Exam (elaborations)
2024 VALID NR 509 WEEK 1 EXAM WITH ANSWERS
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2024 VALID NR 509 WEEK 1 EXAM WITH ANSWERS
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2024 VALID NR 509 WEEK 1 EXAMWITH ANSWERS
The nurse is assessing an older adult's advanced activities of daily living
(AADLs), which would include:
A. Recreational activities
B. Meal preparation
C. Balancing the checkbook
D. Self-grooming activities - CORRECT-ANSWERSA. Recreational activities
When using the various instruments to assess and older persons ADLs, the
nurse needs to remember that a disadvantage of these instruments includes:
A. Reliability of the tools
B. Self or proxy reporting of functional activities
C. Lack of confidentiality during the assessment
D. Insufficient details concerning the deficiencies identified - CORRECT-
ANSWERSB. Self or proxy reporting of functional activities
A patient will be ready to be discharged from the hospital soon and the
patient's family members are concerned about whether the patient is able to
walk safely outside alone. The nurse will perform which test to assess this?
A. Get Up and Go Test
B. Performance ADLs
C. Physical Performance Test
D. Tinetti Gait and Balance Evaluation - CORRECT-ANSWERSA. Get Up and Go
Test
The nurse is assessing the forms of support an older patient has before she
is discharged. Which of these examples is an informal source of support?
A. Local senior center
B. Patients Medicare check
C. Meals on Wheels meal delivery service
D. Patients neighbor, who visits with her daily - CORRECT-ANSWERSD.
Patients neighbor, who visits with her daily
An 85-year-old man has been hospitalized after a fall at home, and his 86
year old wife is at his bedside. She told the nurse that she is his primary care
giver. The nurse should assess the caregiver for signs of possible caregiver
burnout, such as:
A. Depression
B. Weight gain
C. Hypertension
,D. Social phobias - CORRECT-ANSWERSA. Depression
During a morning assessment, the nurse notices that an older patient is less
attentive and is unable to recall yesterday's events. Which test is appropriate
for assessing the patient's mental status?
A. Geriatric Depression Scale, short form
B. Rapid Disability Rating Scale-2
C. Mini-Cog
D. Get Up and Go Test - CORRECT-ANSWERSC. Mini-Cog
An older patient has been admitted to the intensive care unit after falling at
home. Within 8 hours, his condition has stabilized, and he is transferred to a
medical unit. The family is wondering whether he will be able to go back
home. Which assessment instrument is most appropriate for the nurse to
choose at this time?
A. Lawton IADL instrument
B. Hospital Admission Risk Profile (HARP)
C. Mini-Cog
D. NEECHAM Confusion Scale - CORRECT-ANSWERSB. Hospital Admission
Risk Profile (HARP)
After completing an initial assessment of a patient, the nurse has charted
that his respirations are eupneic and his pulse is 58 beats per minute. These
types of data would be.
A. Objective
B. Reflective
C. Subjective
D. Introspective - CORRECT-ANSWERSA. Objective
A patient tells the nurse that he is very nervous, is nauseated and feels hot.
These types of data would be
A. Objective
B. Reflective
C. Subjective
D. Introspective - CORRECT-ANSWERSC. Subjective
The patients record, laboratory studies, objective data, and subjective data
combine to form the
A. Data base
B. Admitting data
C. Financial Statement
D. Discharge Summary - CORRECT-ANSWERSA. Data base
, When listening to a patients breath sounds, the nurse is unsure of a sound
that is heard. The nurses next action should be to
A. Immediately notify the patients physician
B. Document the sound exactly as it was heard.
C. Validate the data by asking a coworker to listen to breath sounds
D. Assess it again in 20 minutes to note whether the sound is still present -
CORRECT-ANSWERSC. Validate the data by asking a coworker to listen to
breath sounds
The nurse is conducting a class for new graduate nurses. During the teaching
session, the nurse should keep in mind that novice nurses, without a
background of skills and experience from which to draw, are more likely to
make their decisions using:
A. Intuition
B. A set of rules
C. Articles in journals
D. Advice from supervisors - CORRECT-ANSWERSb. A set of rules.
Expert nurses learn to attend to a pattern of assessment data and act
without consciously labeling it. These responses are referred to as:
A. Intuition
B. The nursing process
C. Clinical knowledge
D. Diagnostic reasoning - CORRECT-ANSWERSA. Intuition
The nurse is reviewing information about EBP. Which statement best reflects
EBP?
A. EBP relies on tradition for support of best practices
B. EBP is simply the use of best practice techniques for the treatment of
patients
C. EBP emphasizes the use of best evidence with the clinicians experience
D. The patients own preferences are not important with EBP. - CORRECT-
ANSWERSC. EBP emphasizes the use of best evidence with the clinicians
experience
The nurse is conducting a class on priority setting for a group of new
graduate nurses. Which is an example of a first-level priority problem
A. Patient with postoperative pain
B. Newly diagnosed patient with diabetes who needs diabetic teaching
C. Individual with a small laceration on the sole of the foot
D. Individual with shortness of breath and respiratory distress - CORRECT-
ANSWERSD. Individual with shortness of breath and respiratory distress
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