Consolidation Exam Questions Semester 5 Questions With
Complete Solutions
A client presents with cirrhosis of the liver secondary to alcohol
abuse. What assessment findings would indicate portal
hypertension?
A. Pulmonary edema
B. Absence of jugular vein distension
C. Ascites and hematemesis
D. Abdominal cramping and watery diarrhea
C. Ascites and hematemesis
The nurse understands that which of the following may place a
client at an increased risk for falls? (select all that apply)
A. Blood pressure of 118/76
B. Administration of Clonazepam
C. History of falls
D. Low socioeconomic status
E. bond Confusion or disorientation
B. Administration of Clonazepam
C. History of falls
E. bond Confusion or disorientation
A preceptor tells the nursing student that they will help them
practice starting IV's on a patient. The student has not completed
the institution education program, and does not notify the
preceptor of this. Which of the following is this an example of?
A. Duty to Care
B. Negligence
,C. Professional Misconduct
D. Delegation
C. Professional Misconduct
The nurse has just checked her diabetic client's glucose, and
notes a result of 10 mmol/L The physician is on the unit and has
given the nurse a verbal order for insulin. To avoid mistakes,
what is the nurse's first step in carrying out the verbal order?
A. Recognize that this is an emergency and repeat the verbal
order back to the
B. physician before administering the insulin.
C. Have a nurse double check the insulin when it is drawn up
D. Write the amount of insulin and the route on the MAR
E. Recognize this is not an emergency situation and request the
physician provide a written order
E. Recognize this is not an emergency situation and request the
physician provide a written order
A nurse shares with you that they are being bullied by the nurse
manager How should you respond
A. (1) Suggest they request vacation time so she can think about
a new career change
B. (2) inform the College of Nurses of Ontario
C. (3) Offer to talk to about the issues with your manager on
behalf of your
D. (4) Encourage your colleague to talk to the union
representative
D. (4) Encourage your colleague to talk to the union
representative
,The prescribing provider has written an order which is unclear
What should the nurse do!
A. 1) Ask the nurse manager for clarification
B. 2) Call the prescribing provider to check the order
C. 3) Ask an experienced nurse for help with reading it
D. 4) Consult the nurse-in-charge to verify the order
B. 2) Call the prescribing provider to check the order
The surgical unit is very hectic and often short staffed. On this
particular evening the unit is short two registered staff What is
the nurse's best course of action?
A. 1) Inform the College of Nurses of Ontario of the safety
concerns on that shift.
B. 2) Write a safety report and follow up with the manager at the
end of the shift.
C. 3 Let the staff know how their absenteeism affected client
care on that shift
D. 4) Suggest the hospital hire unregulated care providers to
replace registered staff
B. 2) Write a safety report and follow up with the manager at the
end of the shift.
The nurse is caring for a client in a long-term care home. They
observe that the client has a number of large purple bruises on
both forearms. One area was bleeding a scant amount, but has
now stopped. Can the RPN apply transparent dressings to these
bruises without a physician's order?
A. 1) No, the bruises should be covered with pressure bandages
B. 2) Yes, a hydrocolloid dressing is correct for these wounds
, C. 3) yes, this is within the nurse's scope of practice
D. 4) No, this is not within the nurse's scope of practice
C. 3) yes, this is within the nurse's scope of practice
The RPN is acting as a preceptor for a consolidation student in a
long term care facility On their 2nd shift together, the RPN
directs the student to administer all the medications to 22
residents while the RPN catches up on their paperwork. Is this
appropriate?
A. 1) Yes, as it will be a good learning experience for the
student
B. 2) No, because the preceptor is not pulling their weight.
C. 3) No, this is professional misconduct.
D. 4) Yes, because it shows the RPN trusts the student
C. 3) No, this is professional misconduct.
The home care nurse had a client emergency this morning and
this has put them behind in their scheduled visits today. What
should the nurse do to maintain trust with their clients
A. 1) Let the ages office staff know they will be finishing late
today
B. 2: Ask the agency to bump some of the appointments to
tomorrow instead
C. 3 Call the clients they have not visited yet to let them know
they will be late
D. 4 prioritize the remaining visits by seeing just the important
ones
C. 3 Call the clients they have not visited yet to let them know
they will be late
Complete Solutions
A client presents with cirrhosis of the liver secondary to alcohol
abuse. What assessment findings would indicate portal
hypertension?
