A charge nurse is supervising the care of a new nurse. Which actions by a new
nurse indicates the she has good understanding. Select all that apply.
A. Making an ethical clinical decision
B. Making an informed clinical decision
C. Making a clinical decision in the patient's best interest
D. Making a clinical decision based on previous shift assessments correct answer
**C
A couple who is caring for their aging parents are concerned about factors that
put them at risk for falls. Which factors are most likely to contribute to an
increase risk for falls in the elderly? SELECT ALL THAT APPLY
a. Inadequate lighting
b. Throw Rugs
c. Multiple medications
d. Doorway thresholds
e. Cords covered by carpets
f. Staircases with handrails correct answer A, B, C, D, E
A health care provider may suspect that a patient is experiencing urinary
retention when the patient has:
A. large amounts of voided cloudy urine.
B. pain in the suprapubic region.
C. spasms and difficulty during urination.
D. small amounts of urine voided two to three times per hour. correct answer **D
,A new nurse enters a contact precautions room with a gown, gloves, mask and
eye shield on. Which of the following is in the correct order?
a. Mask then goggles
b. Gown then gloves
c. Mask then gloves
d. Goggles then gown correct answer A
A new nurse enters a contact precautions room with a gown, gloves, mask and
eye shield on. Which piece should the nurse take off last?
a. Gown
b. Gloves
c. Mask
d. Eye Shield correct answer C
A newly admitted patient was found wandering the hallways for the past two
nights. The most appropriate nursing interventions to prevent a fall for this
patient would include:
A. raise all four side rails when darkness falls.
B. use an electronic bed monitoring device.
C. place the patient in a room close to the nursing station.
D. use a loose-fitting vest-type jacket restraint. correct answer B
A nurse administers an antihypertensive medication to a patient at the scheduled
time of 0900. The nursing assistive personnel (NAP) then reports to the nurse that
the patient's blood pressure was low when it was taken at 0830. The NAP was
, busy and had not had a chance to tell the nurse yet. The patient begins to
complain of feeling dizzy and light-headed. The blood pressure is rechecked and it
has dropped even lower. In which phase of the nursing process did the nurse first
make an error?
A. Assessment
B. Diagnosis
C. Implementation
D. Evaluation correct answer **A
A nurse assists a patient to ambulate from the bed to the bathroom and back to a
chair. Which step of the nursing process is associated with taking the patient's
vital signs 3 minutes later?
a. Analysis
b. Diagnosis
c. Evaluation
d. Assessment correct answer **D
A nurse collects data about a patient. What
should the nurse do next?
a. Plan nursing interventions
b. Write patient-centered goals
c. Formulate nursing diagnoses
d. Determine significance of the information correct answer **C
A nurse determines that the appropriateness of