244 EXAM 1 TEST QUESTIONS
WITH COMPLETE SOLUTION
1. The nurse is caring for a patient with stage-4 metastatic esophageal cancer.
The patient has expressed to the nurse that they wish to end all treatments
and go home where they are more comfortable. The patient's family has
expressed that they want the patient to try a new experimental procedure,
which if successful, could prolong the patient's life. The nurse explains the
risks and benefits of the procedure with the family and discusses the patient
wishes. In this scenario, the nurse is acting as:
The charge nurse
A nurse educator
A patient advocate
The unit case manager
2. What term describes the actions taken by a client to maintain their current
health status and prevent illness?
Health promotion
Health maintenance
Illness prevention
Wellness
3. What is one potential risk associated with hiring Unlicensed Assistive
Personnel (UAPs) instead of Licensed Practical Nurses (LPNs) in a hospital
setting?
UAPs are more expensive to hire than LPNs.
UAPs may not have the necessary training to perform certain tasks.
UAPs can provide a wider range of services than LPNs.
, UAPs are always supervised by registered nurses.
4. What is one key factor that indicates the client is considered 'healthy' after
losing a leg?
The client has a supportive family.
The client is physiologically and psychologically stable.
The client participates in community activities.
The client has access to healthcare services.
5. What is the legal term for a nurse's failure to report abnormal vital signs that
results in harm to a patient?
Negligence
Malpractice
Assault
Battery
6. The nurse is helping to prepare a client for surgery. Who is legally
responsible for obtaining the client's informed consent for the surgical
procedure?
The surgeon
The scrub nurse
The circulating nurse
The perioperative team, collectively
7. Explain why the involvement of the client and family is crucial in establishing
realistic outcomes in nursing care.
, They provide financial support for the care.
They have the most knowledge about the client's preferences and
limitations.
They are responsible for the overall management of the healthcare
team.
They can make decisions without consulting healthcare professionals.
8. Explain why delivering meal trays is considered an indirect activity that can
be delegated to unlicensed assistive personnel in a nursing context.
It requires specialized nursing knowledge.
It does not involve direct patient assessment.
It is a task that requires constant supervision.
It is a critical component of patient care.
9. A client comes to the clinic with the complaint that he has been ill for several
weeks but does not have insurance and has delayed care. What does the LPN
understand about the overall healthcare reform goals that will address issues
such as this client?
The goal of healthcare reform is to provide care to women, infants,
and children.
The goal of healthcare reform is to provide more healthcare programs
to address illness.
The goal of healthcare reform is to provide quality healthcare for
those that can afford it.
The goal of healthcare reform is to provide affordable healthcare to
more citizens.
, 10. Why is it important for nurses to minimize medical terms when providing
discharge instructions to clients?
It makes the instructions longer and more detailed.
It ensures that clients can understand and follow the instructions.
It demonstrates the nurse's advanced knowledge.
It allows for more technical discussions with the client.
11. Explain the difference between secondary care and tertiary care in the
context of nursing practice.
Secondary care involves specialized services, while tertiary care is
focused on primary health maintenance.
Secondary care is typically provided by general practitioners,
whereas tertiary care is provided by specialists.
Secondary care includes diagnostic and treatment services, while
tertiary care involves advanced medical procedures and
rehabilitation.
Secondary care is only available in outpatient settings, while tertiary
care is exclusively inpatient.
12. Which of the following is NOT one of the 5 rights of delegation?
right person
right level of supervision
right medication
right task
13. A 75-year-old client undergoes total hip replacement. After surgery, the
client questions why she must go to a rehabilitation center because she has
WITH COMPLETE SOLUTION
1. The nurse is caring for a patient with stage-4 metastatic esophageal cancer.
The patient has expressed to the nurse that they wish to end all treatments
and go home where they are more comfortable. The patient's family has
expressed that they want the patient to try a new experimental procedure,
which if successful, could prolong the patient's life. The nurse explains the
risks and benefits of the procedure with the family and discusses the patient
wishes. In this scenario, the nurse is acting as:
The charge nurse
A nurse educator
A patient advocate
The unit case manager
2. What term describes the actions taken by a client to maintain their current
health status and prevent illness?
Health promotion
Health maintenance
Illness prevention
Wellness
3. What is one potential risk associated with hiring Unlicensed Assistive
Personnel (UAPs) instead of Licensed Practical Nurses (LPNs) in a hospital
setting?
UAPs are more expensive to hire than LPNs.
UAPs may not have the necessary training to perform certain tasks.
UAPs can provide a wider range of services than LPNs.
, UAPs are always supervised by registered nurses.
4. What is one key factor that indicates the client is considered 'healthy' after
losing a leg?
The client has a supportive family.
The client is physiologically and psychologically stable.
The client participates in community activities.
The client has access to healthcare services.
5. What is the legal term for a nurse's failure to report abnormal vital signs that
results in harm to a patient?
Negligence
Malpractice
Assault
Battery
6. The nurse is helping to prepare a client for surgery. Who is legally
responsible for obtaining the client's informed consent for the surgical
procedure?
The surgeon
The scrub nurse
The circulating nurse
The perioperative team, collectively
7. Explain why the involvement of the client and family is crucial in establishing
realistic outcomes in nursing care.
, They provide financial support for the care.
They have the most knowledge about the client's preferences and
limitations.
They are responsible for the overall management of the healthcare
team.
They can make decisions without consulting healthcare professionals.
8. Explain why delivering meal trays is considered an indirect activity that can
be delegated to unlicensed assistive personnel in a nursing context.
It requires specialized nursing knowledge.
It does not involve direct patient assessment.
It is a task that requires constant supervision.
It is a critical component of patient care.
9. A client comes to the clinic with the complaint that he has been ill for several
weeks but does not have insurance and has delayed care. What does the LPN
understand about the overall healthcare reform goals that will address issues
such as this client?
The goal of healthcare reform is to provide care to women, infants,
and children.
The goal of healthcare reform is to provide more healthcare programs
to address illness.
The goal of healthcare reform is to provide quality healthcare for
those that can afford it.
The goal of healthcare reform is to provide affordable healthcare to
more citizens.
, 10. Why is it important for nurses to minimize medical terms when providing
discharge instructions to clients?
It makes the instructions longer and more detailed.
It ensures that clients can understand and follow the instructions.
It demonstrates the nurse's advanced knowledge.
It allows for more technical discussions with the client.
11. Explain the difference between secondary care and tertiary care in the
context of nursing practice.
Secondary care involves specialized services, while tertiary care is
focused on primary health maintenance.
Secondary care is typically provided by general practitioners,
whereas tertiary care is provided by specialists.
Secondary care includes diagnostic and treatment services, while
tertiary care involves advanced medical procedures and
rehabilitation.
Secondary care is only available in outpatient settings, while tertiary
care is exclusively inpatient.
12. Which of the following is NOT one of the 5 rights of delegation?
right person
right level of supervision
right medication
right task
13. A 75-year-old client undergoes total hip replacement. After surgery, the
client questions why she must go to a rehabilitation center because she has
