CASAL II - Chapter Reviews All Questions and Answers
Covered
A nurse has recently been assigned to a medical-surgical clinical rotation. According to
the scope of medical-surgical nursing, what type of client assignments does the nurse
expect to see?
A. Hospitalized children with acute and chronic illnesses
B. Hospitalized adults with acute and chronic illnesses
C. Older adults in a nursing home
D. Working adults in a corporate setting
B
Which principal nursing actions best support a focus on client safety? Select all that
apply.
A. Client restraints
B. Handwashing
C. Preoperative checklists
D. Respect for others
E. Five rights of drug administration
B, C, E
A nursing student has been assigned to the hospital's Rapid Response Team (RRT).
Which statement by the student indicates a correct understanding of the RRT member's
purpose?
A. "I will be caring for clients in the hospital."
B. "I will be riding along in the hospital's ambulance."
C. "I will be admitting clients to the hospital."
D. "I will be observing code 'blue' resuscitations."
A
A nurse is working in the intensive care unit. When does the nurse call the Rapid
Response Team (RRT)?
A. An 87-year-old client awakens mildly confused, then reorients quickly.
B. A newly admitted client requests pain medication.
C. A postoperative client's dressing has mild bloody drainage.
D. A postoperative client's blood pressure suddenly drops.
D
Which role of the medical-surgical nurse is demonstrated by writing a care plan for the
client who is newly admitted to the hospital?
A. Advocate
B. Caregiver
C. Communicator
D. Educator
,B
A nurse supports the client and family in deciding on a "Do Not Resuscitate" order.
Which ethical principle that guides nursing clinical decision making is demonstrated in
this situation?
A. Beneficence
B. Justice
C. Legality
D. Self-determination
D
Which important aspect of coordinating care within the interdisciplinary team is
facilitated by use of the "SBAR" and "PACE" procedures?
A. Communication
B. Implementation
C. Policy making
D. Protocol development
A
A 78-year-old Mexican American client is admitted to the hospital for hypertension. His
wife passed away 6 months ago, and his only child still lives in Mexico. Which
intervention does the nurse use in dealing with this client following his admission?
A. Assess the client for his use of folk medicine.
B. Call the client's child and explain why his father needs him.
C. Present all information on hypertension to the client in one teaching session.
D. Provide a pamphlet on hypertension for initial education.
A
A nursing student is following a medical-surgical nurse and identifies a way to improve a
procedure used for client care. What does the student nurse do next?
A. Asks the nurse about the rationale for doing the procedure that way
B. Corrects the medical-surgical nurse about the way the procedure should be done
C. Goes to the charge nurse with the idea
D. Places a note in the suggestion box
A
Bedside computers are an example of informatics used in health care primarily for
which purpose?
A. Documenting interdisciplinary care
B. Enhancing collaboration and coordination of care
C. Offering clients access to e-mail and the Internet
D. Retrieving data for the evidence-based practice
A
Which nursing action demonstrates use of the principle of justice?
A. A 32-year-old client is prevented from falling during the initial postoperative period
,following her hysterectomy.
B. A 67-year-old client with dementia is shown the same respect as his 47-year-old
roommate with prostate cancer.
C. An 82-year-old client is provided access to the hospital Patient Advocate for
processing of a complaint.
D. The parents of a 13-year-old are included in discussions about the course of their
teen's treatment and care.
B
A nurse is asked to collaborate with others to implement an interdisciplinary (ID) plan of
care for a client. Which health care team members are essential for the client's daily
care regimen? Select all that apply.
A. Anesthesiologist
B. Case Manager
C. Health Care Provider
D. Occupational therapist
B, C
A nurse is appointed to a hospital committee whose goal is to "improve nursing
practice." Which areas of practice are included in the committee's task? Select all that
apply.
A. Attentiveness/surveillance of clients
B. Mandatory reporting
C. Medication administration
D. Participation in professional organizations
E. Prevention of errors or complications
F. Teaching clients about their care regimens
A, B, C, E
When developing a standardized plan of care for clients with a diagnosis of pneumonia,
how does the nurse find the best information about providing optimal nursing care?
A. Access a website that reports on randomized controlled studies on nursing care for
clients with pneumonia.
B. Research the most recent articles in nursing magazines that discuss care for clients
with pneumonia.
C. Review the chart to determine what physician prescriptions are frequently written for
clients with pneumonia.
D. Survey experienced RNs about which nursing actions are effective when caring for
clients with pneumonia.
