Science Medicine Nursing
CPNRE exam
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Flashcard sets Study guides
Resuscitation EBPR Week B4 lec - pelvic health Rex-PN Exam Preview Ex
20 terms 19 terms 51 terms 18
Thia888 Preview reco209 Preview Boogers-are-Green Preview
Terms in this set (838)
Which is an adverse effect of digoxin? bradycardia
What does TKVO mean? To keep vein open
Mr. Singh is experiencing asthma and Administer rescue inhaler
acute shortness of breath and wheezing,
whats the first thing you should do?
Which of the following is most important physical assessment
when performing a preoperative
assessment?
Which of the following would be elicit the Describe your pain to me (open ended)
best information about a patients pain?
The practical nurses scope of practice is legislation and regulatory and licensure requirments
determined by
Assault
Battery
Intentional torts
Invasion of privacy
False imprisonment
Battery the intentional touching of a person without his or her consent
Negligence is a failure to take the care that a reasonable nurse in similar
Unintentional torts
circumstances would have taken.
- theft of narcotics
Examples of activities that nurses may be - theft of client or agency property
charged with - assisted suicide
- criminal negligence
medication errors, intravenous therapy errors that result in phlebitis or infiltrations,
Common negligence acts burns caused by equipment, falls, failure to use aseptic technique, failure to
report, failure to monitor a patients condition, failure to notify a physician
, - responsible and accountable for their decisions and actions
- engage in self reflection and continuous learning to maintain and enhance
competence
Principles of accountability for nurses
- accountable and responsible for assessing their individual fitness to practice.
- practical nurses demonstrate and apply knowledge of the distinction between
ethical responsible and legal rights
- being accountable for ones actions
- upholding the patients rights to privacy and confidentiality
- providing care that maintains pt dignity
Code of nursing ethics
- respect at all times
- promoting integrity by providing safe, competent, and ethical nursing care
- evaluating ones work and maintaining competency
A professional relationship is created the nurses application of knowledge, communication theory, understanding of
through human behaviour, and commitment to ethical behaviour.
Pre-interaction: Gathering information; assessing one's feelings, fears, and
anxieties about working with a particular client
Four phases of the nurse client
Orientation: nurse and client become acquainted. Goal is to establish trust.
relationship
Working: Goal is to promote client change
Termination: Evaluate goal attainment; and ensure therapeutic closure
-penia reduced amount
Best approach to conflict resolution collaboration
The repeat back method consists of identification, situation, background, assessment, recommendations, repeat back
before consent, patients need to receive full disclosure of all details of the procedure.
Can practical nurses obtain consent for no because they are not conducting the surgery, but may be a witness
surgery?
consent can be verbal, written, and implicit
Example of implicit consent; client lifting leg for wound care
- respect for ones well-being
- client choice
Cno practice standard for resuscitation is - privacy and confidentiality
based on these ethical values - respect for life
- maintaining comittments
- truthfulness and fairness
medication treatment is used for dx, treatment, cure, relief, and prevention
are unpredictable and occur when an individual overreaction from the medication
Idiosyncratic reactions
or has a different reaction from the norm.
After a medication is taken it breaks down absorbed, distributed, metabolized, and excreted
in the body and is
right medication, right dose, right client, right route, right time, right
10 rights of medication administration documentation, right reason, right to refuse, right client education, right
evaluation
given by mouth. easiest route , most common, and has the slowest, most
oral medications
prolonged effect
sublingual medications placed under the tongue and should not be swallowed.
injected into the body tissues. The four main sites are:
- intradermal, subcutaneous (only for volumes of 0.5-1ml)
parenteral medications
- intramuscular (for volumes up to 3ml)
- IV
used to administer medications through nasal passages, orally, by endotracheal
inhalation route
tube or via tracheostomy
, 1. assessment
2. analysis
The nursing process 3. planning
4. implementation
5. evaluation, outcome, and revision of care
During a documentation session in the Must be approved by the agency (hospital)
hospital, one of the new practical nurses
asks what abbreviations can be used
within the patients health record? what
abbreviations can the nurse use?
