NURS 1240 Professional Identity EAQ Exam
Questions With Verified Answers
Which explanation would the nurse provide for administering prednisone to a
client with an exacerbation of colitis?
- The client will be protected from getting an infection
- Symptoms associated with the colitis will decrease slowly over time.
- Although the medication causes anorexia, weight loss may not occur.
- Although the medication decreases intestinal inflammation, it will not cure the
colitis. - ANSWER Although the medication decreases intestinal inflammation, it
will not cure the colitis.
rationale: Prednisone inhibits phagocytosis and suppresses other clinical
phenomena of inflammation; this is a symptomatic treatment that is not curative.
The medication suppresses the immune response and increases the potential
for infection. The response usually is rapid. Appetite is increased; weight gain
may result from this or from fluid retention.
How will the nurse respond to a client with cancer experiencing severe nausea
and vomiting from chemotherapy who wants to know if it is true that smoking
marijuana will help?
- "Nurses are not allowed to discuss illegal substances with clients."
- "Marijuana is effective for nausea and vomiting if it is injected."
- "Marijuana is not proven to be effective in preventing chemotherapy-induced
nausea and vomiting."
- "Some tetrahydrocannabinol (THC)-based medications that contain marijuana
control chemotherapy-induced nausea and vomiting in some people." - ANSWER
"Some tetrahydrocannabinol (THC)-based medications that contain marijuana
control chemotherapy-induced nausea and vomiting in some people."
rationale: THC, an ingredient in marijuana, acts as an antiemetic in some people
and can be absorbed through the gastrointestinal tract or inhaled. THC-based
medications, dronabinol, and nabilone are available by prescription to control
nausea and vomiting resulting from cancer chemotherapy. Nurses are not
forbidden to talk about illegal issues and marijuana is prescribed legally in some
states. Marijuana is not injected. THC is an effective antiemetic for some clients.
Which health care team member is responsible for analyzing the knowledge and
work of newly hired unlicensed assistive personnel before delegating a task?
- Charge nurse
- Associate nurse
,- Registered nurse (RN)
- Nursing manager - ANSWER Registered nurse (RN)
rationale: The RN must analyze any individual's knowledge before delegating a
task. The charge nurse mainly functions as a liaison between team leaders and
other health care providers. The associate nurse follows the care plan in the
absence of a RN. The nursing manager is responsible for more than 1 unit and
has other managerial responsibilities.
Which characteristic is most essential for the nurse to have in caring for clients
with mental health disorders?
- Empathy
- Sympathy
- Organization
- Authoritarianism - ANSWER Empathy
rationale: Empathy understanding and, to some extent, sharing the emotions of
another encourages the expression of feelings. Sympathy, or feeling sorry for
someone, may further decrease the client's feelings of self-worth.
Although organization may help the client accept limits and organize activities, it
is not as important as empathy. An authoritarian approach will emphasize the
client's weak ego and lack of self-esteem.
Which mechanism of action explains how hydrochlorothiazide increases urine
output?
- Increases the excretion of sodium
- Increases the glomerular filtration rate
- Decreases the reabsorption of potassium
- Increases renal perfusion - ANSWER Increases the excretion of sodium
rationale: Hydrochlorothiazide inhibits sodium reabsorption in the nephrons,
causing increased excretion of sodium, which increases urine excretion. The
glomerular filtration rate is not affected. The loss of potassium is a side effect,
not the mechanism of action. Renal perfusion is not affected.
Which response would the nurse give to the common statement "But you don't
understand" when caring for an adolescent?
- "I don't understand what you mean."
- "I do understand; I was a teenager once too."
- "it would be helpful to understand; let's talk."
- "It's you who should try to understand others." - ANSWER "it would be helpful
to understand; let's talk."
rationale: "It would be helpful to understand; let's talk" attempts to open the
communication process. Reflecting the words, not the feelings, serves to
entrench the communicant's position and does little to open the flow of
,communication. Saying "I was a teenager once too shifts the focus away from
the client. Telling the client to try to understand others is authoritative and
closes the flow of communication.
Which part of the electrocardiogram (ECG) represents depolarization of the
ventricles?
- P wave
- T wave
- PR interval
- QRS interval - ANSWER QRS interval
rationale: Atrial and ventricular depolarization and repolarization are
represented on the ECG as a series of waves: the P wave followed by the QRS
complex and the T wave. The ORS represents ventricular depolarization. The P
wave occurs with depolarization of the atria. The T wave represents ventricular
repolarization. The PR interval represents depolarization of the atria and of the
atrioventricular node.
The registered nurse is delegating various client care activities to four
unlicensed assistive personnel (UAP). Which UAP needs more education and
monitoring?
- A: Diabetes Mellitus - Measuring blood glucose levels immediately after a meal
- B: Hypothyroidism - Producing accurate account of the client's condition
- C: Hypertension - Documenting the blood pressure levels of the client
- D: Headache - Asking the client to sleep in a dark room - ANSWER UAP A
rationale: The registered nurse has to carefully select the eligible staff to
complete a given task in a productive manner.
