NUR 212 Final Exam Latest Questions and Answers (2024 / 2025) (Verified by Expert)
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NUR 212 Final Exam Questions and Answers
(Verified Answers)
1.A community health nursing case manager is assigned the case of a 12yo
boy diagnosed with DM. He is unreceptive to learning and does not want to
learn to read a glucometer or give his own insulin injections. Which of the
following would be the most appropriate to arrange to help keep this child
from feeling alone with regard to diabetes.
ANS Attend a diabetic camp for preteens.
2.A nurse is participating in a quality improvement study of a procedure
frequently performed on the unit. Which of the following information will
provide data regarding the efficacy of the procedure?
ANS Incidence of complication related to the procedure
3.A nurse witnesses an assistive personnel (AP) they are supervising reprimanding a client for not using the urinal properly. The AP threatens to put a
diaper on the client if the urinal is not used more carefully next time. Which
of the following torts is the AP committing?
ANS Assault
4.A home health nurse has adjusted his schedule to visit the following
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four patients today. Which patient will he see first?
ANS A patient who has COPD and increased shortness of breath.
5.A case manager is discussing critical pathways with a group of newly
hired nurses. Which of the following statements indicates understanding?
ANS “The pathway shows an estimate of the number of days the client
will be hospitalized.”
6.The nurse is assigned to care for four clients. In planning client rounds,
which client should the nurse assess first?
ANS A client with asthma who requested a breathing treatment during
the previous shift
- A nurse manager is reviewing the admission history of four adults whowere admitted to the medical-surgical unit during the shift. Which of thesituations is the nurse required to disclose information to an outside agencyabout
the client or the client’s circumstances?
ANS A dependent adult admitted for the treatment of a spiral
fracture
8.A nurse at your facility has been observed diverting drugs. The
supervisor has been notified. In order for the nurse to receive the best help
with this problem, the healthcare facility should…..
ANS Notify the Board of Nursing for a referral to the Alternative
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A community health nursing case manager is assigned the case of a 12yo boy diagnosed with DM. He is unreceptive to learning and does not want to learn to read a glucometer or give his own insulin injections. Which of the following would be the most appropriate to arrange to help keep this child from feeling alone with regard to diabetes.
Attend a diabetic camp for preteens.
A nurse is participating in a quality improvement study of a procedure frequently performed on the unit. Which of the following information will provide data regarding the efficacy of the procedure?
Incidence of complication related to the procedure
A nurse witnesses an assistive personnel (AP) they are supervising reprimanding a client for not using the urinal properly. The AP threatens to put a diaper on the client if the urinal is not used more carefully next time. Which of the following torts is the AP committing?
Assault
A home health nurse has adjusted his schedule to visit the following four patients today. Which patient will he see first?
A patient who has COPD and increased shortness of breath.
A case manager is discussing critical pathways with a group of newly hired nurses. Which of the following statements indicates understanding?
“The pathway shows an estimate of the number of days the client will be hospitalized.”
The nurse is assigned to care for four clients. In planning client rounds, which client should the nurse assess first?
A client with asthma who requested a breathing treatment during the previous shift
A nurse manager is reviewing the admission history of four adults who were admitted to the medical-surgical unit during the shift. Which of the situations is the nurse required to disclose information to an outside agency about the client or the client’s circumstances?
A dependent adult admitted for the treatment of a spiral fracture
A nurse at your facility has been observed diverting drugs. The supervisor has been notified. In order for the nurse to receive the best help with this problem, the healthcare facility should…..
Notify the Board of Nursing for a referral to the Alternative Program
A Registered Nurse on a medical-surgical unit is making assignments at the beginning of the shift. Which of the following tasks should the nurse delegate to the LPN?
Obtain vital signs for a client who is 2 hours post-procedure following a cardiac catherization
A nurse has just assisted a patient back to bed after a fall. The nurse and physician have assessed the patient and have determined that the patient does not appear to be injured. After completing the incident report, the nurse implements which action next?
