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35 Cards in this Set
- Front
- Back
- 3rd side (hint)
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During the orientation phase, Nurse Maria was told by the Director of Nursing to read the hospital manual and know by heart the reason for which that hospital exists. She should focus on the : |
A. Mission statement B. Vision statement C. Organizational philosophy D. Organizational goals and objectives |
A. Mission statement |
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Nurse Eduardo knows that there are three levels of skills, which he should possess as manager. These are: |
Interpersonal, technical and human skills |
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Team development include which of the following phases? |
Forming, storming, norming, performing |
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Sister Marks uses her management skills to prevent a negative impact on the quality of patient care due to the changes made to the pediatric ward. According to John Kotter, the first step in successfully implementing change would be to: |
A. Increase the workload for each staff B. Educate the staff about the change process C. Help the nursing staff to see the need for change and convince them of the importance of acting immediately D. Give staff incentives to motivate them thus preventing a rapid turnover during the implementation of the change process |
C. Help the nursing staff to see he need for change and convince hen of the importance of acting immediately |
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Which pattern of nursing Carr involves the care given by a group of paraprofessional workers led by a professional nurse who take car EOF patients with the same disease conditions and are locates geographically near each other? |
A. Case method B. Modular nursing C. Nursing case management D. Team nursing |
B. Modular nursing (performed mainly by paraprofessionals) |
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Managerial grid |
1) Authority: high concern for production and low concern for people 2) Team: high concern for people &production 3) Middle of the road (balance): equal concern for people and production 4) Impoverished: low concern for people and production 5) Country Club: low concern for production and high concern for people |
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Nursing ethics may be considered a form of ........because it addresses moral situations that are specific to the nursing profession and patient care. |
A. straight ethics B. Applied ethics C. Bioethics D. Meta-ethics |
B. Applied ethics |
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Like all other professions, nursing adheres to a governing body. The governing bodies for nurses in the Caribbean are referred to as: |
A. Councils B. Associations C. Employers D. Bodies of nursing directors |
A. Councils |
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Nursing counsils are termed: |
Semi-autonomous and statutory |
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The regional nursing body within the Caribbean is a : |
A. Is an organization established by the heads of the common wealth countries B. A statutory body with head office in Barbados C. Nonstatutory, autonomous, collaborative organization, with an advisory role D. Statutory body that makes recommendations to heads of governments in the Caribbean |
C. Nonstatutory, autonomous, collaborative organization, with an advisory role |
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Nurses do not work within a vacuum, their practice is controlled by regulatory bodies....... Are by law responsible for nursing practice. |
A. Caribbean Nursing Organization B. National Nursing Associations C. Regional Nursing Body D. General Nursing Council |
D. General Nursing Council |
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Registered Nurses are responsible and accountable for their individual practices. Nursing accountability is enhanced by: |
A. Nursing procedure manuals B. Nursing protocols C. Caribbean standards of nursing practice D. Policy manuals |
B. Nursing protocols |
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Oxygen status is indicated by.......constraints /parameters |
A. PaCO2 and pH B. PaO2 and SaO2 C. PaO2, SaO2 and pH D. PaO2 and Respiratory rate |
B. PaO2 and SaO2 |
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The oxygen delivery system that would yield the most oxygen would be: |
A. Venturi mask B. Simple face mask C. Manual ventilation D. Face mask with rebreatger mask |
A. Venturi mask |
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The nurse in carrying out interventions for the patient would ensure optimum oxygenation by: |
A. Monitoring the patient's SpO2 B. Ensuring oxygen therapy is maintained C. Putting tge patient in semi-fowler's position D. Suctioning patient and keeping airway patent. |
B. Ensuring oxygen therapy is maintained |
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The nurse constantly assesses the patient's condition. She determine s that the patient's Asthma is improving when he is: |
A. Sitting upright B. Able to drink from a cup C. Only able to speak two words at a time D. Conversing at length on his cellular phone |
D. Conversing at length on his cellular phone |
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The doctor prescribed Theophylline IVI. When evaluating the patient for therapeutic effects of Theophylline treatment. The nurse would decide that......is the most significant finding. |
A. Decrease in wheezing B. An increase in blood pressure C. Decrease in mucous production D. An increase in respiratory rate |
C. Decrease in mucous production |
