Unit 1 Questions Flashcards
A home health nurse is discussing the dangers of carbon monoxide poisoning with a client. Which of the following information should the nurse include?
A. Carbon monoxide has a distinct odor
B. Water heaters should be inspected every five years
C. The lungs are damaged from carbon monoxide inhalation
D. Carbon monoxide blinds with the hemoglobin in the body
Answer: D
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 healthcare strategy?
A. Collaborating with providers to perform obesity screenings during routine office visits.
B. Ensuring the availability of specialized beds and the rehabilitation centers for clients who have obesity.
C. Providing specialized intraoperative training and surgical treatments for obesity.
D. Educating acute care nurses about postoperative complications related to obesity.
Answer:
A
A nurse is caring for a client who is receiving enteral tube feedings due to dysphasia. Which of the following bed position should a nurse use for safe care of this client?
A. Supine
B. Semi-fowlers
C. Semi-prone
D. Trendelenburg
Answer: B
An occupational health nurse is caring for an employee who was exposed to an unknown dry chemical, resulting in a chemical burn. Which of the following interventions should the nurse include in the plan of care?
A. Irrigate the affecting area with running water.
B. Wash the affected area with antibacterial soap.
C. Brush the chemical off the skin and clothing
D. Leave the clothing in place until emergency personnel arrive.
Answer: C
A nurse is admitting a client who has acute cholecystitis to A medical surgical unit. Which of the following actions are essential steps of the admission procedure? Select all that apply.
A. Explain the roles of other care delivery staff
B. Begin discharge planning
C. Informed the client that advanced directives are required for hospital admission
D. Document the clients wishes about organ donation
E. Introduce the client to their roommate
Answer: A, B, D, E
A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that do not require a providers prescription. Which of the following intervention should the nurse include? Select all that apply.
A. Writing a prescription for morphine sulfate as needed for pain.
B. Inserting a nasogastric NG tube to relieve gastric distention.
C. Showing a client how to use progressive muscle relaxation
D. Performing a daily bath after the evening meal
E. Re-positioning a client every two hours to reduce pressure injury risk
Answer: C, D, E
A home health nurse is discussing the dangers of food poisoning with a client. Which of the following information should the nurse include? Select all that apply.
A. Most food poisoning is caused by a virus
B. Immunocompromised individuals are at increased risk for complications from food poisoning
C. Clients who are at high risk should eat or drink only pasteurized dairy products.
D. Healthy individuals usually recover from the illness in a few weeks
E. Handling raw and fresh food separately can prevent food poisoning
Answer: B, C, E
A nurse is performing an admission assessment for an older adult client. After gathering the assessment data and performing the review of systems, which of the following actions as a priority for the nurse?
A. Orient the client to their room
B. Conduct a client care conference
C. Review medical prescriptions
D. Develop a plan of care
Answer: A
A nurse is instructing a group of newly licensed nurses 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 newly licensed nurses 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
Answer: C
A nurse questions a medication prescription as to extreme in light of the clients 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
Answer: D
A nurse is receiving a providers prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? Select all that apply.
A. Repeat the details of the prescription back to the provider
B. Have another nurse listen to the telephone prescription
C. Obtain the providers signature on the prescription within 24 hours
D. Declined a verbal prescription because it is not an emergency situation
E. Tell the charge nurse that the provider has prescribed morphine by telephone
Answer: A, B, C
A nurse is contributing to the plan of care for a client who is being admitted to the facility with a suspected diagnosis of pertussis. Which of the following intervention should the nurse include? Select all that apply.
A. Place the client in a room that has negative air pressure of at least 60 exchanges per hour.
B. Wear a mask when providing care within 3 feet of the client
C. Place a surgical mask on the client if transportation to another department is unavoidable
D. Use sterile gloves when handling soiled linens
E. Wear a gown when performing care of that might result in contamination from secretions
Answer: B, C, E
A charge nurse is observing a newly licensed nurse care for a client who reports pain. The nurse checked the clients MAR and noted the last dose of pain medication was six hours ago. The prescription reads every four hours PRN for pain. The nurse administered the medication and checked with the client 40 minutes later, when the client reported improvement. The newly licensed nurse left out which of the following steps in the nursing process?
A. Assessment
B. Planning
C. Intervention
D. Evaluation
Answer: A
A nurse is preparing the discharge summary for a client who has had knee arthroplasty and he’s going home. Which of the following information about the client should the nurse include in the discharge summary? Select all that apply.
A. Advanced directives status B. Follow up care C. Instructions for diet and medication D. Most recent vital sign data E. Contact information for the home healthcare agency
Answer: B, C, E
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 clients consent.
B. Witness the client 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 surgery.
Answer: A, B
A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? Select all that apply.
A. Home health care B. Rehabilitation facilities C. Diagnostic centers D. Skilled nursing facilities E. Oncology centers
Answer:
A, B, D
A nurse is reviewing hand hygiene techniques with a group of assistive personnel. Which of the following instruction should the nurse include when discussing handwashing? Select all that apply.
