Quiz 1 prepU questions

A nurse confides in a nurse friend, "I never report minor incidents. The charge nurse always wants a variance report filled out and they take so much time." Which responses by the friend are indicated? Select all that apply. "Reporting helps us fix problems that result in danger to clients." "As long as no one is hurt, I don't see a problem with not reporting minor incidences." "I don't blame you, I think the charge nurse is just trying to get us in trouble." "I usually document the problem in the chart, but don't fill out a report." "Having documentation might keep you out of trouble someday."

"Reporting helps us fix problems that result in danger to clients." "Having documentation might keep you out of trouble someday."

A client with a complex cardiac history has been prescribed digoxin 0.0625 mg PO. The drug is available as 125 mcg tablets. How many of the tablets will the nurse administer? 4 2 0.5 1.5

0.5

The nurse is preparing to administer an allergy test intradermally. At what angle will the nurse plan to insert the needle into the client? 10 to 15 degrees 90 degrees 45 degrees 20 to 30 degrees

10 to 15 degrees

During the course of any given day of work in the acute care setting, the nurse may need to perform which roles? Select all that apply. Statistician Counselor Teacher Financier Communicator

Counselor Teacher Communicator

Which example most accurately depicts the ethical principle of autonomy? Transporting a client to a scheduled physical therapy appointment Changing a dressing on a wound as needed Administering a morning dose of insulin before breakfast Describing a surgery to a client before the consent is signed

Describing a surgery to a client before the consent is signed

Which traits are examples of virtues that can exemplify character and conduct as a professional nurse? Select all that apply. Conflict Deception Humility Compassion Trustworthiness

Humility Compassion Trustworthiness

A nurse is providing care to a client who is feeling lonely and isolated. In an effort to develop a trusting nurse-client relationship, the nurse exhibits a caring attitude, ensures the client's privacy, and spends time with the client to promote therapeutic communication. The nurse is meeting which category of client needs? Self-esteem Love and belonging Physiologic Safety and security

Love and belonging

A client in a long-term care facility has become increasingly unsteady. The nurses are worried that the client will climb out of bed and fall. Which measure would be a priority recommendation for this client? Providing a bed that is elevated from the floor Using restraints on the client to prevent a fall Placing the client in a bed with a bed alarm Raising all the side rails of the bed

Placing the client in a bed with a bed alarm

What is the primary role of the nurse in the care of clients who experience domestic violence? Calling the police Providing prompt recognition of the potential or actual threat to safety Serving as a witness in court Identifying health education and counseling measures for the family

Providing prompt recognition of the potential or actual threat to safety

The nurse on a medical-surgical unit notices smoke from a client's room. Upon entering, the nurse notes that the curtain in the room is on fire. What should be the nurse's first action? Obtain the fire extinguisher. Remove the client from the room. Close the client's door. Activate the fire alarm.

Remove the client from the room.

The nurse is holding a cholesterol screening at a local pharmacy this Saturday morning. What level(s) of health promotion is this screening an example of? Primary Tertiary All three levels Secondary

Secondary

The nurse is caring for a client with rectal bleeding. The nurse will place the client into which position to facilitate rectal examination? Sims' supine prone Fowler's

Sims'

The nurse receives an 8-year-old client in the pediatric unit following a tonsillectomy. Which assessment finding requires immediate intervention by the nurse? The client makes a rattling noise when breathing through the mouth. The client cries to the nurse that the client wants to go home. The client is sleepy from the anesthesia, but arouses when addressed by name. The client tells the nurse that the client's throat hurts.

The client makes a rattling noise when breathing through the mouth.

A nurse is providing care for clients in a long-term care facility. What should be the central focus of this care? The nurse as the caregiver Nursing as a profession The nurse's actions The client receiving the care

The client receiving the care

Which is the best example of a client-centered approach to care? The nurse asks the client about health goals. The nurse asks the client what the client would like to order from the menu. The nurse helps a client ambulate. The nurse draws a blood sample from a client.

The nurse asks the client about health goals.

Which type of mobility aid would be most appropriate for a client who has poor balance? a cane with four prongs on the end (quad cane) a single-ended cane with a half-circle handle a single-ended cane with a straight handle axillary crutches

a cane with four prongs on the end (quad cane)

A legal document that states a client's health-related wishes — such as a preference for pain management if the client becomes terminally ill — and also allows the client's adult child to direct the client's care, is: a license. a will. an advance directive. a standard of care.

an advance directive.

A 17-year-old is brought to the emergency department with a head injury. The nurse knows that adolescents are vulnerable to injuries related to: falls from staircases. automobile accidents. falls from beds. play-related injuries.

automobile accidents.

