Complete Study Guide | Guaranteed Pass
1. In a scenario where a nurse is unsure about sharing patient information with a
colleague from a different unit, what should the nurse do to ensure
compliance with HIPAA?
Consult the hospital's policy on patient information sharing before
discussing any details.
Share the information if the colleague is also a nurse.
Ask the patient for permission to share the information with the
colleague.
Discuss the information in a public area to avoid suspicion.
2. In addition to standard precautions, the nurse caring for a patient with rubella
would plan to implement what type of precautions?
Universal precautions
Droplet precautions
Airborne precautions
Contact precautions
3. A nurse is caring for a client who is scheduled to undergo gastric surgery that
day. Which of the following actions should the nurse take?
Tell the client about alternative therapies to the procedure.
Explain the risks and benefits of the procedure.
Witness the client's signature on the consent form.
Obtain the client's consent.
,4. What action by the newly licensed nurse requires intervention when
preparing a sterile field?
The sterile field is positioned at the level of the newly licensed nurse's
waist.
The newly licensed nurse places the cap of a bottle of sterile saline
solution on the sterile field.
The newly licensed nurse holds the bottle of sterile saline outside the
edge of the field when pouring.
The newly licensed nurse places sterile objects 2.5 cm (1 inch) within
the border of the field.
5. A school nurse is caring for an adolescent client who reports she is taking
ginger root. Which of the following statements by the client indicates an
understanding of the potential benefits of ginger root?
"This herbal supplement can help prevent my motion sickness in the
car."
"This herbal supplement can help improve my concentration."
"This herbal supplement can help me lose weight."
"This herbal supplement can help increase my energy level."
6. The client was working in the kitchen and was splashed in the face with a
caustic cleaning agent . His eyes were affected , and he was brought to the
hospital for treatment . After cleansing and evaluation , his eyes were
bandaged . When assisting this client , who has temporary visual loss , to eat
the nurse should :
Feed the client the entire meal
Orient the client to the location of the foods on the plate
Assign ancillary personnel to feed the client
, Allow the client to experiment with foods
7. Describe the purpose of the Romberg test in a physical assessment.
The Romberg test measures muscle strength in the arms and legs.
The Romberg test checks for reflexes in the lower extremities.
The Romberg test evaluates the client's ability to hear sounds.
The Romberg test assesses balance and proprioception by
observing the client's stability when standing still.
8. What does the sound indicate when the bell of the stethoscope is placed on
the neck during a peripheral vascular assessment?
Distended jugular veins
Narrowed arterial lumen
Impaired ventricular contraction
Asynchronous closure of the aortic and pulmonic valves
9. Why is the N95 respirator specifically recommended for nurses caring for
patients with tuberculosis?
The N95 respirator filters out airborne particles, providing
protection against the transmission of tuberculosis.
The N95 respirator is less expensive than other masks.
The N95 respirator is used for all types of infections.
The N95 respirator is comfortable for long-term wear.
10. If a nurse forgets to shake the medication before administering it, what
potential issue could arise during patient care?
, The patient may experience an allergic reaction immediately.
The medication will be ineffective regardless of dosage.
The patient may receive an inaccurate dosage of the medication.
The medication will be absorbed too quickly.
11. Why is it important for the nurse to document that the client was found lying
on the floor?
It helps in determining the client's medication needs.
It provides a clear account of the incident for safety and legal
purposes.
It is necessary for billing and insurance claims.
It allows for better communication with the family.
12. What is the correct way to transcribe the dosage of levothyroxine for a
patient in myxedema coma?
3/10 mg
0.30 mg
0.3 mg
.3 mg
13. Why is it important for a nurse to arrange food in a consistent pattern on a
client's plate who has vision loss?
It makes the food look more appealing to the client.
It prevents the client from choking on the food.
It helps the client locate food items independently and promotes
self-feeding.