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| Section | Objectives |
|---|---|
| Topic 1: Clinical Judgment and Decision Making | - Evidence-based clinical decision making - Advanced assessment and diagnostic reasoning |
| Topic 2: Systems-Based Practice and Collaboration | - Quality improvement and patient safety - Healthcare systems management - Interprofessional collaboration |
| Topic 3: Management of Critically Ill or High-Acuity Patients | - Monitoring and complication prevention - Acute and critical care interventions - Pathophysiology across body systems |
| Topic 4: Professional Caring and Ethical Practice | - Ethical decision making in advanced practice nursing - Patient advocacy and cultural competence |
1. A patient is admitted for resection of abdominal aortic aneurysm. While waiting for the surgery, the patient
suddenly develops symptoms of shock. The nurse should:
A) Notify the physician
B) Prepare for blood transfusion
C) Give the patient nothing by mouth
D) Administer the prescribed sedative
2. Jimmy, a ten-year-old patient, was admitted to the unit. The nurse learns that the patient has a phobia.
Considering the phobia, what nursing diagnosis would be appropriate for Jimmy?
A) Self-esteem disturbance
B) Sensory perceptual alteration
C) Alteration in thought process
D) Fear related to specific stimulus
3. Which purpose best describes managed care as a framework for healthcare?
A) The delivery of services from initial contact through ongoing care
B) Coordinates care to maximize positive outcomes and contain costs
C) Based on a philosophy of ensuring death in comfort and dignity
D) Designed to control the cost of care while maintaining the quality of care
4. Which nursing diagnosis would a nurse use to best address a suicidal patient's feelings of despair?
A) Dysfunctional grieving
B) Spiritual distress
C) Anxiety
D) Ineffective coping
5. On a visit to an older adult who has a chronic heart failure, the nurse observes that the infant lies quietly in
a crib and barely has basic needs attended. The older adult is the primary caregiver to the infant. The
nurse should:
A) Advise purchasing appropriate toys designed for this age level
B) Initiate a referral to an appropriate agency to assess the need for a home health aide
C) Explain the need for the family to hire a mother's helper for the home
D) Inform the older adult that the infant will be retarded if not stimulated
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: D | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: B |
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