A nurse observes an assistive personnel reprimanding a client for not using the urinal
properly. The AP tells him she will put a diaper on him if she does not use the urinal
more carefully next time . Which of the following torts is the AP committing. - Correct
Answer-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 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? - Correct Answer-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?
- Correct Answer-I plan to write that I don't want them to keep me on a breathing
machine.
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, should 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? - Correct Answer-Report observations to the
nurse manager on the unit
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? -
Correct Answer-Make sure the surgeon obtained the client's consent.
Witness the client's signature on the consent form.
When entering a client's room to change a surgical dressing, a nurse notes that the
client is coughing and sneezing. Which of the following actions should the nurse take
when preparing a sterile field? - Correct Answer-Place a mask on the client to limit the
spread of microorganisms into the surgical wound
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A nurse has removed a sterile pack from its outside cover and placed it on a clean work
surface in preparation for an invasive procedure. Which of the following flaps should the
nurse unfold first? - Correct Answer-The flap furthest from the body
A nurse is wearing sterile gloves in preparation for performing sterile procedure. Which
of the following objects can the nurse touch without breaching sterile technique? -
Correct Answer-the inner wrapping of an item on the sterile field
an irrigation syringe on the sterile field
one gloved hand with the other gloved hand
A nurse is reviewing hand hygiene techniques with a group of assistive personnel.
Which of the following instructions should the nurse include when discussing
handwashing? - Correct Answer-Wash the hands with soap and water for at least 15
seconds.
Use a clean paper towel to turn off hand faucets.
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion.
Which of the following events should the nurse recognize as contaminating the sterile
field. - Correct Answer-The nurse moistens a cotton ball with sterile normal saline and
places it on the sterile field.
The procedure is delayed 1 hour because the provider receives an emergency call.
The nurse turns to speak to someone who enters through the door behind the nurse.
A nurse is discussing restorative health care with a newly licensed nurse. Which of the
following examples should the nurse include in the teaching? - Correct Answer-Home
health care
Rehab facilities
Skilled nursing facilities
A nurse is explaining the various types of health care coverage. Which of the following
health care financing mechanisms are federally funded? - Correct Answer-Medicare
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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
care strategy? - Correct Answer-Collaborating with providers to perform obesity
screenings during routine office visits.
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? - Correct Answer-Ensuring that health care providers comply with regulations
A nurse is explaining the various levels of health care services to a group of newly
licensed nurses. Which of the following examples of care or care settings should the
nurse classify as tertiary care? - Correct Answer-Intensive Care Unit (ICU)
Oncology treatment center
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? -
Correct Answer-A client who has terminal cancer requests hospice care in home
A client asks about community resources available for older adults
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? - Correct
Answer-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? - Correct Answer-Provider
Pharmacist
RN
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A client who had a CVA has persistent problems with dysphagia. The nurse caring for
the client should initiate a referral with which of the following members of the
interprofessional care team? - Correct Answer-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 types of tasks certified nursing assistants (CNAs) may perform,
which of the following client activities should she include? - Correct Answer-Bathing
Ambulating
Toileting
Measuring vital signs
A nurse is caring for a client who decides not to have surgery despite significant
blockages of the coronary arteries. The nurse understands that this client's choice is an
example of which of the following ethical principles? - Correct Answer-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? - Correct Answer-Beneficence
A nurse is instructing a group of newly licensed nurses about the responsibilities organ
donation and procurement involved. 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? - Correct Answer-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? - Correct Answer-Nonmaleficence
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 situations should the newly
licensed nurses identify as an ethical dilemma? - Correct Answer-A family has
conflicting feelings about the initiation of enteral tube feedings for their father, who is
terminal ill.
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