PREDICTOR EXAM QUESTIONS AND z z z
ANSWERS
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What can be delegated to Assistive personnel (AP)? - CORRECT ANSWER -- ADLs - bathing - grooming -
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dressing - ambulating - feeding (w/o swallow precautions) - positioning - bed making - specimen
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collection - I&O - VS (stable clients
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A nurse on a med surge unit has recieved change of shift report and will care for 4 clients. Which of the
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following clients needs will the nurse assign to an AP?
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A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
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B. Reinforcing teaching with a client who is learning to walk with a quad cane
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C. Reapplying a condom catheter for a client who has urinary incontinence
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D. Applying a sterile dressing to a pressure ulcer - CORRECT ANSWER -C
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A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which
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of the following info should the nurse share with the AP?
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Select all: z
A. the roommate is up independently
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B. The client ambulates with his slippers on over his antiembolic stockings
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C. The client uses a front wheeled walker when ambulating
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D. The client had pain meds 30 minutes ago
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E. The client is allergic to codeine
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F. the client ate 50 % of his breakfast this morning - CORRECT ANSWER -B
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C
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D
,An RN is making assignments for client care to an LPN at the beginning of the shift. Which of the
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following assignments should the LPN question?
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A. Assisting a client who is 24 hr postop to use an incentive spirometer
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B. Collecting a clean catch urine specimen from a client who was admitted on the previous shift
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C. providing nasopharyngeal suctioning for a client who has pneumonia
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D. Replacing the cartridge and tubing on a PCA pump - CORRECT ANSWER -D
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A nurse is preparing an inservice program about delegation. Which of the following elements should she
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identify when presenting the 5 rights of delegation. Select all:
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A. Right client z
B. Right supervision/evaluation
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C. Right direction/communication
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D. Right time z
E. Right circumstances - CORRECT ANSWER -B
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C
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E
A nurse manager of a med surge unit is assigning care responsibilities for the oncoming shift. A client is
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waiting transfer back to the unit from the PACU following thoracic surgery. To which staff member
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should the nurse assign the client?
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A. Charge nurse z
B. RN
C. LVN
D. AP - CORRECT ANSWER -B
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What is the study of conduct and character? - CORRECT ANSWER -Ethics
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,What are the values and beliefs that guide behavior and decision making? - CORRECT ANSWER -Morals
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What is the right to make ones own personal decisions, even tho those decisions might not be in the
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persons best interest - CORRECT ANSWER -Autonomy
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What are positive actions to help others - CORRECT ANSWER -Beneficience
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What is an agreement to keep promises - CORRECT ANSWER -Fidelity
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What is fairness in care delivery and use of resources - CORRECT ANSWER -Justice
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What is avoidance of harm or injury - CORRECT ANSWER -Non-maleficence
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A nurse is caring for a client who decides not to have surgery despite significant blockages in his
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coronary arteries. The nurse understands that this clients choice is an example of what principles?
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A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience - CORRECT ANSWER -A z z z z
A nurse offers pain meds to a client who is postop prior to ambulation. The nurse understands that this
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aspect of care delivery is an example of which of the following ethical principles?
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A. Fidelity
B. Autonomy
C. Justice
D. Beneficience - CORRECT ANSWER -D z z z z
, A nurse is instructing a group of nursing students about the responsibilities involved with organ
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donation and procurement. When the nurse explains that all clients waiting for a kidney transplant have
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to meet the same qualifications, the students should understand that this aspect of care delivery is an
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example of which ethical principle
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A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - CORRECT ANSWER -C z z z z
A nurse questions a med prescription as too extreme and light of the clients advanced age and unstable
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status. The nurse understands that this action is an example of which ethical principle
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A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificence - CORRECT ANSWER -D z z z z
Which of the following situations can be identified as an ethical dilemma?
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A. A nurse on a med surge unit demonstrates signs of chemical impairment
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B. A nurse over hears another nurse telling an older adult client that if he doesnt stay in bed she will
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restrain him
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C. A family has conflicting feelings about the initiation of enteral tube feedings of their father who is
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terminally ill
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D. A client who is terminally ill hesitates to name her spouse on her durable power of attorney form -
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CORRECT ANSWER -C
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Most managers can be categorized as - CORRECT ANSWER -authoritative, democratic, and laissez faire
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