Exam 1 Flashcards
A nurse is discussing restorative health care with a newly licensed nurse, which of the following examples should the nurse include in the teaching?
A. home health care B. Rehab facilities C. Diagnostic centers D. Skilled Nursing facilities E. Oncology centers
A. home health care
B. rehab facilities
D. skilled nursing facilities
Which of the following health care financing mechanisms are federally funded?
A. PPO B. Medicare C. Long-term care insurance D. EPO E. Medicaid
B. Medicare
E. Medicaid
A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Which of the following actions should the nurse include as a primary health care strategy?
A. Collaborating with providers to perform obesity screenings during routine visits.
B. Ensuring the availability of specialized beds in rehabilitation centers for clients who have obesity.
C. Providing specialized intraoperative training regarding surgical treatments for obesity.
D. Educating acute care nurses on postoperative complications related to obesity.
A. Collaborating with providers to perform obesity screenings during routine visits.
What is the responsibility of state licensing boards?
A. Monitoring evidence-based practice for clients who have a specific diagnosis.
B. Ensuring that health care providers comply with regulations.
C. Setting quality standards for accreditation of health care facilities.
D. Determining if medications are safe for administration to clients.
A. Monitoring evidence-based practice for clients who have a specific diagnosis
Which of the following examples of health care settings classify as tertiary care?
A. ICU B. Oncology treatment center C. Burn Centers D. Cardiac rehabilitation E. Home health care
A. ICU
B. Oncology treatment center
C. Burn Center
A nurse is caring for a group of clients on a medical‑surgical unit. for which of the following client care needs should the nurse initiate a referral for a social worker? (select all that apply.)
A. a client who has terminal cancer requests hospice care in her home.
B. A client asks about community resources for an older adult.
C. a client states that she wants her child baptized before surgery.
D. a client requests an electric wheelchair for use after discharge.
e. a client states that he does not understand how to use a nebulizer.
A. a client who has terminal cancer requests hospice care in her home.
B. A client asks about community resources for an older adult.
D. a client requests an electric wheelchair for use after discharge.
a goal for a client who has difficulty with self‑feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral to which of the following members of the interprofessional care team?
A. social worker
B.Certified nursing assistant
C. registered dietitian
D. occupational therapist
D. Occupational Therapist
A client who is postoperative following knee arthroplasty is concerned about the adverse effects of the medication he is receiving for pain management. Which of the following members of the interprofessional care team can assist the client in understanding the medication’s effects? (select all that apply.)
A. Provider B. Certified nursing assistant C. Pharmacist D. Registered nurse E. Respiratory Therapists
A. Provider
C. Pharmacists
D. Registered Nurse
a client who has had a cerebrovascular accident has persistent problems with dysphagia (difficulty swallowing). The nurse caring for the client should initiate a referral with which of the following members of the interprofessional care team?
A. social worker
B. Certified nursing assistant
C. occupational therapist
D. speech‑language pathologists
D. Speech-language pathologist
a nurse is acquainting a group of newly licensed nurses with the roles of the various members of the health care team they will encounter on a medical‑surgical unit. When she gives examples of the types of tasks certified nursing assistants (Cnas) may perform, which of the following client activities should she include? (select all that apply.)
A. Bathing B. Ambulating C. Toileting D. Determining pain level E. measuring vital signs
A. Bathing
B. Ambulating
C. Toileting
E. Measuring Vital Signs
a nurse is caring for a client who decides not to have surgery despite significant blockages in his coronary arteries. the nurse understands that this client’s choice is an example of which of the following ethical principles?
A. Fidelity
B. autonomy
C. Justice
D. nonmaleficence
B. Autonomy
a nurse offers pain medication to a client who is postoperative prior to ambulation. the nurse understands that this aspect of care delivery is an example of which of the following ethical principles?
A.Fidelity
B. autonomy
C.Justice
D. beneficence
D. Beneficence
a nurse is instructing a group of nursing students about the responsibilities organ donation and procurement involve. When the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications, the students should understand that this aspect of care delivery is an example of which of the following ethical principles?
A.Fidelity
B. autonomy
C. Justice
D. nonmaleficence
C. Justice
a nurse questions a medication prescription as too extreme in light of the client’s advanced age and unstable status. the nurse understands that this action is an example of which of the following ethical principles?
A.Fidelity
B. autonomy
C. Justice
D. nonmaleficence
D. Nonmaleficence
a nurse is instructing a group of nursing students about how to know and what to expect when ethical dilemmas arise. Which of the following situations should the students identify as an ethical dilemma?
A. a nurse on a medical‑surgical unit demonstrates signs of chemical impairment.
B. a nurse overhears another nurse telling an older adult client that if he doesn’t stay in bed, she will have to apply restraints.
C. a family has conflicting feelings about the initiation of enteral tube feedings for their father, who is terminally ill.
