Question

A nurse is performing a blood pressure screening for a client who has a family history of hypertension.

Which of the following concepts is the nurse demonstrating?

Answer 1

Correct Answers:

Disease prevention.

Rationale :

Blood pressure screening is a proactive measure to detect hypertension early, especially in clients with a family history. Disease prevention focuses on identifying and mitigating risks before illness occurs. Health promotion involves broader lifestyle changes, while health education teaches clients about health.

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Answer 2

Correct Answers:

Skilled nursing.

Rationale :

Postoperative clients needing frequent physical therapy often transition to skilled nursing facilities (SNF) for continued rehab. Assisted living is for long-term support, not rehab. Long-term care is for chronic conditions, and palliative care is for symptom management.

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Answer 3

Correct Answers:

TJC provides accreditation to facilities-

Rationale :

The Joint Commission (TJC) is a nationally recognized, nonprofit organization that accredits and certifies health care organizations and programs in the U.S. Accreditation by TJC demonstrates a facility’s commitment to meeting certain performance standards related to safety, quality, and care delivery. Unlike licensure, which is typically state-regulated for individual practitioners, accreditation applies to institutions.

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Answer 4

Correct Answers:

Report of dizziness.

Rationale :

A heart rate of 56 beats per minute (bpm) is classified as bradycardia. Although it can be asymptomatic in some individuals, bradycardia often reduces cardiac output, which may lead to decreased cerebral perfusion. Symptoms such as dizziness, lightheadedness, or syncope may occur. Recognizing this clinical manifestation helps prioritize patient safety and the need for prompt intervention.

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Answer 5

Correct Answers:

Establishes health objectives for Americans.

Rationale :

The Healthy People 2030 initiative is a U.S. government program designed to set measurable, science-based objectives to improve the health and well-being of Americans over a 10-year period. It focuses on promoting health, preventing disease, and eliminating health disparities through actionable goals. It does not monitor viruses nor focus solely on nonmodifiable risks.

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Answer 6

Correct Answers:

The ACA reduces disparities in health care.

Rationale :

The Affordable Care Act (ACA) was enacted to increase health insurance coverage, reduce health care costs, and eliminate health disparities. One of its key features includes expanding access to coverage, especially for marginalized and underserved populations. It also prohibits denial of coverage for pre-existing conditions and aims to improve care coordination.

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Answer 7

Correct Answers:

Autonomy.

Rationale :

Autonomy is the ethical principle that supports a patient’s right to make their own informed decisions about their care. If a client elects to cancel an elective procedure, even after being scheduled, the nurse must honor and support this decision. Upholding autonomy ensures respect for the client’s self-determination and legal rights.

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Answer 8

Correct Answers:

Contact the client's insurance carrier to obtain authorization.

Rationale :

Precertification is a process required by many insurance plans to determine if a proposed medical service or procedure is covered. It involves contacting the client’s insurance company to receive prior approval. This step ensures coverage and reduces out-of-pocket expenses for the client. It is different from consent for treatment, which is a legal process involving the client and provider.

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Answer 9

Correct Answers:

Guide the client away from background noise.

Rationale :

When communicating with a client who has hearing loss, minimizing background noise enhances the effectiveness of communication. Background sounds can interfere with the client’s ability to understand verbal cues, especially if they rely on lip-reading or assistive devices. Moving to a quiet environment allows for focused communication and improves client comprehension.

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Answer 10

Correct Answers:

American Nurses Association.

Rationale :

The American Nurses Association (ANA) is the primary professional organization representing the interests of registered nurses across the United States. It actively engages in advocacy, policy development, and setting the standards for nursing practice on a national level. For a nurse seeking involvement in professional growth and influence at the national scale, joining the ANA is most appropriate.

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RN Custom Fundamentals Final Exam 2023

No.

1 : A nurse is performing a blood pressure screening for a client who has a family history of hypertension.

Which of the following concepts is the nurse demonstrating?

2 : An acute care nurse is caring for a client who is postoperative and has a prescription for physical therapy 2-3 times per day for 2 weeks.

Which of the following resources should the nurse anticipate that the client will require upon discharge?

3 : A nurse is preparing an educational session about The Joint Commission (TJC). Which of the following information should the nurse include?

4 : A nurse is assessing a client who has a heart rate of 561min.

Which of the following findings should the nurse expect?

5 : A nurse is providing an in-service on the Healthy People 2030 framework.

Which of the following information should the nurse include?

6 : A nurse is preparing to provide education to a client about the Affordable Care Act (ACA). Which of the following information should the nurse include?

7 : A nurse is caring for a client who is scheduled for an elective surgery.

The client informs the nurse that they no longer wish to proceed with surgery.

Which of the following ethical principles should the nurse uphold for the client?

8 : A nurse is scheduling a client for surgery.

Which of the following actions should the nurse take to obtain precertification for the client to have surgery?

9 : A nurse is preparing to review discharge instructions with a client who reports having hearing loss.

Which of the following actions should the nurse plan to take?

10 : A nurse wants to become more involved in nursing on a national level.

Which of the following organizations should the nurse join?

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RN Custom Fundamentals Final Exam 2023

No.

1 : A nurse is performing a blood pressure screening for a client who has a family history of hypertension.Which of the following concepts is the nurse demonstrating?

2 : An acute care nurse is caring for a client who is postoperative and has a prescription for physical therapy 2-3 times per day for 2 weeks.Which of the following resources should the nurse anticipate that the client will require upon discharge?

3 : A nurse is preparing an educational session about The Joint Commission (TJC). Which of the following information should the nurse include?

4 : A nurse is assessing a client who has a heart rate of 561min.Which of the following findings should the nurse expect?

5 : A nurse is providing an in-service on the Healthy People 2030 framework.Which of the following information should the nurse include?

6 : A nurse is preparing to provide education to a client about the Affordable Care Act (ACA). Which of the following information should the nurse include?

7 : A nurse is caring for a client who is scheduled for an elective surgery.The client informs the nurse that they no longer wish to proceed with surgery.Which of the following ethical principles should the nurse uphold for the client?

8 : A nurse is scheduling a client for surgery.Which of the following actions should the nurse take to obtain precertification for the client to have surgery?

9 : A nurse is preparing to review discharge instructions with a client who reports having hearing loss.Which of the following actions should the nurse plan to take?

10 : A nurse wants to become more involved in nursing on a national level.Which of the following organizations should the nurse join?

1 : A nurse is performing a blood pressure screening for a client who has a family history of hypertension.

Which of the following concepts is the nurse demonstrating?

2 : An acute care nurse is caring for a client who is postoperative and has a prescription for physical therapy 2-3 times per day for 2 weeks.

Which of the following resources should the nurse anticipate that the client will require upon discharge?

4 : A nurse is assessing a client who has a heart rate of 561min.

Which of the following findings should the nurse expect?

5 : A nurse is providing an in-service on the Healthy People 2030 framework.

Which of the following information should the nurse include?

7 : A nurse is caring for a client who is scheduled for an elective surgery.

The client informs the nurse that they no longer wish to proceed with surgery.

Which of the following ethical principles should the nurse uphold for the client?

8 : A nurse is scheduling a client for surgery.

Which of the following actions should the nurse take to obtain precertification for the client to have surgery?

9 : A nurse is preparing to review discharge instructions with a client who reports having hearing loss.

Which of the following actions should the nurse plan to take?

10 : A nurse wants to become more involved in nursing on a national level.

Which of the following organizations should the nurse join?