A nurse is providing equal care to a group of clients who have varying economic
statuses. Which of the following ethical principles is the nurse demonstrating?
A) Fidelity
B) Autonomy
C) Justice
D) Veracity
Give this one a try later!
C: The ethical principle of justice refers to an obligation of the nurse to
treat all clients the same regardless of age, sex, race, sexual orientation, or
economic status
A nurse is prioritizing care for a client. Identify the priority order of client needs using
Maslow's Hierarchy of Needs. (Place them in the order of priority, use all levels)
A) Safety
B) Physiological
,C) Love and Belonging
D) Self-actualization
E) Esteem
Give this one a try later!
- B, A, C, E, D
- Physiological needs are the highest priority (Level 1). Physiological needs
take priority over other needs because they are essential for survival. The
nurse should not address any other needs until physiological needs have
been met.
- Safety needs are the second level of priority in Maslow's Hierarchy of
Needs (Level 2). Once physiological needs have been met, the nurse
should plan to meet safety needs.
- Love and belonging are the are the third level of priority in Maslow's
Hierarchy of Needs (Level 3). After physiological and safety needs have
been met, the nurse should address love and belonging.
- Esteem needs are the fourth level of needs in Maslow's Hierarchy of
Needs (Level 4). The nurse should focus on esteem needs once the client
has satisfied the need for love and belonging.
- Self-actualization is the fifth level of needs in Maslow's Hierarchy of
Needs (Level 5). Only after all other needs have been satisfied will an
individual be ready to turn their attention to self-actualization. The nurse
should recognize that self-actualization is the lowest priority of need.
A nurse is admitting a client who has hypertension. Using the nursing process, which
of the following actions should the nurse take first?
A) Develop nursing diagnoses
B) Perform a physical assessment
C) Administer prescribed medications
D) Develop goals and outcomes
Give this one a try later!
B: The first action the nurse should take when using the nursing process is
to assess the client. Assessment of the client includes a physical
examination, client interview, review of the medical records, and general
observation. A registered nurse uses a five-step sequential nursing process,
, which includes assessment, analysis, planning, implementation, and
evaluation.
A nurse is taking an admission history from a client who is concerned about the facility
using an electronic documentation system. Which of the following information should
the nurse include as a benefit of electronic documentation?
A) The system alerts providers of possible actions that could cause client harm.
B) An electronic system prevents breaches of confidentiality of client data.
C) Providers can document client information in the electronic record during system
downtime.
D) System encryption eliminates the need for security firewalls.
Give this one a try later!
A: Many electronic documentation systems contain clinical alerts, which
can prompt providers regarding potential errors, such as a medication
error or duplicate tests.
A nurse in a pediatrician's office is speaking on the telephone with the guardian of a
school-age child who will become a new client at the office. The nurse should instruct
the guardian to call the child's previous provider's office to request which of the
following?
A) The guardian be allowed to take the child's medical records and make photocopies
for the new pediatrician's office
B) The child's original medical records be given to the new pediatrician's office
C) A form authorizing release of copies of the child's medical records to be signed by
the guardian
D) A form authorizing release of the child's medical records to be signed by the new
pediatrician and sent back to the previous provider
Give this one a try later!
, C: A written authorization by the responsible party, in this case the
guardian, must be provided to the previous provider's office prior to
making copies of the health care records available to the new pediatrician.
A nurse who has been working 12-hr shifts on a busy unit is experiencing nurse fatigue.
Which of the following effects can result from nurse fatigue?
A) Increase in communication skills
B) Increase in effective clinical judgement
C) Increase in medication errors
D) Increase in productivity
Give this one a try later!
C: Nurse fatigue can result in an increase in risk for medication errors that
can result in client injury
A nurse is performing an admission assessment on a client. Using the safety and risk
reduction priority setting framework, which of the following findings should the nurse
identify as the priority?
A) The client reports dizziness when standing
B) The client has not had a bowel movement in 3 days
C) The client has non-pitting edema in the lower extremities
D) The client has several scratch marks on their abdomen
Give this one a try later!
A: Report of dizziness when standing indicates that this client is at greatest
risk for injury from a fall; therefore, this is the priority finding. The nurse
should implement the nursing process to determine the cause of dizziness
and implement fall precautions.
statuses. Which of the following ethical principles is the nurse demonstrating?