Which is the most accurate information in The health care provider proposing the procedure should be the one to obtain
regard to patient consent? written consent.
In the sample clients health record , the Verbal orders are not telephone orders and should not be used, unless in an
new graduate practical nurses discovers emergency situation.
that a nurse has written "verbal order,
acetaminophen" but there is no evidence
of an emergency situation. which of the
following describes best practice in
relation to verbal medication orders?
The dose is accurate, the route is identified, the frequency is identified, and the
A correct medication order
qualifier is identified.
During orientation a nurse educator Evidence informed care is the transfer of current research into practice
explains that the hospital uses evidence
informed practice to guide clinical
decision making. which of the following
statements best describes evidence
informed practice?
which of the following is true in relation to Learning occurs best when the learner identifies a learning need
the learning process?
A manager explains the effective When genuine and warmth are utilized communication is enhanced
interpersonal communication with clients
and team members and includes
A facility follows a "least restraint policy" All possible alternative interventions have been exhausted before a restraint is
what is the most important consideration used
with a "least restraint policy"?
The practical nurse charts the behaviour The client was "shaking his fist as the nurse @ 1100" *must be factual
of a client, which statement would be the
most appropriate documentation?
12: The practical nurse consults the Standards of nursing practice define the expectation for practical nurses in
provincial or territorial standards of various practice settings and situations and generally guide nursing practice
nursing practice when contemplating the
use of restraints. What is the most
important purpose for using standards of
nursing practice?
13: The practical nurses knows that she The primary mandate of a health regulatory agency is protection of the public
must be able to articulate the differences
and similiarities between various nursing
organizations. The mandate of nursing
regulatory organizations is which of the
following?
, 14: The practical nurse is trying to Evidence informed guidelines are tools that improve client, practical nurse, and
distinguish the differences and similarities organizational outcomes. They involve care that is based on actual observed and
between standards of nursing practice proven outcomes, not traditional based care.
and the nursing best practice guidelines.
what are the best practice guidelines?
What does DNR mean? do not perform cardiopulmonary resuscitation
16: Which member of the interprofessional The speech pathologist helps people improve their speech and learn different
team would be a beneficial resources for strategies and ways to communicate. The speech language pathologist also
the rpn to contact regarding a patient assists people with swallowing problems.
who is having difficulty communicating
and eating after a cerebrovascular
accident?
20: A resident in a long term care facility UCP's are accountable for their care, including any actions or inactions taken that
tells the practical nurses that his legs relate to the resident falling.
hurts from the fall he had an hour ago.
The practical nurse was unaware of the
fall and obtains details from the UCP who
cared for the resident at the time of the
fall. Which statement related to
accountability is correct?
21: A practical nurse has been asked by his The practical nurses first priority is to provide high quality client-care. He must
manager to work an extra of 4 hours after determine if he is too tired to complete competent care.
his 12 hour shift because three nurses
have called in sick. The practical nurse has
worked four 12 hour shifts in a row. He
admits he is tired and not sure whether he
is too fatigued to work an extra 4 hours.
Which statement is correct?
22: Joe aged 42, has Lou Gehrig disease. Inserting and IV line with the doctors order, that will be used to administer the
He is married and has two school aged medication that will cause death of the client.
children. He has consented to have MAID.
What is the practical nurses role in
providing MAID, in accordance with the
law?
23:A second year practical nursing The student nurse because she did not report and take any action.
student obtains an apical heart rate of
140bpm on Cara, a 6 year old child. The
student practical nurse assumes that she
has made an error in counting the beats.
She did not take any action in relation to
her findings, and did not report the
elevated HR to anyone. Who is
responsible for this error in care?
24: A client is ordered 325mg of Contact the pharmacist of the potential drug interaction
acetlysalicylic acid (ASA) prn for
headache. The practical nurse is aware
that this is also a client that is receiving
warfarin (Coumadin). Which of the
following is the most important action to
be taken by the practical nurse?
A second year practical nursing student Hazardous
has asked the preceptor about the use of
restraints. Which of the following is not
considered a restraint category?
