Deck 99: Hospice Nursing

Question 1

Which is the fastest-growing segment of the healthcare industry?

A) Hospital-based healthcare
B) Community-based healthcare
C) Physician offices
D) Residential healthcare facilities

Answer 1

Community-based healthcare

Question 2

A 50-year-old client diagnosed with hypertension is visiting his primary care provider. Which professionals might provide this care? Select all that apply.

A) A licensed practical nurse (LPN)
B) A physician (MD)
C) A nurse practitioner (NP)
D) A registered (RN)
E) A physician's assistant (PA)
F) An unlicensed assistive personnel (UAP)

Answer 2

A physician (MD)
A nurse practitioner (NP)
A physician's assistant (PA)

Question 3

A nurse is providing care for clients in an ambulatory care setting. Which function is the initial priority?

A) Performing risk assessments
B) Identifying the client by several means
C) Interviewing the client for chief complaint
D) Triaging the client to determine clinical acuity

Answer 3

Triaging the client to determine clinical acuity

Question 4

Following bus accident, 25 admissions are brought to an emergency department at the same time. Which staff is most likely to perform the initial triage?

A) Licensed practical nurse
B) Licensed vocational nurse
C) Registered nurse
D) Emergency technician

Question 5

The nurse is caring for clients in an ambulatory care center. Which intervention might be the responsibility of the nurse?

A) Performing an ultrasound
B) Suturing a client's laceration
C) Prescribing pain medication for the client
D) Referring clients to specialists

Question 6

The nurse knows that community health centers are rapidly becoming the healthcare provider for many special populations. How has the client population for private clinics changed as a result of this trend?

A) Private clinics treat more homeless and elderly clients.
B) Private clinics target populations with mobile clinics.
C) Private clinics tend to be walk-ins with emergency conditions.
D) Private clinics tend to see only clients with insurance.

Question 7

Specialized healthcare clinics serve target populations. Which is an example of this type of clinic?

A) A clinic set up to provide immunizations when outbreaks of diseases occur
B) A community healthcare clinic that treats clients who have no insurance
C) A clinic associated with a hospital that employs private physicians
D) A school- based health service

Question 8

A mobile outreach clinic housed in a van comes into a local community to provide healthcare to its residents. Which service is provided by a mobile outreach clinic?

A) Health promotion and teaching
B) Screening on appointment basis only
C) Inhalation/nebulizer treatments
D) Specialized vision or hearing tests

Question 9

A school nurse is performing a routine health checkup of all the students in an elementary school. Which are the responsibilities of a school nurse?

A) Recognizing symptoms of common illnesses
B) Dispensing medications for eating disorders
C) Counseling students with suicidal ideation
D) Examining suspected child abuse victims

Question 10

Which client would most likely use telemonitoring in his or her healthcare management?

A) A client who has diabetes mellitus
B) A client who has a pacemaker
C) A client who has bipolar disorder
D) A client who has cerebral palsy

Question 11

The government publication Healthy People 2020 describes the idea of the community/family health center as a provider of primary care for a large segment of the population, particularly underserved populations. Which are focus area for this initiative? Select all that apply.

A) Cancer
B) Disability and secondary conditions
C) Healthcare plans
D) Diabetes mellitus type II
E) Food safety
F) Activities of daily living (ADLs)

Question 12

A client presents at a community healthcare center (CHC) for management of hypertension. Which characteristic of the CHC distinguishes these clinics from primary care clinics?

A) They are located in affluent communities.
B) They only treat clients who have insurance.
C) They do not provide primary care services.
D) The services are tailored to fit the needs of the community.

Question 13

Which statistic accurately represents why community health centers are so important in our healthcare system?

A) The number of uninsured clients tripled from 1998.
B) Nearly one half of clients speak a language other than English.
C) CHCs are the only available source of primary healthcare for millions of Americans.
D) Nationally, more than 10 million clients were served by CHCs in 2008.

Question 14

A nurse is assessing a client presenting with fever at the community health center. Which nonnursing procedure is both performed in this setting and appropriate for this client?

A) Teaching clients and families
B) Arranging for hospital admission
C) Assisting with sterile procedures
D) Performing laboratory procedures

Question 15

Which healthcare worker provides most of the primary care to clients of all ages in the community/family health center (CHC/FHC)?