The registered nurse has to educate, guide, and monitor the unlicensed
assistive personnel (UP) who measures the blood glucose levels immediately
after meals. The food takes time to be digested and absorbed into the blood;
therefore, the blood glucose levels should be checked an hour after a meal. The
registered nurse would provide motivational feedback about the working
performance to the respective UAP. A registered nurse would be accountable
for the delegated task; UAP B would be responsible for providing an accurate
account of the client's condition. UP C would document the blood pressure and
other information related to client care for future accountability. UP D may
provide simple, straightforward information to the client.
Which professionals in a health care organization can be delegators?
- Assistants
- Technicians
- Registered nurses
- Unlicensed assistive personnel - ANSWER Registered nurses
, rationale: Registered nurses are professionals in a health care organization who
can be delegators. The registered nurses allocate a portion of work related to
client care to other individuals. Assistants, technicians, and unlicensed assistive
personnel in a health care organization can be delegates.
Which principle refers to the professional obligation of the nurse to assume
responsibility for actions?
- Accountability
- Individuality
- Responsibility
- Bioethics - ANSWER Accountability
rationale: Nurses have an obligation to uphold the highest standards of practice,
assume full responsibility for actions, and maintain quality in the knowledge
base and skill of the profession; this is referred to as accountability.
Individuality and responsibility are positive characteristics of the nurse but are
not necessarily professional obligations. Bioethics is a field of study concerned
with the ethics and philosophical implications of certain biological and medical
procedures and treatments
The nurse speaking in support of the best interest of a vulnerable client reflects
which nursing duty?
- Caring
- Veracity
- Advocacy
- Confidentiality - ANSWER Advocacy
rationale: The nurse has a professional duty to advocate for a client by
promoting what is best for the client. This is accomplished by ensuring that the
client's needs are met and by protecting the client's rights. Caring is a
behavioral characteristic of the nurse. Veracity relates to the habitual
observance of truth, fact, and accuracy.
Confidentiality is an ethical principle and legal right that the nurse will hold
secret all information relating to the client unless the client gives consent to
permit disclosure.
Which entity outlines the principles of delegation for registered nurses (RNs)?
- Nurse Practice Act
- Multilevel nursing model
- American Nurses Association (ANA)
- The World Health Organization (WHO) - ANSWER American Nurses Association
(ANA)
rationale: The ANA outlines the principles of delegation for RNs. The Nurse
Practice Act of each state examines the value of licensed and unlicensed
personnel in client care delivery and declares that the importance of delegation
Questions With Verified Answers
Which explanation would the nurse provide for administering prednisone to a
client with an exacerbation of colitis?
- The client will be protected from getting an infection
- Symptoms associated with the colitis will decrease slowly over time.
- Although the medication causes anorexia, weight loss may not occur.
- Although the medication decreases intestinal inflammation, it will not cure the
colitis. - ANSWER Although the medication decreases intestinal inflammation, it
will not cure the colitis.
rationale: Prednisone inhibits phagocytosis and suppresses other clinical
phenomena of inflammation; this is a symptomatic treatment that is not curative.
The medication suppresses the immune response and increases the potential
for infection. The response usually is rapid. Appetite is increased; weight gain
may result from this or from fluid retention.
How will the nurse respond to a client with cancer experiencing severe nausea
and vomiting from chemotherapy who wants to know if it is true that smoking
marijuana will help?
- "Nurses are not allowed to discuss illegal substances with clients."
- "Marijuana is effective for nausea and vomiting if it is injected."
- "Marijuana is not proven to be effective in preventing chemotherapy-induced
nausea and vomiting."
- "Some tetrahydrocannabinol (THC)-based medications that contain marijuana
control chemotherapy-induced nausea and vomiting in some people." - ANSWER
"Some tetrahydrocannabinol (THC)-based medications that contain marijuana
control chemotherapy-induced nausea and vomiting in some people."
rationale: THC, an ingredient in marijuana, acts as an antiemetic in some people
and can be absorbed through the gastrointestinal tract or inhaled. THC-based
medications, dronabinol, and nabilone are available by prescription to control
nausea and vomiting resulting from cancer chemotherapy. Nurses are not
forbidden to talk about illegal issues and marijuana is prescribed legally in some
states. Marijuana is not injected. THC is an effective antiemetic for some clients.
Which health care team member is responsible for analyzing the knowledge and
work of newly hired unlicensed assistive personnel before delegating a task?
- Charge nurse
- Associate nurse
,- Registered nurse (RN)
- Nursing manager - ANSWER Registered nurse (RN)
rationale: The RN must analyze any individual's knowledge before delegating a
task. The charge nurse mainly functions as a liaison between team leaders and
other health care providers. The associate nurse follows the care plan in the
absence of a RN. The nursing manager is responsible for more than 1 unit and
has other managerial responsibilities.
Which characteristic is most essential for the nurse to have in caring for clients
with mental health disorders?
