NPI #1 - 60023951 1 uogzejgunwwon mnadEJaql;0 sluamam[3...

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Sugmono; aq: ;o Lpgqm 1331a}: 01 pasn 5! 1x31 3141 mg; pucdsa) p|n0M asmu aqi “3531 aegenfi goons fiugLuoadn ue Jo; asodmd am ;0 uoneuegdxa sluepgshqd aql 1eadaJ 01 asmu am 5515?. may: V (E 0 mm MOI ‘lP-J—ufiu-I {P azerAqquea‘Mm ’ugalon-qfigH (a ugade MO] ‘aJEJpAqanea-qgm [q leJ-Mol 'Jaqu-ufim (9 gJaauea J0 wJo;s!q1;01uaLudo|anap m; )1ng 12 139m '5; slagp Humane} aq: m L43ng qlgm we”: 8 leg: sandJalu; JBJUEJ u0|03 J0; alum Suguaans E u; Bugsgsse asmu aql (z D alumd 935nm (:3 {NH} aJnseaw aauapuadapul [Buogpunj {a gUIN'I M190 40 sammnv 4° “DUI HE)! (G xapu; loqueg (e l{swallow}; JDJDUJ pue aAmuSoa uzoq m sauofialea u! Anguqesm samseaw |oo11uamssasse jeuonaun; £43ng {[ 1"““3 MW £1 J0 133% Page 2 ofl3 d] Empathy 7} Your client, a right—handed woman with right-sided hemiplegia, needs to be dressed for the day. All team members are tied up with a new admission. You should: a} Help the client dress, remembering to dress the weaker side first b} Call an aide to dress the client cl Help the client dress, remembering to dress the stronger side first d] Call the physical therapist to dress the client A 8} Which health care specialist assisted your rehabilitation team by providing insight into its group dynamics and the processes through which the team was working? a] Physical therapist b) Recreational therapist c} Psychologist cl} Rehabilitation nurse C 9) Which phases of the nursing process is u5ed after the nurse completes teaching the client? a) Goals b} Evaluation cl Intervention d) Planning B 10} The famin of your 50-year-old client states that the client cares only about, and is preoccupied with, the clients own needs, of theirs. According to Erickson’s theory of psychosocial development, the client may be experiencing: a] Isolation b] Stagnation c} Intimacy cl) Generativity 8?? 11) A nursing care plan has which of the following components? a} Three components: diagnosis, outcomes, and interventions placed in three columns b} Problem statements, outcomes, and interventions c) Nursing diagnosis, outcomes, and interventions d) Nursing diagnosis, outcomes, interventions, and dates for deveIOpment and outcome achievement D 12) Your client is having intravenous therapy. This procedure creates which type of wound? a] Unintentional bl Contusion c] Closed d] Intentional D 13} A nurse would determine that a client has a collaborative problem if the: a] Nurse can independently prescribe and perform the interventions to treat the problem. I ll6i’20ll9 600539;“! [ lsldmaul IEJESMEd {p asmu uogwamqeqau (3 1sngJaq1 qoaads [q mngJam |euonednaao {E an!qu aBenBUE] pue ‘uoneuoud ‘uonngdsaJ 'Bugmonems sguagp mod p Juawssasse ue pawmpad A|a>m1sow Ieuogssade am: uneaq qagum C] “01 Jamod" {p “Jane Jamod" {a Iouum |Eu0513d (q Mmqmaulnn {9 yamod ;o adaauoa L13ng ;0 a|dluexa ue s! qul ‘9}aglaq lenpgngpu! sguagp am 10} padsa; pazensuowap pua luau: am my“ dgqsuouajal Sunsml e paqanezsa peq noA Jane Aluo uogspap unmng Sun 3:12!» zuaun aLn padlaq noA 'lamje; Sugsmu palms e u! waned flex; 53:19“: 3L[1 anald a1 uogspap 9 exam Juan: 9 padIaq noA V 1uama1e1s “o; pama|ajn am 31pm pue 'suonuamanu! ueld ‘Afiamgm 3L]: augLuJaqap 'euzp mewssassa qagm sgsoufiegp ajedwoa 'sgsouflegp Sugsmu amudmdde aq; asooqa ’5135 [nfiugueaw om! 932p JBJSHD [p mammals “o1 p812|BJu 3:41 @11ng pue ’Suonuamalu! uegd 'sgsoufiegp aLn anew ‘Afimona Bu; aungalap 'sgsoufiegp [enumamp BIEJBUBB 'EJEp auatussasse q1§M SJalsnp an: BJBUUJCIJ {3 Afioloua am auguuaiap pue ’Iaqel auscufiegp amudmdde aq; asolp ‘5135 lnfiugueauj 0mg 919p auawssasse Jannp ‘sansuapmeqa fiugugap Jo; aaaqa 'sgsoufiegp Sugnnu a|qgssod1noqe 5531430qu BJEJBUGE) {q mammals “on palelaJ" am 3mm pue 'ASoloua aLu aungQJap ‘sgsouaegp Eugsmu aneudmdde aLn asooqa ‘sasoufiegp aqussod JO sausuanmeqa Sulugap L|1gM 51315:“: BJEdUJCD ‘slas [ngfiugueaw mu! amp 3L|1 Jazsnp “212p JUQLUSSBSSB 3L]: magnaa {e gsgsoufiegp Sugsmu e Sumem u; sdaus p aauanbas 1:31:03 am 5! Sugmouo; am y: Lpgqm V S|§p|5 Buwos-wammd paseauaa [p [BMEJpun [9:305 [a sdgqsuoueiaJ |epos panedLu; (q M4de pamew pue 553111395 (2 (page 5,1uagp aqa ufinom: ssaussa|adoq 553111103 Suwono; am ;0 qang wage sguagp e qflncuq; paAanuoa aq uea ssaussaladoH 8 passaJdap Sulaq dons 01 may: am “31 [p luaunugodde ue may: aux 132 01 Jazuaa qlleaq |EJU3LLI eq13u5||23 [a uonenus almosap e u; Sugaq qum paaeposse 53:11;an am Sugpumsmpun JD anemiade Bulaa [:1 am: dn-Moua; m; 301qu 01 me”: 3141 Euwapa {e :Aq adoq may: 31411330 uea noA 'ssaladoq 5|aa; on Januea|eungalq1w1uagp 9 Jo; Euuea am no; El uolpnusqo prime [p suuoa annmaaln [a 5:13]; :ngeJEd [q snuoaonseg [e :sa1eagpu! uouenus 5qu mu; moux n05 “Sgslelsyad cm 51 9mm 12:.