Introduction to Nursing Review Questions
Course Introduction
Introduction to Nursing offers an overview of the nursing profession, emphasizing its foundational principles, ethical frameworks, and the diverse roles nurses play in healthcare settings. The course explores the historical development of nursing, the importance of patient-centered care, and introduces students to basic concepts such as healthcare team collaboration, communication skills, and evidence-based practice. Students will also examine the scope of nursing practice, professional standards, and the impact of cultural, legal, and ethical factors on patient care. Through lectures, discussions, and practical activities, this course prepares students for further study and engagement in the nursing field.
Recommended Textbook
Nursing Today Transition and Trends 8th Edition by Zerwekh
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26 Chapters
663 Verified Questions
663 Flashcards
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Chapter 1: Role Transitions
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Sample Questions
Q1) A nurse has worked the past 5 days in a row to make some extra money.Today is a scheduled day off.Which of the following actions would be the best for this nurse to take?
A) Call the unit to see if they need the nurse to work.
B) Read nursing articles and take practice quizzes to stay up to date.
C) Take his/her small children to the zoo.
D) Work on a continuing education requirement.
Answer: C
Q2) A student in the last semester of nursing school wants to be sure of adequate preparation for the transition experience.Which patient should be added on to the clinical assignment to assist in this process?
A) A 48-year-old man with heart failure who has oral and IV medications due and needs a new IV started
B) A 38-year-old woman who cares for herself independently and is going home later today
C) A 25-year-old man who is leaving the hospital against medical advice
D) A 40-year-old man who needs education on diabetes management
Answer: A
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Page 3
Chapter 2: Personal Management: Time and Self-Care Strategies
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Sample Questions
Q1) A student nurse likes to sleep late and has a high-energy period in the evening.The student resists schedules and prefers to study when it "feels right" and in groups.Which of the following characteristics fit this student?
A) Early bird and left-brain dominance
B) Early bird and right-brain dominance
C) Owl and left-brain dominance
D) Owl and right-brain dominance
Answer: D
Q2) The nurse understands stress-related illness when stating which of the following? (Select all that apply.)
A) "Stress can cause insomnia."
B) "Stress is known to cause muscle and joint pain."
C) "Stress can cause headaches."
D) "Stress is not known to cause any health problems."
E) "Stress can cause gastrointestinal disturbances."
Answer: A,B,C,E
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4
Chapter 3: Mentorship, Preceptorship, and Nurse Residency Programs
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Sample Questions
Q1) A nursing student is in the mentoring process.Which action would occur if the nursing student were in the "Get out of the way phase?"
A) The nursing student would assess chest tubes with the mentor nearby for guidance.
B) The nursing student would assess chest tubes independently.
C) The nursing student would observe the mentor assessing chest tubes.
D) The nursing student would read the hospital policy on chest tubes.
Answer: B
Q2) The "honeymoon" is a specific phase of reality shock.What should the mentor do during this phase?
A) Share personal transition experiences with the mentee.
B) Reinforce the need for the mentee to problem solve.
C) Encourage the mentee to try new things.
D) Act as the intermediary for the mentee with all staff members.
Answer: D
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5
Chapter 4: Employment Considerations: Opportunities,
Resumes, and Interviewing
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Sample Questions
Q1) The nurse is applying for a job and is determining whether or not to submit a resume or a curriculum vitae.What is the difference between a resume and a curriculum vitae?
A) A resume more accurately represents a nurse's job and professional history.
B) A curriculum vitae will get longer as the nurse becomes more professionally experienced.
C) A resume will contain the nurse's continuing education activities.
D) The two are very similar and can be used interchangeably.
Q2) Which of the following actions should the graduate nurse take to ensure a great first impression? (Select all that apply.)
A) Arrive at the interview right on time.
B) Establish eye contact during the interview.
C) Minimize distracting nervous mannerisms.
D) Show enthusiasm and body language.