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The nurse inserted an airway into the client's mouth to remove excess secretion. Subsequent to the insertion of the airway, the ventilator alarm went off. Given this, the nurse should: |
A. Turn off the alarm B. Sedate the patient C. Remove the airway D. Monitor the patient |
C. Remove the airway |
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Before inserting the oral airway, the nurse should have: |
A. Measured from the lips to the tragus B. Measure from the nares to the tragus C. Measured from the lips to the pharynx D. Measured measured from the nares to the pharynx |
D. Measured measured from the mares to the pharynx |
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The patient has been successfully intubated, the nurse's priority responsibility thereafter is to: |
A. Obtain a chest xray B. Assess patient's chest expansion C. Ensure the ventilator settings are correct D. Perform ABG to ascertain acid-base status |
B. Assess patient's chest expansion |
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A patient with COPD is experiencing difficulty breathing and wheezing. Why should the nurse avoid chest percussion as an intervention? |
A. Chest percussion will increase coughing B. Chest percussion should not be used in this acute C. Cheat percussion may cause mucus plugging of the alveoli D. Chest percussion may lead to bronchospasm and respiratory distress. |
D. Chest percussion may lead to bronchospasm and respiratory distress. |
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Which parameters would indicate that the patient is not yet ready for weaning? |
A. Poor gag with SpO2 96% B. Psychological unreadiness C. Profused sweating and restlessness D. Respiratory rate of 28bpm and Sp02 96% |
C. Profused sweating and restlessness |
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The charge nurse was conducting an educational session on suctioning and advised nurses not to instill normal saline before bagging a patient. Which scientific data maybe be most appropriate explanation for discouraging this practice? |
A. N/S contributes to hypoxia B. N/S generates too much secretion C. N/S contributes to the patient's acidosis D. N/S is of no benefit when suctioning the patient |
A. N/S contributes to hypoxia |
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After intubation, the nurse realizes that oxygenation is compromised when what is observed? |
A. Increased salivation B. Increased respiration C. Increased restlessness D. Increased abdominal girth |
D. Increased abdominal girth |
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The most appropriate nursing order for a patient who develops dyspnea and shortness of breath would be: |
A. Maintain the patient on strict bed rest at all times B. Maintain the patient in an orthopneic position as needed C. Administer oxygen by Venturi mask at 24% as needed D. Allow 1 hour rest period between activities |
B. Maintain the patient in an orthopneic position as needed |
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The charge nurse asks a third year student nurse to explain the pathophysiology of Myocardial Infarction. Her most appropriate response should be a/an: |
A. Absence of oxygen to the middle tissue B. Absence of oxygen to the inner tissue C. Insufficient oxygen supply to the inner tissue D. Insufficient oxygen supply to the middle tissue |
B. Absence of oxygen to the inner tissue |
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An MI is suspected because of ......indication |
A. CK-MB and LDH B. LDH and Troponin I C. Troponin I and SGPT D. CK-MB and Troponin I |
D. CK-MB and Troponin I |
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An early finding in the EKG for an infarctes myocardium would be: |
A. Flattened T waves B. Absence of P wave C. Elevated ST segments D. Disappearance of Q waves |
C. Elevated ST segments |
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Which of the following should the nurse teach the client about the signs of digitalis toxicity? |
A. Increased appetite B. Elevated blood pressure C. Skin rash over the chest and back D. Visual disturbances such as seeing yellow spots |
D. Visual disturbances such as seeing yellow spots |
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Smoking cessation is a critical strategy for the client with Burgher's Disease. The nurse will anticipate the client to be prescribed: |
A. Paracetamol B. Ibuprofen C. Nitroglycerin D. Nicotine |
D. Nicotine |
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The etiology of Raynaud's disease is unknown but is characterized by: |
Episodic vasospastic disorder of the arterioles (small arteries) |
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Presence of excessive bubbling is identified in water-seal chamber, the nurse should: |
A. Strip the chest tube catheter B. Check the system for air leaks C. Recognize the system is functioning correctly D. Decrease the amount of suction pressure |
B. Check the system for air leaks |
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The greatest risks factor for breast cancer include: |
A. Having a family history B. Being female and advancing age C. Early menarche and nulliparity D. Smoking and obesity |
B. Being female and advancing age |
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The single strongest correlative factor that influences the incidence of breast cancer in women is |
Genetic predispostion |
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A patient is diagnosed with AIDS. The student nurse caring for this patient is aware that a patient diagnosed with HIV should have: |
Infection of HIV, CD4+ T cell count of less than 200 celle per microliter, and history of acute HIV infection |
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