Exam 3 Fundamentals

Question 1

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?

Answer 1

1.The COE was founded by the American Nurses
Association
2. There are 9 provisions included in the COE

Question 2

A nurse is teaching about professional values in nursing with a newly licensed nurse. Which of the following
information should the nurse include?

Answer 2

1. Altruism
2. Social Justice
3. Autonomy
4. Integrity

Question 3

Altruism

Answer 3

a professional value that is essential
for nurses to provide care for clients according to ethical standards

Question 4

Integrity

Answer 4

the demonstration of honesty

Question 5

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?

Answer 5

1. Your employer can terminate your employment if there is a breach in confidentiality
2. Your institution can receive monetary fines for a breach in confidentiality
3. The State Board of
   Nursing can reprimand you for a breach of client confidentiality
4. The civil penalties for breach of confidentiality can include imprisonment

Question 6

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?

Answer 6

Demographic data

Question 7

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?

Answer 7

Client reports chest pain after mowing lawn this morning

Question 8

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?

Answer 8

Confirm that the client is competent to sign for the procedure

Question 9

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

Answer 9

Blood clots

Question 10

Malignant hyperthermia

Answer 10

a life-threatening, genetic disorder that is triggered by certain
anesthetics.

Question 11

Smoking tobacco increases the risk for:

Answer 11

blood clots, myocardial infarction, pneumonia, tissue
necrosis, and delayed wound healing

Question 12

A nurse is assessing a client who is experiencing hypovolemia. Which of the following findings should the nurse
expect?

Answer 12

Oliguria

Question 13

Oliguria

Answer 13

decreased urine output,
decreased capillary refill, and confusion

Question 14

hypervolemia causes:

Answer 14

peripheral edema

Question 15

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?

Answer 15

General anesthesia

Question 16

General anesthesia

Answer 16

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.

Question 17

Moderate sedation

Answer 17

involves the use of short-acting IV sedatives. During this type of anesthesia,
clients are drowsy, but arousable.

Question 18

Local anesthesia

Answer 18

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.

Question 19

Regional anesthesia

Answer 19

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.

Question 20

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?

Answer 20

Intravenous

Question 21

Enteral absorption:

Answer 21

through the gastrointestinal tract

Question 22

Intramuscular absorption:

Answer 22

through blood vessels in the muscles

Question 23

Topical absorption:

Answer 23

absorbed through the skin and produce local and systemic effects

Question 24

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?

Answer 24

Report the incident to the provider

Question 25

A nurse is administering a powdered medication to a client. Which of the following actions should the nurse take
first?

Answer 25

Check the client for allergies

Question 26

A nurse administers the wrong medication to a client. Which of the following actions should the nurse take first?

Answer 26

Check the client’s vital signs

Question 27

A nurse is preparing to administer an ophthalmic medication to a client. Which of the following actions should the
nurse plan take?

Answer 27

Apply pressure to the client’s nasolacrimal duct after instillation

Question 28

A nurse is preparing to administer an otic medication to a client. Which of the following actions should the nurse
take?

Answer 28

1. Warm the medication to room temperature
2. Pull the client’s pinna up and back
3. Client should remain in a side-lying position so that the affected ear is up for 5 to 10 min

Question 29

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?

Answer 29

Return demonstration

Question 30

A nurse checks a client to evaluate the effectiveness of a pain medication. Which of the following components of
professionalism is the nurse demonstrating?

Answer 30

Responsibility

Question 31

Responsibility

Answer 31

is caring for clients in a reliable, dependable manner, and following through to
evaluate the effectiveness of care provided.

Question 32

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?

Answer 32

Nonmaleficence

Question 33

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?

Answer 33

Accountability