. What learning domain is the nurse evaluating? A) Affective

B) Cognitive

C) Psychomotor

D) Emotional

14. When is the best time to evaluate one’s own teaching effectiveness?

A) During the education session

B) Immediately after an education session

C) 1 week after the education session

D) 1 month after the education session

15.A male client age 42 years recovering from a MI is having difficulty following the care plan to stop smoking and exercise. What is the nurse’s best response to this client?

A) Praise him for trying.

B) Tell him that he will have another MI and it will be his own fault.

C) Tell him that his cigarettes will be taken away if he smokes again.

D) Ignore the behavior and recommend a behavior modification program.

16. What is the most critical element of documentation of education?

A) A summary of the education plan

B) The implementation of the education plan

C) the client’s need for learning

D) Evidence that learning has occurred

17. What word or phrase best describes an effective counselor?

A) Technically skilled

B) Knowledgeable

C) PracticalD) Caring

18.An older adult client is very stressed about who will care for his pets while he is hospitalized for a fall that caused a fractured hip. What type of counseling would the nurse conduct?

A) None

B) Long-term

C) Short-term

D) Motivational

19.A nurse is using motivational interviewing to find out why a client refuses to participate in the recommended rehabilitation program. Which of the following is an example of using the skill of reflective listening to help motivate this client? A) So, you feel that you are not ready to start a program this week…?

B) Why do you feel that you are not ready to start rehabilitation?

C) I understand that you are afraid to start rehabilitation; where do you see yourself in a week?

D) Remember we discussed what needs to be done to get you back on your feet…How do you feel about getting started?

20.At completion of the health education for a client, the nurse documents the details of the health education in the client’smedical record. What can be determined by this documentation?

A) Proof of compliance with education standards

B) Client’s response to the health education

C) Self-administration of medicationsD) Dietary instructions for the client

21.A client 36 years of age is able to understand the health education when she is given the opportunity to put the education into practice. The nurse helps the client to self-administer the medication dosage before the client is discharged from the health care facility. Which domain correctly identifies the client’s learning style?

A) Cognitive domain

B) Affective domain

C) Psychomotor domain

D) Interpersonal domain

22.When caring for a client, the nurse gives day-to-day examples to explain certain points of the health education. The nurse also notes the client’s concentration level and educates when the client is active. Which category does the client fall into?

A) Motivation

B) Attention and concentration

C) Learning readinessD) Learning needs

23.A nurse notices that a toddler is constantly snatching toys from the hands of other preschool children at the health care facility, placing the toddler and other children at risk for injury. Which of the following would be a most effective method for teaching the toddler not to snatch toys? A) Ask the children to play another game.

B) Tell the toddler that God punishes children who snatch.

C) Give the toddler another toy with which to play.

D) Enlist the aid of the toddler’s parents in education.

24. To meet accreditation standards regarding client care, a health care facility must show evidence of what?

A) Employee satisfaction surveys

B) Financial accounts and statements

C) Documentation of indigent care

D) Client education documentation

25.When providing client education it is essential for the nurse to incorporate what action so that learning can be optimized?

A) Have the clients read material after client education

B) Be sure that clients are formally engaged

C) Include educational strategies that encourage clients to be active participants

D) Administer tests to evaluate learning

26.The parents of an infant suffering from apnea need to be educated on the apnea monitor and cardiopulmonary resuscitation. What should the nurse assess first regarding the parents?

A) Educational levels

B) Home environment

C) Infant bonding

D) Baseline knowledge of these concepts

27.When the newly diagnosed, insulin-dependent diabetic client tells the nurse that he has never received instruction on the administration of injections, an appropriately stated nursing diagnosis for the client is what?

A) Self-care deficit related to lack of knowledge about injections

B) Knowledge deficit related to lack of knowledge about injections

C) Deficient knowledge of injection administration as verbalized by the client, related to the lack of instruction andexperience

D) Ineffective health care maintenance related to diabetic instructions

28.A nurse is writing learning outcomes for a client recovering from severe burns. Which of the following verbs would be good choices to use when preparing outcomes related to learning how to change dressings? Select all that apply.