A BSN nurse is discussing the benefits of a BSN to high school students. Which statement made by the nurse would be most appropriate? "Many nursing management jobs require a BSN." "Most nontraditional students obtain a BSN." "BSN nurses only work in the hospital." "BSN programs attract the most males."

"Many nursing management jobs require a BSN."

A nurse is demonstrating ethnocentrism. Which statement would reflect this concept? "Irish people are all heavy drinkers." "Anybody on welfare is just lazy." "My Russian heritage is superior to all others." "Asians are always the smartest in the class."

"My Russian heritage is superior to all others."

The nurse is evaluating client health. Which client should the nurse determine to be exhibiting the most signs of health? A client with a leg amputation who performs activities of daily living with a prosthesis A client with depression who refuses to get out of bed A client with diabetes who is in denial of the diabetes and refuses to take insulin A client in acute emotional distress due to spouse's death

A client with a leg amputation who performs activities of daily living with a prosthesis

The nurse is providing care to a client whose condition has progressively declined. The nurse assesses and makes appropriate interventions as well as notifies the health care provider. Despite the nurse's efforts, the client expires. What element of liability has the nurse demonstrated? Damages Breach of duty Causation Duty

Duty

A health care provider orders extremity restraints for a confused client who is at risk for injury by pulling out her central venous catheter. What is the nurse's most appropriate action when carrying out this order? Use a quick-release knot to tie the restraint to the side rail. Apply restraints to the hands or wrists, never to the ankles. Ensure that two fingers can be inserted between the restraint and the client's extremity. Remove the restraint at least every 4 hours, or according to facility policy.

Ensure that two fingers can be inserted between the restraint and the client's extremity.

A nurse is preparing to file a safety event report after a client experienced a fall. Which statement is correct regarding the filing of a safety event report? The nurse should include a note on the client's chart that mentions the report. The nurse should make a copy of the safety event report and place it in the client's medical record. The nurse should record the incident in the client's medical record and fill out a safety event report separately. The nurse should await results of the x-ray before filing the report.

The nurse should record the incident in the client's medical record and fill out a safety event report separately.

The nurse's community outreach class is giving a presentation on seat belts and child safety seats at the local firehouse every weekend in October. Which level of health promotion is this an example of? Secondary Medical Primary Tertiary

primary

The spouse of a client asks the nurse whether the spouse may bring in a cream from home to apply to the client's skin. The spouse says, "Whenever anyone gets sick, we always use this cream." The nurse interprets this as: ethnocentrism. stereotyping. subculture. ritual.

ritual

A client is diagnosed with hepatitis C. What statement made by the client indicates that further education is required regarding the transmission of the virus? "I received a blood transfusion in 1989, which could be a factor in contracting the disease." "I can't transmit the virus other people if I shake their hands." "I may have gotten the virus when I got a tattoo while I was in prison." "I probably got the virus when I sat on the toilet seat in a dirty bathroom."

"I probably got the virus when I sat on the toilet seat in a dirty bathroom."

A client reports developing repeated furuncles in the groin area. What statement(s) made by the client indicates to the nurse that education about prevention will be required? Select all that apply. "I use a separate towel from other members of my household." "I ruptured the furuncle so that hydrogen peroxide and an antibiotic cream can be applied." "I use good hand hygiene before and after washing the area and applying the prescribed medication." "I have aspirated the drainage with a needle to relieve the pressure and the pain." "All of the items that I use that touch the area are washed in hot water and bleach."

"I ruptured the furuncle so that hydrogen peroxide and an antibiotic cream can be applied." "I have aspirated the drainage with a needle to relieve the pressure and the pain."

A charge nurse has implemented staff education on nursing values. The nurse would determine that further education is required when which statement(s) are overheard? Select all that apply. "If that was my mother, I sure wouldn't agree to a no-code." "If you are going to have extramarital sex, please protect yourself by using a condom." "The gonorrhea test was positive. That's what the client gets for sleeping around." "Smoking has been shown to be a risk for many illnesses, including heart disease and cancer." "I can't believe the client is giving that precious baby up for adoption."

"If that was my mother, I sure wouldn't agree to a no-code." "The gonorrhea test was positive. That's what the client gets for sleeping around." "I can't believe the client is giving that precious baby up for adoption."

The registered nurse is teaching a community health class about illness prevention. Which statement reflects understanding of this concept? "My family will call hospice for an evaluation." "If I am injured, I will call an ambulance." "I will take my medication for hypertension every day." "It is important to enroll in a smoking cessation class."

