nursing kit (final)

Question 0

the nurse is providing an inservice for peers regarding safety in the workplace to prevent injury. the nurse would include

Answer 0

assuring proper posture when using the computer

Question 1

the mother of a 2y.o. expresses concern to the nurse that her child continually climbs out of the crib at home. the nurse advises the mother that she should

Answer 1

place a crib net over the top of the crib

Question 2

a client tells the nurse that the family will be having a reunion at the local park this summer. the nurse teaches the client that

Answer 2

all perishable food should be kept chilled

Question 3

which of the following nursing interventions is appropriate when a client has a seizure

Answer 3

loosen any clothing around the neck and chest

***turn pt on their side

Question 4

a charge nurse on the unit is asking nurses to stay for another shift because a nurse scheduled to work the next shift is ill. one nurse, who has worked extra this week, tells the charge nurse that it would not be safe for the nurse to work extra because

Answer 4

stress and anxiety can cause mistakes

Question 5

the graduate nurse is in orientation and is learning about basic competencies that are required for employement. in order to improve safety thru communication, the nurse plans to become proficient at

Answer 5

using the hospital informatics system

Question 6

the nurse is preparing to assist the physician, who is performing a procedure on a client in the client’s room. when everything is ready,, the nurse’s next action to reduce errors is

Answer 6

asking for a time out

Question 7

which of the following charges could the nurse be brought up on if the nurse were to restrain a client against his or her will

Answer 7

assault and battery

Question 8

a very confused client on the unit is wandering. which of the following alternatives to using a restraint would be used with this client

Answer 8

place a rocking chair in the client’s room

Question 9

the nurse has assessed an older client in the unit who is experiencing confusion and a severe ear infection. when planning priority of care for this client, the nurse includes measures to

Answer 9

prevent falls

Question 10

the nurse is visiting a family with two toddlers in their home. the nurse plans to educate the family when the nurse finds

Answer 10

cleaning fluids under the sink

Question 11

the nurse is teaching a 4y.o. and the parents about an oral medication that the child will be taking for an illness. the nurse shows the child the medication and tells the child that

Answer 11

the medication is needed because the child is sick

Question 12

during a home visit, the nurse notes that the parent is allowing the preschool child to help with the preparation of dinner. the nurse plans to teach the parent that

Answer 12

hot pots should be place on the back burners

Question 13

to prevent accidents due to sensory deprivation in the nurse plans to teach the client to

Answer 13

obtain regular vision and hearing assessments

Question 14

to prevent accidents due to sensory deprivation in the older adult, the nurse plans to teach the client to

Answer 14

obtain regular vision and hearing assessments

Question 15

the nursing instructor is national patient safety goals with the student and asks a student to explain the reason and purpose of these goals. the instructor concludes that the student has understood the teaching when the student responds

Answer 15

NPSG increases awareness of patient safety needs

Question 16

the nurse is admitting an older client to the hospital from a long-term care facility. in compliance with national patient safety goals, the nurse plans to request

Answer 16

a list of the client’s current meds

Question 17

when discussing responsible sexual behavior with a group of young adults, the nurse would emphasize

Answer 17

remaining in a long term monogamous relationship

Question 18

the nurse is planning an educational class for a group of 16y.o at the local high school. regarding the transmission of STDs, the nurse plans to teach the students that the best method of preventing STDs is

Answer 18

practicing abstinence

Question 19

a client understands that in the coming months she will become gravely ill. the client would like to establish a relationship with a nurse in order for the nurse to act as an advocate when the client has trouble with the complexities of the health care system. which of the following is a goal of being an advocate for a client

Answer 19

protect the client’s rights

Question 20

a home care client is not changing his dressing but did allow the dressing to be changed in the hospital every day. the nurse’s next action will be to

Answer 20

discuss with the client his personal values and resource allocation needs at home

Question 21

the school nurse has studied a potential health issue and identifies a ned for a vaccination program in the school district. the nurse is seeking to effect change as

Answer 21

advocate

Question 22

the nurse is caring for a client who is dying in the home. the family is having a difficult time because the client is refusing food and is losing weight. in order to empower the family, the nurse might tell the family that

Answer 22

food can actually cause painful problems at the end of life

Question 23

an expert nurse is interested in career progression thru public advocacy. the nurse plans to