A) Assembles

B) Demonstrates

C) Gives examples

D) IdentifiesE) Chooses

29.A nurse educating a new mother on how to bathe her infant uses the acronym TEACH to maximize the effectiveness of the education plan. Which of the following are guidelines based on this acronym? Select all that apply. A) Tune out the individual client.

B) Edit client information.

C) Act on every teaching moment.

D) Always refer a client to counseling.

E) Clarify often.

30.The National Patient Safety Foundation recently collaborated with the Partnership for Clear Health Communication (2007) to create awareness of the need for improved health literacy and developed the Ask Me 3 tool. Which of the following is an Ask Me 3 question? Select all that apply. A) Who will be my health care provider?

B) What is my main problem?

C) What do I need to do?

D) Where will I get help?

E) Why is it important for me to do this?

31. According to Rosenstock, which of the following are health beliefs critical for client motivation? Select all that apply. A) Clients view themselves as susceptible to the disease in question.

B) Clients view the disease as a serious threat.

C) Clients believe there are actions they can take to reduce the probability of contracting the disease.

D) Clients believe the threat of taking these actions is greater than the disease itself.

E) Patients view themselves as victims of the disease in question.

32.A nurse is educating an elderly client with diabetes and his family members about the importance of a nutritious diet.

The nurse knows that client education promotes which of the following purposes? Select all that apply.

A) Helps the nurse to restore optimal health in the client

B) Helps the client to cope with alterations in health status

C) Helps the nurse to be more aware of the client’s health

D) Helps the nurse to diagnose the client’s illness early

E) Helps the nurse to be well-informed about the client’s care

33.A nurse in a neighborhood clinic is conducting educational sessions on weight loss. What aim of nursing is met by these educational programs? A) Practicing advocacy

B) Preventing illness

C) Restoring health

D) Facilitating coping

E) Maintaining and promoting health

34. What client characteristic is important to assess when using the health belief model as the framework for teaching? A) Developmental level

B) Source of information

C) Motivation to learnD) Family support

35.A nurse is working with an older adult client, educating the client on how to ambulate with the aid of a walker. The nurse notes that the client appears to lack the motivation to learn how to use device. The client states, “I’m just too old to learn.” Which of the following would be most appropriate for the nurse to do to motivate this client? A) Tell the client how to move the walker as he ambulates.

B) Explain how the walker supports the client’s lower extremities

C) Fully discuss the rationale for using the walker.

D) Describe how the walker can improve the client’s quality of life.

Chapter 22, Nurse Leader, Manager, & Care Coordinator

1. Which of the following nursing care tasks is acceptable for a graduate nurse to delegate to unlicensed assistive personnel (UAP)? A) Assisting a client with ambulation

B) Evaluation of nursing care delivered to a client

C) Initial and ongoing assessments

D) Development of a client teaching plan

2.Nurses with varying levels of experience possess leadership skills. A graduate nurse walks out of the nurse manager’s office after a meeting. The graduate nurse reflects on the positive and negative feedback that she received from the manager regarding her three months working on the unit. What nursing leadership skill is best illustrated by the graduate nurse in this scenario? A) Self-evaluation skills

B) Communication skills

C) Problem-solving skills

D) Management skills

3. What type of leadership can a graduate nurse working in a magnet hospital expect?

A) Democratic

B) Autocratic

C) SituationalD) Quantum

4.The nurse is having an exceptionally busy shift on an obstetrical unit. Which of the following tasks is the nurse justified in delegating to an unlicensed care provider?

A) Emptying a client’s Foley catheter bag and reporting the volume to the nurse

B) Helping a first-time mother achieve a good latch when breast-feeding her infant

C) Assessing the size and quantity of clots that are in a client’s bedpan and informing the nurse

D) Giving an anti-inflammatory to a client who is eight hours postdelivery

5.The nurse has just graduated with a Bachelor of Science in Nursing and is eager to find a mentor at this early stage in her career. Which of the following individuals is most likely to be an appropriate mentor for the nurse? A) An experienced nurse who was a preceptor in a previous clinical placement B) The nurse educator on the hospital unit where the novice nurse has been hired

C) A colleague who graduated with honors at the same time as the novice nurse.