Reassess the patient
A public health nurse is planning several initiatives for a city. Which of the following interventions should the nurse include as part of public health assurance?
Partnering with a laboratory company to provide free HIV screening for the public
A nurse is accused of professional negligence. In determining if he or she is guilty, a jury would compare the nurse to what standard?
What a reasonable and prudent nurse would have done in the same situation
A nurse is caring for an elderly patient who has been in a healthcare facility for 3 weeks due to hip replacement and pulmonary complications. The nurse notes development of decubitus ulcer on his coccyx area. Which action would be appropriate to obtain a collaborative plan of care?
Facilitate a consult with the wound care nurse
A community health nurse is implementing health programs with several populations in the local area. In which of the following situations is the nurse using primary prevention?
Providing influenza immunizations to employees at a local preschool
A nurse is working with an intersexed baby and family. The baby has both an ovary and testes and ambiguous genitalia. The doctor recommends doing surgery to make the child a female, rationalizing that is the easiest change to get a desirable physical result. The nurse realizes the ethical principle that may be violated is:
Nonmaleficence
A nurse is conducting health screenings at a statewide health fair and identifies several clients who require referral to a provider. Which of the following statements by a client indicates a barrier to accessing health care?
“I can’t take off during the day, and the local after-hours clinic is no longer in operation.”
A nurse reviewing a patient’s chart discovers that the patient’s DNR order has expired. The patient’s condition has not been stable today. The most appropriate action for the nurse to take at this time to:
Call the primary care provider to get the order immediately reinstated
A nurse terminates employment without giving the facility the required 2 week notice. One month later, the nurse manager receives a call from the personnel director at a different hospital requesting a reference for the nurse. How can the nurse manager best respond to this request?
“The nurse worked here from November 1, 1993 to April 9, 2012.”
A nurse who works in a federally funded abortion clinic becomes aware that aborted second-trimester fetuses are being sent to a nearby university for research and transplantation. What should this nurse do with this knowledge?
Report the practice to the Department of Health and Human Services
A nurse who works on the night shift enters the medication room and finds a co-worker with a tourniquet wrapped around the upper arm. The co-worker is about to insert a syringe containing a clear liquid, into the antecubital area. The appropriate initial action by the nurse is which of the following?
Call the nursing supervisor
A nurse working for a home health agency is assessing an older adult male patient. The nurse determines the priority assessment date to address is:
Dysphagia
A patient has asked the nurse to explain her lab results. The nurse tells the patient that he must first assist another patient to the bathroom and then he will explain the results. The nurse assists the other patient to the bathroom and then returns to explain the results. What moral principle has the nurse displayed?
Fidelity
A patient in the intensive care unit has a DNR order on his chart. What does the nurse caring for him need to recognize about DNR orders?
DNR orders must be written by the physician
A patient is receiving IV antibiotic therapy. The order is for methicillin 750mg IV. The nurse has a 1-gram vial on hand. The instructions for reconstitution say to add 1.5 mL sterile water. Re-constituted solution will contain approximately 500mg methicillin solution per milliliter. How much will the nurse give?
1.5mL
A patient tells the nurse that he does not want to have a painful procedure. By respecting and supporting the patient’s right to make decisions, what is the nurse demonstrating?
Advocacy
A patient who has recently traveled to China comes to the emergency department with increasing shortness of breath and is strongly suspected of having severe acute respiratory syndrome. (SARS) Which of these prescribed actions will you take first?
Place the patient on airborne and contact precautions
Nurse observes that an older patient’s gait and balance appear to be slightly unsteady. What assessment should the nurse perform next?
Ask the patient if he has fallen in the past year
A proposed change in the management structure of the nursing unit is explained during a staff meeting and several nurses express antagonistic comments to the nurse manager. Identify the best response by the nurse manager.
“Let’s consider the potential positives and negatives to the proposal.”
A student nurse asks the RN staff nurse how he assures if patient teaching is effective. The best response by the RN is:
Patient learning is evaluated based on achievement of learning outcomes.
