Fresno City College

1. The nurse is caring for four clients on a medical–surgical unit. Which client should the nurse see initially? 1. A client admitted with hepatitis A who has had severe diarrhea for the last 24 hours 2. A client admitted with pneumonia who is has small amounts of yellow productive sputum 3. A client admitted with fever of unknown origin (FUO) who has been without fever for the last 48 hours 4. A client admitted with a wound infection whose WBC is 8,500 mm3 Answer: 1 Rationale: The n...

1. Nurses and community officials are working together to ensure that churches and schools have needed supplies to provide shelter for large numbers of individuals in the event of a natural or manmade disaster. These activities represent which phase of a disaster continuum? a. Preparedness b. Relief response c. Recovery d. Crisis intervention ANS: A Every disaster response begins as a local event known as the preparedness phase, which consists of planning, preparedness, prevention, and ...

LTIPLE CHOICE 1. Nurses in a unionized hospital are paid “compensatory pay” when working holidays equal to the number of hours worked with no extra compensation. Although they have suggested changes during the annual survey of employee satisfaction, management refuses to consider another system for compensatory pay. A trained member listened to both nurses and management to make recommendations that were not legally binding. This type of settlement is referred to by what term? a. Coll...

According to the Palliative Performance Scale which patient is considered to possess 70% of normal function? a. 40 year old diagnosed with AIDS whose condition makes it impossible to hold a job. b. 70 year old diagnosed with end stage renal failure who spends most of the day in bed. c. 50 year old diagnosed with emphysema whose disease has begun to impact normal ambulate. d. 30 year old diagnosed with muscular dystrophy who is bed bound. ANS: A 70% function implies that the patient has...

A priority action for the nurse who works with culturally diverse clients to complete initially is completion of additional form of support? a. A sign language course b. Cultural self-assessment c. Cultural client assessment d. A conversational Spanish course ANS: B The first step to becoming a culturally sensitive and competent health care provider is to conduct a cultural self-assessment. Through identification of health-related attitudes, values, beliefs, and practices, the nurse can...

An older adult client was admitted to the hospital with the condition classified as “pneumonia.” Reimbursement for care was based on a predetermined fixed price. What is this classification system referred to as? a. Diagnosis-related groups (DRGs) b. Subjective symptom management c. Acuity classification system d. Organized managed care ANS: A DRGs are used in reimbursement for health care services based on a predetermined fixed price per case or diagnosis in 468 categories. Under D...

Institutional review boards determine whether research studies involving human subjects will achieve what? a. Publication b. Increase the body of nursing knowledge c. Avoid causing harm to research subjects d. Funding ANS: C The institutional review board (also called the human subjects committee) examines research proposals to ensure that the ethical rights of those individuals participating in the research study are protected. This board makes sure that persons who participate in rese...

The advanced practice nurse who is seeking information about requirements for practice in a specialized area should contact what nursing organization? a. American Nurses Association (ANA) b. National League for Nursing (NLN) c. American Nurses Credentialing Center (ANCC) d. National Council of State Boards of Nursing (NCSBN) ANS: C The nurse should contact the ANCC to determine the education, experience, and examination requirements that must be met if one is to become certified. DIF: C...

1. Which item below correctly describes the U.S. Bureau of Labor Statistics predictions by 2020? a. Positions that historically required registered nurses will be filled by unlicensed personnel. b. The job growth rate for RNs will surpass job growth in all other occupations. c. The need for hospital nurses will dramatically decrease. d. Hospitals will finally achieve the required RN workforce. ANS: B With an employment rate expected to increase by more than 15%, job production for nurses...

1. A client arrives in active labor and exhibits toxemia with irregular fetal heart tones. The client is an immigrant and is uninsured. Which act would prevent the client from being transferred to another facility? a. The Emergency Medical Treatment and Active Labor Law b. Health Insurance Portability and Accountability Act c. Patient Self-Determination Act d. The Patient Safety and Quality Improvement Act ANS: A The Emergency Medical Treatment and Active Labor Law is a federal statute t...