D) The unit manager who the novice nurse.

6.A senior student was elected president of the Student Nurses Association. Which of the following qualities is essential to being a nursing leader? A) Physical stamina

B) Physical attractiveness

C) Flexibility

D) Independence

7. Which type of skills is not needed for nursing leadership?

A) Communication skills

B) Technical skills

C) Problem-solving skillsD) Self-evaluation skills

8. A nurse strives to establish trusting interpersonal relationships with clients, peers, subordinates, and superiors to facilitate goal achievement and personal growth of all participants. Which type of skills is this nurse demonstrating? A) Communication skills

B) Problem-solving skills

C) Management skills

D) Self-evaluation skills

9. A nurse manager makes all of the decisions for staff activities. What type of leadership is demonstrated by this action? A) Democratic

B) Self-governance

C) Laissez-faire

D) Autocratic

10. What type of leader shares decisions and activities with group participants?

A) Democratic

B) Autocratic

C) Laissez-faireD) Situational

11.A nurse leader is described as charismatic, motivational, and passionate. Communications are open and honest, and the nurse is willing to take risks. What type of leadership is the nurse practicing?

A) Democratic

B) Autocratic

C) Quantum

D) Transformational

12. A nurse is described as a “quantum leader.” Which action characterizes this type of leadership? A) A nurse conducts a blind survey to evaluate her leadership skills.

B) A nurse relinquishes power to a group deciding hospital policy.

C) A nurse makes policy decisions for coworkers without consulting them.

D) A nurse sticks to the “tried and true” methods when implementing client care.

13. When comparing team nursing with functional nursing, what characteristic is found? A) Team nursing is very similar to functional nursing.

B) Team nursing focuses on individual client care.

C) Functional nursing has a stronger focus on the client.

D) Functional nursing is based on total client care.

14.A nurse believes in listening to clients and coworkers more than talking to them, allowing more personal control for all involved. This is a quality of which of the following managerial mindsets?

A) Reflective

B) Analytical

C) Worldly

D) Collaborative

15. In which of the following conflict resolution strategies is the conflict rarely resolved?

A) Collaborating

B) Compromising

C) Competing

D) Smoothing

16. In Lewin’s classic theory of change, what happens during unfreezing? A) Planning is conducted.

B) Change is initiated.

C) Change becomes operational.

D) The need for change is recognized.

17.Planned change is a purposeful, systematic effort to alter or bring about change. What occurs next after alternative solutions to a problem are determined and analyzed? A) All of the alternative solutions are implemented.

B) A course of action is chosen from among the alternatives.

C) The effects of the change are evaluated.

D) The change is stabilized and established.

18. In general, how do most people view change?

A) By how it affects the cohesiveness of the group

B) By how much it will cost in time and resources

C) By how they are affected personally

D) By how it will affect others on the staff

19.A nurse manager has encountered resistance to a planned change. What is one way the nurse can overcome the resistance?

A) Tell the staff that if they don’t like it, they can quit.

B) Implement change rapidly and all at once.

C) Encourage open communication and feedback.

D) Let the staff know that the change is mandated.

20. Which of the following statements accurately describes the use of power by change agents? A) They know that power comes from one source—management.

B) When introducing change they do not enlist the support of key power players.

C) They are often accomplished professional women.

D) They do not recognize their own strengths and weaknesses.

21. A nurse working on leadership skills should keep in mind which of the following accurate statements regarding leaders? A) People are born leaders.

B) Leadership should be approached quickly.

C) Leaders develop leadership skills in undefined situations.

D) All nurse leaders began as inexperienced nurses.

22.A student nurse has just graduated with a baccalaureate degree in nursing. What type of nursing leadership will this nurse be expected to provide?

A) Nursing care of the individual client

B) Demonstration of selected critical skills

C) Ability to be a follower rather than a leaderD) Nursing care of groups of clients

23.A nurse is considering the delegation of administering medications to an unskilled assistant. What is the first question the nurse must ask herself before doing so?

