REAL EXAM A COMBINATION OF STUDY GUIDE
QUESTIONS WITH VERIFIED SOLUTIONS
A nurse observes an AP reprimanding a client for not using the urinal properly. The AP tells
him she will put a diaper on him if he does not use the urinal more carefully next time. Which
of the following torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy ---- ANSWER----A. Assault
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an
AP. Which of the following information should the nurse share with the AP? Select All.
A. The roommate is up independently.
B. The client ambulates w/his slippers on over his antiembolic stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
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,E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning ---- ANSWER----B, C, D
An RN is making assignments for client care to a LPN at the beginning of the shift. Which of
the following assignments should the LPN question?
A. Assisting a client who is 24hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on the previous
shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump ---- ANSWER----D. Replacing the
cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
An adult client who is competent 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
administers a PRN sedative med that the client has not requested along w/his usual meds.
Which of the following tort has the nurse committed?
A. Assault
B. False imprisonment
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,C. Negligence
D. Breach of confidentiality ---- ANSWER----B. False imprisonment
The nurse gave the med as a chemical restraint to keep the client from leaving the facility
against medical advice. The client did not consent.
A client who will undergo neurosurgery the following week tells the nurse in the surgeon's
office that he will prepare his advance directives before he goes to the hospital. Which of the
following statements by the client indicates to the nurse that he understands advance
directives?
A. "I'd rather have my brother make decisions for me, but I know it has to be my wife."
B. "I know they won't go ahead w/the surgery unless I prepare these forms."
C. "I plan to write that I don't want them to keep me on a breathing machine."
D. "I will get my regular doctor to approve my plan before I hand it in at the hospital." ----
ANSWER----C.
The client has the right to decide and specify which medical procedures he wants when a
lifethreatening situation arrives
A nurse is caring for a client who is postoperative following abdominal surgery. Which of the
following should be reported to provider. ---- ANSWER----Urinary output is correct.
Reported pain level is correct.
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, Vital signs is correct.
A nurse in a provider's clinic is caring for a client who has heart failure. A nurse is evaluating
teaching for a client who has heart failure. Which of the following 3 statements by the client
indicates an understanding of the teaching? ---- ANSWER----"I am limiting my sodium
intake to 2 grams daily" is correct.
"I am eating fewer potato chips and more fruit for snacks" is correct.
"I know to call my doctor if I gain 3 pounds or more in 2 days" is correct.
A nurse in an emergency department is caring for a client. A nurse should first________ ----
ANSWER----Review medication that might cause confusion.
& use other method to
A nurse is caring for a client who has a pressure injury. A nurse should report to provider
when... ---- ANSWER----Elevated temperature
Elevated WBC
Low albumin
Elevated pain
Odor in wound
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