1 Inquire through: | Professional | Confidential Support
Fundamentals of Nursing Questions and
Answers (100% Correct Answers)
Which medication administration situations should be documented in a healthcare
facility's incident reporting system?
A. Medication errors and adverse drug reactions only
B. Medication errors that cause patient harm
C. Near misses and medication errors only
D.near misses, medication errors, and adverse drug reactions
Ans: D. Near misses, medication errors, and adverse drug reactions must all be
documented in the facility's incident reporting system.
The patient self-determination act of 1990 requires all of the hospitals to do which of
the following?
A. Collect data on contagious diseases
B. Collect data on patient falls
C. Inform patients about advanced directives
D. Inform patients about medication side effects
Ans: C. The patient self-determination act of 1990 requires all hospitals to inform
patients about advanced healthcare directives upon admission to a hospital
A nurse is assessing his patients in the morning and finds that a frail a 85 year-old
female patient is soiled in bed. The patient reports that she has been asked to
cleaned numerous times and has been ignored. Of the following, which demonstrates
appropriate documentation in the patient's chart.
A. The patient was found soiled in bed by this RN. she reports being left alone all
night by the night shift RN, who did not clean her before the change of shift. She was
given a bed bath and provided skin care. Her skin was reddened on her buttocks;
emollient applied.
B. The patient was found soiled in bed by this RN. She was incontinent of urine and
feces and she said she was "ignored for hours" by the night shift RN. She was given a
bed bath and provided skin care. Her skin was reddened on her buttocks; emollient
applied.
,2 Inquire through: | Professional | Confidential Support
C.The patient was found soiled; incontinent of urine and feces. She was given a bed
bath and provided skin care. Her skin was reddened on the buttocks; Emollient
applied. Incident report made.
D. The patient was found soiled; incontinent of urine and feces. She was given a bed
bath and provided skin care. Her skin was reddened on the buttocks; emollient
applied.
Ans: D. The patient was found soiled; incontinent of urine and feces. She was given
a bed bath and provided skin care. Her skin was reddened on the buttocks; emollient
applied.
**Documentation Must stick to objective descriptions of what happen in any
assessments and interventions performed. Personal biases or information that
applies misconduct should never be documented in the patient's chart
A home health nurse makes weekly visits to an 87-year-old client who lives with her
son. When home alone, the client is talkative and friendly, but when the son is home,
the client is observed to be withdrawn and appears anxious. The client has bruises,
which she states is from "bumping into things" and a weight-loss of 10 pounds in the
past month. With these objective findings, the nurse is required to do which of the
following?
select all that apply.
A. ask the client if she has any concerns about her living situation, maintaining an
objective, non-accusatory role.
B. Confront the son about the abuse, demanding that he turn himself in to seek help
for the abusive pattern of behavior.
C. Question the client's son privately about the suspicions of his mother's condition
and about possible abuse or neglect.
D. Report suspected abuse to adult protective services so investigation into the
clients welfare can be performed.
Ans: C, D
All states have statutes requiring mandatory reporting by nurses and other
healthcare workers of any suspected abuse of children, disabled, and the elderly.
The nurse should probably discuss with the client any concerns about the client
safety
The nurse is also required by law to report any suspected abuse or neglect because
the nurses are mandated reporters.
,3 Inquire through: | Professional | Confidential Support
The nurse understands the following about informing and obtaining consent for an
eight-year-old patient who is undergoing a heart transplant:
Select all that apply.
A. Since the child is a minor, he does not need to be informed about the surgery
B. The child must be informed about the surgery.
C. The child must sign the informed consent form along with their parent
D. The child only needs to know the risks of the surgery.
E. The parent/guardian must be informed of the risks and benefits of the procedure
and sign the informed consent on behalf of the child
Ans: B, E
The child must be informed about the surgery and the parent/guardian must be
informed of the risks and benefits of the procedure and sign the informed consent
on the half of the child
The patient refuses chemotherapy based on religious beliefs. The hospital staff must
follow his decision based on which patient right?
A. The right to counsel
B. The right to informed consent
C. The right to refuse treatment
D. The right to suffer
Ans: C. The right to refuse treatment
A nurse notices at the start of the shift that the patient's IV anabiotic scheduled to be
given six hours ago is still hanging on the patient's IV pole. The pump is turned off
and the tubing is not connected to the patient. The antibiotic is documented as given
on the MAR by the previous nurse. What is the first thing that the nurse should do?