Answer 23

contact the local congressman about a new health law

Question 24

the nurse functions as the RN who oversees care to mentally challenged children who live in a group home. many of these children travel daily to a workshop to stuff envelopes for a local busibess. the owners are reducing the amount of money available for gas to transport the children. the nurse advocates against this to protect

Answer 24

the dignity of the children

Question 25

a client who is in a mental health unit is experiencing an escalation of agitation. as an advocate for this client, what is the nurse’s initial action

Answer 25

remove the client to a quieter setting

Question 26

a 20 y.o client with Down syndrome is able to live in an assisted environment and work part-tim for a local bookstore. the parent of this client is adamant about not initiating a course of treatment whose side effects are unknown with Down syndrome clients. according to the nursing code of ethics, the nurse’s first loyalty is to which of the following

Answer 26

the client

Question 27

the nurse manager is talking with a charge nurse who tells the manager that there is difficulty with a staff nurse who consistently is a few minutes late for work every time the nurse is scheduled to work. the nurse manager suspects this person is

Answer 27

a member of generation x

Question 28

the charge nurse on a unit with high acuity and nurses fro the four generational groups is informed that a client is about to be admitted who has been in a serious ATV accident. the charge nurse expects which nurse to volunteer to be the primary caregiver for this client

Answer 28

the millennial generation nurse

Question 29

the nurse is asked to give a med to the client that will terminate the pt’s pregnancy. the nurse is opposed to this method of abortion. which of the following strategies might help the nurse decide the correct action in this case?

Answer 29

have self-awareness of values and beliefs

Question 30

the nurse failed to follow hospital procedure and hung a unit of blood on the wrong client. the client had an anaphylactic reaction, and the team has been called in for emergency treatment. during the resuscitation, the nurse does not reveal that the wrong blood was given. which moral principle should the nurse have utilized

Answer 30

veracity

Question 31

which of the following situations is most clearly a violation of the underlying principles associated with professional nursing ethics

Answer 31

when asked about the purpose of a med, a nurse colleague responds, “Oh i never look them up. i just give what i prescribed”

Question 32

a nurse working in the ED is asked to care for an openly gay client with AIDs. the nurse tells her supervisor that caring for the client is agaisnt her religious beliefs, and asks if she must take the assignment. does this nurse have an ethical obligation to care for the client

Answer 32

yes, unless the risk exceeds the responsibility

Question 33

a 67 y.o male client states that he and his new wife would like to have a child. he will provide the sperm, and his 37 y.o. wife will provide the ova. a 23 y.o. surrogate will carry the child. which of the following responses would be most appropriate by the nurse

Answer 33

i will ask our counselor to give you additional information

Question 34

when an ethical issue arises, which of the following is one of the most important nursing responsibilities in managing client care situations

Answer 34

being able to defend the morality of one’s own actions

Question 35

a client asks the nurse not to tell his wife that he has concer. he does not want to burden her with this info. wha would be the most appropriate response by the nurse

Answer 35

what benefits do you see from doing this

Question 36

when a nurse is teaching a class about preventive strategies to deter illness, the nurse is practicing beneficence. however, the nurse is increasing the risk of harm to a client in which of the following situations

Answer 36

the clients are middle-aged men who have familial histories of heart disease and are learning about strenuous exercises

Question 37

following a motor vehicle accident, the parents refuse to permit withdrawal of life support from the child with no apparent brain function. although the believe the child should be allowed to die and organ donation considered, the nurse supports their decision. which moral principle provided the basis for the nurse’s actions

Answer 37

respect for autonomy

Question 38

a client with HIV has no health insurance. the single-dose medication is $1100 pr month and the client s unable to obtain this medicine. instead the health acre clinic will provide three meds that must be taken four times a day. the nurse will

Answer 38

recognize that this is an ethical issue and encourage the client to discuss his feelings

Question 39

a client with cancer has decided against further treatment. which nursing action would be most helpful.