"It is important to enroll in a smoking cessation class."

It is time for a nurse to renew licensure. The nurse says, "I need some really easy and quick continuing education hours. I don't understand why we have to do these every year." What is the nurse's coworker's best response? "Life-long learning is part of the code for nurses." "See if any of the classes we have to take at the hospital each year will count." "It is hard to get enough hours since we work full time and have families." "There is lots of free continuing education online."

"Life-long learning is part of the code for nurses."

A nurse is assessing a family with adolescents. The family consists of a father, mother, a 13-year-old son, a 14-year-old son from a previous marriage, and a 16-year-old daughter. Which statement by the parents would lead the nurse to suspect a potential risk factor for altered health with this family? "We've taught our kids to be assertive when appropriate." "Our 16-year-old just seems to butt heads with us at every turn." "All of us have faced problems along the way but we've worked them out." "We've encouraged our kids to talk to us about sex and sexually transmitted infections."

"Our 16-year-old just seems to butt heads with us at every turn."

A nurse from the postanesthesia care unit (PACU) transports a client in the elevator with a nurse from the intensive care unit (ICU). There are staff members and visitors in the elevator as well. Which response from the ICU nurse is appropriate when the PACU nurse begins the report? "Wait and give me a report in the room at the bedside." "Before you begin we need to ensure a family member is present." "I will look at the EHR when I get to the nurse's station." "You can just put the report on the foot of the bed and I will look at it when I get to the room."

"Wait and give me a report in the room at the bedside."

The nurse is admitting a 38-year-old client to the oncology unit whose religious background is different from the nurse's own. The nurse is assessing how the client's religion may affect the client's health care needs. Which question by the nurse is the best way to consider the client's religious practices in the plan of care? "Do you have any dietary restrictions that we should know about?" "Will your religion allow us to give you blood if you need it?" "What can we do to help you meet any religious needs you may have?" "I am a Christian and believe in Jesus. What does your religion believe?"

"What can we do to help you meet any religious needs you may have?"

The nurse attempts to notify a health care provider about a client's elevated temperature but does not get a response. Which statement, if documented by the nurse, would indicate that the nurse is following proper protocol for nursing documentation? 1300: Client temperature elevated. Telephoned health care provider's service several times with no response. Will notify nursing supervisor during rounds. 1300: Client temperature elevated. Telephoned health care provider 3 times. As usual, health care provider did not respond. 1300: Client temperature elevated. Telephoned health care provider's service 3 times without a response. Tepid sponge bath given and nursing supervisor notified. 1300: Client temperature elevated. Health care provider paged, but did not respond. Administered acetaminophen without an order because I knew this health care provider does not return calls.

1300: Client temperature elevated. Telephoned health care provider's service 3 times without a response. Tepid sponge bath given and nursing supervisor notified.

Which is an example of an unintentional tort? Nurses discuss a client's laboratory values in the elevator. A nurse gives the client a medication, and the client has an adverse reaction to it. A nurse threatens to restrain a client if the client does not stop talking. A nurse tells a client that the client cannot leave the hospital until the client pays the bill.

A nurse gives the client a medication, and the client has an adverse reaction to it.

Which example best describes feminist ethics? Attention directed to the specific situation of individual clients viewed within the context of their life narratives An approach critiquing existing patterns of oppression and domination in society A combination of elements of utilitarian and deontologic theories that offer specific action guidelines for practice The formal study of ethical issues that arise in the practice of nursing

An approach critiquing existing patterns of oppression and domination in society

A client is in a persistent vegetative state. The client has no immediate family and is a ward of the state. Under these circumstances, who will speak on this client's behalf? A significant other A church-appointed guardian A surrogate decision maker A best friend

A surrogate decision maker

The community health nurse creates a program to promote the health of the community using health promotion principles. Which intervention would the nurse include in this program? Activities focused on maintaining wellness The provision of illness care Tertiary health care activities Disease management

Activities focused on maintaining wellness

Which word is best described as protection and support of another's rights? Paternalism Ethics Advocacy Autonomy

Advocacy

A nurse is assessing a family and observes that the family demonstrates behaviors that assist its members in establishing their identities. The nurse interprets this behavior as fulfilling which family function? Economic Affective Physical Socialization

Affective

A nurse is assisting an older, continent client with dry skin who is hospitalized. Which approach to hygiene should the nurse take with this client? Provide a tub bath with bath oil every day. Use skin lotion daily and avoid giving bed baths. Alternate between a full bed bath on one day and use of skin lotion or bath oil on the next. Provide a full bed bath with soap and water every day

Alternate between a full bed bath on one day and use of skin lotion or bath oil on the next.