A. Apply 3 to 5 ML of liquid soap to dry hands
B. Wash their hands with soap and water for at least 15 seconds
C. Rinse the hands with hot water
D. Use a clean paper towel to turn off hand faucets
E. Allow the hands to air dry after washing
Answer: B, D
A newly licensed nurse is considering strategies to improve critical thinking. Which of the following actions should the nurse take? Select all that apply.
A. Find a mentor
B. Use a journal to write about the outcomes of clinical judgments
C. Review articles about evidence-based practice
D. Limit consultations with other professionals involved in a clients care.
E. Make quick decisions when unsure about a clients needs
Answer: A, B, C
A nurse is caring for a client who fell at a nursing home. The client is oriented to person, place, and time and can follow directions. Which of the following actions should the nurse take to decrease the risk of another fall? Select all that apply.
A. Place a belt restraint on the client when they are sitting on the bedside commode.
B. Keep the bed and its lowest position with all side rails up.
C. Make sure that the clients call light is within reach.
D. Provide the client with nonskid footwear.
E. Complete a fall risk assessment.
Answer: C, D, E
A nurse receives a prescription for an antibiotic for a client who has cellulitis. The nurse checks the clients medical record, discovers that the client is allergic to the anabiotic, and calls a provider to request a prescription for a different antibiotic. Which of the following critical thinking attitudes did the nurse demonstrate?
A. Fairness
B. Responsibility
C. Risk-taking
D. Creativity
Answer: B
A nurse is caring for a client who is 24 hours post operative following an inguinal hernia repair. The client is tolerating clear liquids well, has active bowel sounds, and is expressing a desire for “real food.” The nurse tells the client, “I will call the surgeon and ask for a change in diet. “The surgeon here’s the nurses report and prescribes a full liquid diet. The nurse used which of the following levels of critical thinking?
A. Basic
B. Commitment
C. Complex
D. Integrity
Answer: A
A nurse educator is reviewing proper body mechanics during employee orientation. Which of the following statements should the nurse identify as an indication that an attendee understands the teaching? Select all that apply.
A. “My line of gravity should fall outside my base of support.”
B. “The lower my center of gravity, the more stability I have.”
C. “To broaden my base of support, I should spread my feet apart.”
D. “When I lift an object, I should hold it as close to my body as possible.”
E. “When pulling an object, I should move my front foot forward.”
Answer: B, C, D
A nurse is wearing sterile gloves in preparation for performing a sterile procedure. Which of the following objects can the nurse touch without breaching sterile technique? Select all that apply.
A. A bottle containing a sterile solution
B. The edge of the sterile drape at the base of the field
C. The inner wrapping of an item on the sterile field
D. An irrigation syringe on the sterile field
E. One gloved hand with the other gloved hand
Answer: C, D, E
A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the nurse identify as the responsibility of state licensing boards?
A.Monitoring evidence-based practice for clients who have a specific diagnosis.
B. Ensuring that healthcare providers comply with regulations.
C. Setting quality standards for accreditation of healthcare facilities.
D. Determining whether medication‘s are safe for administration to clients.
Answer:
B
A nurse on medical-surgical unit is informed that a mass casualty event occurred in the community and that it is necessary to discharge stable clients to make beds available for injury victims. Which of the following clients should the nurse recommends for discharge? Select all that apply.
A. A client that is dehydrated and receiving IV fluids and electrolytes
B. A client who has a nasogastric tube to treat a small bowel obstruction
C. A client who is scheduled for an elective surgery
D. A client who has chronic hypertension and blood pressure of 135/85 mm Hg
E. A client who has acute appendicitis and is scheduled for an appendectomy.
Answer: C, D
A nurse is instructing a group of newly licensed nurses about how to know and what to expect when ethical dilemmas arise. Which of the following situation should the newly licensed nurses identify as an ethical dilemma?
A. A nurse on a medical surgical unit demonstrates signs of chemical impairment.
B. A nurse over here is 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 their partner on their durable power of attorney form.
Answer: C
A charge nurse is assigning client care for four clients. Which of the following tasks should the nurse assigned to a PN?
A. Creating a plan of care for a client who is recovering following a stroke
B. Assessing a pressure injury on a client who is on bedrest
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Teaching a client who has asthma to use a metered dose inhaler
Answer: C
A nurse observes smoke coming from under the door of the staff lounge. Which of the following actions is the nurses priority?
A. Extinguish the fire
B. Activate fire alarm
C. Move clients who are nearby
D. Close all open doors on the unit
Answer: C
A nurse educator is presenting a module and basic first aid for newly licensed home health nurses. The client who has heat stroke will have which of the following?
A. Hypotension
B. Bradycardia
C. Clammy skin
D. Bradypnea
Answer: A
A nurse observes an assistive personnel reprimanding a client for not using the urinal properly. The assistive personnel tells the client that diapers will be used next time they are not as used in properly. Which of the following torts is the assistive personnel committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy
Answer: A
