Questions and Answers 2023
A nurse observes an assistive personnel (AP) reprimanding a client for not using the
urinal properly. The AP tells him she will put a diaper on him if she does not use the
urinal more carefully next time. Which of the following torts is the AP committing? -
✔️Assault
A nurse is caring for a competent adult client who tells the nurse that he is thinking
about leaving the hospital against medical advice. The nurse believes that this is not
in the client's best interest, so she prepares to administer PRN sedative medication
the client has not requested along with his usual medication. Which of the following
types of tort is the nurse about to commit? -
✔️False imprisonment
A nurse in 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 he will
prepare his advance directives before he goes to the hospital. Which of the following
statements made by the client should indicate to the nurse an understanding of
advance directives? -
✔️I plan to write that I don't want them to keep me on a breathing machine."
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.) -
✔️Make sure the surgeon obtained the client's consent. Witness the client's
signature Zon the consent form.
A nurse has noticed several occasions in the past week when another nurse on the
unit seemed drowsy and unable to focus on the issue at hand. Today, she found the
nurse asleep in a chair in the break room when she was not on a break. Which of the
following actions should the nurse take? -
✔️Report the observations to the
When entering a client's room to change a surgical dressing, a nurse notes that the
client is coughing and sneezing. Which of the following actions should the nurse take
when preparing the sterile field? -
✔️Place a mask on the client to limit the spread of micro-organisms into the surgical
wound.
A nurse has removed a sterile pack from its outside cover and placed it on a clean
work surface in preparation for an invasive procedure. Which of the following flaps
should the nurse unfold first? -
✔️The flap farthest from the body
, A nurse is wearing sterile gloves in preparation for performing sterile procedure.
Which of the a touch without following objects can the nurse breaching sterile
technique? (Select all that apply) -
✔️The inner wrapping of an item on the sterile field
An irrigation syringe on the sterile field
One gloved hand with the other gloved hand
A nurse is reviewing hand hygiene techniques with a group of assistive personnel
(AP). Which of the following instructions should the nurse include when discussing
handwashing? (Select all that apply) -
✔️Wash the hands with soap and water for at least 15 seconds.
Use a clean paper towel to turn off hand faucets.
A nurse has prepared a sterile field for assisting a provider with a chest tube
insertion. Which of the following events should the nurse recognize as contaminating
the sterile field? (Select all that apply) -
✔️The nurse moistens a cotton ball with sterile normal saline and places it on the
sterile field.
The procedure is delayed 1 hr because the provider receives an emergency call.
The nurse turns to speak to someone who enters through the door behind the nurse.
A nurse is discussing restorative health care with a newly licensed nurse. Which of
the following examples should the nurse include in the teaching? -
✔️Home health care
Rehab facilities
Skilled nursing facilities
A nurse is explaining the various types of health care coverage. Which of the
following health care financing mechanisms are federally funded? -
✔️Medicare
Medicaid
A nurse manager is developing strategies to care for the increasing number of clients
who have obesity. Which of the following actions should the nurse include as a
primary health care strategy? -
✔️Collaborating with providers to perform obesity screenings during routine office
visits
A nurse is discussing the purpose of regulatory agencies during a staff meeting.
Which of the following tasks should the nurse identify as the responsibility of state
licensing boards? -
✔️Ensuring that health care providers comply with regulations
A nurse is explaining the various levels of health care services to a group of newly
licensed nurses. Which of the following examples of care or care settings should the
nurse classify as tertiary care? (SATA) -
✔️ICU
Oncology treatment center
Burn center