A
Which of these hospital staff members will the nurse manager assign to coordinate the
discharge of a client who will need community-based rehabilitation services after a
traumatic injury?
A. The nurse who is responsible for the client's case management
B. The physical therapist who developed the client's exercise program
, C. The physician who is assigned as the client's medical resident
D. The unit-based RN who has cared for the client during the hospital stay
A
Which nursing activity is best for the charge nurse on the medical-surgical unit to
delegate to unlicensed assistive personnel (UAP) staff members?
A. Feeding a client whose hands are affected by rheumatoid arthritis
B. Increasing the oxygen flow rate for a client who has wheezes
C. Positioning a client who has just returned after hip surgery
D. Taking vital signs for a client who is having acute chest pain
A
Which action should the nurse take first when preparing to do discharge teaching for a
73-year-old client who is being discharged after prostate surgery?
A. Ask what the client knows about self-care after prostate surgery.
B. Have family members available during the teaching.
C. Obtain written information about post-discharge care.
D. Plan to teach early in the morning after the client has eaten.
A
A previously stable postoperative client on the medical-surgical unit now has a blood
pressure of 88/40 and a heart rate of 124. After placing the client in Trendelenburg
position, which of these actions should the nurse take next?
A. Activate the Rapid Response Team.
B. Call for a Code Blue.
C. Determine the cause of the changes.
D. Recheck the vital signs in 5 minutes.
A
When transferring a client who was admitted with chest pain from the emergency
department (ED), which information is essential for the ED nurse to communicate to the
nurse on the medical-surgical unit? Select all that apply.
A. "The client is being admitted for ongoing monitoring of pain and vital signs."
B. "The client has private insurance and is also covered by Medicare."
C. "Nitroglycerin and morphine sulfate were given to relieve the pain."
D. "Frequent reassurance is needed because the client has a high anxiety level."
E. "The client has a family history of heart disease and hypertension."
F. "A coronary arteriogram should be scheduled as soon as possible."
A,B,D,E,F
A nurse is using the concepts from SHARE (targeted solutions to ensure successful
communication among care providers) to improve communication in a hospital setting.
Which action indicates an understanding of these principles?
A. Allowing various informed sources to contribute information
B. Developing a standardized checklist form
Covered
A nurse has recently been assigned to a medical-surgical clinical rotation. According to
the scope of medical-surgical nursing, what type of client assignments does the nurse
expect to see?
A. Hospitalized children with acute and chronic illnesses
B. Hospitalized adults with acute and chronic illnesses
C. Older adults in a nursing home
D. Working adults in a corporate setting
B
Which principal nursing actions best support a focus on client safety? Select all that
apply.
A. Client restraints
B. Handwashing
C. Preoperative checklists
D. Respect for others
E. Five rights of drug administration
B, C, E
A nursing student has been assigned to the hospital's Rapid Response Team (RRT).
Which statement by the student indicates a correct understanding of the RRT member's
purpose?
A. "I will be caring for clients in the hospital."
B. "I will be riding along in the hospital's ambulance."
C. "I will be admitting clients to the hospital."
D. "I will be observing code 'blue' resuscitations."
A
A nurse is working in the intensive care unit. When does the nurse call the Rapid
Response Team (RRT)?
A. An 87-year-old client awakens mildly confused, then reorients quickly.
B. A newly admitted client requests pain medication.
C. A postoperative client's dressing has mild bloody drainage.
D. A postoperative client's blood pressure suddenly drops.
D
Which role of the medical-surgical nurse is demonstrated by writing a care plan for the
client who is newly admitted to the hospital?
A. Advocate
B. Caregiver
C. Communicator
D. Educator
,B
A nurse supports the client and family in deciding on a "Do Not Resuscitate" order.
Which ethical principle that guides nursing clinical decision making is demonstrated in
this situation?
A. Beneficence
B. Justice
C. Legality
D. Self-determination
D
Which important aspect of coordinating care within the interdisciplinary team is
facilitated by use of the "SBAR" and "PACE" procedures?
A. Communication
B. Implementation
C. Policy making
D. Protocol development
A
A 78-year-old Mexican American client is admitted to the hospital for hypertension. His
wife passed away 6 months ago, and his only child still lives in Mexico. Which
intervention does the nurse use in dealing with this client following his admission?
