QUESTIONS WITH CORRECT ANSWERS
GRADED A+
◍ ** A registered nurse (RN) who has a licensed practical nurse (LPN) and a
nursing assistant on the nursing team is planning client assignments for the
day. Which of the following clients should the RN assign to the LPN?A
client on bedrest who needs assistance with feedingA client with retinal
detachment who is wearing eye patches and requires assistance with hygiene
measuresA client who must be turned and repositioned every 2 hoursA
client receiving oxygen who requires frequent pulse oximetry monitoring
and respiratory treatments.
Answer: A client receiving oxygen who requires frequent pulse oximetry
monitoring and respiratory treatments
◍ A nurse planning care for her assigned clients. What does the nurse know
about the purpose of the hospital's standards of care? Select all that
apply.Provide competent care on the basis of current practiceProvide
direction for care on the basis of the client's diagnosisIdentify methods of
treatmentIdentify new care methods on the basis of current medical
researchProvide direction for the practice of nursingEvaluate current
methods of treatment.
Answer: Provide competent care on the basis of current practiceProvide
direction for the practice of nursing
◍ *A physician asks the nurse who is caring for a client with a new colostomy
to ask the hospital's stoma nurse to visit the client and assist the client with
care of the colostomy. The nurse initiates the consultation, understanding
that the stoma nurse will be able to influence the client because of
his:Information powerReferent powerPosition powerReward powerExpert
, powerCoercive power.
Answer: Expert power
◍ A nurse manager arrives at work and is immediately faced with several
activities that require his attention. Which activity will the nurse manager
attend to first?A phone message from employee health servicesA phone
message from a client's wifeStocking the medication closetClient
assignments for the day.
Answer: Client assignments for the day
◍ A nurse employed in a community hospital as a nurse manager. What does
the nurse understand that in this position, the term authority most
appropriately refers to? Select all that apply.Power of an individual to
approve an actionCarrying the legal responsibility for others' performance of
tasksAccepting the responsibility for the actions of othersBeing responsible
for what staff members doAbility to command an actionThe official power
to see that an organizational decision is enforced.
Answer: Power of an individual to approve an actionAbility to command an
actionThe official power to see that an organizational decision is enforced
◍ The nurse is preparing client assignments for the day. Which client should
the nurse assign to a nursing assistant?A client who is getting up to ambulate
for the first time after surgeryA client who has just undergone cardiac
catheterizationAn unconscious client who requires oral careA client
scheduled for a liver biopsy.
Answer: An unconscious client who requires oral care
◍ The nurse receives report in the emergency center for four clients. Which
client should the nurse assess first?
A. A screaming child with a compound fracture of the wrist.
B. A diabetic client with a laceration on the sole of the foot.
C. A client experiencing shortness of breath and dyspnea.
D. A geriatric client with many new and old bruises noted..
Answer: C
◍ The nursing instructor asks a student to name an example of false
, imprisonment. Which of the following situations reflects a violation of this
client right?Observing the provision of care to the client without the client's
permissionTelling the client that he or she may not leave the
hospitalPerforming a procedure without consentThreatening to give a client
a medication against his or her will.
Answer: Telling the client that he or she may not leave the hospital
◍ **The nurse notes that a physician has documented the following
prescription in a client's record: Furosemide (Lasix) 40 mg stat once. What
action should the nurse take?Contact the primary health care
providerAdminister the medicationPlan to have the nurse on the next shift
administer the medicationDraw up the medication in a syringe.
Answer: Contacting the physician(no route specified)
◍ The charge nurse is assigning a room for a newly-admitted client, diagnosed
with acute Pneumocystis carinii pneumonia, secondary to acquired
immunodeficiency syndrome (AIDS). Which room would be best to assign
to this client?.
Answer: A semi-private room without a roommate (D) is the best
assignment because the room can be easily blocked to create a private room
should the client require isolation measures due to the pneumonia (the AIDS
diagnosis alone does not affect the type of room assignment). A client with
pneumonia should not be exposed to an outside air ventilation system (A).
The client should not be assigned to a room with a client who is at risk for
pneumonia
◍ A 17-year-old client arrives at the clinic and asks to be examined because
she believes that she has contracted a sexually transmitted infection. In
regard to informed consent, the nurse tells the client that:A consent form is
not needed if the problem is a sexually transmitted infectionAnyone over the
age of 18 years may sign a consent form for her treatmentShe will need to
sign an informed consent formHer mother or father will need to be
contacted for permission to treat her.
Answer: She will need to sign an informed consent form
, ◍ A nurse manager discusses staff empowerment with the nursing team. The
nurse manager explains that staff empowerment:Fosters the growth of others
so that they are less dependent on the leaderMeans that the staff has the
power to reprimand and punish any individual who is not meeting the
standards of care deliveryIndicates that the nurse leader will make decisions
regarding the nursing unit and expects that the staff will comply with the
changesAllows the staff to make every decision regarding employee
scheduling.
Answer: Fosters the growth of others so that they are less dependent on the
leader
◍ ** A physician writes a medication prescription in a client's record. While
transcribing the prescription, the nurse notes that the prescribed dose is three
times higher than the recommended dose. The nurse calls the physician, who
states that this is the dose that the client takes at home and that it is
acceptable for this client's condition. What is the appropriate action for the
nurse to take?Contact the nursing supervisorAsk the nurse assigned to care
for the client to administer the medicationVerify the prescribed dose with
the client before administering the medicationContinue to transcribe the
prescription.
Answer: Contacting the nursing supervisor
◍ A nurse manager tells the nursing staff that they will need to comply with
the mandatory overtime policy that the hospital has implemented. Later that
day, the nurse manager overhears a nurse complaining about the policy and
telling other nurses that she will not work the overtime if she has made other
plans after her regular shift. What is the best approach for the nurse manager
to use in dealing with the conflict?Confronting the nurse regarding his/her
behavior regarding the overtime policyIgnoring the complaintsAvoiding
assigning the nurse mandatory overtimeProviding a positive reward system
for the nurse so that the nurse will agree to work the mandatory overtime.
Answer: Confronting the nurse regarding her behavior regarding the
overtime policy