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Test 3
| Question | Answer |
|---|---|
| A nurse is caring for several clients on a medical-surgical unit. Which of the following client care situation requires the nurse to complete an incident report? | A client tells the nurse that his dentures are missing. What is the nurse’s role in the informed consent process? To witness the client’s signature on the informed consent form and to ensure that informed consent has been appropriately obtained. |
| A nurse is reviewing disaster management with a newly licensed nurse. Which of the following action should the nurse identify as being the responsibility of the nurse during a disaster? | focus on providing care that prevents life threatening emergencies. |
| A nurse is collecting data from a group of patients who have depressive disorders. Which of the following findings should the nurse expect? | Lack of energy |
| When a patient complains of sudden onset left-sided chest pain, the nurse asks questions to better understand the pain and collects data such as vital signs, ECG, and breath sounds to determine the possible cause of the pain. Once data is analyzed the nur | Critical thinking |
| A nurse tells another nurse that she thinks that he did not provide adequate care for a client who underwent a hip arthroplasty earlier that day. Which of the following responses by the accused nurse demonstrates assertiveness? | "I feel as though I met the standard of care. Would you tell me more about your concerns?" |
| A nurse is providing education to a client regarding a new medication for digoxin. The nurse is correct when she includes. | Do not take the medication if your pulse is below 60 You must check a radial pulse before taking the medication.” You need to report symptoms of nausea, anorexia, or visual changes to your physician immediately. |
| A nurse is reinforcing teaching with a newly licensed nurse about limit setting for a client who exhibits manipulative behaviors. Which of the following responses by the newly licensed nurse indicates further teaching is needed? | I will bargain with the client about consequences. |
| a nurse on a medical surgical unit is conducting a facility transfer with a client to an inpatient rehabilitation facility following a total hip replacement. Which of the following info should the nurse include in the transfer of paperwork? | list of current medications. |
| The PN returns to the client as promised 30 minutes after giving an analgesic: what ethical principle is observed? | Fidelity |
| The client who is 2 days postoperative following a left pneumonectomy has an apical pulse rate of 128 beats per minute and a blood pressure of 80/50 mm Hg. Which intervention should the nurse implement first? | Notify the healthcare provider immediately |
| Which is the primary reason the nurse needs to be a skilled critical thinker? | To provide excellent patient care |
| Which statement about empowerment is accurate? | Others can create conditions that make it easier for us to empower ourselves Critical thinking is of most value to the nurse who is doing what? Making decisions about how to handle a patient-based situation |
| A nurse is caring for a patient who has heart failure and has been taking digoxin 0.25 mg daily. The patient refuses breakfast and reports nausea. Thich of the following actions should the nurse take first? | Check the client's vital signs |
| A nurse is contributing to the plan of care for a client who has dysarthria. Which of the following referrals should the nurse recommend? | speech language pathologist |
| A nurse is reviewing discharge instructions with a patient who has tuberculosis. Which information should the nurse include? | Wear a mask while out or around crowds of people. |
| A nurse is caring for a client who has hypertension and recently developed drooping facial features. When contacting the provider which of the following statements should the nurse include as part of the background component of the SBAR communication tool | the client has a history of hypertension. |
| which statement by the nurse indicates he is a critical thinker? | "I checked with serval nurses and the patient's family for suggestions to help the patient sleep better" |
| A client asks the licensed practical nurse (LPN). Why are the making me have this surgery? I don’t understand why they are doing this. What should the nurse do | Notify the provider of the client's comments. |
| Which of the following is a common mistake made by the nurse during the change process? | failure to provide psychological safety for the staff |
| All of these are aspects of identity that may need advocacy except? | Maleficence |
| The nurse with strong critical thinking skills accepts information without question from what source? | No one |
| The nurse is working on a busy unit that is short-staffed, which client should the nurse see first? | A patient with chest pain radiating to the left arm and diaphoresis |
| A nurse mistakenly administers a dose of metformin within 1 hr of the previous dose. which of the following findings should alert the nurse the patient is experiencing an adverse effect from the medication error? | Diaphoresis and tachycardia |
| A nurse is preparing to administer enteric coated aspirin to an older adult client who had cerebrovascular accident and has difficulty swallowing medications. The client asks the nurse if she will crush the medication to make it easier to swallow. Which o | This medication may give you a stomachache or indigestion if crushed” |
| The nurse contaminates his sterile gloves but continues to insert the urinary catheter. What ethical principle was ignored? | Nonmaleficence |
| Why is critical thinking necessary for the nurse to identify and understand paradigms that exist in nursing practice? | Critically thinking allows the nurse to thoroughly examine situations and issues. |
| A nurse is teaching a patient who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching? | Take temperature once a day. |
| A nurse is monitoring a client who has Alzheimer's disease during the administration of intermittent IV antibiotic therapy. The client repeatedly attempts to remove the IV access line during the administration of the medication. Which of the following act | Assign assistive personnel to stay with a patient while receiving the medication. |
| A nurse recognizes an increase in patient falls in the facility. Which of the following steps should the nurse use first to begin the quality improvement process? | Collect data |
| Emotional intelligence is: | The ability to perceive and manage emotions of self and others |
| The nurse begins work by setting priorities of care. Which intervention will be the nurse’s highest priority? | Administer a diuretic to the patient with pulmonary edema. |
| A nurse enters the hospital cafeteria for lunch and overhears two assistive personnel (AP) discussing a client who is currently hospitalized. Which of the following actions should the nurse take? | Quietly tell the APs that the conversation is inappropriate |
| A nurse reinforces teaching to a client about end-of-life decisions. Which information about advance directives is correct? | a health care proxy can be designated. |
| The LPN is taking care of a patient with diabetes. She has several things she needs to teach the patient. Which item should she address first? | Administering Insulin |
| How can nurses help to empower patients to make better decisions about their own care? | Working as a partner with the patient |
| You are the LPN on duty and know that you must assess a client’s need before you can delegate a task to a certified nursing assistant. Assessing the client’s needs involves: | Gathering information about the client |
| A nurse is reinforcing discharge teaching with a patient who has pulmonary tuberculosis and is about to start rifampin. Which should the nurse include when teaching this patient? | Urine will be an orange color |
| As a nurse manager, you are responsible for all of the following EXCEPT: | Using your clinical skills and knowledge to provide holistic, personalized care. |
| Which is necessary for self-empowerment? | Self-esteem |
| Change-of-shift reports should take place in which of the following areas? | A private conference room |
| A nurse is working on a 4th floor medical-surgical unit when a severe weather alert code has been activated. Which of the following actions should the nurse take? | Turn on a radio to monitor the severe weather warnings. Relocate ambulatory patients into the hallways. Move the beds of non-ambulatory patients away from the windows. |
| Successful therapeutic communication includes which of the following components: | Uses SBAR to communicate with healthcare team. Necessary for a nurse to communicate with patients. Successful communication is a commitment to caring. |
Created by:
Nya Thomas