E) Smile when introduced.
Q3) Which action by the graduate nurses shows understanding of resume writing?
A) Ensures that all of the dates for their employment history are specific
B) Does not overstate skills
C) Includes a thorough discussion of experiences as a nursing student
D) Includes only last two positions
Page 6
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Chapter 5: NCLEX-RN Examination and the New Graduate
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Sample Questions
Q1) What actions by the graduate nurse will assist with finding the best NCLEX-RN review book for personal study needs? (Select all that apply.)
A) Check the number of pages in various subjects in the material.
B) Look up several common topics in the index.
C) Look for a book with information that has come out in the past month.
D) Look for a book that focuses on nursing concepts.
E) Look for a book that focuses on the delivery of safe patient care.
Q2) In trends class,a student tells the instructor,"I don't think I can possibly pass the NCLEX-RN.I hated psych nursing,but now I've heard that a huge amount of the NCLEX is psych related." What is the best response from the instructor?
A) "Perhaps you should consider retaking the psychiatric nursing course."
B) "There are equal numbers of questions related to each aspect of client needs."
C) "Psychosocial integrity is the basis for 6% to 12% of the examination."
D) "You will need to take a review course in which they teach psychiatric nursing principles."
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Chapter 6: Historical Perspectives: Influences on the
Present
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Sample Questions
Q1) Imposter nurses in the 1900s inspired Dock,Palmer,and Goodrich to take which of the following actions for the safety of the public? (Select all that apply.)
A) Advocated for nurses to take an examination for licensure
B) Required nurses to show a driver's license to their patients
C) Advocated for nurse training schools
D) Pleaded for registration of nurses
E) Fought against home-study programs for nurses
Q2) The nursing student has an adequate grasp of nursing history when stating that after the fall of the Roman Empire,the knowledge of health practice was primarily preserved by
A) English monks in cloistered buildings.
B) Jewish physicians who could translate into Latin.
C) Roman priests who practiced medicine.
D) Fortuna,who practiced midwifery.
Q3) What was the description of a nurse in the medieval times during the Holy Wars?
A) A woman who had been specially trained by a magician
B) A man who was committed to following his Lord into battle
C) A man who had training to care for a wounded knight
D) A woman who had studied with an older nurse
Page 8
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Chapter 7: Nursing Education
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Sample Questions
Q1) A nurse is contemplating the concerns of nursing education in the future.The nurse concludes that the concerns are (Select all that apply.)
A) career mobility
B) the changing student profile,
C) the aging population,
D) the shift from inpatient to outpatient nursing services,
E) general interest in nursing as a profession,
Q2) Associate degree programs have brought a change in the type of student who enrolls in the program.Which of the following students are contributing to that change? (Select all that apply.)
A) A 25-year-old Hispanic women
B) A 40-year-old man who has worked in health care for 20 years
C) An 18-year-old white woman who has just graduate from high school
D) A28-year-old white man with a master's degree in finance
E) A 26-year-old African American woman with two children
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9
Chapter 8: Nursing Theory
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Sample Questions
Q1) What is a common thread in the majority of definitions of a nursing theory?
A) Words or phrases that present a direction to how interrelated concepts can provide a reference for the study and the delivery of nursing care
B) A list of the concepts and problems within the nursing profession and the suggested or anticipated solution of those problems
C) A composite of the opinions and recommendations of famous,well-known nursing leaders
D) An advanced role description for the study of the delivery of nursing care and the integration of nursing services with the most favorable economic consequences
Q2) A nurse wishes to incorporate Dorothea Orem's theory into practice.Which action by the nurse encompasses this theory?
A) The nurse completes the AM care for a patient.
B) The patient gets dressed with help from the nurse aide.
C) The patient knows his or her own medication dosages and what time they are due.
D) The patient's spouse assumes all responsibility for the patient's medications.
