Exam 3 Fundamentals Flashcards
A nurse is preparing to teach a newly licensed nurse about the Code of Ethics (COE) for nurses. Which of the
information should the nurse include?
1.The COE was founded by the American Nurses
Association
2. There are 9 provisions included in the COE
A nurse is teaching about professional values in nursing with a newly licensed nurse. Which of the following
information should the nurse include?
- Altruism
- Social Justice
- Autonomy
- Integrity
Altruism
a professional value that is essential
for nurses to provide care for clients according to ethical standards
Integrity
the demonstration of honesty
A nurse manager is preparing to discuss a breach of confidentiality with their staff. Which of the following statements
should the nurse manager plan to make?
- Your employer can terminate your employment if there is a breach in confidentiality
- Your institution can receive monetary fines for a breach in confidentiality
- The State Board of
Nursing can reprimand you for a breach of client confidentiality - The civil penalties for breach of confidentiality can include imprisonment
A charge nurse is providing an in-service on documentation with a group of staff nurses. Which of the following
should the nurse include as a component of an electronic health record?
Demographic data
A nurse is documenting in a client’s health record using the subjective, objective, assessment, and plan (SOAP)
charting model. Which of the following information should be included in the subjective component?
Client reports chest pain after mowing lawn this morning
A nurse is teaching a newly licensed nurse about informed consent. Which of the following should be included as a
responsibility of the nurse in this process?
Confirm that the client is competent to sign for the procedure
A nurse is caring for a client who is scheduled for surgery and who reports they smoke cigarettes. The nurse should
identify that tobacco use increases the client’s risk for which of the following postoperative complications
Blood clots
Malignant hyperthermia
a life-threatening, genetic disorder that is triggered by certain
anesthetics.
Smoking tobacco increases the risk for:
blood clots, myocardial infarction, pneumonia, tissue
necrosis, and delayed wound healing
A nurse is assessing a client who is experiencing hypovolemia. Which of the following findings should the nurse
expect?
Oliguria
Oliguria
decreased urine output,
decreased capillary refill, and confusion
hypervolemia causes:
peripheral edema
A nurse is teaching a newly licensed nurse about anesthesia. The nurse should include that the client is not
arousable during which of the following types of anesthesia?
General anesthesia
General anesthesia
involves the use of medications to depress the central nervous system.
During this type of anesthesia, clients experience a loss of consciousness, reflexes, and
sensation.
Moderate sedation
involves the use of short-acting IV sedatives. During this type of anesthesia,
clients are drowsy, but arousable.
Local anesthesia
involves the use of a local or topical anesthetic agent to produce loss of pain
and touch in a specific area. Clients are awake and alert during local anesthesia.
Regional anesthesia
involves the use of an anesthetic agent injected into a sensory nerve
pathway, such as during a spinal or epidural block. Clients are arousable during regional
anesthesia.
A nurse is teaching a class about routes of medication administration. The nurse should include that which of the
following routes has the fastest rate of absorption?
Intravenous
Enteral absorption:
through the gastrointestinal tract
Intramuscular absorption:
through blood vessels in the muscles
Topical absorption:
absorbed through the skin and produce local and systemic effects
A nurse opens a unit-dose of a prescribed medication prior to administering it to a client. The client refuses to take
the medication. Which of the following actions should the nurse take?
Report the incident to the provider
A nurse is administering a powdered medication to a client. Which of the following actions should the nurse take
first?
Check the client for allergies
A nurse administers the wrong medication to a client. Which of the following actions should the nurse take first?
Check the client’s vital signs
A nurse is preparing to administer an ophthalmic medication to a client. Which of the following actions should the
nurse plan take?
Apply pressure to the client’s nasolacrimal duct after instillation
A nurse is preparing to administer an otic medication to a client. Which of the following actions should the nurse
take?
- Warm the medication to room temperature
- Pull the client’s pinna up and back
- Client should remain in a side-lying position so that the affected ear is up for 5 to 10 min
A nurse is teaching a client about how to administer a topical medication. After showing the client the procedure,
the nurse asks the client to perform the skill. Which of the following types of teaching strategies is the nurse using?
Return demonstration
A nurse checks a client to evaluate the effectiveness of a pain medication. Which of the following components of
professionalism is the nurse demonstrating?
Responsibility
Responsibility
is caring for clients in a reliable, dependable manner, and following through to
evaluate the effectiveness of care provided.
A nurse is teaching a class on ethical principles. The nurse should include that protecting a client’s safety by not
causing harm refers to which of the following ethical principles?
Nonmaleficence
A nurse administers the wrong medication to a client. After assessing the client, the nurse contacts the provider
and completes an incident report. Which of the following components of professionalism is the nurse
demonstrating?
Accountability