A) Has the assistant been trained to perform the task?

B) Have I evaluated the client’s response to this task?

C) Is the delegated task permitted by law?

D) Is appropriate supervision available?

24.The ANA, which is committed to monitoring the regulation, education, and use of NAPs, recommends adherence to which one of the following principles?

A) It is the nursing profession that determines the scope of nursing practice.

B) It is the RN who defines and supervises the education, training, and use of any unlicensed assistant roles.

C) It is the assigned NAP who is responsible and accountable for his or her nursing practice.

D) It is the purpose of the RN to work in a supportive role to the assistive personnel.

25. Which of the following is a characteristic of mentorship?

A) It is a paid position to orient new nurses to the workplace.

B) It involves membership in a professional organization.

C) It is a link to a protégé with common interests.D) It is not encouraged in health care settings

26.A nurse manager has directed a registered nurse who is out of school for one year to become a member of the institution’s policy and procedure committee. A goal in the nurse manager’s delegation is to assist the nurse to what?

A) Be involved in the hospital

B) Be confident in employment

C) Grow in her profession

D) Understand the hospital setting

27.Which of the following statements accurately describes recommended guidelines for overcoming resistance to change? Select all that apply. A) Explain the proposed changes only to the managers of the people involved.

B) Whenever possible, use technical language to describe the changes.

C) List the advantages of the proposed change for members of the group.

D) Avoid relating the change to the group’s existing beliefs and values.

E) If possible, introduce change gradually.

28.A nurse is attempting to change the method for documenting client care in a hospital setting. Which of the following should be considered before planning change? Select all that apply. A) What is amenable to change?

B) How does the group function as a unit?

C) Is the group ready for change?

D) Are the changes major or minor?

E) How can I keep from changing again?

29.A head nurse assumes the leadership role when directing and supervising coworkers. Which of the following are attributes of a leader? Select all that apply. A) Philosophical

B) Task-oriented

C) Charismatic

D) Dynamic

E) Intimidating

30.The nurse is caring for a client who had a sudden episode of vomiting, which produced 900 mL of frank blood. The nurse directed and delegated to colleagues in order to notify the physician. She started intravenous fluids, and provided physical and emotional support for the client. Different situations call for different leadership styles. Which of the following leadership styles did the nurse display in this situation?

A) Democratic

B) Laissez-faire

C) Autocratic

D) Transformational

31.The nurse is a manager on an orthopedic unit. The unit changed to a new computer documentation system three days ago. One of the night nurses has called in sick every shift since the new system started. The nursing manager is aware that this situation has to do with resistance to change. Which of the following are common reasons why people resist change? Choose all that apply.

A) Feel threatened

B) Fear increased responsibility

C) Lack of understanding

D) See no benefits to the changeE) Dislike hospital chief officer

32.The nursing student is working to improve his time management. Which of the following would assist the nursing student in accomplishing his goal? Choose all that apply. A) Identify priorities for the day.

B) Evaluate time management at the end of the day.

C) Establish a reasonable time line.

D) Plan to arrive right at start of shift.

E) Plan on his cohorts helping him

33.During a staff meeting, the nurse is discussing new quantum leadership. The nurse explains that in this type of leadership change is viewed as which of the following?

A) Constant and predictable

B) Dynamic and constantly unfolding

C) Evolving very slowly

D) An entity needing planning

34. Which of the following tasks could the nurse safely delegate to unlicensed assistive personnel?

A) An initial assessment of a client

B) Determination of a nursing diagnosis

C) Evaluation of client progress

D) Documentation of client’s I+O on a flow sheet

35.There is a perception in a long-term care facility that the older adult residents are experiencing falls more often than in the past. An audit of incident reports has confirmed this, and the nursing leadership has recognized the need to make changes to reduce the incidence of falls. How should the leaders proceed with this planned change? Place the following steps in the correct order.

