Care & Management Exam 1 Questions With Complete
Solutions
"Hardening of the skin"; also known as systemic sclerosis;
affects skin and/or other body systems Correct Answers
Scleroderma
(Uncommon)
*GOLD STANDARD* for surgical management of skin cancer
Correct Answers Excision
A common form of ineffective delegation that occurs when
someone with a lower rank delegates to someone with more
authority; often occurs with individuals who are new in their job
Correct Answers Reverse delegation
A condition in which the immune system recognizes cells as
*foreign*; no cure; may be both antibody and cell mediated
Correct Answers Autoimmunity
A nurse is delegating the ambulation for client who had knee
arthroplasty 5 days ago to an AP. Which of the following info
should the nurse share with the AP? SATA
A. The roommate ambulated independently
B. The client ambulates with his slippers on over his stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast Correct Answers B, C, D
,A nurse is preparing an in-service program about delegation.
Which of the following elements should she identify when
presenting the 5 rights of delegation? SATA
A. Right client
B. Right supervision and eval
C. Right direction and communication
D. Right time
E. Right circumstances Correct Answers B, C, E
A nurse manager of a med surg unit is assigning care
responsibilities for the oncoming shift. A client is awaiting
transfer back to the unit from the PACU following thoracic
surgery. To which of the following staff members should the
nursing assign this client?
A. Charge nurse
B. RN
C. PN
D. AP Correct Answers B. RN
A nurse on a med surg unit has received change of shift report
and will care for four clients. Which of the client's needs should
the nurse assign to an AP?
A. Updating the plan of care for a client who is postop
B. Reinforcing teaching with a client who is learning to walk
with a cane
C. Reapplying a condom catheter for a client who has urinary
incontinence
,D. Applying a sterile dressing to a pressure ulcer Correct
Answers C
A way of thinking about, strategizing, and implementing
solutions to improve patient status and/or outcomes Correct
Answers The nursing process
Ability of patient to make own decision Correct Answers
Autonomy
Abnormal growth of cells Correct Answers Neoplasia/tumor
After surgery, cancer cells are found in margin of removed
tissue Correct Answers Positive margins
Aggressive phase of tax; 4-6 weeks in hospital Correct Answers
Induction
An RN is making assignments for a PN at the beginning of the
shift. Which of the following assignments should the PN
questions?
A. Assisting a client use an incentive spirometer
B. Collect a clean catch urine specimen
C. Proving nasopharyngeal suctioning for a client who has
pneumonia
D. Teaching a client who has asthma to use a metered dose
inhaler Correct Answers D
PNs aren't allowed to teach; only RNs can. However, PNs can
reinforce the teaching
, Autoimmune disease process that *mostly affects the synovial
joints*; is a systemic disease Correct Answers Rheumatoid
arthritis
Calcium deposits in the skin Correct Answers Calcinosis
Cancer grade cannot be determined Correct Answers GX
Cancer grade where cells are well differentiated; closely
resemble normal cells; malignant but slow growing Correct
Answers G1
Cancer of plasma cells; crowds out healthy blood cells Correct
Answers Multiple myeloma
Cancer of the bone marrow; most common in children and YA
Correct Answers Leukemia
Cancer that starts in *cartilage* cells; anywhere there is
cartilage including trachea; ages 20-75 Correct Answers
Chondrosarcoma
Cancer type in lymph tissues Correct Answers Lymphomas
Cancer type; blood-forming cells Correct Answers Leukemias
Cancer type; epithelial tissue Correct Answers Carcinomas
Cancer type; glandular organs like prostate, pancreas, lung,
esophagus, colorectal Correct Answers Adenocarcinomas
Solutions
"Hardening of the skin"; also known as systemic sclerosis;
affects skin and/or other body systems Correct Answers
Scleroderma
(Uncommon)
*GOLD STANDARD* for surgical management of skin cancer
Correct Answers Excision
A common form of ineffective delegation that occurs when
someone with a lower rank delegates to someone with more
authority; often occurs with individuals who are new in their job
Correct Answers Reverse delegation
A condition in which the immune system recognizes cells as
*foreign*; no cure; may be both antibody and cell mediated
Correct Answers Autoimmunity
A nurse is delegating the ambulation for client who had knee
arthroplasty 5 days ago to an AP. Which of the following info
should the nurse share with the AP? SATA
A. The roommate ambulated independently
B. The client ambulates with his slippers on over his stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast Correct Answers B, C, D
,A nurse is preparing an in-service program about delegation.
Which of the following elements should she identify when
presenting the 5 rights of delegation? SATA
A. Right client
B. Right supervision and eval
C. Right direction and communication
D. Right time
E. Right circumstances Correct Answers B, C, E
A nurse manager of a med surg unit is assigning care
responsibilities for the oncoming shift. A client is awaiting
transfer back to the unit from the PACU following thoracic
surgery. To which of the following staff members should the
nursing assign this client?
A. Charge nurse
B. RN
C. PN
D. AP Correct Answers B. RN
A nurse on a med surg unit has received change of shift report
and will care for four clients. Which of the client's needs should
the nurse assign to an AP?
A. Updating the plan of care for a client who is postop
B. Reinforcing teaching with a client who is learning to walk
with a cane
C. Reapplying a condom catheter for a client who has urinary
incontinence
,D. Applying a sterile dressing to a pressure ulcer Correct
Answers C
A way of thinking about, strategizing, and implementing
solutions to improve patient status and/or outcomes Correct
Answers The nursing process
Ability of patient to make own decision Correct Answers
Autonomy
Abnormal growth of cells Correct Answers Neoplasia/tumor
After surgery, cancer cells are found in margin of removed
tissue Correct Answers Positive margins
Aggressive phase of tax; 4-6 weeks in hospital Correct Answers
Induction
An RN is making assignments for a PN at the beginning of the
shift. Which of the following assignments should the PN
questions?
A. Assisting a client use an incentive spirometer
B. Collect a clean catch urine specimen
C. Proving nasopharyngeal suctioning for a client who has
pneumonia
D. Teaching a client who has asthma to use a metered dose
inhaler Correct Answers D
PNs aren't allowed to teach; only RNs can. However, PNs can
reinforce the teaching
, Autoimmune disease process that *mostly affects the synovial
joints*; is a systemic disease Correct Answers Rheumatoid
arthritis
Calcium deposits in the skin Correct Answers Calcinosis
Cancer grade cannot be determined Correct Answers GX
Cancer grade where cells are well differentiated; closely
resemble normal cells; malignant but slow growing Correct
Answers G1
Cancer of plasma cells; crowds out healthy blood cells Correct
Answers Multiple myeloma
Cancer of the bone marrow; most common in children and YA
Correct Answers Leukemia
Cancer that starts in *cartilage* cells; anywhere there is
cartilage including trachea; ages 20-75 Correct Answers
Chondrosarcoma
Cancer type in lymph tissues Correct Answers Lymphomas
Cancer type; blood-forming cells Correct Answers Leukemias
Cancer type; epithelial tissue Correct Answers Carcinomas
Cancer type; glandular organs like prostate, pancreas, lung,
esophagus, colorectal Correct Answers Adenocarcinomas