[1531213 uepgsfiqd aq: pue ‘spunos |aMoq alqapne ou seu aqs '082 Shep g Maflms peq 1uagp mo; 0 'JaunauJ was; 3.12:) queaq JD adAJ, auo ueq1aJoLu Jo; suonuamawg sannbaJ waqud {p ‘Aep auo ueLn emu: m; uouemgs sguaun 31.11 01 Agdde mm waiqmd {a 'walqmd am afleuew uea cum auo Ajuo am 5! Japgnmd 3123 qlfeaq pazgmqlne JO uepqsfiqd (q EIJO s: 938d [51 (SI (LI (91 {SI (1:: ————— Page 4 0f13 B 20) The preparation for moving a client from an acute care area in the hospital to home is called: a] Consultation services b) Discharge planning c} Rehabilitation d) Collaborative planning B 21) The nurse who is using active listening as an intervention to reduce anxiety would make which of the following comments when communicating with a client? a] "Can you repeat back to me what has been shared with you about your lung disease?” b] "Don’t be so concerned about your breathing; the medication will begin to work soon.” c) “You sound angry that your life has been disrupted by chronic respiratory problems.” d] "You can get on with your life most quickly by learning to use breathing techniques." C 22} Your adult client complains of being hassled at work and feeling that demands exceed the client’s ability to cope. This is an example of which lifestyle risk factor? 3} Mental health b} Stress c) Alcohol abuse d) Domestic violence B 23] You tell your client that you will work with the client on catheter care for a certain time each day for a specific number of days. This is an example of which phase of the nurse—client relationship? a} Termination b] Orientation c] Therapeutic d] Working B 24] Assessing in the affective learning domain would include: a) Determining the client’s ability to verbally communicate bl Observing how a new mother handles her baby cl Determining the client’s attitude about being ill d] Checking the client’s reading ability. C 25} A female client reports an involuntary loss of urine after coughing, sneezing, and laughing. What type of incontinence is she most likely experiencing? a) Urge b) Stress c} Overflow d} Reflex B 26] Your client asks you a question about the duration of his chemotherapy. You do not know the appropriate answer. What is your best response? a) "I don't know, but i will be happy to see what l can find out for you.” b) "Chemo isn’t as scary as it seems. Don’t worry and everything will be fine." c] "Treatment will continue until the oncologist sees your tumor get smaller." d) “Your oncologist wili go over all of this with you.” A 27} A client with a new colostomy is working to establish a pattern of elimination. The nurse would formulate with the l l!6i2009 Page 5 of13 client an outcome criterion that corresponds to: a) Daily dietary intake b} A bowel elimination pattern that is normal for the client c] A random bowel elimination pattern d] Daily bowel evacuation B 28] When inserting a urinary catheter into the urethra, the nurse uses which type of technique? a) Clean technique b} Technical technique c] Medical asepsis d} Surgical asepsis D 29) The nurse caring for a well older adult should anticipate that a slight, steady decline in which of the following might occur after age 50 as part of the normal aging process? a} Short—term memory b) Wisdom c] Common sense d) Judgment A 30] The doctor has ordered a 24-hour urine collection. Which urine sample would the nurse discard in relation to the 24-hour collection of urine? a) Hour of sleep void b} A sample less than 100 ml c) Last void d} First void D 31] The purpose of a nursing diagnosis is to: al Define collaborative problems bi Make documentation more specific to nursing c} Restate the medical diagnosis d} Provide a clinical which the nurse is responsible D 32] The nurse is counseling a client who is experiencing nightmares, flashbacks, and behavioral changes. The nurse develops strategies for working with this client on the basis of an understanding that the client's behavior is consistent with Which of the following types of anxiety disorders? a] Post-traumatic stress disorder [PTSD} b) Disability panic attack syndrome c] Obsessive-compulsive disorder (OCDl all Social phobia syndrome A 33) when you teach your male clients about testicular self—examination, you advise them that the best time to perform this examination is: a} After intercourse b} Right after a shower cl First thing in the morning d} Anytime, as long as it is done monthly 1 “6/2009 34) 35] 36] 39} 40} 41} Page 6 01°13 B Which health care professional most likely worked with your client to link the client with community resources and help answer questions related to insurance policies? a) Occupational