NURSING NUR 280 R, S, Q and L EXAM 1
1) A nurse is on trial for failure to monitor a patient’s neurological status, and blood sugar
after administering regular insulin. With what has the nurse likely been charged?
Malpractice, or neglect
2) An 80-year-old client is unresponsive, with a Glasgow coma scale of 8. The client is on
intravenous (IV) treatments, and the physician has told the family that the prognosis is
poor and that a percutaneous endoscopic gastronomy (PEG) tube is necessary if the
family wishes to continue treatment. The family asks the nurse what she would do if it
were her parent. What is the nurse’s best response?
- “I am not an expert in treatment outcome research, so I would not want to influence
your decision.”
3) Which is one of the goals of IOM The Future of Nursing?
- To overcome barriers that prevent nurses from responding effectively to evolving health
care systems and changing health care settings
- Nurses should practice to the full extent of their education and training
- Nurses should achieve higher levels of education system that promotes seamless
academic progression
- Nurses should be full partners, with physicians and other healthcare professionals, in
redesigning health care in the United States
- Effective workforce planning and policy making require better data collection and an
improved information infrastructure
4) A nurse manager has been asked to evaluate nursing care on a geriatric care unit. After
deciding to ask the nursing staff for assistance in this effort, what would be most
appropriate for the nurse to initially ask staff to do?
- Administer a client and family satisfaction survey
5) The new nurse manager in a twenty-four-bed medical-surgical floor is organizing groups,
asks for input, and seems to value cooperation. A staff nurse knows this leader is what
type of leader?
- Democratic
6) An emotional intelligent leader:
- An emotionally intelligent leader will refrain from judgement until facts are gathered
- Have self-awareness
- Manage emotions
- Motivate yourself
- Be empathetic:
- Handle relationships
, 7) Which of the following are true of leadership in nursing? (select all that apply)
- Emerge from situations
- Inspire
- Have the ability to accept criticism
- Establish clear goals and outcomes
- Transformational
- BECC – believe, encourage, challenge, corrected
8) A unit manager has noticed a conflict between the physical therapy team and the staff
nurses about the timing of therapy. Which of the following actions should the nurse take
first to resolve the conflict?
- ……
9) A client is being turned away from the outpatient clinic for inability to pay. The nurse
knows that this violates which ethical principal?
- Justice
10) The nurse completes the rights of medication administration to avoid causing harm to
the client. The nurse knows that this is an example of which of the following?
- Nonmaleficence
11) A 2-day post-op client acknowledge inadequate pain relief and rates his pain as an 8,
utilizing a 0-to-10 pain scale. When you approach him for ostomy teaching, he turns
away and closes his eyes. Which approach incorporating Maslow’s hierarchy of needs
motivational theory is most appropriate in this situation?
- Intervene to improve his pain management control and return later in the day to assess
his readiness to learn.
12) The charge nurse wants to briefly round on four patients before nursing assignments are
made. List the order in which the charge nurse should briefly check in on these patients.
-
13) The floating of nurses to areas “most in need” during a nursing shortage is an example
of which ethical principle?
- utilarianism
14) A nurse is preparing to initiate IV therapy for a client who has a prescription for
morphine 10mg IV bolus. Using time management principles which of the following
actions should the nurse take first?
- Mentally envision the procedure when gathering supplies.
15) A nurse witnessed another RN administering an extra dose of sedation to an agitated
client. The first nurse does nothing due to fear of retaliation. Which of the following is
the ethical interpretation of the nurse’s lack of action?
1) A nurse is on trial for failure to monitor a patient’s neurological status, and blood sugar
after administering regular insulin. With what has the nurse likely been charged?
Malpractice, or neglect
2) An 80-year-old client is unresponsive, with a Glasgow coma scale of 8. The client is on
intravenous (IV) treatments, and the physician has told the family that the prognosis is
poor and that a percutaneous endoscopic gastronomy (PEG) tube is necessary if the
family wishes to continue treatment. The family asks the nurse what she would do if it
were her parent. What is the nurse’s best response?
- “I am not an expert in treatment outcome research, so I would not want to influence
your decision.”
3) Which is one of the goals of IOM The Future of Nursing?
- To overcome barriers that prevent nurses from responding effectively to evolving health
care systems and changing health care settings
- Nurses should practice to the full extent of their education and training
- Nurses should achieve higher levels of education system that promotes seamless
academic progression
- Nurses should be full partners, with physicians and other healthcare professionals, in
redesigning health care in the United States
- Effective workforce planning and policy making require better data collection and an
improved information infrastructure
4) A nurse manager has been asked to evaluate nursing care on a geriatric care unit. After
deciding to ask the nursing staff for assistance in this effort, what would be most
appropriate for the nurse to initially ask staff to do?
- Administer a client and family satisfaction survey
5) The new nurse manager in a twenty-four-bed medical-surgical floor is organizing groups,
asks for input, and seems to value cooperation. A staff nurse knows this leader is what
type of leader?
- Democratic
6) An emotional intelligent leader:
- An emotionally intelligent leader will refrain from judgement until facts are gathered
- Have self-awareness
- Manage emotions
- Motivate yourself
- Be empathetic:
- Handle relationships
, 7) Which of the following are true of leadership in nursing? (select all that apply)
- Emerge from situations
- Inspire
- Have the ability to accept criticism
- Establish clear goals and outcomes
- Transformational
- BECC – believe, encourage, challenge, corrected
8) A unit manager has noticed a conflict between the physical therapy team and the staff
nurses about the timing of therapy. Which of the following actions should the nurse take
first to resolve the conflict?
- ……
9) A client is being turned away from the outpatient clinic for inability to pay. The nurse
knows that this violates which ethical principal?
- Justice
10) The nurse completes the rights of medication administration to avoid causing harm to
the client. The nurse knows that this is an example of which of the following?
- Nonmaleficence
11) A 2-day post-op client acknowledge inadequate pain relief and rates his pain as an 8,
utilizing a 0-to-10 pain scale. When you approach him for ostomy teaching, he turns
away and closes his eyes. Which approach incorporating Maslow’s hierarchy of needs
motivational theory is most appropriate in this situation?
- Intervene to improve his pain management control and return later in the day to assess
his readiness to learn.
12) The charge nurse wants to briefly round on four patients before nursing assignments are
made. List the order in which the charge nurse should briefly check in on these patients.
-
13) The floating of nurses to areas “most in need” during a nursing shortage is an example
of which ethical principle?
- utilarianism
14) A nurse is preparing to initiate IV therapy for a client who has a prescription for
morphine 10mg IV bolus. Using time management principles which of the following
actions should the nurse take first?
- Mentally envision the procedure when gathering supplies.
15) A nurse witnessed another RN administering an extra dose of sedation to an agitated
client. The first nurse does nothing due to fear of retaliation. Which of the following is
the ethical interpretation of the nurse’s lack of action?