A. Assess the client for his use of folk medicine.
B. Call the client's child and explain why his father needs him.
C. Present all information on hypertension to the client in one teaching session.
D. Provide a pamphlet on hypertension for initial education.
A
A nursing student is following a medical-surgical nurse and identifies a way to improve a
procedure used for client care. What does the student nurse do next?
A. Asks the nurse about the rationale for doing the procedure that way
B. Corrects the medical-surgical nurse about the way the procedure should be done
C. Goes to the charge nurse with the idea
D. Places a note in the suggestion box
A
Bedside computers are an example of informatics used in health care primarily for
which purpose?
A. Documenting interdisciplinary care
B. Enhancing collaboration and coordination of care
C. Offering clients access to e-mail and the Internet
D. Retrieving data for the evidence-based practice
A
Which nursing action demonstrates use of the principle of justice?
A. A 32-year-old client is prevented from falling during the initial postoperative period
,following her hysterectomy.
B. A 67-year-old client with dementia is shown the same respect as his 47-year-old
roommate with prostate cancer.
C. An 82-year-old client is provided access to the hospital Patient Advocate for
processing of a complaint.
D. The parents of a 13-year-old are included in discussions about the course of their
teen's treatment and care.
B
A nurse is asked to collaborate with others to implement an interdisciplinary (ID) plan of
care for a client. Which health care team members are essential for the client's daily
care regimen? Select all that apply.
A. Anesthesiologist
B. Case Manager
C. Health Care Provider
D. Occupational therapist
B, C
A nurse is appointed to a hospital committee whose goal is to "improve nursing
practice." Which areas of practice are included in the committee's task? Select all that
apply.
A. Attentiveness/surveillance of clients
B. Mandatory reporting
C. Medication administration
D. Participation in professional organizations
E. Prevention of errors or complications
F. Teaching clients about their care regimens
A, B, C, E
When developing a standardized plan of care for clients with a diagnosis of pneumonia,
how does the nurse find the best information about providing optimal nursing care?
A. Access a website that reports on randomized controlled studies on nursing care for
clients with pneumonia.
B. Research the most recent articles in nursing magazines that discuss care for clients
with pneumonia.
C. Review the chart to determine what physician prescriptions are frequently written for
clients with pneumonia.
D. Survey experienced RNs about which nursing actions are effective when caring for
clients with pneumonia.
A
Which of these hospital staff members will the nurse manager assign to coordinate the
discharge of a client who will need community-based rehabilitation services after a
traumatic injury?
A. The nurse who is responsible for the client's case management
B. The physical therapist who developed the client's exercise program
, C. The physician who is assigned as the client's medical resident
D. The unit-based RN who has cared for the client during the hospital stay
A
Which nursing activity is best for the charge nurse on the medical-surgical unit to
delegate to unlicensed assistive personnel (UAP) staff members?
A. Feeding a client whose hands are affected by rheumatoid arthritis
B. Increasing the oxygen flow rate for a client who has wheezes
C. Positioning a client who has just returned after hip surgery
D. Taking vital signs for a client who is having acute chest pain
A
Which action should the nurse take first when preparing to do discharge teaching for a
73-year-old client who is being discharged after prostate surgery?
A. Ask what the client knows about self-care after prostate surgery.
B. Have family members available during the teaching.
C. Obtain written information about post-discharge care.
D. Plan to teach early in the morning after the client has eaten.
A
A previously stable postoperative client on the medical-surgical unit now has a blood
pressure of 88/40 and a heart rate of 124. After placing the client in Trendelenburg
position, which of these actions should the nurse take next?
A. Activate the Rapid Response Team.
B. Call for a Code Blue.
C. Determine the cause of the changes.
D. Recheck the vital signs in 5 minutes.
A
When transferring a client who was admitted with chest pain from the emergency
department (ED), which information is essential for the ED nurse to communicate to the
nurse on the medical-surgical unit? Select all that apply.
A. "The client is being admitted for ongoing monitoring of pain and vital signs."
B. "The client has private insurance and is also covered by Medicare."
C. "Nitroglycerin and morphine sulfate were given to relieve the pain."
D. "Frequent reassurance is needed because the client has a high anxiety level."
E. "The client has a family history of heart disease and hypertension."
F. "A coronary arteriogram should be scheduled as soon as possible."
A,B,D,E,F
A nurse is using the concepts from SHARE (targeted solutions to ensure successful
communication among care providers) to improve communication in a hospital setting.
Which action indicates an understanding of these principles?
A. Allowing various informed sources to contribute information
B. Developing a standardized checklist form