therapist b) Social worker c} Physical therapist d) Rehabilitation nurse D Which of the following describes the difference between a medical diagnosis and a nursing diagnosis? a] Medical diagnosis focus on human responses to health problems b) Use of diagnostic reasoning c} Nursing diagnosis focus on human responses to health problems d] Nursing diagnosis focus on assessment, identification, and labeling of the disease state. C Your bed-bound, elderly client has a pressure ulcer that looks like a blister or shallow crater. The pressure ulcer is most likely in which stage? a] Stage i b} Stage “I c} Stage ll d} Stage lll C What is a nursing intervention? A behavior the nurse implements to resoive the patient’s problems A result of nursing care that resolves the client’s problems Services performed to reach the goals of supporting and protecting the client A nursing order or action C The nursing care plan for a client with atrial fibrillation who lives in a nursing home will be most beneficial if it: A} Provides for an individualized approach to the client’s problems or needs B) Includes a statement of rationale for each nursing intervention C} is standardized for use with clients with similar health problems D] Primarily focuses on independent nursing actions A Which of the following best describes the risk factors in a nursing diagnosis a) Conditions or circumstances that contribute to the development or maintenance ofa nursing diagnosis bi A clear, precise description of a nursing diagnosis that delineates its meaning and helps differentiate it from similar diagnoses c) Internal or external environmental factors that increase the vulnerability of an individuai, family, or community to an unhealthful event d} observable cueslinferences that cluster as manifestations of a nursing diagnosis C The client, a respected attorney in the community, is an elected city council member and has influence over the political process and the distribution of resources in the community. The client has: a] Social integration bi Human capital c} social status d} hope C Which of the following actions is considered a nurse-initiated intervention? 1136:2009 42) 43) 44) 45) 46) 47) Page 7 0f13 a} Administering medications to a client [3} Managing a client’s medically restricted diet c) Inserting a catheter per physicians orders d} Addressing a clients fears prior to surgery D The nurse working with a client who is experiencing anxiety keeps in mind that which of the following is a core theme found at any level of anxiety? a} Maiadaptive personality features b) Sense of vulnerability c} Feelings of power d) Embarrassment B Which of the following teaching-learning principles is an accurate guideline for the nurse as a teacher? a) The client’s life experiences should be a factor in the nurse’s helping the client acquire new knowledge b) Client teaching is independent of nursing process c} Learning can be facilitated by the existence of a close relationship between the nurse and client :1) Learner objectives should be developed only by the nurse A For which of the following wounds may dressing changes be delegated to a trained nursing assistant? 3) Surgical incision 72 hours status post-iaparoscopic cholecystectomy with a Jackson-Pratt drain b) Surgical incision 24 hours status post-laparoscopic cholecystctomy without a Jackson-Pratt drain c) Tunneling stage III sacral wound d) Stage I[ sacral decubitus without exudates, present for weeks D The nurse teaches the client about several foods that increase the acidity of urine to lower the risk of urinary tract infections. Which of the following foods increase the acidity of urine? 3] Caffeine products, meat, orange juice b) Eggs, carbonated drinks, milk c} Milk, vegetables, citrus fruit cl} Prunes, plums, cranberries D When teaching a client about self—catheterization, you discuss her feelings and perceptions about performing this procedure. Which domain are you focusing on? a} Psychomotor b} Affective c} Cognitive d) Psychosocial B Your client has the diagnosis Ineffective health maintenance. Your nursing interventions will include which of the following? a] Providing health education and counseling for prevention of health risks in] Giving the client health information about the dangers assaciated with the high risk behavior c) Encouraging the client to attend a support group to receive support for changing the high risk behavior dl Encouraging the client’s family to demand that the client change the high risk behavior A l “6/2009 48) 49) 50] 51} 52} 53} Page 3 of 13 The first step of developing a teaching plan is: a) Learn standardized goals b} Diagnosis c) Assess client’s learning needs