A) Fidelity
B) Autonomy
C) Justice
D) Veracity
Give this one a try later!
C: The ethical principle of justice refers to an obligation of the nurse to
treat all clients the same regardless of age, sex, race, sexual orientation, or
economic status
A nurse is prioritizing care for a client. Identify the priority order of client needs using
Maslow's Hierarchy of Needs. (Place them in the order of priority, use all levels)
A) Safety
B) Physiological
,C) Love and Belonging
D) Self-actualization
E) Esteem
Give this one a try later!
- B, A, C, E, D
- Physiological needs are the highest priority (Level 1). Physiological needs
take priority over other needs because they are essential for survival. The
nurse should not address any other needs until physiological needs have
been met.
- Safety needs are the second level of priority in Maslow's Hierarchy of
Needs (Level 2). Once physiological needs have been met, the nurse
should plan to meet safety needs.
- Love and belonging are the are the third level of priority in Maslow's
Hierarchy of Needs (Level 3). After physiological and safety needs have
been met, the nurse should address love and belonging.
- Esteem needs are the fourth level of needs in Maslow's Hierarchy of
Needs (Level 4). The nurse should focus on esteem needs once the client
has satisfied the need for love and belonging.
- Self-actualization is the fifth level of needs in Maslow's Hierarchy of
Needs (Level 5). Only after all other needs have been satisfied will an
individual be ready to turn their attention to self-actualization. The nurse
should recognize that self-actualization is the lowest priority of need.
A nurse is admitting a client who has hypertension. Using the nursing process, which
of the following actions should the nurse take first?
A) Develop nursing diagnoses
B) Perform a physical assessment
C) Administer prescribed medications
D) Develop goals and outcomes
Give this one a try later!
B: The first action the nurse should take when using the nursing process is
to assess the client. Assessment of the client includes a physical
examination, client interview, review of the medical records, and general
observation. A registered nurse uses a five-step sequential nursing process,
, which includes assessment, analysis, planning, implementation, and
evaluation.
A nurse is taking an admission history from a client who is concerned about the facility
using an electronic documentation system. Which of the following information should
the nurse include as a benefit of electronic documentation?
A) The system alerts providers of possible actions that could cause client harm.
B) An electronic system prevents breaches of confidentiality of client data.
C) Providers can document client information in the electronic record during system
downtime.
D) System encryption eliminates the need for security firewalls.
Give this one a try later!
A: Many electronic documentation systems contain clinical alerts, which
can prompt providers regarding potential errors, such as a medication
error or duplicate tests.
A nurse in a pediatrician's office is speaking on the telephone with the guardian of a
school-age child who will become a new client at the office. The nurse should instruct
the guardian to call the child's previous provider's office to request which of the
following?
A) The guardian be allowed to take the child's medical records and make photocopies
for the new pediatrician's office
B) The child's original medical records be given to the new pediatrician's office
C) A form authorizing release of copies of the child's medical records to be signed by
the guardian
D) A form authorizing release of the child's medical records to be signed by the new
pediatrician and sent back to the previous provider
Give this one a try later!
, C: A written authorization by the responsible party, in this case the
guardian, must be provided to the previous provider's office prior to
making copies of the health care records available to the new pediatrician.
A nurse who has been working 12-hr shifts on a busy unit is experiencing nurse fatigue.
Which of the following effects can result from nurse fatigue?
A) Increase in communication skills
B) Increase in effective clinical judgement
C) Increase in medication errors
D) Increase in productivity
Give this one a try later!
C: Nurse fatigue can result in an increase in risk for medication errors that
can result in client injury
A nurse is performing an admission assessment on a client. Using the safety and risk
reduction priority setting framework, which of the following findings should the nurse
identify as the priority?
A) The client reports dizziness when standing
B) The client has not had a bowel movement in 3 days
C) The client has non-pitting edema in the lower extremities
D) The client has several scratch marks on their abdomen
Give this one a try later!
A: Report of dizziness when standing indicates that this client is at greatest
risk for injury from a fall; therefore, this is the priority finding. The nurse
should implement the nursing process to determine the cause of dizziness
and implement fall precautions.