A) Physicians
B) Physician assistants
C) Advance practice nurses
D) Registered nurses

Question 16

The nurse working in a free-standing clinic treats only "vertical clients." Which is an example of this type of client?

A) A client with severe burns over two thirds of his body
B) A client who is experiencing an MI
C) A client who has bronchitis
D) A client in sickle cell anemia crisis

Question 17

The nurse assists with many procedures in same-day surgery centers. Which procedure allows accurate visualization and manipulation of internal structures and removal of organs and biopsy samples through a small "stab wound" or "port"?

A) Endoscopy
B) Fiberoptics
C) Ultrasound
D) Extracorporeal lithotripsy

Question 18

A nurse is educating a potential client for polyp removal that same-day surgery can be safer and have faster recovery than inpatient surgery. Which is a benefit of outpatient surgery?

A) Clients can drive back home after surgery.
B) Clients ambulate sooner after surgery.
C) Heavy sedation is given to reduce anxiety.
D) Follow-up is not required after surgery.

Question 19

A 25-year-old client who sustained a knee injury when playing football is advised to undergo arthroscopy and joint repair. The client has no relevant past medical or surgical history. Into which group will the client be classified?

A) Class I
B) Class II
C) Class III
D) Class IV

Question 20

Which client would be considered a class II for outpatient surgery?

A) A client with dementia who is undergoing a limb amputation
B) A client who is undergoing a D&C and has no underlying conditions
C) A client who is obese and is undergoing total colon resection
D) A client who has mild diabetes and is undergoing tubal ligation

Question 21

Which surgical procedures are class III? Select all that apply.

A) Vasectomy
B) Polyp removal
C) Patent ductus repair
D) Radical mastectomy
E) Coronary artery bypass
F) Replacement of heart valves

Question 22

A nurse is assessing a client who is a potential candidate for carpal-tunnel release. Which factor is used to determine a client's suitability for ambulatory surgery?

A) Previous surgery
B) Insurance policy
C) Underlying disorder
D) First language

Question 23

The nurse is explaining the benefits of ambulatory surgery to a client. Which risk is not reduced using this method of surgery?

A) Respiratory complications
B) Infection
C) Hemorrhage
D) Uncontrollable pain

Question 24

Although all roles of the nurse are important during ambulatory surgery, which is most important?

A) Teacher
B) Counselor
C) Advocate
D) Manager

Question 25

The nurse is preparing a client for ambulatory surgery. Which nursing function is recommended?

A) Administering regularly scheduled medications the morning of the procedure.
B) Explaining the procedure to the client and having the consent form signed.
C) Making sure the medication has worn off sufficiently for the client to drive home.
D) Making sure the client has someone to stay with them for at least 8 hours after surgery.

Question 26

A nurse is teaching a client who is to undergo ptosis correction at an ambulatory surgery center about the procedure. Which information should the nurse provide the client?

A) Avoid listening to music during the procedure.
B) Discontinue use of any herbal medications.
C) Discontinue ibuprofen 1 day before surgery.
D) Ensure that an attendant stays until the end of the procedure.

Question 27

The nurse is providing preoperative care for a client undergoing ambulatory surgery for a tumor excision. Which is a nursing responsibility?

A) Performing prescribed preoperative preparation.
B) Removing all jewelry including wedding bands.
C) Removing eyeglasses, dental prostheses, and hearing aids on initial check-in.
D) Making sure the client is wearing one or two ID bands and an allergy band.

Question 28

Which innovation has greatly improved continuity of care in the healthcare system?

A) Use of the electronic health record
B) Use of ambulatory surgery
C) Use of specialized equipment
D) Use of managed care protocols

Question 29

A nurse is assessing a client admitted to the emergency department with a laceration
Wound in the abdomen. Which intervention can the nurse perform independently in an emergency care setting?

A) Suturing of the wound
B) Applying cold packs
C) Performing laboratory tests
D) Removal of foreign objects

Question 30

A nurse assigned to the operating room of a same-day surgery clinic is arranging the equipment and supplies required for laproscopic appendectomy of a client. Which equipment is used in laproscopy?

A) External fixator
B) Pain control pump
C) Lithotriptor
D) Pickup forceps