A. Pulmonary edema
B. Absence of jugular vein distension
C. Ascites and hematemesis
D. Abdominal cramping and watery diarrhea
C. Ascites and hematemesis
The nurse understands that which of the following may place a
client at an increased risk for falls? (select all that apply)
A. Blood pressure of 118/76
B. Administration of Clonazepam
C. History of falls
D. Low socioeconomic status
E. bond Confusion or disorientation
B. Administration of Clonazepam
C. History of falls
E. bond Confusion or disorientation
A preceptor tells the nursing student that they will help them
practice starting IV's on a patient. The student has not completed
the institution education program, and does not notify the
preceptor of this. Which of the following is this an example of?
A. Duty to Care
B. Negligence
,C. Professional Misconduct
D. Delegation
C. Professional Misconduct
The nurse has just checked her diabetic client's glucose, and
notes a result of 10 mmol/L The physician is on the unit and has
given the nurse a verbal order for insulin. To avoid mistakes,
what is the nurse's first step in carrying out the verbal order?
A. Recognize that this is an emergency and repeat the verbal
order back to the
B. physician before administering the insulin.
C. Have a nurse double check the insulin when it is drawn up
D. Write the amount of insulin and the route on the MAR
E. Recognize this is not an emergency situation and request the
physician provide a written order
E. Recognize this is not an emergency situation and request the
physician provide a written order
A nurse shares with you that they are being bullied by the nurse
manager How should you respond
A. (1) Suggest they request vacation time so she can think about
a new career change
B. (2) inform the College of Nurses of Ontario
C. (3) Offer to talk to about the issues with your manager on
behalf of your
D. (4) Encourage your colleague to talk to the union
representative
D. (4) Encourage your colleague to talk to the union
representative
,The prescribing provider has written an order which is unclear
What should the nurse do!
A. 1) Ask the nurse manager for clarification
B. 2) Call the prescribing provider to check the order
C. 3) Ask an experienced nurse for help with reading it
D. 4) Consult the nurse-in-charge to verify the order
B. 2) Call the prescribing provider to check the order
The surgical unit is very hectic and often short staffed. On this
particular evening the unit is short two registered staff What is
the nurse's best course of action?
A. 1) Inform the College of Nurses of Ontario of the safety
concerns on that shift.
B. 2) Write a safety report and follow up with the manager at the
end of the shift.
C. 3 Let the staff know how their absenteeism affected client
care on that shift
D. 4) Suggest the hospital hire unregulated care providers to
replace registered staff
B. 2) Write a safety report and follow up with the manager at the
end of the shift.
The nurse is caring for a client in a long-term care home. They
observe that the client has a number of large purple bruises on
both forearms. One area was bleeding a scant amount, but has
now stopped. Can the RPN apply transparent dressings to these
bruises without a physician's order?
A. 1) No, the bruises should be covered with pressure bandages
B. 2) Yes, a hydrocolloid dressing is correct for these wounds
, C. 3) yes, this is within the nurse's scope of practice
D. 4) No, this is not within the nurse's scope of practice
C. 3) yes, this is within the nurse's scope of practice
The RPN is acting as a preceptor for a consolidation student in a
long term care facility On their 2nd shift together, the RPN
directs the student to administer all the medications to 22
residents while the RPN catches up on their paperwork. Is this
appropriate?
A. 1) Yes, as it will be a good learning experience for the
student
B. 2) No, because the preceptor is not pulling their weight.
C. 3) No, this is professional misconduct.
D. 4) Yes, because it shows the RPN trusts the student
C. 3) No, this is professional misconduct.
The home care nurse had a client emergency this morning and
this has put them behind in their scheduled visits today. What
should the nurse do to maintain trust with their clients
A. 1) Let the ages office staff know they will be finishing late
today
B. 2: Ask the agency to bump some of the appointments to
tomorrow instead
C. 3 Call the clients they have not visited yet to let them know
they will be late
D. 4 prioritize the remaining visits by seeing just the important
ones
C. 3 Call the clients they have not visited yet to let them know
they will be late
