Comprehensive Nursing Practice Review: Patient
Safety, Ethical Care, Emergency Response, and
Clinical Decision-Making
You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. You do not
speak Spanish and are having difficulty communicating with your patient. Which of the following
resources would be most appropriate to utilize in order to obtain consent? - ✔✔The hospitals language
interpreter
You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Which of the
following medication should you question? - ✔✔Acetylsalicylic acid ( Bauer buffered aspirin)
When taking care of a patient with pancreatitis, which of the following lab should be reviewed? -
✔✔Lipase and amylase
You're caring for a 12 hour postoperative parathyroidectomy patient. Which assessment finding would
indicate an emergency? - ✔✔Laryngeal strider
Which of the following actions would be considered a violation of Hyppa? - ✔✔Looking through the
chart of a coworker admitted to your unit
- ✔✔Sinus tachycardia
You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. He asks
you about the procedure what would be the most therapeutic response? - ✔✔Due to the size of the
kidney stone it is an appropriate treatment?
NOT:Print reading materials about the subject and give it to the patient
The nurse is taking care of a patient who is terminally ill and has a DNR on file. Their patient has a
sudden cardiac arrest and family wants CPR initiated. How should you respond? - ✔✔Honor the
patient's wishes
, - ✔✔Not normal sinus rhythm into a flutter
Correct answer is ventricular fibrillation
Your patient began deteriorating rapidly after complaining of shortness of breath. And ABG was drawn
and the results are pH? HCO3 - 23. These values indicate the patient is experiencing: - ✔✔
Your inserting a urinary catheter into a male patient. As you inflate a balloon, the patient complains of
discomfort what is the best action? - ✔✔Aspirate the fluid, advance the catheter farther, then re-inflate
the balloon
When assessing a patient, you notice crepitus on the right upper shoulder. You notify the physician and
anticipate which diagnosis? - ✔✔Subcutaneous emphysema
You are providing patient education to a patient prior to administering IV Protonix. .....When there is no
history of GERD - ✔✔Protonix is given as G.I. prophylaxis to prevent stress ulcers
- ✔✔Normal sinus with VTach
The patient has a morphine PCA post operatively. On rounding you notice respirations at eight per
minute O2 saturation of 82%. What medication would be given in the situation? - ✔✔Narcan
You were caring for a patient who is 18 hours postop after a right BKA a. They report sudden chest pain
pulse ox at 86%. The patient may be experiencing: - ✔✔Pulmonary embolism
Cardiac strip - ✔✔Unable to determine
At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. The patient's
blood sugar is currently 60. Which of the following is the most appropriate intervention - ✔✔Have the
patient drink 120 ML's of orange juice
Safety, Ethical Care, Emergency Response, and
Clinical Decision-Making
You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. You do not
speak Spanish and are having difficulty communicating with your patient. Which of the following
resources would be most appropriate to utilize in order to obtain consent? - ✔✔The hospitals language
interpreter
You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. Which of the
following medication should you question? - ✔✔Acetylsalicylic acid ( Bauer buffered aspirin)
When taking care of a patient with pancreatitis, which of the following lab should be reviewed? -
✔✔Lipase and amylase
You're caring for a 12 hour postoperative parathyroidectomy patient. Which assessment finding would
indicate an emergency? - ✔✔Laryngeal strider
Which of the following actions would be considered a violation of Hyppa? - ✔✔Looking through the
chart of a coworker admitted to your unit
- ✔✔Sinus tachycardia
You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. He asks
you about the procedure what would be the most therapeutic response? - ✔✔Due to the size of the
kidney stone it is an appropriate treatment?
NOT:Print reading materials about the subject and give it to the patient
The nurse is taking care of a patient who is terminally ill and has a DNR on file. Their patient has a
sudden cardiac arrest and family wants CPR initiated. How should you respond? - ✔✔Honor the
patient's wishes
, - ✔✔Not normal sinus rhythm into a flutter
Correct answer is ventricular fibrillation
Your patient began deteriorating rapidly after complaining of shortness of breath. And ABG was drawn
and the results are pH? HCO3 - 23. These values indicate the patient is experiencing: - ✔✔
Your inserting a urinary catheter into a male patient. As you inflate a balloon, the patient complains of
discomfort what is the best action? - ✔✔Aspirate the fluid, advance the catheter farther, then re-inflate
the balloon
When assessing a patient, you notice crepitus on the right upper shoulder. You notify the physician and
anticipate which diagnosis? - ✔✔Subcutaneous emphysema
You are providing patient education to a patient prior to administering IV Protonix. .....When there is no
history of GERD - ✔✔Protonix is given as G.I. prophylaxis to prevent stress ulcers
- ✔✔Normal sinus with VTach
The patient has a morphine PCA post operatively. On rounding you notice respirations at eight per
minute O2 saturation of 82%. What medication would be given in the situation? - ✔✔Narcan
You were caring for a patient who is 18 hours postop after a right BKA a. They report sudden chest pain
pulse ox at 86%. The patient may be experiencing: - ✔✔Pulmonary embolism
Cardiac strip - ✔✔Unable to determine
At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking. The patient's
blood sugar is currently 60. Which of the following is the most appropriate intervention - ✔✔Have the
patient drink 120 ML's of orange juice
