NUR 618 Prioritization Chapter 10 exam questions with answers- Hematological and Immunological Management

NUR 618 Prioritization Chapter 10 exam questions
with answers- Hematological and Immunological
Management

Chapter 10 Hematological and Immunological Management



1. The client diagnosed with breast cancer who is positive for the BRCA gene is requesting

advice from the nurse about treatment options. Which statement is the nurse’s best response?



1. “If it were me in this situation, I would consider having a bilateral mastectomy.”

2. “What treatment options has your healthcare provider (HCP) discussed with you?”

3. “You should discuss your treatment options with your HCP.”

4. “Have you talked with your significant other (SO) about the treatment options

available to you?”



Correct answer: 2



1. This is boundary crossing because the nurse does not have breast cancer. The nurse should

assess what information the client is really seeking and then explain the treatment or refer the

client, as appropriate.

2. The nurse must assess what information the client actually needs. To do this, the nurse must

know what treatment options have been suggested to the client. Assessment is the first step in

the nursing process.

3. This may be needed after the nurse further assesses the situation, but this is not the first

NUR 618 Prioritization Chapter 10 exam questions
with answers- Hematological and Immunological
Management

,NUR 618 Prioritization Chapter 10 exam questions
with answers- Hematological and Immunological
Management
intervention.

4. The client needs information about treatment options from a designated HCP; the significant

other would not have such information/ suggestions.



2. The staff nurse answers the telephone on a medical unit and the caller tells the nurse

that he has planted a bomb in the facility. Which actions should the nurse implement?

Select all that apply.



1. Do not touch any suspicious object.

2. Call 911, the emergency response system.

3. Try to get the caller to provide additional

information. 4. Immediately pull the red emergency

wall lever.

5. Write down exactly what the caller says.



Correct answer: 1, 3, 5



1. The nurse should begin a systematic search of the unit after activating the bomb scare

emergency plan, and if any suspicious objects are found the nurse should not touch them,

and should notify the bomb squad.




NUR 618 Prioritization Chapter 10 exam questions
with answers- Hematological and Immunological
Management

,NUR 618 Prioritization Chapter 10 exam questions
with answers- Hematological and Immunological
Management
2. The nurse should notify the house supervisor and administration because they are responsible

for notifying the police department.

3. The nurse should stay calm and try to keep the caller on the telephone. The nurse

should attempt to get as much information from the caller as possible. The nurse can jot a

note to someone nearby to initiate the bomb scare procedure.

4. The red emergency levers in hospitals are to notify the fire departments of a fire, not a

bomb scare.

5. The nurse should try to transcribe exactly what the caller says; this may help identify who

is calling and where a bomb might be placed.

MAKING NURSING DECISIONS: The nurse must be knowledgeable of hospital emergency

preparedness. Students as well as new employees receive this information in hospital orientations

and are responsible for implementing procedures correctly. The NCLEX-RN® blueprint includes

questions on the Safe and Effective Care Environment.



3. The new graduate working on a medical unit night shift is concerned that the charge nurse is

drinking alcohol on duty. On more than one occasion, the new graduate has smelled alcohol

when the charge nurse returns from a break. Which action should the new graduate nurse

implement first?



1. Confront the charge nurse with the suspicions.

2. Talk with the night supervisor about the concerns.
NUR 618 Prioritization Chapter 10 exam questions
with answers- Hematological and Immunological
Management

, NUR 618 Prioritization Chapter 10 exam questions
with answers- Hematological and Immunological
Management
3. Ignore the situation unless the nurse cannot do her job.

4. Ask to speak to the nurse educator about the problem.



Correct answer: 2



1. The new graduate must work under this charge nurse; confronting the nurse would not resolve

the issue because the nurse can choose to ignore the new graduate. Someone in authority over the

charge nurse must address this situation with the nurse.

2. The night supervisor or the unit manager has the authority to require the charge nurse

to submit to drug screening. In this case, the supervisor on duty should handle the

situation.

3. The new graduate is bound by the nursing practice acts to report potentially unsafe behavior

regardless of the position the nurse holds.

4. The nurse educator would not be in a position of authority over the charge nurse.



MAKING NURSING DECISIONS: When the nurse is deciding on a course of action

involving other staff members, a rule of thumb is this: If the individual the nurse is concerned

about is superior in job title to the nurse, then the nurse should go through the chain of command

to the next level of superior. If the individual is subordinate in job title to the nurse, then the

nurse should confront the individual.



NUR 618 Prioritization Chapter 10 exam questions
with answers- Hematological and Immunological
Management