1. Which educational nursing program takes 2 to 5 years to complete?
a. Nursing assistant (NA) program
b. Practical nursing (LPN, LVN) program c.
... [Show More] Professional nursing program
d. Advanced practice nursing (APN) program
The professional nursing program (RN) requires 2 to 5 years of education, depending on the type of degree sought. An NA program takes 6 to 8 weeks. An LPN/LVN program takes 12 to 18 months. An APN program takes more than 4 years.
2. Who established the Henry Street Settlement Service in New York City? a. Lillian Wald
b. Dorothea Dix
c. Florence Nightingale
d. Richard Bradley
Lillian Wald took nursing into the community and established the Henry Street Settlement Service in 1893. Dorothea Dix organized volunteers to provide nursing care to soldiers during the Civil War. Florence Nightingale trained women to care for the sick during the Crimean War. Richard Bradley opened a practical nursing school in 1907.
3. Which is included in the six levels of care within the health care system?
a. Skilled
b. Post-acute c. Restorative
d. Hospice
The six levels of care within the health care system include: preventative, primary, secondary, tertiary, restorative, and continuing care.
4. In the 20th century, nurses moved into:
a. Hospitals
b. Long-term care facilities c. The community
d. State mental health facilities
In the 20th century nurses began working in the community with the poor, providing midwifery services and education regarding prenatal, obstetrics, and child care.
5. What was the intent of diagnosis-related groups (DRGs)?
a. Offer more health care services
b. Extend hospital stays
c. Improve health care d. Contain health care costs
DRGs were created by the Medicare program in 1983 as an attempt to contain health care costs. DRGs do not offer more services. The intent of DRGs was not to extend hospitalizations. The purpose of DRGs was specifically to contain costs.
6. The goals of nursing include: Select all that apply. a. to promote wellness. b. to prevent illness. c. to facilitate coping. d. to restore health.
The four common goals of nursing care are to promote wellness, prevent illness, facilitate coping, and restore health.
7. Which educational nursing program attracts the majority of registered nurse (RN) students? a. Associate degree program
b. Diploma program
c. Baccalaureate program
d. Graduate program
The associate degree program attracts the majority of RN students. The number of diploma schools has decreased. Baccalaureate programs take longer to complete and have fewer students. Graduate programs take longer to complete and have fewer students.
8. What is the third step of the nursing process? a. Planning
b. Evaluation
c. Implementation
d. Nursing diagnosis
Planning is the third step of the nursing process. Evaluation is the last step of the nursing process. Implementation occurs after planning. Nursing diagnosis is the second step of the nursing process.
9. One of the highest priorities of nursing care is:
a. adequate nutrition.
b. maintaining skin integrity.
c. pain control. d. airway management.
In prioritizing care, physiologic needs for basic survival take precedence. Airway management always comes first. Without an adequate airway, a patient will die. Nutrition, maintaining skin integrity, and pain control are lower priorities of care than airway management.
10. A nurse is educating a group of elderly patients in an assisted-living facility about urinary incontinence. Information offered during the encounter may include:
a. Avoidance of Kegel exercises
b. Wear adult diapers day and night to prevent leakage c. Condom catheters may be used by males
d. Indwelling Foley catheters are recommended for management of all types of incontinence
Condom catheters are appropriate for males if used correctly. Kegel exercises are recommended and may greatly reduce or stop incontinence. Adult diapers are not to be worn 24 hours a day as a result of an increased risk of skin breakdown. Indwelling Foley catheters are not appropriate for all types of incontinence, and the risks associated with trauma and infection may outweigh the benefits.
11. A nurse should notify the physician if: a. 24-hour urine output is 700 mL
b. 24-hour urine output is 800 mL
c. 24-hour urine output is 720 mL
d. 24-hour urine output is 1000 mL
Average hourly urine output is 30 mL, therefore 700 mL in a 24 hour period is abnormal because it averages to less than 30 mL/hour. The remaining options reflect urine output within normal range for a 24-hour period.
12. A female patient has had a knee replacement and is experiencing difficulty voiding. What should the nurse recommend? a. Pour warm water over the perineum while patient attempts to void
b. Catheterize the patient to avoid problems
c. Use Crede’s maneuver per nursing order
d. Use a sitz bath per nursing order
Warm water may help patients to initiate the voiding reflex. Catheterization is used after other techniques have been unsuccessful. A physician order is needed for use of Crede's maneuver and/or a sitz bath.
13. Which bacterium is most often responsible for cystitis?
a. Proteus b. Escherichia coli
c. Pseudomonas
d. Enterococcus
Escherichia coli is often the bacterium responsible for cystitis, especially in females. Proteus, Pseudomonas, and Enterococcus may cause cystitis but are not considered the most common causes. [Show Less]