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Chapter 9: Image of Nursing: Influences of the Present
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Sample Questions
Q1) Throughout the 1990s,a nationwide campaign worked to strengthen the image of nurses.Which of the following action(s)during the campaign aided in this? (Select all that apply.)
A) Worked to improve the image of nurses as depicted on television
B) Reinforced the image of nurses are doctor's personal assistants
C) Reinforced the idea that nursing required little skill
D) Educated the public that nurses are critical thinkers
E) Reinforced that nurses have problem solving skills
Q2) Which of the following predicts the outcome if the nursing profession continues to be devalued by demeaning or comical images of nurses?
A) Nurses will be able to request higher wages.
B) The nursing shortage will end.
C) There will not be enough jobs for new graduates.
D) The nursing shortage will extend.
Q3) Which of the following assesses how nursing has relevance to social values?
A) Nurses have professional degrees.
B) Nurses perform community service.
C) Nursing licensure requires a baccalaureate degree.
D) Nurses are teachers of health promotion and wellness.
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Page 11
Chapter 10: Challenges of Nursing Management and Leadership
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Sample Questions
Q1) Which of the following statement by the nurse reflect transformational leaders? (Select all that apply.)
A) Lifelong learners
B) Courageous change agents
C) Slow to change
D) Value-driven visionaries
E) Hesitant to follow
Q2) The nursing staff on a busy unit enjoys autonomy and needs minimal direction for patient care.Which leadership style would be most effective on this unit?
A) Democratic
B) Authoritarian
C) Laissez-faire
D) Bureaucratic
Q3) Which action by the nurse indicates placement in the unfreezing phase of Lewin's Change Theory?
A) The nurse reconsiders what has caused themself to be resistant to change.
B) The nurse begins the process of implementing change.
C) The change has become routine.
D) The change is permanent.
Page 12
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Chapter 11: Building Nursing Management Skills
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Sample Questions
Q1) A nurse has been assigned the following patients.Which patient is a priority to assess first?
A) A patient with abdominal pain
B) A patient who has been NPO all morning and wants to eat
C) A patient with pneumonia and O2 saturation of 88%
D) A patient complaining of ear pain
Q2) The nurse is reviewing I-SBAR-R with a coworker at the end of the shift.Which statement indicates that they are discussing the Situation component?
A) The nurse states the patient's name using two identifiers.
B) The nurse states that the patient was hospitalized for a broken tibia and that surgery is scheduled for later today.
C) The oncoming nurse acknowledges the info that has been received.
D) The nurse states an opinion on what is happening with the patient.
Q3) The nurse receives report on an assigned group of patients.Which patient would the nurse assess first?
A) A patient 2 days postoperative who is complaining of pain
B) An older adult patient reported to have increasing lethargy and confusion
C) A newly admitted patient with a serum blood urea nitrogen (BUN)of 32 mg/dL
D) A hypertensive patient complaining of severe midsternum pain
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Page 13
Chapter 12: Effective Communication and Team Building
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Sample Questions
Q1) Which term refers to the group member who watches others take the risks and responsibility for group input and agrees with everyone in the group?
A) Mouse
B) Motor mouth
C) Self-server
D) Know-it-all
Q2) Dr.Jones asks you to give a medication to one of the patients,and you know the patient is allergic to it.When you point this out,Dr.Jones says,"Give the medication or I'll report this to your supervisor." What is the best assertive response?
A) Agree to give the medication and hope no one finds out.
B) Say,"I won't give the medication,and I don't care who you talk to about it."
C) Walk away and ignore Dr.Jones.
D) Say,"Perhaps you and I could talk this over with my supervisor together."
Q3) Which action by the nurse shows a major characteristic of aggressive behavior?
A) Achievement of personal goals at the expense of others
B) Indirect expression of personal feelings
C) Communication of personal needs
D) Ability to restrict personal rights
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Chapter 13: Conflict Management
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Sample Questions
Q1) What is important for the nurse manager to understand about resolving conflict in the workplace? (Select all that apply.)
