NUR 2349 Professional Nursing 1
1. Before the nurse brings the client to the operating room for knee surgery, the client reports
to the nurse that the surgeon did not mark the knee that is being operated on. The nurse takes
which best actions?
A. Proceed with transferring the client OR as planned.
B. Call a time out so the site could be marked before surgery begins.
C. Call the surgeon to mark the site with the client before transfer to OR.
D. Have the client mark the site before transferring to OR.
Answer
C. Call the surgeon to mark the site with the client before transfer to OR.
2. The provider recommends a fluid intake of at least 2 L per day. The client's reported intake
over the past 24 hours is
12 ounces of coffee and 3 ounces of orange juice for breakfast, 8 ounces of sparkling water
throughout the morning, 8 ounces of tomato soup and 10 ounces of skim milk for lunch, 1/4 L
of flavored water in the afternoon, 10 ounces of ice tea for dinner. After calculating the 24 hour
intake, what does the nurse tell the client?
A. You should drink another cup of fluid per day to meet your recommended fluid intake.
B. You are meeting the recommended fluid intake of 2 L per day.
C. Your fluid intake is higher than the recommended fluid intake of 2 L per day.
D. Only fluids like water juice and milk should be counted in your daily recommended fluid
intake.
Answer
A.You should drink another cup of fluid per day to meet your recommended fluid intake.
3. A client is surprised to learn that his acute pain is caused by a kidney stone. The nurse should
,instruct the client that the most common type of renal calculi is composed of which of the
following?
A. Calcium.
B. Cystine.
C. Struvite.
D. Uric acid.
Answer
A. Calcium.
4. The nurse is teaching a client about wound care and preparation for dis- charge. How should
the nurse evaluate the effectiveness of homecare teach- ing and wound care?
(Select all that apply)
A. Give a paper and pencil quiz.
B. Have the caregiver or client demonstrate the procedure.
C. Have the client or caregiver explain the procedure.
D. Have the client or caregiver critique video on the procedure.
E. Ask the client detailed questions while demonstrating the procedure
Answer
B. Have the caregiver or client demonstrate the procedure.
C. Have the client or caregiver explain the procedure.
5. Which of the following is an example of a nurse violating the Health Insurance Portability
and Accountability Act (HIPAA) of 1996?
A. The nurse asked the unit clerk to look up lab values for her relative recently admitted to the
hospital.
B. A group of fellow employees is discussing a client's clinical status in a public
space. The nurse manager requests that they stop into a private room to complete the discussion.
C. After entering the progress notes on a client's electronic medical record, the nurse logs out
of the computer to allow her coworker to use the terminal.
D. As a family approaches the nursing desk, the nurse removes the client's answer sheet from
, view on the counter.
Answer
A.The nurse asked the unit clerk to look up lab values for her relative recently admitted to the
hospital.
6. A client has chronic confusion secondary to dementia. As a result, he is unable to sign an
informed consent for surgery. The nurse knows which of the following is correct regarding
informed consent
A. Informed consent is not needed
B. Two nurses may sign the informed consent for a client
C. The surgeon must sign the informed consent
D. A family member may be asked to sign the informed consent according to hospital policy.
Answer
B. Two nurses may sign the informed consent for a client
7. Which statement accurately describes the nurse practice act? (Select all that apply)
A. The nurse practice act as a federal law that defines nursing practice.
B. One purpose of the nurse practice act is to protect society as well as individuals
C. Each state legislate on nurse practice act
D. The nurse practice act directs a state board of nursing to regulate nursing practice with its
jurisdiction.
E. The nurse practice act identifies the minimum level of nursing care that must be provided to
clients.
F. Any nurse who practices outside the scope of practice can be charged with a violation of the
nurse practice act.
1. Before the nurse brings the client to the operating room for knee surgery, the client reports
to the nurse that the surgeon did not mark the knee that is being operated on. The nurse takes
which best actions?
A. Proceed with transferring the client OR as planned.
B. Call a time out so the site could be marked before surgery begins.
C. Call the surgeon to mark the site with the client before transfer to OR.
D. Have the client mark the site before transferring to OR.
Answer
C. Call the surgeon to mark the site with the client before transfer to OR.
2. The provider recommends a fluid intake of at least 2 L per day. The client's reported intake
over the past 24 hours is
12 ounces of coffee and 3 ounces of orange juice for breakfast, 8 ounces of sparkling water
throughout the morning, 8 ounces of tomato soup and 10 ounces of skim milk for lunch, 1/4 L
of flavored water in the afternoon, 10 ounces of ice tea for dinner. After calculating the 24 hour
intake, what does the nurse tell the client?
A. You should drink another cup of fluid per day to meet your recommended fluid intake.
B. You are meeting the recommended fluid intake of 2 L per day.
C. Your fluid intake is higher than the recommended fluid intake of 2 L per day.
D. Only fluids like water juice and milk should be counted in your daily recommended fluid
intake.
Answer
A.You should drink another cup of fluid per day to meet your recommended fluid intake.
3. A client is surprised to learn that his acute pain is caused by a kidney stone. The nurse should
,instruct the client that the most common type of renal calculi is composed of which of the
following?
A. Calcium.
B. Cystine.
C. Struvite.
D. Uric acid.
Answer
A. Calcium.
4. The nurse is teaching a client about wound care and preparation for dis- charge. How should
the nurse evaluate the effectiveness of homecare teach- ing and wound care?
(Select all that apply)
A. Give a paper and pencil quiz.
B. Have the caregiver or client demonstrate the procedure.
C. Have the client or caregiver explain the procedure.
D. Have the client or caregiver critique video on the procedure.
E. Ask the client detailed questions while demonstrating the procedure
Answer
B. Have the caregiver or client demonstrate the procedure.
C. Have the client or caregiver explain the procedure.
5. Which of the following is an example of a nurse violating the Health Insurance Portability
and Accountability Act (HIPAA) of 1996?
A. The nurse asked the unit clerk to look up lab values for her relative recently admitted to the
hospital.
B. A group of fellow employees is discussing a client's clinical status in a public
space. The nurse manager requests that they stop into a private room to complete the discussion.
C. After entering the progress notes on a client's electronic medical record, the nurse logs out
of the computer to allow her coworker to use the terminal.
D. As a family approaches the nursing desk, the nurse removes the client's answer sheet from
, view on the counter.
Answer
A.The nurse asked the unit clerk to look up lab values for her relative recently admitted to the
hospital.
6. A client has chronic confusion secondary to dementia. As a result, he is unable to sign an
informed consent for surgery. The nurse knows which of the following is correct regarding
informed consent
A. Informed consent is not needed
B. Two nurses may sign the informed consent for a client
C. The surgeon must sign the informed consent
D. A family member may be asked to sign the informed consent according to hospital policy.
Answer
B. Two nurses may sign the informed consent for a client
7. Which statement accurately describes the nurse practice act? (Select all that apply)
A. The nurse practice act as a federal law that defines nursing practice.
B. One purpose of the nurse practice act is to protect society as well as individuals
C. Each state legislate on nurse practice act
D. The nurse practice act directs a state board of nursing to regulate nursing practice with its
jurisdiction.
E. The nurse practice act identifies the minimum level of nursing care that must be provided to
clients.
F. Any nurse who practices outside the scope of practice can be charged with a violation of the
nurse practice act.
