Chapter 13 - Potter Text Review Questions

Question 1

The nurse received the report on the patient’s to whom she was assigned during the shift. Which patient should the nurse first see?

1. The patient who had a hysterectomy 2 days ago and is scheduled for discharge later this morning.
2. The patient who is scheduled for a colonoscopy in 2 hours
3. The patient 2 days following gastric surgery who is complaining of shortness of breath
4. The patient who is complaining of nausea by has not vomited

Answer 1

3

Question 2

The RN checks her patient, a 62-year-old man admitted to the hospital with pneumonia. The patient has been coughing profusely and requires nasotracheal suctioning. He also has an intravenous (IV) infusion of antibiotics. He is febrile with a temperature of 38.3 C (101 F). He asks the RN if he can have a bed bath because he has been perspiring profusely. The task for RN to delegate to the nursing assistive personnel working with her today is:

1. Teaching the use of incentive spirometer
2. Changing the IV dressing
3. Nasotracheal suctioning
4. Administering a bed bath

Answer 2

4

Question 3

The nurse completed morning rounds on her assigned patients and is giving the nursing assistant directions for what needs to be done in the next hour. Which statements are examples of appropriate ways to communicate directions when delegating nursing care? (Select all that apply.) 1. “Please go to room 20A and see what the patient needs.” 2. “I would like you to take vital signs for rooms 12 and 13 and let me know if there are any problems.” 3. “Would you start the patient’s bath while I check on the IV line in room 14? I’ll help you with turning her so I can access her skin and decide on the turning schedule we’ll need to follow.” 4. “I want you to help the patient in room 16B off the bedpan and get the stool specimen if he passed any stool. I left the specimen container in the bathroom. 5. Thank you for walking the patient down the hallway this morning. You did a good job assisting him and then documenting his vital signs in the medical record.”

Answer 3

3, 4, 5

Question 4

The patient for whom you are caring on the cardiac unit stops breathing. You start cardiopulmonary resuscitation (CPR). You recognize that this is classified as which type of priority?

1. High
2. Direct
3. Intermediate
4. Low

Answer 4

1

Question 5

The nurse asks the nursing assistive personnel (NAP) to take the patient’s blood pressure with the patient in a lying, sitting, and standing position. The NAP asks the nurse why the blood pressure needs to be taken 3 times. The nurse explains the reasons for taking the blood pressure in 3 positions. The nurse’s interaction with NAP is an example of which of the five rights of delegation.

1. Right supervision
2. Right task
3. Right communication
4. Right circumstances

Answer 5

3

Question 6

Which task is appropriate for the RN to delegate to the nursing assistive personnel (NAP)?

1. Assessing the vital signs on a patient who is experiencing chest pain
2. Explaining to a patient how to change the dressing on the abdominal incision
3. Providing patient teaching on a newly prescribed medication
4. Administering a soap-suds enema to a patient per order

Answer 6

4

Question 7

An RN is responsible for a caseload of patients during their stay in the hospital. Communication is lateral from RN to RN, and the RN has a degree of autonomy and authority. Which care delivery model is the nurse practicing within?

1. Total patient care
2. Primary nursing
3. Team nursing
4. Case management

Answer 7

2

Question 8

Which activity by the nursing student shows a strategy for effective organizational skills?

1. The student makes two trips to the supply room to gather materials for a dressing change.
2. The student stopped twice while setting up her medications to help another student.
3. The student commented on how unorganized she felt and stated that she would do better next week.
4. As the student is bathing the patient, she teaches interventions for good foot care to the patient.

Answer 8

4

Question 9

The nurse delegated the task of taking a patient to the bathroom to the nursing assistive personnel (NAP). Which activities by the nurse indicate that appropriate delegation was practiced? (Select all that apply.) 1. The nurse mentally reviewed the patient’s condition and determined that she could ambulate to the bathroom with the assistance of one person. 2. The nurse instructed the NAP to take the patient to the bathroom as soon as possible. 3. The nurse told the NAP that she would answer her question about whether the patient has activity limitations later because she had to administer STAT medication. 4.The nurse asked the NAP if she thought that she could get the patient out of bed on her own and walk her to the bathroom. I 5. The nurse told the NAP in the break room that she did not save the patient’s urine for the 12-hour urine collection that was in progress. 6. The nurse told the NAP that she would come in and see if she needed assistance with the patient right after she administered a medication.

Answer 9

1, 4, 6

Question 10

The nurses of a clinical unit voted to trial self-scheduling for 6 months. After the 6-month period, an evaluation will be completed with one component being to evaluate nurses’ satisfaction with the process. Which component of decision making are the nurses practicing?

1. Authority
2. Responsibility
3. Accountability
4. Autonomy

Answer 10

4