1. Implement the change in nursing practice.

2. Choose a new protocol that is likely to reduce falls.

3. Take measures to ensure that nursing practice does not revert.

4. Determine and analyze different solutions to the problem.

5. Develop a plan for implementing the change.

A) 1, 2, 3, 4, 5

B) 1, 3, 2, 4, 5

C) 5, 1, 2,, 3, 4

D) 4, 2, 5, 1, 3E) 3, 1, 4, 5, 2

Chapter 23, Asepsis and Infection Control

1.The nurse is aware that an antiviral medication is most effective when given during which phase of the infectious process? A) Prodromal stage

B) Incubation period

C) Full stage of illness

D) Convalescent period

2. Which of the following most accurately defines an infection?

A) An illness resulting from living in an unclean environment

B) The result of lack of knowledge about food preparation

C) A disease resulting from pathogens in or on the body

D) An acute or chronic illness resulting from traumatic injury

3.A client who has had abdominal surgery develops an infection in the wound while still hospitalized. Which of the following agents is most likely the cause of the infection?

A) Virus

B) Bacteria

C) Fungi

D) Spores

4.A nurse caring for a client who has gas gangrene knows that this infection originated in which of the following reservoirs? A) Other people

B) Food

C) Soil

D) Animals

5.A client with an upper respiratory infection (common cold) tells the nurse, “I am so angry with the nurse practitioner because he would not give me any antibiotics.” What would be the most accurate response by the nurse?

A) “Antibiotics have no effect on viruses.”

B) “Let me talk to him and see what we can do.”

C) “Why do you think you need an antibiotic?”

D) “I know what you mean; you need an antibiotic.”

6.A woman tests positive for the human immunodeficiency virus antibody but has no symptoms. She is considered a carrier. What component of the infection cycle does the woman illustrate?

A) A reservoir

B) An infectious agent

C) A portal of exit

D) A portal of entry

7.A man on an airplane is sitting by a woman who is coughing and sneezing. If she has an infection, what is the most likely means of transmission from the woman to the man?

A) Direct contact

B) Indirect contact

C) Vectors

D) Airborne route

8.A nurse is caring for an adolescent who is diagnosed with mononucleosis, commonly called “the kissing disease.” The nurse explains that the organisms causing this disease were transmitted by: A) direct contact.

B) indirect contact.

C) airborne route.

D) vectors.

9. Of all possible nursing interventions to break the chain of infection, which is the most effective?

A) Administering medications

B) Providing good skin care

C) Practicing hand hygiene

D) Wearing gloves at all times

10.A nurse is educating a rural community group on how to avoid contracting West Nile virus by using approved insect repellant and wearing proper coverings when outdoors. By what means is the pathogen involved in West Nile virus transmitted? A) Direct contact

B) Indirect contact

C) Airborne routeD) Vectors

11.Which of the following questions asked by the nurse when taking a client’s health history would collect data about infection control? A) Tell me what you eat in each 24-hour period.

B) Do you sleep well and wake up feeling healthy?

C) What were the causes of death for your family members?

D) When did you complete your immunizations?

12. A college-aged student has influenza. At what stage of the infection is the student most infectious? A) Incubation period

B) Prodromal stage

C) Full stage of illness

D) Convalescent period

13. Which of the following is an example of the body’s defense against infection?

A) Racial characteristics

B) Body shape and size

C) Immune responseD) Level of susceptibility

14.A nurse has seen several clients at a community health center. Which of the clients would be most at risk for developing an infection? A) An older adult with several chronic illnesses

B) An infant who has just received first immunizations

C) An adolescent who had a basketball physical

D) A middle-aged adult with joint pain and stiffness

15.A client comes to the emergency department with major burns over 40% of his body. Although all of the following are true, which one would provide the rationale for a nursing diagnosis of Risk for Infection? A) Stress may adversely affect normal defense mechanisms.

B) White blood cells provide resistance to certain pathogens.

C) Intact skin and mucous membranes protect against microbial invasion.

D) Age, race, sex, and hereditary factors influence susceptibility to infection.

