A 70-year-old male is scheduled for surgery. He says to the
nurse, "I am so frightened—what if I don't wake up?" What
would be the nurse's best response?
A. "You have a wonderful doctor."
B. "Let's talk about how you are feeling."
C. "Everyone wakes up from surgery!"
D. "Don't worry, you will be just fine." Correct Answers B
A 72-year-old woman who is scheduled for a hip replacement is
taking several medications on a regular basis. Which drug
category might create a surgical risk for this patient?
A. Anticoagulants
B. Antacids
C. Laxatives
D. Sedatives Correct Answers A
A female patient who is receiving chemotherapy for breast
cancer tells the nurse, "The treatment for this cancer is worse
than the disease itself. I'm not going to come for my therapy
anymore." The nurse responds by using critical thinking skills to
address this patient problem. Which action is the first step the
nurse would take in this process?
A. The nurse judges whether the patient database is adequate to
address the problem.
B. The nurse considers whether or not to suggest a counseling
session for the patient.
,C. The nurse reassesses the patient and decides how best to
intervene in her care.
D. The nurse identifies several options for intervening in the
patient's care and critiques the merit of each option. Correct
Answers C
A health care provider orders a pain medication for a
postoperative patient that is a PRN order. When would the nurse
administer this medication?
a. A single dose during the postoperative period
b. Doses administered as needed for pain relief
c. One dose administered immediately
d. Doses routinely administered as a standing order Correct
Answers B
A home health nurse performs a careful safety assessment of the
home of a frail older adult to prevent harm to the patient. The
nurse's action reflects which principle of bioethics?
A. Autonomy
B. Beneficence
C. Justice
D. Fidelity
E. Nonmaleficence Correct Answers E
A hospice nurse is caring for a patient with end-stage cancer.
What action demonstrates this nurse's commitment to the
principle of autonomy?
,A. The nurse helps the patient prepare a durable power of
attorney document.
B. The nurse gives the patient undivided attention when
listening to concerns.
C. The nurse keeps a promise to provide a counselor for the
patient.
D. The nurse competently administers pain medication to the
patient. Correct Answers A
A medication order reads: "Hydromorphone, 2 mg IV every 3 to
4 hours PRN pain." The prefilled cartridge is available with a
label reading "Hydromorphone 2 mg/1 mL." The cartridge
contains 1.2 mL of hydromorphone. What should the nurse do?
a. Give all the medication in the cartridge because it expanded
when it was mixed and this is what the pharmacy sent.
b. Call the pharmacy and request the proper dose.
c. Refuse to give the medication and document refusal in the
EHR.
d. Dispose of 0.2 mL before administering the drug; verify the
waste with another nurse. Correct Answers D
A medication order reads: "K-Dur, 20 mEq po BID." When and
how does the nurse correctly give this drug?
a. Daily at bedtime by subcutaneous route
b. Every other day by mouth
c. Twice a day by the oral route
d. Once a week by transdermal patch Correct Answers C
, A nurse administers a dose of an oral medication for
hypertension to a patient who immediately vomits after
swallowing the pill. What would be the appropriate initial action
of the nurse in this situation?
a. Readminister the medication and notify the primary care
provider.
b. Readminister the pill in a liquid form if possible.
c. Assess the vomit, looking for the pill.
d. Notify the primary care provider. Correct Answers C
A nurse administers the wrong medication to a patient and the
patient is harmed. The health care provider who ordered the
medication did not read the documentation that the patient was
allergic to the drug. Which statement is true regarding liability
for the administration of the wrong medication?
A. The nurse is not responsible, because the nurse was following
the doctor's orders.
B. Only the nurse is responsible, because the nurse actually
administered the medication.
C. Only the health care provider is responsible, because the
health care provider actually ordered the drug.
D. Both the nurse and the health care provider are responsible
for their respective actions. Correct Answers D
A nurse answers a patient's call light and finds the patient on the
floor by the bathroom door. After calling for assistance and
examining the patient for injury, the nurse helps the patient back
to bed and then fills out an incident report. Which statements
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