The nurse overhears an older adult client's son talking to her in a very aggressive and violent way. When the nurse walks into the room, the son changes and speaks kindly to his mother and the health care providers. What should the nurse do about this observation? Ask to examine the client alone in order to speak to her privately. Report the suspicions to the authorities. Nothing, as it is none of the nurse's concern. Document the observed behaviors in the client's chart.

Ask to examine the client alone in order to speak to her privately.

The nurse admits a client to the critical care unit to rule out a myocardial infarction. The client has several family members in the waiting room. Which nursing action is most appropriate? Allow all the visitors into the room. Explain to the family that too many visitors will tire the client. Insist that only one family member can be in the room at a time. Assess the client's beliefs about family support during hospitalization.

Assess the client's beliefs about family support during hospitalization.

A school-age child is admitted to the emergency room with a possible concussion following a collision when playing football. After the collision, the parents state that he was "knocked out" for a few minutes before recognizing his surroundings. What is the priority assessment when the nurse first sees the client? Initiation of a peripheral intravenous (IV) line for fluid administration Evaluation of all of his cranial nerves Assessment of vital signs and respiratory status Assessment of head circumference

Assessment of vital signs and respiratory status

Which ethical principle is related to the idea of self-determination? Nonmaleficence Autonomy Beneficence Confidentiality

Autonomy

A home care nurse provides health education to parents regarding the care of their toddler. Which precaution should the nurse suggest the parents take to protect the toddler from drowning? Avoid unattended baths for the toddler. Monitor the activities of the toddler. Allow the child to swim with friends. Instruct the toddler not to go near the pool.

Avoid unattended baths for the toddler.

An RN enters a client's room and observes the unlicensed assistive personnel (UAP) forcefully pushing a client down on the bed. The client starts crying and informs the UAP of the need to go to the bathroom. What action is the RN witnessing that should be immediately reported to the supervisor? Defamation of character Fraud Battery Assault

Battery

Why are health promotion and illness prevention a key responsibility of nurses? Chronic illnesses are the leading health problem in the world. Treatment of chronic illnesses is very expensive. People do not like to be sick and feel bad. Chronic illnesses can cause pain and suffering.

Chronic illnesses are the leading health problem in the world.

Which client should the nurse determine is at greatest risk for vancomycin-resistant enterococci (VRE) infection? Client in the ICU for one day Client receiving chemotherapy Client with a history of eczema Client on a short course of vancomycin

Client receiving chemotherapy

The nurse is caring for a client who has been placed in physical restraints. Which nursing action is appropriate? Select all that apply. Continue using the restraints until discharge. Communicate with the family regarding the need for restraints. Offer opportunities for toileting frequently and regularly. Obtain a physician order 2 hours after restraints are applied. Check circulation and skin condition frequently and regularly.

Communicate with the family regarding the need for restraints. Offer opportunities for toileting frequently and regularly. Check circulation and skin condition frequently and regularly.

Which are factors that impact how a client defines health? Select all that apply. Community Family Culture Music Society

Community Family Culture Society

A community-based nurse acts as a case manager for a small town about 60 miles from a major healthcare center. What is the most important factor of community-based nursing for this nurse to be knowledgeable about? Community resources available to clients Transportation costs to the healthcare center Possible charges for any services provided Eligibility requirements for services

Community resources available to clients

The nurse is caring for a client who is postoperative 3 days from coronary artery bypass graft. The client has a prescription to ambulate. What is the best action by the nurse? Discuss with the client the need for assistance during ambulation. Instruct the family to assist the client with ambulation. Obtain a prescription for physical therapy consult to ambulate the client. Allow the client to slowly ambulate independently.

Discuss with the client the need for assistance during ambulation.

What is the best nursing intervention to promote health in a client at risk for heart disease?

Emphasizing a client's strengths to encourage weight loss

A nurse is providing care to a client and is preparing the client for breakfast. The nurse assists the client out of bed to the chair and then helps the client open the items on the breakfast tray. The client begins to eat breakfast. The nurse tells the client, "I'll be back in about 10 minutes to check on you. In the meantime, here is your call light in case you need me." About 10 minutes later, the nurse returns to check on the client. The nurse is demonstrating which ethical principle? Fidelity Autonomy Justice Nonmaleficence

Fidelity

A nurse is providing care to a client who has limited understanding of the dominant language. Which strategy is best for the nurse to use to ensure that the client obtains the needed health information? Ask a bilingual family member to translate Use a laboratory aide who is from the same country as the client Ask another nurse who speaks the client's language to interpret Enlist the services of a qualified language interpreter