A. Document findings in the facilities incident reporting system
B. Document physician notification in the medical record
C. Notify the charge nurse of the missed dose
, 4 Inquire through: | Professional | Confidential Support
D. notify the physician of the missed dose and seek orders for the next dose timing
Ans: D. Notify the physician of the missed dose and seek orders for the next dose
timing
The first action the nurse should take is to ensure the patient receives the order
therapy by notifying the physician and seeking orders for the timing of the next dose
of antibiotic. Antibiotics are most effective when there is a therapeutic level in the
patient's system. The most important thing the nurse can do in this situation is to
make sure the physician is aware of the missed dose so that the antibiotic schedule
can be adjusted if needed.
** After notifying the physician and adjusting the dosing schedule, the nurse should
document physician notification, notify the charge nurse, and complete an incident
report.
A nurse on the medical surgical floor is caring for an elderly patient with dementia.
The patient's adult child is staying with the patient during the hospital stay. The
patient's dementia and confusion is worse at night in a phenomenon known as
"sundowners" the doctor has order for the patient to receive alpralozam 1mg PO q hs
as needed for anxiety. The patients child called the nurses station at 7:30 PM
requesting that the patient be given the medication early because the patient will not
stay in bed. The nurse knows which of the following about this request?
A. Alpralozam can be used as a chemical restraint since it is ordered by the doctor
B. Giving the alpralozam early to keep the patient in bed is using it as a chemical
restraint
C. The alpralozam can be given at 7:30 PM since the patient will be in bed.
D. The alprazolam order can only be given after 10 PM.
Ans: B. Giving the Alpralozam early to keep the patient in bed is using it as a
chemical restraint
Medications ordered by the doctor to be used for anxiety as needed are only to be
administered as directed for anxiety. Using these anxiolytics as a means to keep a
patient in bed is considered a chemical restraint
A patient was mistakenly given 40 mg of propranolol instead of her scheduled
levothyroxine. After assessing the patient and reporting this to the physician, the
nurse makes a written report that the medication was given in error to the patient
due to a mixup in the med room. Where does this report go?
A. The report goes in the patient's MAR ( medication administration record) only
B. The report goes in the patient's chart
Fundamentals of Nursing Questions and
Answers (100% Correct Answers)
Which medication administration situations should be documented in a healthcare
facility's incident reporting system?
A. Medication errors and adverse drug reactions only
B. Medication errors that cause patient harm
C. Near misses and medication errors only
D.near misses, medication errors, and adverse drug reactions
Ans: D. Near misses, medication errors, and adverse drug reactions must all be
documented in the facility's incident reporting system.
The patient self-determination act of 1990 requires all of the hospitals to do which of
the following?
A. Collect data on contagious diseases
B. Collect data on patient falls
C. Inform patients about advanced directives
D. Inform patients about medication side effects
Ans: C. The patient self-determination act of 1990 requires all hospitals to inform
patients about advanced healthcare directives upon admission to a hospital
A nurse is assessing his patients in the morning and finds that a frail a 85 year-old
female patient is soiled in bed. The patient reports that she has been asked to
cleaned numerous times and has been ignored. Of the following, which demonstrates
appropriate documentation in the patient's chart.
A. The patient was found soiled in bed by this RN. she reports being left alone all
night by the night shift RN, who did not clean her before the change of shift. She was
given a bed bath and provided skin care. Her skin was reddened on her buttocks;
emollient applied.
B. The patient was found soiled in bed by this RN. She was incontinent of urine and
feces and she said she was "ignored for hours" by the night shift RN. She was given a
bed bath and provided skin care. Her skin was reddened on her buttocks; emollient
applied.
,2 Inquire through: | Professional | Confidential Support
C.The patient was found soiled; incontinent of urine and feces. She was given a bed
bath and provided skin care. Her skin was reddened on the buttocks; Emollient
applied. Incident report made.
D. The patient was found soiled; incontinent of urine and feces. She was given a bed
bath and provided skin care. Her skin was reddened on the buttocks; emollient
applied.
Ans: D. The patient was found soiled; incontinent of urine and feces. She was given
a bed bath and provided skin care. Her skin was reddened on the buttocks; emollient
applied.
