Tess Nicholson
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GBCC exam one senior year spring

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Tess Nicholson
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Exam 1: final year

Frage 1 von 18

1

A community health nurse is conducting a needs assessment of a community. Which of the following methods will yield direct data?

Wähle eine der folgenden:

  • informant interviews

  • medical records

  • health surverys

  • morbidty/mortality statistics

Erklärung

Frage 2 von 18

1

Which of the following actions would represent a community health nurse functioning as an advocate?

Wähle eine der folgenden:

  • conductioning free BP screenings at Families first

  • supervising an LNA on proper hygiene care tasks in homecare

  • administering immunizations at a school flu prevention event

  • serving on a community task force for heroin use prevention

Erklärung

Frage 3 von 18

1

The nurse at a clinic notes that many students have come in from a particular high school with s/s of meningitis. She compares these numbers with previous years and notes that her suspicions are confirmed by 15 new cases. She contacts the school nurse, dean and health department. They work together to come up with a plan to assess all students and evaluate their vaccine protocols. This nurse was acting in the roles of ? (Select all that apply)

Wähle eine oder mehr der folgenden:

  • epidemiologist

  • counselor

  • case manager

  • collaborator

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Frage 4 von 18

1

A public health nurse provides a clinic for HIV-positive citizens in the community. This is an example of:

Wähle eine der folgenden:

  • Primary prevention

  • Secondary prevention

  • Tertiary prevention

  • policy making

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Frage 5 von 18

1

Collecting data and monitoring the health status of the population defines which of the core functions that public health nurse would be involved in?

Wähle eine der folgenden:

  • assessment

  • prevention

  • policy development

  • advocating

Erklärung

Frage 6 von 18

1

The term community-based nursing care is applied when implementing which nursing intervention?

Wähle eine der folgenden:

  • Assessing the health needs of a defined community

  • Providing care to families in a community

  • Promoting the health of an entire community

  • Investigating environmental health problems in a community

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Frage 7 von 18

1

The nurse receives a hand-off communication report for the change of shift. Which client should the nurse see first?

Wähle eine der folgenden:

  • A 50-year-old woman who is scheduled for a breast biopsy this morning and is crying

  • An 85-year-old man admitted during the night because of increasing confusion who remains disoriented this morning

  • A 65-year-old woman who had a thoracotomy the previous day and has two midline chest tubes

  • A 40-year-old man who is complaining of chills and painful urination is scheduled for a colon resection in 2 hours

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Frage 8 von 18

1

The charge nurse is planning assignments for the nursing staff. One of the staff nurses is pregnant. Which client would not be appropriate to assign to this nurse?

Wähle eine der folgenden:

  • Child with a brain tumor being treated with radiation

  • Infant with respiratory syncytial virus receiving ribavirin

  • Toddler who is HIV-positive and has an opportunistic respiratory tract infection

  • Child with leukemia who is receiving vincristine (Oncovin) and allopurinol (Zyloprim)

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Frage 9 von 18

1

Which of the following clients would the ER nurse see first?

Wähle eine der folgenden:

  • Closed head injury

  • Third degree burns to the face

  • sever diarrhea and vomiting

  • fractured left femur

Erklärung

Frage 10 von 18

1

A labor and delivery RN has been reassigned, or floated, to a step-down telemetry unit for the afternoon shift. Which clients would reflect the most appropriate assignment for this nurse?

Wähle eine der folgenden:

  • Client who had MI 72 hours ago and has increasing premature ventricular contractions (PVCs) and a newly admitted client with paroxysmal onset of atrial fibrillation

  • Client who currently has third-degree heart block and client with congestive heart failure who had a hypertensive crisis 48 hours ago

  • Client who had a cardiac catheterization that morning and client admitted for 24-hour observation for first-degree heart block

  • Client who has had cardioversion and client who was admitted during the night because of possible myocardial infarction (MI)

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Frage 11 von 18

1

To optimally use the level of preparation of the LPN/LVN, which task should the RN delegate to the LPN/LVN?

Wähle eine der folgenden:

  • Transporting a client to the laboratory

  • Assisting with a thoracentesis

  • Restocking and counting the sterile supplies

  • Passing afternoon nutrition supplements and waters

Erklärung

Frage 12 von 18

1

The RN heading the unit team is assigning clients for care to two RNs and an LVN/LPN and a nursing assistant. The RN would assign which of the following clients to the LPN/LVN?

Wähle eine der folgenden:

  • An older adult who is receiving IV chemotherapy through a central line and will need a dressing change

  • A male client diagnosed with Type I diabetes who will need dressing changes on several stasis ulcers

  • A female client who has a fractured femur and a cast on her right arm and who needs to urinate

  • A client with terminal cancer who will be transferred to hospice

Erklärung

Frage 13 von 18

1

An experienced nursing assistant could be assigned by the nurse to do which of the following?

Wähle eine der folgenden:

  • Chart the dietary intake for a client with an eating disorder.

  • Assist the client to obtain a clean-catch urine specimen.

  • Report on quality and quantity of urine and adjust drip rate on a continuous bladder irrigation.

  • Help in the teaching of new clients with diabetes to give themselves injections.

Erklärung

Frage 14 von 18

1

A pt with chronic kidney disease is newly admited on to the med-surg floor. When the lab comes back, the pt's Calcium is 7.0 (low). Which medication do you expect to be ordered in addition to calcium supplements to correct the calcium imbalance.

Wähle eine der folgenden:

  • sevelamer hydrochloride (renagel)

  • epoetin alfa (Epogen)

  • IV glucose & IV insulin

  • Bicarobonate

Erklärung

Frage 15 von 18

1

Shock and MI are two examples of which type of cause of Acute kidney injury?

Wähle eine der folgenden:

  • Intrarenal

  • Post renal

  • Prerenal

Erklärung

Frage 16 von 18

1

A client with documented decreased renal function provides a list of medications. Which medication is of most concern?

Wähle eine der folgenden:

  • Azithromycin

  • Ibuprofen

  • Vitamin B12

  • warfarin

Erklärung

Frage 17 von 18

1

What nursing measure would be included in the plan of care for a client with acute kidney injury?

Wähle eine der folgenden:

  • Observe for signs of a secondary infection.

  • Provide a high-protein, low-carbohydrate diet.

  • In and out catheterization for residual urine

  • Encourage fluids to 2000 mL in 24 hours.

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Frage 18 von 18

1

The nurse is evaluating a client's response to hemodialysis. Which laboratory values will indicate the dialysis was effective? Select all that apply.

Wähle eine oder mehr der folgenden:

  • Serum potassium level decreases from 5.4 to 4.6 mEq/L

  • Serum creatinine level decreases from 1.6 to 0.8 mg/dL

  • Hemoglobin increases from 10 to 12 g/dL

  • White blood cells increase from 5000 to 8000/mm3

  • BUN decreases from 110 to 90 mg/dL

Erklärung

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