16.A nurse is educating adolescents on how to prevent infections. What statement by one of the adolescents indicates that more education is needed? A) “I will wash my hands before and after going to the bathroom.”

B) “I don’t wear a condom when I have sex, but I know my partners.”

C) “I always eat fruits and vegetables, and I sleep eight hours a night.”

D) “When I have an infection, I rest and take my medications.”

17.A female client is on isolation because she acquired a methicillin-resistant S. aureus (MRSA) infection after hospitalization for hip replacement surgery. What name is given to this type of infection? A) Nosocomial

B) Viral

C) Iatrogenic

D) Antimicrobial

18.The following procedures have been ordered and implemented for a hospitalized client. Which procedure carries the greatest risk for a nosocomial infection?

A) Enema

B) Intramuscular injections

C) Heat lamp

D) Urinary catheterization

19.A nursing home recently has had a significant number of nosocomial infections. Which meausure might be instituted to decrease this trend? A) Mandating antibiotics for all nursing home residents

B) Have written, infection-prevention practices for all employees

C) Requiring all employees to have monthly screenings for skin flora

D) Restricting visitors and community activities for residents

20. What are the recommended cleansing agents for hand hygiene in any setting when the risk of infection is high? A) Liquid or bar hand soap

B) Cold water

C) Hot water

D) Antimicrobial products

21.A nurse has completed morning care for a client. There is no visible soiling on her hands. What type of technique is recommended by the CDC for hand hygiene?

A) Do not wash hands, apply clean gloves.

B) Wash hands with soap and water.

C) Clean hands with an alcohol-based handrub.

D) Wash hands with soap and water, follow with handrub.

22. Which statement is true of health care personnel and good hand hygiene? A) Hand hygiene is carefully followed.

B) Compliance is difficult to achieve.

C) Only nurses need to practice hand hygiene.

D) Wearing gloves reduces the need for hand hygiene.

23.A nurse is caring for a client with a serious bacterial infection. The client is dehydrated. Knowledge of the physical effects of the infection would support which of the following nursing diagnoses?

A) High Risk for Infection

B) Excess Fluid Volume

C) Risk for Imbalanced Body Temperature

D) Risk for Latex Allergy Response

24. What is the correct rationale for using body substance precautions? A) The risk of transmitting HIV in sputum and urine is nonexistent.

B) Disease-specific isolation procedures are adequate protection.

C) Only actively infected clients are considered contagious.

D) All body substances are considered potentially infectious.

25. The latest CDC guidelines designate standard precautions for all substances except which of the following? A) Urine

B) Blood

C) Sweat

D) Vomitus

26.A student nurse is performing a urinary catheterization for the first time and inadvertently contaminates the catheter by touching the bed linens. What should the nurse do to maintain surgical asepsis for this procedure? A) Nothing, because the client is on antibiotics.

B) Complete the procedure and then report what happened.

C) Apologize to the client and complete the procedure.

D) Gather new sterile supplies and start over.

27.A nurse is performing a sterile dressing change. If new sterile items or supplies are needed, how can they be added to the sterile field? A) With sterile forceps or hands wearing sterile gloves

B) By carefully handling them with clean hands

C) With clean forceps that touch only the outermost part of the item

D) By clean hands wearing clean latex gloves

28.A nurse is positioning a sterile drape to extend the working area when performing a urinary catheterization. Which of the following is an appropriate technique for this procedure? A) Use sterile gloves to handle the entire drape surface.

B) Fold the lower edges of the drape over the sterile-gloved hands.

C) Touch only the outer two inches of the drape when not wearing sterile gloves.

D) When reaching over the drape do not allow clothing to touch the drape.

29.What are the general nursing care guidelines that the nurse should follow when caring for clients in a health care facility?

A) Avoid physical contact with the infected client.

B) Avoid jewelry with prongs or protruding stones.

C) Isolate the client and keep the room door closed.

D) Shake linens properly when changing the beds.

30.A nurse is required to clean the open wounds of a client who has been involved in an automobile accident. What intervention would the nurse need to perform when cleaning open wounds to protect himself from infection? A) Wash hands with alcohol-based hand wash.