ANSWERS
Which patient assessment finding must be addressed first according to Maslow's hierarchy of needs -
correct answer -The patient is blue and feels short of breath
Which patient action demonstrates the concept of health promotion - correct answer -The patient
follows a macrobiotic, vegetarian diet with organic foods
Which statement by the nurse will help the patient progress to the preparation stage for smoking
cessation? - correct answer -"The physician will give you nicotine patches to help you start to quit
smoking."
Which is an example of tertiary care? - correct answer -The patient is treated in the intensive care unit
following a gunshot injury.
The patient is nauseated and vomiting when the nurse attempts to provide discharge teaching. Which is
the most appropriate action of the nurse? - correct answer -Assist the patient with mouth care and
proceed with the discharge teaching.
A single mother with three children uses the public health department services in the county to
immunize her children. Which level of health care did the mother use? - correct answer -Preventative
care
Which situation gives the patient cause to sue for malpractice due to injury or harm? - correct answer -
The patient developed permanent joint deformity due to severe rheumatoid arthritis
The nurse filled out an incident report after a patient fall but makes no mention of the incident report in
her notes in the patient's chart. What is the reason for this? - correct answer -The incident report is
confidential and not intended to be used as evidence in a malpractice suit
Which sentence is appropriate to write in an incident report for a patient who got out of bed and fell? -
correct answer -The patient was found lying on the floor with his urinal on the floor next to him
Providing assistance to which victim would be covered under the state's Good Samaritan law? - correct
answer -Two people are badly hurt in a car accident on the nurse's way to work in the morning
The nurse is at the shopping mall when the sales clerk collapses in cardiac arrest. The nurse assists the
victim and performs CPR until the paramedics arrive. Which action by the nurse could lead to a
malpractice suit even though the state has a Good Samaritan law? - correct answer -The nurse sent a bill
to the victim to request payment for services rendered
Which ethical principle is violated when the patient is not told the truth about the medical diagnosis and
therefore is not able to decide on the course of treatment? - correct answer -Autonomy
, Which ethical principle is violated when the nurse promises to administer pain medication to the patient
every 2 hours throughout the shift and then fails to do so? - correct answer -Fidelity
After a massive earthquake - correct answer -the emergency room staff focuses to provide care to the
patients who are likely to survive rather than expending maximum effort on a few critically injured
patients. Which ethical theory is demonstrated in this situation?,Utilitarianism
A new central line care protocol to prevent site infection is instituted after it has been shown to be
significantly more effective than previous approaches. Which term best describes this action? - correct
answer -Evidence-based practice
Which is an example of a PICO question? - correct answer -Does oral care with chlorhexidine solution
more effectively reduce the incidence of ventilator-associated pneumonia in intubated patients than
saline solution?
The nurse is caring for a patient who is having severe pain despite regular doses of narcotic pain
medication. The nurse suspects that the patient may be experiencing neuropathy and obtains an order
for gabapentin which relieves the patient's pain. Which term most accurately describes the action of the
nurse? - correct answer -Critical thinking
The nurse comes up with creative methods to help soothe agitated patients with dementia when the
usual approaches fail. Which term best describes the action of the nurse? - correct answer -Effective
Problem solving
Which action of the nurse demonstrates clinical decision making? - correct answer -The nurse
determines that the patient is at risk for constipation due to use of postoperative narcotic pain
medication
The nurse readily accepts an opportunity to become certified in wound care and ostomy management.
Which critical thinking concept is demonstrated by the nurse? - correct answer -Inquisitiveness
The family is unsure what treatment is appropriate for the comatose patient who is terminally ill. Which
steps will the nurse take to help the family process this ethical dilemma? (Select all that apply.) - correct
answer -Gather all relevant information about the situation-Clarify own values and opinions about the
issues-Consider all possible treatment options
Who determines and writes the LPN scope of nursing - correct answer -American Nurses Association
Health Belief Model - correct answer -Addresses the relationship between a person's beliefs and
behaviors
Health Promotion Model - correct answer -Directed at increasing a patient's level of well-being
Holistic Health Model - correct answer -Attempts to create conditions that promote optimal health
Basic Human Needs Model - correct answer -Attempts to meet the patient's basic needs