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1. When taking care of a patient with C. diff, the nurse should do what regarding
hand hygiene?
Rinse hands with just water
Use soap and water
Continue working without washing hands
Use an alcohol-based rub
2. A patient asks the nurse conducing a support group session, "Why do we
have to sit in a circle like in kindergarten?" What response should the nurse
provide?
"It supports the expectation that all members are expected to
interact with each other during the discussion."
"It minimizes disruption when members enter or leave the session."
"It supports me in redirecting the conversation when the members
lose focus."
"It allows me to easily monitor the participation of the members."
3. In a scenario where a patient shows signs of a potential complication after
surgery, what should the nurse prioritize in their response?
Waiting for the physician to arrive before taking any action.
Documenting the signs without taking further action.
Immediate assessment and intervention to address the
complication.
Administering pain medication to the patient.
,4. Describe the role of nursing interventions in patient care.
Nursing interventions do not involve patient education.
Nursing interventions are only applicable in emergency situations.
Nursing interventions are essential for improving patient outcomes
through medication administration, education, and procedures.
Nursing interventions are primarily focused on administrative tasks
within healthcare settings.
5. A nurse is caring for a client who is receiving total parenteral nutrition (TPN)
after extensive colon surgery. The nurse concludes that the client
understands teaching about the purpose of TPN when the client states, "TPN:
Provides total nutrition when gastrointestinal (GI) function is
questionable.
Assists in providing supplemental nutrition.
Provides short-term nutrition after surgery.
Assists people who are unable to eat but have active GI function.
6. Why is it important for a client taking disulfiram to limit alcohol consumption?
Alcohol consumption is encouraged to test the medication's
effectiveness.
Limiting alcohol is crucial because disulfiram can cause severe
reactions when alcohol is consumed.
There are no restrictions on alcohol consumption with disulfiram.
Alcohol enhances the effectiveness of disulfiram.
,7. If a newborn is diagnosed with neonatal abstinence syndrome, what nursing
intervention is most critical in their care?
Careful monitoring for withdrawal symptoms
Providing high-calorie formula
Scheduling routine vaccinations
Immediate administration of antibiotics
8. Describe why maintaining a sterile environment is crucial during
tracheostomy care.
Maintaining a sterile environment is crucial to prevent infection and
ensure patient safety.
Maintaining a sterile environment is necessary for patient comfort.
Maintaining a sterile environment is only important for surgical
procedures.
Maintaining a sterile environment is not relevant in tracheostomy care.
9. What is the first step in the safe medication administration process?
Checking for allergies
Documenting the administration
Preparing the medication
Verifying the medication order
10. Describe the significance of the five rights of medication administration in
ensuring patient safety.
The five rights focus on the nurse's ability to document medication
administration accurately.
, The five rights ensure that the correct medication is given to the
right patient at the appropriate dose, via the correct route, and at
the right time, minimizing the risk of errors.
The five rights emphasize the importance of medication storage and
inventory management.
The five rights are primarily concerned with patient education about
medications.
11. Critical patients that have questionable renal function should have their urine
output measured
Every ten minutes
Every hour
Once daily, preferably in the morning
Twice daily
12. If a nurse identifies a delay in a 3-year-old child's speech development
during an assessment, what should be the next step in the nursing process?
Ignore the delay and continue with routine assessments.
Provide the parents with educational materials on child development.
Schedule a follow-up appointment in one year.
Implement a referral to a speech therapist for further evaluation
and intervention.
13. In a scenario where a patient is non-compliant with their medication
regimen, what nursing intervention related to patient education could be
implemented?
Ignore the non-compliance as it is the patient's choice.