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QUESTIONS AND CORRECT DETAILED ANSWERS
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1. A nurse is supervising a licensed practical nurse (LPN) on a
medical-surgical unit. Which task is appropriate to assign to
the LPN?
A) Initial admission assessment of a patient with pneumonia
B) Administration of IV push morphine to a post-op patient
C) Insertion of an indwelling urinary catheter
D) Teaching a patient about insulin self-administration
Answer: C
Rationale: LPNs can insert urinary catheters, administer certain
medications (but not IV push in many states), and perform stable
patient care. Initial assessment and patient teaching are the RN’s
responsibility.
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,2. A charge nurse is making assignments on a busy unit.
Which patient should be assigned to the most experienced
RN?
A) Patient with diabetes requiring fingerstick glucose checks
B) Patient with pneumonia needing IV antibiotics
C) Patient post–cardiac arrest with an unstable arrhythmia
D) Patient with a urinary tract infection on oral antibiotics
Answer: C
Rationale: The most unstable patient (post-cardiac arrest with
arrhythmia) requires the most experienced nurse. Stable patients
can be assigned to less experienced staff.
3. A nurse is caring for a patient who refuses a blood
transfusion due to religious beliefs. The nurse’s best response
is:
A) “Your family wants you to have the transfusion.”
B) “The doctor will be angry if you refuse.”
C) “Tell me more about your concerns regarding the transfusion.”
D) “We will give you the transfusion anyway to save your life.”
Answer: C
Rationale: The nurse should respect the patient’s autonomy,
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,explore their concerns, and support their right to refuse
treatment. Coercion is unethical and illegal.
4. A nurse is preparing to discharge a patient who speaks a
different language than the nurse. Which action is most
appropriate?
A) Use a translation app on the nurse’s phone
B) Ask the patient’s family member to translate
C) Obtain a certified medical interpreter
D) Speak slowly and loudly in English
Answer: C
Rationale: Certified medical interpreters ensure accurate
communication and protect patient confidentiality. Family
members may misinterpret or omit information.
5. A nurse suspects a colleague is impaired while on duty.
What is the nurse’s priority action?
A) Confront the colleague privately
B) Report the observation to the nurse manager
C) Ignore the behavior to avoid conflict
D) Ask the colleague to take a break
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, Answer: B
Rationale: The nurse has a legal and ethical duty to report
suspected impairment to protect patient safety. The manager will
follow facility policy.
6. A nurse is providing discharge teaching to a patient with a
new colostomy. Which action by the nurse ensures effective
teaching?
A) Provide written instructions only
B) Have the patient demonstrate pouch changes
C) Give a phone number to call with questions
D) Ask “Do you understand everything?”
Answer: B
Rationale: Return demonstration is the best way to evaluate
understanding. “Do you understand” often elicits a yes even
when the patient does not comprehend.
7. A nurse is caring for a patient who is being discharged
against medical advice (AMA). Which action should the nurse
take?
A) Restrain the patient to prevent leaving
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