NCLEX QUESTIONS BACK OF CHP. – Flashcards

A nurse researcher interviews senior onocology nurses, asking them to describe how they deal with the loss of a client. The analysis of the interview yields common themes describing the nurses' grief. This is an example of: 1. Historical study 2. Qualitative Study 3. Correlational Study 4. Experimental Study

An operating room nurse is talking with colleague during a meeting and asks, "I wonder if we would see fewer wound infections if we used chlorhexidine instead of povidone-iodine to clean the skin of our surgical clients?" In this example of a PICO question, the P is: 1. Betadine use 2. Surgical clients 3. Chlorhexidine use 4. Operating room nurse

A nurse researcher is designing an exercise study that involves 100 clients who attend a wellness clinic. As the clients come to the clinic, they have a choice as to whether they want to be in the new exercise program or remain in the traditional program. The nurse plans to measure the clients' self-report of exercise before and 6 months after the program begins. What factor might influence the results of this study in an unfavorable way? 1. bias 2. anonymity 3. sample size 4. sampling method

the foundation of research is based on which of the following: 1. evidence 2. experience 3. critical thinking 4. scientific method

Number the following steps of evidence-based practice in the appropriate order __ Integrate the evidence __Ask the burning clinical question __Evaluate the practice decision or change __Critically appraise the evidence u gather __Collect the most relevant and best evidence

When a researcher gives a subject full and complete information about the purpose of a study, this is an example of: 1. Bias 2. Anonymity 3. Confidentiality 4. Informed consent

A new nurse on an orthopedic unit is assigned to a client on skeletal traction. The nurse asks a colleague, "What is the best practice for cleaning pin sites in skeletal traction?" This question is an example of a: 1. Hypothesis 2. PICO question 3. Problem focused-trigger 4. Knowledge-focused trigger

The nurses on a medical unit have seen an increase in the number of pressure ulcers that develop in their clients. The nurses decide to initiate a quality improvemnt project using the PDSA model. Which of the following is an example of "Do" from that model? 1. Implement the new skin care protocol on all medicine units 2. Review the data collected on clients cared for using the protocol. 3. Review the QI reports on the six clients who developed ulcers over the last 3 months 4. Based on findings from clients who developed ulcers, implement an evidence-based skin care protocol

Chp. 16..The purpose of assessment is to: 1. Make a diagnostic conclusion 2. Delegate nursing responsibility 3. Teach the client about his or her health 4. Establish a database concerning the client

Assessment data must be descriptive, concise, and complete. An assessment should NOT include: 1. Subjective data from the client 2. A detailed physical examination 3. The use of interpersonal and congitive skills 4. Inferences or interpretative statements not supported with data

A nurse assesses a client who comes to the pulmonary clinic. "Tell me what meds you are on for your breathing prob. I see from your last visit that Dr. R recommeded routine exercise. Can you also tell me how successful you have been following his plan?" The nurse's assessment covers which of Gordon's functional health patterns? 1. Value-belief pattern 2. Cognitive-perceptual pattern 3. Coping-stress tolerance pattern 4. Health perception-health management pattern

The nurse asks a client, "Ms. Neil describe for me your typical diet over a 24-hr day. What foods do you prefer? Have you noticed a change in your weight recently?" This series of questions would likely occur during which phase of a client interview? 1. Working 2. Orientation 3. Termination

During data clustering a nurse: 1. Provides documentation of nursing care 2. Reviews data with other health care providers 3. Makes inferences about patterns of information 4. Organizes cues into patterns that lead to identifying nursing diagnoses

What type of interviewing techniques does the nurse use when asking the question. "Do you have pain or cramping?" (choose all that apply) 1. Active listening 2. Open-ended questioning 3. Closed-ended questioning 4. Problem-oriented questioning

What techniques encourage a client to tell his or her full story? (Choose all that apply) 1. Active listening 2. Back channeling 3. Use of open-ended questions 4. Use of closed-ended questions

You gather the following assessment data, which of the following cues form a pattern? (choose all that apply) 1. Client is restless 2. Fluid intake for 8 hrs is 800 mL 3. Client states feels short of breath 4. Client has drainage from surgical wound 5. Respirations are 24 per min. and irregular 6. Client reports loss of appetite for over 2 weeks

Chp. 17...A nursing diagnosis is: 1. The diagnosis and tx of human responses to health and illness 2. the advancement of the development, testing, and refinement of a common nursing language 3. A clinical judgment about individual, family, or community responses to actual and potential health problems or life processes 4. The identification of a dz condition is based on a specific evaluation physical signs, symptoms, the client's medical history, and the results of diagnostic tests

Lisa reviews data she has regarding Ms. D pain symptoms. She compares the defining charactersitics for acute pain with those for chronic pain. In the end she selects acute pain as the correct diagnosis. This is an example of Lisa avoiding an error in: 1. Data collection 2. Data clustering 3. Data interpretation 4. Making a diagnostic statement

One of the purposes of the use of standard formal nursing diagnostic statements is to: 1. Evaluate nursing care 2. Gather information on client data 3. Help nurses to focus on the role of nursing in client care 4. Facilitate understanding of client problems among health care providers

The nursing diagnosis readiness for enhanced communication is an example of a(n): 1. Risk nursing diagnosis 2. Actual nursing diagnosis 3. Potential nursing diagnosis 4. Wellness nursing diagnosis

The nursing diagnosis hypothermia is an example of a(n): 1. Risk nursing diagnosis 2. Actual nursing diagnosis 3. Potential nursing diagnosis 4. Wellness nursing diagnosis

The word impaired in the diagnosis impaired physical mobility is an example of a: 1. Descriptor 2. Risk factor 3. Related factor 4. Nursing diagnosis

In the examples listed below, which nurse is acting to avoid a data collection error? 1. The nurse asks a colleague to chart his or her assessment data 2. The nurse considers conflicting cues in deciding the correct nursing diagnosis 3. The nurse assessing the edema in a client's lower leg is unsure of its severity and asks a co-worker to check it with him or her 4. After doing an assessment the nurse critically reviews his or her level of comfort and competence with interview and physical assessment skills

"Unhappy & worried about health" is not a scientifically biased nursing diagnosis, and it can lead to error in: 1. Data collection 2. Data clustering 3. Medical diagnosis 4. Diagnostic statement

Casey is reviewing a client's list of nursing diagnoses in the medical record. The most recent nursing diagnosis is diarrhea related to intestinal colitis. This is an incorrectly stated diagnostic statement, best described as: 1. Identifying the clinical sign instead of an etiology 2. Identifying a diagnosis based on prejudicial judgement 3. Identifying the diagnostic study rather than a problem caused by the diagnostic study 4. Identifying the medical diagnosis instead of the client's response to the diagnosis

Which of the following are defining characteristics for the nursing diagnosis impaired urinary elimination? (choose all that apply) 1. Nocturia 2. Frequency 3. Urine retention 4. Inadequate urinary output 5. Receiving intravenous fluids 6. Sensation of bladder fullness