Chapter 3
1. A nurse is caring for a client who decides not to have surgery despite significant blockages of the coronary
arteries. The nurse understands that this client’s choice is an example of which of the following ethical
principles?
B. Autonomy
2. A nurse offers pain medication to a client who is postoperative prior to ambulation. The nurse understands that
this aspect of care delivery is an example of which of the following ethical principles?
D. Beneficence
3. A nurse is instructing a group of newly licensed nurses about the responsibilities organ donation and
procurement involve. When the nurse explains that all clients waiting for a kidney transplant have to meet the
same qualifications, the newly licensed nurses should understand that this aspect of care delivery is an example
of which of the following ethical principles?
C. Justice
4. A nurse questions a medication prescription as too extreme in light of the clients advanced age and unstable
status. The nurse understands that this action is an example of which of the following ethical principles?
D. Nonmaleficence
5. A nurse is instructing a group of newly licensed nurses about how to know and what to expect when ethical
dilemmas arise. Which of the following situations should the newly licensed nurses identify as an ethical
dilemma?
C. A family has conflicting feelings about the initiation of enteral tube feedings for their father, who is terminally
ill.
Chapter 4
1. A nurse observes as assistive personal reprimanding a client for not using the urinal properly. The AP tells the
client that diapers will be used next time the urinal is used improperly. Which of the following torts is the AP
committing?
A. Assault
2. A nurse is caring for a competent adult client who tells the nurse, “I am leaving the hospital this morning
weather the doctor discharges me or not.” The nurse believes that this is not the client’s best interest and
prepares to administer a PRN sedative medication the client has not requested along with the scheduled
morning medication. Which of the following types of tort is the nurse about to commit?
B. False Imprisonment
3. A nurse is a surgeon’s office is providing preoperative teaching for a client who is scheduled for surgery the
following week. The client tells the nurse that “I plan to prepare my advance directives before I come to the
hospital.” Which of the following statements made by the client should indicate to the nurse an understanding of
advance directives?
C.” I plan to write that I don’t want them to keep me on a breathing machine.”
4. A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take which
of the following actions regarding informed consent? (select all that apply)
A. Make sure the surgeon obtained the client’s consent.
B. Witness the client’s signature on the consent form
5. A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy and
unstable to focus on the issues at hand. Today, the nurse was found asleep in a chair in the break room not
during a break time. Which of the following actions should the nurse take?
C. Report the observations to the nurse manager on the unit.
Chapter 8
1. A nurse is caring for a client who is 24 hr postoperative following an inguinal hernia repair. The client is tolerating
clear liquids well, has active bowel sounds, and is expressing a desire for “real food.” The nurse tells the client, “I
will call the surgeon and ask for a change in diet.” The surgeon hears the nurses report and prescribes a full liquid
diet. The nurse used which of the following levels of critical thinking?
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, A. Basic
2. A nurse receives a prescription for an antibiotic for a client who has cellulitis. The nurse checks the clients
medical record, discovers that the client is allergic to the antibiotic, and calls the provider to request a
prescription for a different antibiotic. Which of the following critical thinking attitudes did the nurse
demonstrate?
B. Responsibility
3. A newly licensed nurse is considering strategies to improve critical thinking. Which of the following actions
should the nurse take? (select all that apply)
A. Find a mentor
B. Use a journal to write about the outcomes of clinical judgements
C. Review articles about evidence-based practice
4. A nurse is caring for a client who has a new prescription for antihypertensive medication. Prior to administering
the medication. The nurse uses an electronic database to gather information about the medication and the
effects it might have on this client. Which of the following components of critical thinking is the nurse using
when he reviews the medication information?
A. Knowledge
5. A nurse uses a head-to-toe approach to conduct a physical assessment of a client who will undergo surgery the
following week. Which of the following critical thinking did the nurse demonstrate?
D. Discipline
Chapter 14
1. A nurse is caring for a client who is receiving enteral tube feedings due to dysphagia. Which of the following bed
positions should the nurse use for safe care of this client?
B. Semi-Fowler’s
2. A nurse is caring for a client who is sitting in a chair and asks to return to bed. Which of the following actions is
the nurse’s priority at this time?
D. Determine the client’s ability to help with the transfer
3. A nurse is instructing a client who has COPD about using the orthopneic position to relieve shortness of breath.
Which of the following statements should the nurse make?
C. “Have a table beside your bed so you can sit on the bedside and rest your arms on the table.”
4. A nurse manager is reviewing guidelines for preventing injury with staff nurses. Which of the following
instructions should the nurse manager include? (select all that apply)
A. request assistance when repositioning a client
B. avoid twisting your spine or bending at the waist
D. use smooth movements when lifting and moving clients
5. A nurse educator is reviewing proper body mechanics during employee orientation. Which of the following
statements should the nurse identify as an indication that an attendee understands the teaching? (select all that
apply)
B. “the lower my center of gravity should fall outside my base of support.”
C. “to broaden my base of support, I should spread my feet apart.”
D. “When I lift an object, I should hold it as close to my body as possible.”
Chapter 35
1. A nurse is using an interpreter to communicate with a client. Which of the following actions should the nurse use
when communicating with a client and family members? (select all that apply)
B. Determine client understanding several times during the conversation
D. Use lay terms if possible
E. Do not interrupt the interpreter and the family as they talk.
2. A nurse is caring for two clients who report following the same religion. Which of the following information
should the nurse consider when planning care for these clients?
C. the same religious beliefs can influence individuals differently
3. A nurse enters the room of a client who is crying while reading from a religious book and asks to be left alone.
Which of the following actions should the nurse take?
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