Answer 39

making sure the client has accurate info and understands the consequences of the decision

Question 40

a client in a long-term care facility has been complaining of care that is being given by on of the nurses. a new nurse is assigned to the client and is asked by the family what options they have since they want to make a formal complaint. the nurse’s best action is to

Answer 40

offer to notify the agency patient advocate

Question 41

the nurse, who is aware of the agency’s patient rights statement, overhears a client on the phone arguing with someone about having the right to choose a health care plan. the nurse recognizes that the client’s topic is not addressed by the hospital document but rather by

Answer 41

U.S. advisory commission on consumer protection

Question 42

the student nurse realizes that the student is that the student is held to the same legal standards to which licensed nurses are held. in an effort to understand the requirements, the student plans to

Answer 42

study the state’s nurse practice act

Question 43

the nurse is caring for a dying client who is in pain. the client refuses to allow the nurse to admin narcotics for pain and asks the nurse to obtain an order for a nonnarcotic pain reliever. the spouse tells the nurse to give the client the narcotics for pain. the nurse would

Answer 43

request a nonnarcotic order from the doctor

Question 44

the nurse is working in a facility that uses computers for recording assessments, lab work, and all other information regarding the client. as the nurse charts, one of the assigned clients uses the call bell requesting the nurse’s assistance. the best action by the nurse would be to

Answer 44

log off the computer and see to the client

Question 45

the nurse is assessing a client in the ED who was involved in an automobile accident. the client asks the nurse to check on the condition of a neighbor who was also in the car. the best response by the nurse is

Answer 45

i cannot give you any information about another client

Question 46

a client is scheduled to have surgery, has signed the consent form, but refuses to have a Foley catheter placed, saying, “that not part of the surgery” the nurse should

Answer 46

respect the client’s wishes and document accordingly

Question 47

the nurse is caring for a client who is being visited by the client’s physician. after the physician leaves, the nurse notes that the client chart is sitting on a table outside the client’s room. the nurse is responsible for

Answer 47

returning the chart to the rack at the nurse’s station

Question 48

a nurse is caring for an older adult client in the ED who was brought in by an adult child for vague, flulike symptoms. while helping the client to change into a gown, the nurse notices numerous bruises on the client’s back and arms. when questioned, the client is distracted and ambiguous with answers. the nurse should

Answer 48

report the situation to social services

Question 49

the nurse is examining a child in the ED who has bruises and red marks on the face. during assessment, the client clings to the parent as the parent explains that the child fell off the front porch. the nurse plans to report the incident to the appropriate agency becasue

Answer 49

the evidence requires a report without repercussions to the nurse

Question 50

the student nurse is attending a lecture on risk management. the educator determines that the student has understood teaching of the purpose of risk management when the student states

Answer 50

i should check all equipment for defects to protect the client

Question 51

the nurse is preparing to safely care for the assigned clients for the shift. prior to beginning care for each client, the nurse assesses the environment because

Answer 51

the nurse is looking for potential hazards

Question 52

the nurse overhears another nurse telling a client that pain med will be withheld if the pt doesn’t agree to take a shower. the best action by the nurse is to

Answer 52

recognize the abuse and report it to the supervisor

Question 53

the grad nurse determines that the five rights for med admin to a client are part of

Answer 53

quality management

Question 54

a nursing unit has been short staffed for the past month with a heavy client load an high acuity. the nurses on this unit have been working extra hours as well as double shifts and often dont have time to make sure that properly working equipment is cleaned, returned, and stored in the appropriate areas. this unit should be evaluated at which level

Answer 54

structure

Question 55

a nursing instructor is explaining quantitative systems for quality improvement in the agency. the instructor determines that the students have understood the lecture when a student states that six sigma is

Answer 55

a process that uses quantitative data to monitor progress

Question 56

the nurse is studying the national patient safety goals in an effort to ensure that the nurse delivers safe care to assigned clients. the nurse is aware that these goals are revised

Answer 56

annually

Question 57

the nurse is talking with a client who mentions that having so many nurses in the unit must be increasing the cost of care cuhs nurses get paid more. the nurse appropriately responds that

Answer 57

studies show that costs are decreased with an RN staff

Question 58

the nursing instructor is teaching the students about quality improvement in the health care agency. the instructor concludes that the students have understood the concept when a student states that

Answer 58

increasing the RN staff increases client satisfaction

Question 59

the nurse is working with a client who is about to be discharged to a rehab facility. the client asks if nurses play a part in evaluating the quality of care that clients receive. the nurse responds that

Answer 59

we each contribute by collecting data for eval

Question 60

the nurse is present in the operating room when a client is injured permanently during a procedure. the nurse expects to participate in

Answer 60

a root cause analysis