D. a client who is terminally ill hesitates to name her spouse on her durable power of attorney form.
C. a family has conflicting feelings about the initiation of enteral tube feedings for their father, who is terminally ill.
a nurse observes an assistive personnel (ap) reprimanding a client for not using the urinal properly. the ap tells him she will put a diaper on him if he does not use the urinal more carefully next time. Which of the following torts is the ap committing?
A. assault
B. battery
C.False imprisonment
D. invasion of privacy
A. Assault
a nurse is caring for a competent adult client who tells the nurse that he is thinking about leaving the hospital against medical advice. the nurse believes that this is not in the client’s best interest, so she prepares to administer a pRn sedative medication the client has not requested along with his usual medication. Which of the following types of tort is the nurse about to commit?
A. assault
B. False imprisonment
C. negligence
D. breach of confidentiality
B. False imprisonment
a nurse in a surgeon’s office is providing preoperative teaching for a client who is scheduled for surgery the following week. the client tells the nurse that he will prepare his advance directives before he goes to the hospital. Which of the following statements made by the client should indicate to the nurse an understanding of advance directives?
A.“i’d rather have my brother make decisions for me, but iknow it has to be my wife.”
B.“i know they won’t go ahead with the surgery unless iprepare these forms.”
C.“i plan to write that i don’t want them to keep me on a breathing machine.”
D.“i will get my regular doctor to approve my plan before ihand it in at the hospital.”
C.“i plan to write that i don’t want them to keep me on a breathing machine.”
a nurse is caring for a client who is about to undergo an elective surgical procedure. the nurse should take which of the following actions regarding informed consent? (select all that apply.)
A.Make sure the surgeon obtained the client’s consent.
B.Witness the client’s signature on the consent form.
C. explain the risks and benefits of the procedure.
D.Describe the consequences of choosing not to have the surgery.e. tell the client about alternatives to having the surgery
A.Make sure the surgeon obtained the client’s consent.
B.Witness the client’s signature on the consent form.
a nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy and unable to focus on the issue at hand. today, she found the nurse asleep in a chair in the break room when she was not on a break. Which of the following actions should the nurse take?
A. alert the american nurses association. B.Fill out an incident report.
C.Report the observations to the nurse manager on the unit.
D.Leave the nurse alone to sleep.
C.Report the observations to the nurse manager on the unit.
a nurse on a medical‑surgical unit has received change‑of‑shift report and will care for four clients. Which of the following client’s needs should the nurse assign to an assistive personnel (ap)?
A.Feeding a client who was admitted 24 hr ago with aspiration pneumonia
B. reinforcing teaching with a client who is learning to walk using a quad cane
C. reapplying a condom catheter for a client who has urinary incontinence
D. applying a sterile dressing to a pressure ulcer
C. reapplying a condom catheter for a client who has urinary incontinence
a nurse manager of a medical‑surgical unit is assigning care responsibilities for the oncoming shift. a client is awaiting transfer back to the unit from the paCufollowing thoracic surgery. to which of the following staff members should the nurse assign this client? A.Charge nurse B. rn C. practical nurse (pn) D. assistive personnel (ap)
B. rn
a nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an ap. Which of the following information should the nurse share with the ap? (Select all that apply.)
A. the roommate ambulates independently.
B. the client ambulates with his slippers on over his antiembolic stockings.
C. the client uses a front‑wheeled walker when ambulating.
D. the client had pain medication 30 min ago.
E. the client is allergic to codeine.
F. the client ate 50% of his breakfast this morning
B. the client ambulates with his slippers on over his antiembolic stockings.
C. the client uses a front‑wheeled walker when ambulating.
D. the client had pain medication 30 min ago.
an rn is making assignments for a practical nurse (pn) at the beginning of the shift. Which of the following assignments should the pn question?
A. assisting a client who is 24‑hr postoperative to use an incentive spirometer
B.Collecting a clean‑catch urine specimen from a client who has a wound infection
C. providing nasopharyngeal suctioning for a client who has pneumonia
D. teaching a client who has asthma to use a metered‑dose inhaler
D. teaching a client who has asthma to use a metered‑dose inhaler
a nurse is preparing an in‑service program about delegation. Which of the following elements should she identify when presenting the five rights of delegation? (Select all that apply.)
A. right client B. right supervision and evaluation C. right direction and communication D. right time. E. right circumstances
B. right supervision and evaluation
C. Right direction and communication
E. right circumstances
a nurse is talking with the parents of a 6‑month‑old infant about gross motor development. Which of the following gross motor skills are expected findings in the next 3 months? (select all that apply.)
A. rolls from back to front B. Bears weight on legs C. Walks holding onto furniture D. sits unsupported E. sits down from a standing position
A. rolls from back to front
B. Bears weight on legs
D. sits unsupported