- Empathy
- Sympathy
- Organization
- Authoritarianism - ANSWER Empathy
rationale: Empathy understanding and, to some extent, sharing the emotions of
another encourages the expression of feelings. Sympathy, or feeling sorry for
someone, may further decrease the client's feelings of self-worth.
Although organization may help the client accept limits and organize activities, it
is not as important as empathy. An authoritarian approach will emphasize the
client's weak ego and lack of self-esteem.
Which mechanism of action explains how hydrochlorothiazide increases urine
output?
- Increases the excretion of sodium
- Increases the glomerular filtration rate
- Decreases the reabsorption of potassium
- Increases renal perfusion - ANSWER Increases the excretion of sodium
rationale: Hydrochlorothiazide inhibits sodium reabsorption in the nephrons,
causing increased excretion of sodium, which increases urine excretion. The
glomerular filtration rate is not affected. The loss of potassium is a side effect,
not the mechanism of action. Renal perfusion is not affected.
Which response would the nurse give to the common statement "But you don't
understand" when caring for an adolescent?
- "I don't understand what you mean."
- "I do understand; I was a teenager once too."
- "it would be helpful to understand; let's talk."
- "It's you who should try to understand others." - ANSWER "it would be helpful
to understand; let's talk."
rationale: "It would be helpful to understand; let's talk" attempts to open the
communication process. Reflecting the words, not the feelings, serves to
entrench the communicant's position and does little to open the flow of
,communication. Saying "I was a teenager once too shifts the focus away from
the client. Telling the client to try to understand others is authoritative and
closes the flow of communication.
Which part of the electrocardiogram (ECG) represents depolarization of the
ventricles?
- P wave
- T wave
- PR interval
- QRS interval - ANSWER QRS interval
rationale: Atrial and ventricular depolarization and repolarization are
represented on the ECG as a series of waves: the P wave followed by the QRS
complex and the T wave. The ORS represents ventricular depolarization. The P
wave occurs with depolarization of the atria. The T wave represents ventricular
repolarization. The PR interval represents depolarization of the atria and of the
atrioventricular node.
The registered nurse is delegating various client care activities to four
unlicensed assistive personnel (UAP). Which UAP needs more education and
monitoring?
- A: Diabetes Mellitus - Measuring blood glucose levels immediately after a meal
- B: Hypothyroidism - Producing accurate account of the client's condition
- C: Hypertension - Documenting the blood pressure levels of the client
- D: Headache - Asking the client to sleep in a dark room - ANSWER UAP A
rationale: The registered nurse has to carefully select the eligible staff to
complete a given task in a productive manner.
The registered nurse has to educate, guide, and monitor the unlicensed
assistive personnel (UP) who measures the blood glucose levels immediately
after meals. The food takes time to be digested and absorbed into the blood;
therefore, the blood glucose levels should be checked an hour after a meal. The
registered nurse would provide motivational feedback about the working
performance to the respective UAP. A registered nurse would be accountable
for the delegated task; UAP B would be responsible for providing an accurate
account of the client's condition. UP C would document the blood pressure and
other information related to client care for future accountability. UP D may
provide simple, straightforward information to the client.
Which professionals in a health care organization can be delegators?
- Assistants
- Technicians
- Registered nurses
- Unlicensed assistive personnel - ANSWER Registered nurses
, rationale: Registered nurses are professionals in a health care organization who
can be delegators. The registered nurses allocate a portion of work related to
client care to other individuals. Assistants, technicians, and unlicensed assistive
personnel in a health care organization can be delegates.
Which principle refers to the professional obligation of the nurse to assume
responsibility for actions?
- Accountability
- Individuality
- Responsibility
- Bioethics - ANSWER Accountability
rationale: Nurses have an obligation to uphold the highest standards of practice,
assume full responsibility for actions, and maintain quality in the knowledge
base and skill of the profession; this is referred to as accountability.
Individuality and responsibility are positive characteristics of the nurse but are
not necessarily professional obligations. Bioethics is a field of study concerned
with the ethics and philosophical implications of certain biological and medical
procedures and treatments
The nurse speaking in support of the best interest of a vulnerable client reflects
which nursing duty?
- Caring
- Veracity
- Advocacy
- Confidentiality - ANSWER Advocacy
rationale: The nurse has a professional duty to advocate for a client by
promoting what is best for the client. This is accomplished by ensuring that the
client's needs are met and by protecting the client's rights. Caring is a
behavioral characteristic of the nurse. Veracity relates to the habitual
observance of truth, fact, and accuracy.
Confidentiality is an ethical principle and legal right that the nurse will hold
secret all information relating to the client unless the client gives consent to
permit disclosure.
Which entity outlines the principles of delegation for registered nurses (RNs)?
- Nurse Practice Act
- Multilevel nursing model
- American Nurses Association (ANA)
- The World Health Organization (WHO) - ANSWER American Nurses Association
(ANA)
rationale: The ANA outlines the principles of delegation for RNs. The Nurse
Practice Act of each state examines the value of licensed and unlicensed
personnel in client care delivery and declares that the importance of delegation