A) Realize that most new graduates use competition as a form of conflict response.
B) Effective role socialization reduces negative conflict behaviors among nursing staff.
C) Use of collaboration to solve conflict issues is an important strategy to encourage.
D) Thinking like a nurse promotes role socialization and reduces conflict.
E) Nurse managers need to create working environments that facilitate professional practice.f.High self-esteem fosters entitlement-type behavior that promotes conflict.
Q2) The nurse manager is attempting to resolve an interpersonal conflict between two nurses.Which action below should be done first?
A) Determine the facts related to the situation.
B) Schedule a meeting time for resolution.
C) Have an accurate understanding of the problem or conflict.
D) Have the determination to resolve the conflict.
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15
Chapter 14: Delegation in the Clinical Setting
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Sample Questions
Q1) The nurse is preparing assignments in a pediatric unit for the night shift.Which of the following would be appropriate to assign the LPN/LVN?
A) A 5-year-old child who had an appendectomy about 6 hours ago
B) A 4-year-old child admitted for severe epiglottis who is running a fever of 102° F
C) A 6-year-old child admitted with dehydration and receiving IV therapy
D) A 7-year-old child who has inhalation burns 2 days ago and has a tracheostomy
Q2) A nurse manager is discussing the "five rights of clinical delegation?" Which statement indicates understanding? (Select all that apply.)
A) "The nurse should determine if the task can safely be delegated."
B) "The nurse should determine if this is a task that will fit into schedule."
C) "The nurse should delegate the task to the right person."
D) "The nurse should determine whether this is a task that would enhance learning."
E) "The nurse should provide feedback to the delegate."
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16
Chapter 15: The Health Care Organization and Patterns of Nursing Care Delivery
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Sample Questions
Q1) A nurse has been assigned as team leader for the day and is working with two LPNs and two unlicensed personnel.What should the nurse do to ensure success in caring for patients?
A) Give the assignments for the day out to the team and plan to meet right before the end of shift.
B) Continuously communicate with the members of the team throughout the entire day.
C) Report changes in a patient's condition to the health care provider only.
D) Revise each patient's plan of care once a shift.
Q2) Which statement by the nurse manager is accurate regarding case management? The two tools that support case management are
A) "clinical pathways and patient classifications."
B) "clinically oriented and business-oriented pathways."
C) "clinical pathways and disease management protocols."
D) "centralized and decentralized system models."
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17
Chapter 16: Economics of the Health Care Delivery System
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Sample Questions
Q1) The nurse has an adequate understanding of productive time when stating:
A) "Productive time is the amount of time the nurse is available to give care to patients."
B) "Productive time is the amount of time the nurse is attending a continuing education activity."
C) "Productive time is counted when the nurse is not directly giving bedside care,such as going to lunch and taking a break."
D) "Productive time is counted when the physician is at the patient's bedside."
Q2) Which action by the nurse demonstrates fiscal responsibility to the employing organization? (Select all that apply.)
A) Only bringing needed supplies into a patient's room
B) Accurately documenting the patient's condition
C) Minimally documenting in the patient's chart
D) Taking breaks as scheduled
E) Remaining healthy and able to function on the job
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Chapter 17: Political Action in Nursing
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Sample Questions
Q1) The nurse understands the importance of participation in politics when stating which of the following? (Select all that apply.)
A) "It is important for nursing to be presented in a positive light."
B) "Nurses should fight for better health care for all patients."
C) "Nurses should only worry about what is occurring where they practice nursing."
D) "Nurses should lobby for the availability of health care."
E) "The public should see what nurses really do."
Q2) A nurse is educating coworkers on power.The nurse knows the teaching has been effective when the coworkers state: The sources of power are (Select all that apply.)