A newly hired occupational health nurse at an industrial facility is performing an initial workplace assessment. Which of the following information should the nurse determine when conducting a work site survey?
Work practices of employees
A student reports to the teacher that her grade has been recorded as a 98 but she really made an 88. The student is displaying:
Veracity
A unit manager is preparing the time schedule for the summer holiday season. Approximately half of the staff has requested 1 to 2 week vacations. Granting all the requested time will lead to severe staffing shortages. What is the nurse manger’s primary consideration in developing this schedule?
Client safety needs
A woman of Mexican=American background who is in labor asks that her husband not be allowed in the delivery room and that he not see the baby until after the baby has had his or her initial bath. How can the nurse best respond to this request?
Honor the request by recognizing that these are the cultural norms of the patient
After her first week working on a busy medical/surgical unit, a new nurse manager notes that the individual nurses are highly competent but unable to function as a team. Select the action by the nurse manager that would facilitate team building among the staff.
Provide an opportunity for the nurses to express their feelings and emotions.
An 18-year old female who has a recent history of repeated emergency department visits for numerous fictitious disorders has appeared in the ED today with small superficial cuts on both arms. She reports she awakened this morning to find these on her arms. She tells the nurse she is concerned about getting “lock jaw” and needs to be hospitalized. The nurse would anticipate the patient to be:
Munchausen’s syndrome
Physiological changes associated with aging place the older adult especially at risk for which nursing diagnosis?
Risk for falls
An important principle that guides managers who use the democratic leadership style of management is:
Each member of the group respects all the other members as unique and valuable
An older adult patient who is on fall precautions is found lying on the floor of his hospital room. Which of the following actions is most appropriate for the nurse to take first?
Palpate the patient’s wrist and evaluate his/her pulse
An older adult patient who is on fall precautions is found lying on the floor of his hospital room. The patient is assessed and no injuries are noted. Which of the following are to be documented in the patient’s record?
Patient found lying on the floor beside his bed.
Which teaching technique is best for teaching a nursing assistant how to perform fingerstick glucose testing?
Demonstrate the procedure, then ask for a return a demonstration
A RN is assigned to a step down coronary care unit with 20 patients in various stages of recovery. What is the primary consideration in assigning the unit’s staff that includes two RNs, two LPNs, and one CNA?
The skill level of each staff member
As nurses accept the responsibility of implementing research findings, they will begin a plan to implement changes in their practice settings. What suggestion might help smooth the transition on a hospital unit?
Seek input from all nurses who have a stake in the intervention or changes
As nurses achieve increased professional autonomy, what must they also accept?
Ethical accountability
Because of the short staffing in the ICU, a labor and delivery nurse is floated to the unit. Identify the most appropriate assignment for this nurse.
A 23-year old man from a motorcycle accident requiring multiple wound care dressings.
During a staff meeting, an elderly physician is very negative and disagrees with any proposals for change, directing belittling statements at the unit manager., such as “No wonder this hospital is such a mess. You young nurses have no commitment to working hard!” How can the unit manager most appropriately deal with the situation?
Allow the physician to express his/her opinions, and then ask for input from others at the meeting
During an interview for employment as a new graduate staff nurse, the interviewer asks how the new graduate feels about working a night shift. The new graduate knows that night shift may not be the best fit for her schedule. Her best response to further the interview process would be:
To share that she is willing to consider any employment opportunities
Evidenced base practice is a thoughtful integration of the best available evidence, coupled with clinical expertise. EBP allows the practitioner to asses current and past research, clinical guidelines, and other information resources. The practice of EBP includes five (5) fundamental steps. Which of the following is considered step one (1) of the process?
Formulating a well-built question
Evidenced Based Practice can be compared to the process of critical thinking in that the first step in the process is:
Identify the problem
Identify a typical response for a manager who uses the laissez-faire approach to leader-ship when faced with difficult decisions.
Postpone making the decision in the hopes that it will resolve itself
Identify the term used when an ethical situation arises in which there is a choice between two equally unfavorable alternatives.
Ethical dilemma