CPNRE exam
14 studiers today 5.0 (2 reviews)
Save
Students also studied
Flashcard sets Study guides
Resuscitation EBPR Week B4 lec - pelvic health Rex-PN Exam Preview Ex
20 terms 19 terms 51 terms 18
Thia888 Preview reco209 Preview Boogers-are-Green Preview
Terms in this set (838)
Which is an adverse effect of digoxin? bradycardia
What does TKVO mean? To keep vein open
Mr. Singh is experiencing asthma and Administer rescue inhaler
acute shortness of breath and wheezing,
whats the first thing you should do?
Which of the following is most important physical assessment
when performing a preoperative
assessment?
Which of the following would be elicit the Describe your pain to me (open ended)
best information about a patients pain?
The practical nurses scope of practice is legislation and regulatory and licensure requirments
determined by
Assault
Battery
Intentional torts
Invasion of privacy
False imprisonment
Battery the intentional touching of a person without his or her consent
Negligence is a failure to take the care that a reasonable nurse in similar
Unintentional torts
circumstances would have taken.
- theft of narcotics
Examples of activities that nurses may be - theft of client or agency property
charged with - assisted suicide
- criminal negligence
medication errors, intravenous therapy errors that result in phlebitis or infiltrations,
Common negligence acts burns caused by equipment, falls, failure to use aseptic technique, failure to
report, failure to monitor a patients condition, failure to notify a physician
, - responsible and accountable for their decisions and actions
- engage in self reflection and continuous learning to maintain and enhance
competence
Principles of accountability for nurses
- accountable and responsible for assessing their individual fitness to practice.
- practical nurses demonstrate and apply knowledge of the distinction between
ethical responsible and legal rights
- being accountable for ones actions
- upholding the patients rights to privacy and confidentiality
- providing care that maintains pt dignity
Code of nursing ethics
- respect at all times
- promoting integrity by providing safe, competent, and ethical nursing care
- evaluating ones work and maintaining competency
A professional relationship is created the nurses application of knowledge, communication theory, understanding of
through human behaviour, and commitment to ethical behaviour.
Pre-interaction: Gathering information; assessing one's feelings, fears, and
anxieties about working with a particular client
Four phases of the nurse client
Orientation: nurse and client become acquainted. Goal is to establish trust.
relationship
Working: Goal is to promote client change
Termination: Evaluate goal attainment; and ensure therapeutic closure
-penia reduced amount
Best approach to conflict resolution collaboration
The repeat back method consists of identification, situation, background, assessment, recommendations, repeat back
before consent, patients need to receive full disclosure of all details of the procedure.
Can practical nurses obtain consent for no because they are not conducting the surgery, but may be a witness
surgery?
consent can be verbal, written, and implicit
Example of implicit consent; client lifting leg for wound care
- respect for ones well-being
- client choice
Cno practice standard for resuscitation is - privacy and confidentiality
based on these ethical values - respect for life
- maintaining comittments
- truthfulness and fairness
medication treatment is used for dx, treatment, cure, relief, and prevention
are unpredictable and occur when an individual overreaction from the medication
Idiosyncratic reactions
or has a different reaction from the norm.
After a medication is taken it breaks down absorbed, distributed, metabolized, and excreted
in the body and is
right medication, right dose, right client, right route, right time, right
10 rights of medication administration documentation, right reason, right to refuse, right client education, right
evaluation
given by mouth. easiest route , most common, and has the slowest, most
oral medications
prolonged effect
sublingual medications placed under the tongue and should not be swallowed.
injected into the body tissues. The four main sites are:
- intradermal, subcutaneous (only for volumes of 0.5-1ml)
parenteral medications
- intramuscular (for volumes up to 3ml)
- IV
used to administer medications through nasal passages, orally, by endotracheal
inhalation route
tube or via tracheostomy
, 1. assessment
2. analysis
The nursing process 3. planning
4. implementation
5. evaluation, outcome, and revision of care
During a documentation session in the Must be approved by the agency (hospital)
hospital, one of the new practical nurses
asks what abbreviations can be used
within the patients health record? what
abbreviations can the nurse use?
