Practice Questions With Complete Solutions
A day shift nurse gives change of shift report to the next nurse.
The nurse knows which information is inappropriate for the
nurse to include in the change of shift report?
1. Clients' names and room numbers
2. Clients' responses to tests
3. Client adverse incident
4. Nurses' opinions about clients Correct Answer Nurses'
opinions about clients
A news reporter wants to take a picture of a movie start on the
medical/surgical unit. Which action by the nurse is MOST
appropriate?
1. Take the picture for the news reporter
2. Call the nurse manager
3. Contact the police
4. Report the incident to the client's healthcare provider Correct
Answer Call the nurse manager
A nurse approaches the nurse manager to ask for a raise. After
some discussion about why the nurse feels a raise is warranted,
the nurse manager suggests they discuss the raise further over
dinner. The nurse refuses, and the nurse manager replies, "No
dinner, no raise." Which action does the nurse take FIRST?
1. Immediately document the incident
2. Immediately report the incident to the supervisor
,3. Immediately inform the nurse manager that the nurse does not
want to go out to dinner
4. Immediately contact the nurse's family Correct Answer
Immediately inform the nurse manager that the nurse does not
want to go out to dinner
A nurse begins employment in a hospital using the SOAP
system of documentation. The nurse understands that SOAP is
an acronym for which information?
1. Strategic Operational Accountability Protocol
2. Status, Orders, Actions, Precautions
3. Secure, Orderly, Appropriate, Precise
4. Subjective, Objective, Assessment, Plan Correct Answer
Subjective, Objective, Assessment, Plan
A psychiatric nurse is presented with a group of patients in the
ER. Which of the following patients requires IMMEDIATE
attention?
1. A 24-year-old male who failed medical school and says, "My
pain will be over soon."
2. A 30-year-old female who is unable to talk in front of other
people due to symptoms of anxiety
3. A 45-year-old male who hears voices telling him to harm
others
4. A 50-year-old male who is anxious after witnessing a murder.
Correct Answer A 24-year-old male who failed medical school
and says, "My pain will be over soon."
,A series of inservice on team development are being held for
nurse managers at a teaching hospital by the staff development
department. The educator has just reviewed the concepts of
group process roles and identified several of them by name. One
of the managers asks, "Could you please explain what exactly is
meant by the gatekeeper role?" Which of the following
responses by the educator is best?
1. "The gatekeeper decides who is to attend a meeting and who
is not."
2. "The gatekeeper ensures that everyone has an opportunity to
speak."
3. "The gatekeeper makes certain that the group starts and ends
on time."
4. "The gatekeeper responds to interruptions from outside
forces." Correct Answer "The gatekeeper ensures that
everyone has an opportunity to speak."
After receiving the night shift's report, the nurse plans
assignments for the day on the Endocrinology Unit. Which
client should the nurse see FIRST?
1. A 25-year-old requiring a fasting blood glucose test prior to
breakfast
2. A 30-year-old requiring a urine test for ketone bodies
3. A 40-year-old being discharged this afternoon
4. A 70-year-old with a fasting blood glucose of 517 mg/dL
Correct Answer A 70-year-old with a fasting blood glucose of
517 mg/dL
, After receiving the night shift's report, the nurse plans
assignments for the day on the Pediatric Unit. Which client will
the nurse see FIRST?
1. A client diagnosed with leukemia reporting fatigue
2. A client diagnosed with Wilms' tumor reporting thirst
3. A client diagnosed with hemophilia reporting joint pain
4. A client diagnosed with gastroesophageal reflux reporting
abdominal pain Correct Answer A client diagnosed with
hemophilia reporting joint pain
After receiving the night shift's report, the nurse plans
assignments for the day. Which client should the nurse see
FIRST?
1. A 17-year-old who took 10 methylphenidate and has a BP of
160/100
2. A 25-year-old who requires a metered-dose inhaler
3. A 30-year-old with a short arm cast on the left arm
4. A 40-year-old diagnosed with hypothyroidism requiring TSH
level Correct Answer A 17-year-old who took 10
methylphenidate and has a BP of 160/100
An outside change agent consultant informs the nurse manager
that most of the staff on the medical unit can be classified as
"early majority" in terms of their behavioral patterns in response
to change. The manager understands this to have which
meaning?
1. The staff will not be the first to accept a change, nor will they
be the last