d) Planning C Which of the following is an expected outcome statement? a] Wound healing: primary intention b} Alteration of skin integrity ci State the signs and symptoms of a wound infection d] Perform skin I wound management A Your client is suffering from arthritis and has difficult positioning for intercourse. This is an example of what kind of factor that affects sexuality? a} Cultural b) Physiological c) Psychological d} Developmental B Your client complains of constipation. Upon questioning, you learn that your client takes daily dose of opiates for chronic back pain. Her last voluntary bowel movement was five days ago, although she admits to having involuntary leakage of liquid stool now. She has increasing abdominal pain and distention. You suspect: a) Bowel incontinence b) Bowel obstruction c} Constipation d} Perceived constipation A You say to your 3 year old client "Let's sit in the playroom together and play for 10 minutes.” This is an example of which type of therapeutic communication technique? a) offering self b) providing broad openings c) asking for clarification cl) seeking consensual validation A Your client is a pregnant teenager. Your assessment reveals that she has conflict with her parents. You finding is a result of assessment of her: a] Physical needs b] Hopelessness cl Psychological needs d) Social needs D i 1f6i2009 Page 9ofl3 54] A client with a new ileostomy is learning about foods that can thicken the stool. The nurse evaluates that the client has mastered this topic when the client states that which of the following foods should be used for this purpose? 3} Chocolate b] Popcorn c) Raisins d) Bananas D 55) A client is experiencing problems with nutrition, sexuality, mobility, and fear. The nurse would assign the highest priority to which of the following nursing diagnoses? a} Imbalanced nutrition: less than body requirements b} Impaired physical mobility cl Ineffective sexual patterns d] Fear A 56} Which of the following urine specific gravity readings indicate dehydration a} 1.030 b) 1.000 c} 1.020 d} 1.050 A 57] Your goal for a client with the nursing diagnosis Anxiety should include which of the following? a) “The client will reduce anxiety to a level where the client can mange with learned behaviors." b) "The client will eliminate anti-anxiety medications." c} "The client will no longer need anxiety management skills." d) "The client will identify and eliminates stressors.” A 58] A client demonstrates signs of apprehension whenever the tonic of upcoming surgery is introduced. The nurse selects which of the following nursing diagnoses as much as most appropriate for this client and circumstances? a} Fear b} Powerlessness c] Disturbed thought process d] Compromised family coping A 59) A client who complains of being unable to empty all of the urine in the bladder is experiencing: a} Retention b} Oliguria cl Enuresis d] Dysuria A 60] The older adult client is most at risk for depression is one who: a] Takes very few medications bl Lives independently in the community c] Lives with a family member 1 1f6i‘2009 ————————— Page 10 0f13 d) Was recently diagnosed with a medical illness D 61) Your client has been diagnosed with heart problems. You can empower the client by: a) Helping the client develop, obtain, and use resources b} Calling the local heart association to obtain information for the client C] Referring the client for outpatient treatment d} Waiting until the client request help A 62) Your 86-year-old client needs balanced suspended traction for a fracture of the right femur with a stage il pressure ulcer measuring 2 ’ 3 cm on the left buttock. Which of the following nursing would be most appropriate for the pressure ulcers? a) Hepelessness b} Impaired tissue integrity c) Body image disturbance cl} Impaired skin integrity B 63) You enter your client’s room to see her sitting in a chair, fidgeting with her hands, and looking worried. Your appropriate response would be: a} "You seem distracted and nervous. Can I help?" b) "Would you like me to call a chaplain?” c} "You seem distracted and nervous. Would you like your nerve pill now? d) “It is time to take your medicines now." A 64} Your client is alert but elderly, bedwbound, and incontinent and has difficulty eating independently. The client has a wound that 5 located over a body prominence and that is not healing well. The wound is most likely to be: a} Open; a contusion b} Contaminated; a penetrating wound c) A pressure ulcer d} An abrasion; open C 65} Teaching in the cognitive domain would include: a} Having the client measure a liquid medicine b] Discussing the client's reaction to a diet prescription c} Having the client graph daily blood glucose readings d) Provide information about medication side effects D 66) Which one of the following sets of assessment data is most likely to be present with the nursing diagnosis Risk for infection? a) Fatigue, electrocardiographic changes, dependent edema, and activity intolerance b) Fever, Dysuria, change in urine concentration, and urinary urgency c} Abdominal incision, decreased hemoglobin, and indwelling catheter d) Abdominal pain, sore mouth, hyperactive bowel sounds and leucopenia C 67} Gender roles refers to which of the following? 