Which is the most accurate information in The health care provider proposing the procedure should be the one to obtain
regard to patient consent? written consent.
In the sample clients health record , the Verbal orders are not telephone orders and should not be used, unless in an
new graduate practical nurses discovers emergency situation.
that a nurse has written "verbal order,
acetaminophen" but there is no evidence
of an emergency situation. which of the
following describes best practice in
relation to verbal medication orders?
The dose is accurate, the route is identified, the frequency is identified, and the
A correct medication order
qualifier is identified.
During orientation a nurse educator Evidence informed care is the transfer of current research into practice
explains that the hospital uses evidence
informed practice to guide clinical
decision making. which of the following
statements best describes evidence
informed practice?
which of the following is true in relation to Learning occurs best when the learner identifies a learning need
the learning process?
A manager explains the effective When genuine and warmth are utilized communication is enhanced
interpersonal communication with clients
and team members and includes
A facility follows a "least restraint policy" All possible alternative interventions have been exhausted before a restraint is
what is the most important consideration used
with a "least restraint policy"?
The practical nurse charts the behaviour The client was "shaking his fist as the nurse @ 1100" *must be factual
of a client, which statement would be the
most appropriate documentation?
12: The practical nurse consults the Standards of nursing practice define the expectation for practical nurses in
provincial or territorial standards of various practice settings and situations and generally guide nursing practice
nursing practice when contemplating the
use of restraints. What is the most
important purpose for using standards of
nursing practice?
13: The practical nurses knows that she The primary mandate of a health regulatory agency is protection of the public
must be able to articulate the differences
and similiarities between various nursing
organizations. The mandate of nursing
regulatory organizations is which of the
following?
, 14: The practical nurse is trying to Evidence informed guidelines are tools that improve client, practical nurse, and
distinguish the differences and similarities organizational outcomes. They involve care that is based on actual observed and
between standards of nursing practice proven outcomes, not traditional based care.
and the nursing best practice guidelines.
what are the best practice guidelines?
What does DNR mean? do not perform cardiopulmonary resuscitation
16: Which member of the interprofessional The speech pathologist helps people improve their speech and learn different
team would be a beneficial resources for strategies and ways to communicate. The speech language pathologist also
the rpn to contact regarding a patient assists people with swallowing problems.
who is having difficulty communicating
and eating after a cerebrovascular
accident?
20: A resident in a long term care facility UCP's are accountable for their care, including any actions or inactions taken that
tells the practical nurses that his legs relate to the resident falling.
hurts from the fall he had an hour ago.
The practical nurse was unaware of the
fall and obtains details from the UCP who
cared for the resident at the time of the
fall. Which statement related to
accountability is correct?
21: A practical nurse has been asked by his The practical nurses first priority is to provide high quality client-care. He must
manager to work an extra of 4 hours after determine if he is too tired to complete competent care.
his 12 hour shift because three nurses
have called in sick. The practical nurse has
worked four 12 hour shifts in a row. He
admits he is tired and not sure whether he
is too fatigued to work an extra 4 hours.
Which statement is correct?
22: Joe aged 42, has Lou Gehrig disease. Inserting and IV line with the doctors order, that will be used to administer the
He is married and has two school aged medication that will cause death of the client.
children. He has consented to have MAID.
What is the practical nurses role in
providing MAID, in accordance with the
law?
23:A second year practical nursing The student nurse because she did not report and take any action.
student obtains an apical heart rate of
140bpm on Cara, a 6 year old child. The
student practical nurse assumes that she
has made an error in counting the beats.
She did not take any action in relation to
her findings, and did not report the
elevated HR to anyone. Who is
responsible for this error in care?
24: A client is ordered 325mg of Contact the pharmacist of the potential drug interaction
acetlysalicylic acid (ASA) prn for
headache. The practical nurse is aware
that this is also a client that is receiving
warfarin (Coumadin). Which of the
following is the most important action to
be taken by the practical nurse?
A second year practical nursing student Hazardous
has asked the preceptor about the use of
restraints. Which of the following is not
considered a restraint category?