A) reward
B) coercive
C) punishment
D) expert
E) legitimate
F) referent
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19
Chapter 18: Collective Bargaining: Traditional (Union)and
Nontraditional
Approaches
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Sample Questions
Q1) A nurse is preparing a presentation.How can the nurse explain one of the primary concerns of the proponents for a nontraditional collective bargaining unit versus the traditional,union-based nursing model?
A) "The traditional-based union model frequently puts nurses and employers in adversarial positions."
B) "The union dictates to members what they can and cannot do within the health care institution."
C) "The union-based model can initiate strikes that can be detrimental to the provision of health care in an institution."
D) "The union-based model is too expensive and nurses are not fairly compensated by the organization."
Q2) What action can the registered nurse take to control personal practice? (Select all that apply.)
A) Improve the professional practice of nurses and nursing assistants.
B) Refrain from shared governance.
C) Implement peer review.
D) Identify and recommend elimination of hazards in the workplace.
E) Identify and recommend processes that work to ensure the safety of patients.
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Chapter 19: Ethical Issues
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Sample Questions
Q1) The nurse has an adequate understanding of ethical issues regarding transplantation when stating which of the following?
A) "There are few Americans on the transplantation list."
B) "Everyone on the transplantation list receives the organ they need."
C) "There is an overabundance of organ donors."
D) "The majority of individuals on the transplantation list will die because of the shortage of organs."
Q2) A nurse manager is educating a group of staff nurses about genetics and genomics.The nurse manager judges that the teaching has been effective when one of the staff nurses states:
A) "Health outcomes and treatment of disease processes have not increased with the study of genetics and genomics."
B) "Only researchers benefit from the study of genetics and genomics."
C) "This area of study has nothing to do with nurses."
D) "Genetics and genomes have increased the ability of health care professionals to assist patients in improving health outcomes."
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Chapter 20: Legal Issues
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Sample Questions
Q1) The nurse has an adequate understanding of nurse practice acts when stating which of the following?
A) "Nurse practice acts do not help guide nurses."
B) "Nurse practice acts describe how to prepare for the NCLEX exam."
C) "Nurse practice acts describe how and when to renew a nursing license."
D) "Nurse practice acts provide a list of job openings."
Q2) A nurse has just administered a medication when suddenly realizing that more medication was given than was ordered.Which action should the nurse take?
A) Call the patient's physician and report the error.
B) Say nothing about the medication error and continue to monitor the patient.
C) Document the dose that was supposed to be given in the medical record.
D) Document the amount given in the medical record but keep the error quiet.
Q3) What is a correct statement regarding a nurse who acts beyond the scope of practice?
A) Demonstrates what a good nurse he or she can be
B) Provides enriched services to patients who would not otherwise receive them
C) May make other nurses angry because of the increased expectations created
D) May be disciplined by the board of nursing
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Chapter 21: Cultural and Spiritual Awareness
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Sample Questions
Q1) A nurse is caring for a diabetic patient who frequently uses alternative medicine to manager ailments.The feels nauseous and requests ginger tea.What should the nurse be aware of before giving the patient ginger tea?
A) Nothing; natural remedies do not cause unwanted side effects.
B) Ginger can cause blood glucose levels to decrease.
C) Ginger causes blood glucose levels to rise.
D) Ginger can cause a diabetic patient to become more nauseous.
Q2) Which of the following actions would have little to no impact in helping resolve health care disparities?
A) Research on life stressors
B) Access to basic health care
C) Increasing diversity of health care workers
D) Health promotion and wellness programs
Q3) In what culture is it very important for females to be evaluated by female health care providers?
A) Asian
B) Muslim
C) Hispanic
D) Native American
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Page 23
Chapter 22: Quality Patient Care
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Sample Questions
Q1) A nurse manager is educating a group of nurses on common medication errors.The manager judges the teaching to be effective when one of the nurses states that common medication errors include (Select all that apply.)