3} Awareness and feelings of being mate or female in] A person’s chosen expressions of sexuaiity c] Outward appearance, behaviors, attitudes and feelings deemed appropriate for males and females dl Internal beiief that one is male or female' C 68] Your client is 50 years old and has been in good health. Which screening test should the client begin to have at this I “622009 Page 11 of13 age? 3) Measuring of cholesterol b} Testing for HIV cl Testing for T B d] SigmoidoscOpy D ??? 69} The nurse would plan to use which of the following appliances to BSsist in bowel elimination for a client who has a 70] 71) 72) 73] 74} pelvic fracture? a} Rectal incontinence pouch b] Fracture bedpan c) incontinence pads d) Ostomy bag B Statement of collaborative problems: a) Allows each discipline to work interdependently and cooperatively to solve problems. b) Builds the care plan for all the disciplines involved c} Allows the physician to write one set of orders for all disciplines d} Allows each discipline to work independently of the others. A Your client is at risk for development of pressure ulcers on the heels. Which of the following nursing interventions would be most appropriate? a} Wash affected area with hot water and soap to cleanse the skin b] Suspend the heels off the bed c) Avoid massaging over bony prominences because the pressure may increase the risk of pressure ulcer formation d} Watch to see if pressure ulcers develop B Your client is unable to bathe without assistance. Bathing oneself is an example of which of the following? a) Functional limitations is} impairments c) Instrumental activities of daily living d] Activities of daily living D A sudden and very strong urge to urinate that is difficult to suppress is called urinary: a] Micturition b) Frequency c] Hesitancy d] Urgency D Your client is a mother of 6 month old twins. She is complaining of a lack of sexual interest. She states that she is exhausted caring for the infants, with whom she is up all night every night. What would be the primary nursing diagnosis for this client? 1 1X6f2009 75] 75} 77} 78] 79) 80) Page 12 of 13 a) Hopelessness b] Ineffective coping c) Ineffective sexual patterns d) Disturbed sleep pattern D Your client has a large surgical wound and complains of feeling self conscious and apprehensive about appearance. Which of the following nursing diagnosis would be most appropriate? 3} Body image disturbance b} Hopelessness c} Impaired tissue integrity d) Impaired skin integrity A Which health care professional most likely assessed your client's range of motion, mobility, strength, balance, and gait? a) Recreational therapist b} Rehabilitative nurse c} Physical therapist d) Occupational therapist C Your client has contracted Chlamydia, a sexually transmitted disease. This is an example of what kind of factor that affects sexuality? 3} Psychological b) Physiological c] Cultural of) Developmental B A definition of people’s sexuality includes descriptions of which of the following? a} A person’s sex either male or female b] Awareness and feelings of being male or female c) Basic elements of both female or male gonads at birth d] Being dimorphic B The steps of the nursing process coincide with those of the teaching-learning process. Which of the following statements accurately describes a step in the teaching-learning and nursing process? a) A diagnosis of deficient knowledge is determined b) Learning objectives are planned in all three domains of learning c) Evaluation is conducted by a post—hospitalization survey and interpreted by a volunteer d) Assessment is complete when the client's attitude and current information is know B You client who is newly diagnosed with diabetes, believes that one can affect outcomes through one’s own actions, behaviors, or personal characteristics. Your client has the perception of: a} Human capital in) Personal control (3] "Power over”. all Hope C ??? B 1 li’612009 ...
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NPI #1 - 60023951 1 uogzejgunwwon mnadEJaql;0 sluamam[3...

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