**Documentation Must stick to objective descriptions of what happen in any
assessments and interventions performed. Personal biases or information that
applies misconduct should never be documented in the patient's chart
A home health nurse makes weekly visits to an 87-year-old client who lives with her
son. When home alone, the client is talkative and friendly, but when the son is home,
the client is observed to be withdrawn and appears anxious. The client has bruises,
which she states is from "bumping into things" and a weight-loss of 10 pounds in the
past month. With these objective findings, the nurse is required to do which of the
following?
select all that apply.
A. ask the client if she has any concerns about her living situation, maintaining an
objective, non-accusatory role.
B. Confront the son about the abuse, demanding that he turn himself in to seek help
for the abusive pattern of behavior.
C. Question the client's son privately about the suspicions of his mother's condition
and about possible abuse or neglect.
D. Report suspected abuse to adult protective services so investigation into the
clients welfare can be performed.
Ans: C, D
All states have statutes requiring mandatory reporting by nurses and other
healthcare workers of any suspected abuse of children, disabled, and the elderly.
The nurse should probably discuss with the client any concerns about the client
safety
The nurse is also required by law to report any suspected abuse or neglect because
the nurses are mandated reporters.
,3 Inquire through: | Professional | Confidential Support
The nurse understands the following about informing and obtaining consent for an
eight-year-old patient who is undergoing a heart transplant:
Select all that apply.
A. Since the child is a minor, he does not need to be informed about the surgery
B. The child must be informed about the surgery.
C. The child must sign the informed consent form along with their parent
D. The child only needs to know the risks of the surgery.
E. The parent/guardian must be informed of the risks and benefits of the procedure
and sign the informed consent on behalf of the child
Ans: B, E
The child must be informed about the surgery and the parent/guardian must be
informed of the risks and benefits of the procedure and sign the informed consent
on the half of the child
The patient refuses chemotherapy based on religious beliefs. The hospital staff must
follow his decision based on which patient right?
A. The right to counsel
B. The right to informed consent
C. The right to refuse treatment
D. The right to suffer
Ans: C. The right to refuse treatment
A nurse notices at the start of the shift that the patient's IV anabiotic scheduled to be
given six hours ago is still hanging on the patient's IV pole. The pump is turned off
and the tubing is not connected to the patient. The antibiotic is documented as given
on the MAR by the previous nurse. What is the first thing that the nurse should do?
A. Document findings in the facilities incident reporting system
B. Document physician notification in the medical record
C. Notify the charge nurse of the missed dose
, 4 Inquire through: | Professional | Confidential Support
D. notify the physician of the missed dose and seek orders for the next dose timing
Ans: D. Notify the physician of the missed dose and seek orders for the next dose
timing
The first action the nurse should take is to ensure the patient receives the order
therapy by notifying the physician and seeking orders for the timing of the next dose
of antibiotic. Antibiotics are most effective when there is a therapeutic level in the
patient's system. The most important thing the nurse can do in this situation is to
make sure the physician is aware of the missed dose so that the antibiotic schedule
can be adjusted if needed.
** After notifying the physician and adjusting the dosing schedule, the nurse should
document physician notification, notify the charge nurse, and complete an incident
report.
A nurse on the medical surgical floor is caring for an elderly patient with dementia.
The patient's adult child is staying with the patient during the hospital stay. The
patient's dementia and confusion is worse at night in a phenomenon known as
"sundowners" the doctor has order for the patient to receive alpralozam 1mg PO q hs
as needed for anxiety. The patients child called the nurses station at 7:30 PM
requesting that the patient be given the medication early because the patient will not
stay in bed. The nurse knows which of the following about this request?
A. Alpralozam can be used as a chemical restraint since it is ordered by the doctor
B. Giving the alpralozam early to keep the patient in bed is using it as a chemical
restraint
C. The alpralozam can be given at 7:30 PM since the patient will be in bed.
D. The alprazolam order can only be given after 10 PM.
Ans: B. Giving the Alpralozam early to keep the patient in bed is using it as a
chemical restraint
Medications ordered by the doctor to be used for anxiety as needed are only to be
administered as directed for anxiety. Using these anxiolytics as a means to keep a
patient in bed is considered a chemical restraint
A patient was mistakenly given 40 mg of propranolol instead of her scheduled
levothyroxine. After assessing the patient and reporting this to the physician, the
nurse makes a written report that the medication was given in error to the patient
due to a mixup in the med room. Where does this report go?
A. The report goes in the patient's MAR ( medication administration record) only
B. The report goes in the patient's chart