A) good communication
B) look-alike packaging
C) wrong-dose errors
D) inadequate monitoring
E) rule violations
Q2) A nurse is educating students on the history of quality improvement.The teaching has been effective when one of the students states that the historically,quality improvement focused on
A) "controlling process by inspection so that errors were prevented."
B) "quality improvement did not begin until recently."
C) "proactive approaches to lessen errors."
D) "error prevention strategies."
Q3) The primary role of The Joint Commission (TJC)is
A) granting magnet status to excellent hospitals.
B) lobbying Congress on behalf of Medicare/Medicaid patients.
C) ensuring medical facilities meet patient safety guidelines.
D) inspecting hospitals for compliance of infection control standards.
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Chapter 23: Nursing Informatics
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Sample Questions
Q1) Which of the following statements indicates the nurses understanding of the difference between the electronic health record (EHR)and electronic medical record (EMR)is:
A) "EHR provides nursing with a standardized nomenclature of taxonomy to record nursing care."
B) "EMR is the inclusion of only data collected by the patient (personal health record (PHR)."
C) "EHR is a longitudinal record of the patient's health information."
D) "EMR allows nurses to document nursing care in a system that is intuitive to their level of computer literacy."
Q2) How can the nurse expect to be impacted by nursing informatics?
A) The nurse would not be directly impacted unless he or she worked in nursing informatics.
B) Nurses at the bedside are minimally impacted.
C) Nurses are impacted by the use of barcode medication administration.
D) Nurse managers are the only hospital staff who are impacted.
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Chapter 24: Using Nursing Research in Practice
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Sample Questions
Q1) Which statement would indicate a unit nursing staff is entering the preutilization step of research utilization?
A) "We've found two studies that have explored methods for reducing violent behavior on psych units."
B) "We need a new approach to containing violence on the psych unit."
C) "This is the plan for implementing the new antiviolence strategies."
D) "This is a summary of the evaluation data we collected."
Q2) A staff nurse recognizes the need for a change in practice regarding hand hygiene.How can the nurse implement a change in practice? (Select all that apply.)
A) Ignore the problem until management enforces a change.
B) Ask if the manager can hold a staff in-service.
C) Implement the change on the unit.
D) Monitor the change.
E) Evaluate the effectiveness of the change.
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Chapter 25: Workplace Issues
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Sample Questions
Q1) A nurse has been floated to another department,and things are not going well.What should the nurse do?
A) Leave the unit.
B) Refuse to provide care to the patients.
C) Tell the immediate supervisor.
D) Keep any problems to themselves.
Q2) After completing a crisis intervention course,the nurse recognizes the signs of escalating violence as:\
A) pacing and cursing.
B) repeatedly pushing the call bell.
C) crying and complaining of no pain relief.
D) staring out the window and not responding to questions.
Q3) A new nurse is preparing to start a new job.What actions should the nurse take to be prepared in case workplace violence occurs? (Select all that apply.)
A) Take a crisis intervention course to understand signs of escalating violence.
B) Become familiar with the organization's policy regarding violence.
C) Be prepared to handle any violent situation alone.
D) Be aware of procedures that can be used to defuse situations.
E) Appear intimidating so that the violent person will back down.
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Page 27
Chapter 26: Emergency Preparedness
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Sample Questions
Q1) Second- or third-degree burns that cover more than 50% of the body would be classified under what stage of triage?
A) Expectant
B) Delayed
C) Minor
D) Immediate
Q2) A nurse is caring for a group of sick patients.Which patient would the nurse be less likely to use isolation precautions with?
A) Tuberculosis (TB)
B) Plague
C) Botulism
D) Smallpox
Q3) A nursing professor is educating students on nerve agents.The nursing professor judges teaching to be effective when one of students states:
A) "Sarin gas is a chemical agent that is classified as a nerve agent."
B) "Mustard gas is a chemical agent that is classified as a nerve agent."
C) "Ricin is a chemical agent that is classified as a nerve agent."
D) "Chlorine gas is a chemical agent that is classified as a nerve agent."
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