Enlist the services of a qualified language interpreter

Which of these is not a factor in the Agent-Host-Environment Model of health and illness, as developed by Leavell and Clark (1965)? Chemical substance Evil spirit Virus Bacteria

Evil spirit

A nurse is administering evening medications and notices that a medication was omitted during the day shift. Which statement demonstrates the principle of accountability? Filling out an occurrence report and notifying the healthcare provider Documenting in the chart a narrative note about the occurrence Administering the medication with the other evening medications Telling the client that the medication will be given the following morning

Filling out an occurrence report and notifying the healthcare provider

The nurse is assessing a family parented by a 60-year-old grandmother and three school-age grandchildren. The nurse is aware that which problem may occur in a single-parent family at a greater level than in other types of families? Lack of knowledge about child safety Increased financial concerns Child abuse and neglect Conflict between family members

Increased financial concerns

A client receiving multi-antibiotic treatment is reporting oral thrush and refuses to eat his meals. Which intervention must the nurse perform next? Inform the client that the antibiotics will resolve this problem. Assess for the expiration dates of the antibiotics being administered. Encourage the client to brush his teeth 3 times a day. Inform the physician about this finding.

Inform the physician about this finding.

A nurse educator is discussing the role of nursing based on the American Nurses Association (ANA). Which statement best describes this role? The essential components of professional nursing care are strength, endurance, and cure. It is the role of the physician, not the nurse, to assist clients in understanding their health problems. It is the role of nursing to provide a caring relationship that facilitates health and healing. Nursing is a profession dependent upon the medical community as a whole.

It is the role of nursing to provide a caring relationship that facilitates health and healing.

A nurse is educating a client on how to walk with crutches. Which teaching points are recommended guidelines for this activity? Select all that apply. Support body weight with hands and arms. Place pressure on the axillae when walking. Crutches should be at least 3 inches from the feet. When climbing stairs, advance the unaffected leg past the crutches, place weight on the unaffected leg, and then advance the affected leg followed by the crutches. When descending stairs, move crutches and the unaffected leg first, followed by the affected leg. Keep elbows close to sides.

Keep elbows close to sides. Support body weight with hands and arms. When climbing stairs, advance the unaffected leg past the crutches, place weight on the unaffected leg, and then advance the affected leg followed by the crutches.

A client has a prescription for amoxicillin 500 mg P.O. every 8 hours. The nurse administers the medication via the intravenous route. Based on the nurse's action, the client develops complications and has an increased length of stay. The client files a lawsuit against the facility and the nurse. Which legal action has the nurse's attorney identified that meets the criteria for the client's lawsuit? Negligence Malpractice Assault Battery

Malpractice

The nurse has identified an ethical dilemma that has the potential to interfere with a client receiving optimal care. The nurse discussed this issue with the charge nurse on the unit. What action should the nurse choose next? Depend on the charge nurse to handle the issue from this point. Report the issue to the hospital medical director. Monitor for resolution of the problem. Inform the family that the ethical issue has been reported.

Monitor for resolution of the problem.

What best describes the nurse's role in disaster preparedness?

Multiple roles, including triage and the distribution of resources

A nurse knows that the expression "Do not cause harm" refers to which ethical principle? Justice Beneficence Nonmaleficence Fidelity

Nonmaleficence

Which statement about laws governing the distribution of controlled substances is true? Substance use is not treatable. When a nurse misuses controlled substances in the workplace and gets help, the nurse will not be charged with a criminal act. Nurses are responsible for adhering to specific documentation about controlled substances. The nurse is only at risk if diverting medication from the client; a nurse using the nurse's own personal drugs is not at risk.

Nurses are responsible for adhering to specific documentation about controlled substances.

A nurse identifies a client's health care needs and devises a plan of care to meet those needs. Which guideline is being followed in this case? Nurse practice acts Nursing standards Nursing orders Nursing process

Nursing process

A nurse is caring for a client who is receiving an intravenous therapy through an IV pump. Which intervention should the nurse implement to ensure electrical safety? Tape the electrical cord of the pump to the floor. Obtain a three-prong grounded plug adapter. Run the electrical cord of the pump under the carpet. Use an extension cord to provide freedom of movement.

Obtain a three-prong grounded plug adapter.

The telehealth nurse receives a call stating that upon entering a family member's home, two people have been found semi-conscious with a bright cherry red skin color. They are reporting nausea and headache, and are unable to move. Which initial direction will the nurse provide? Wait inside until emergency personnel arrive. Recommend that carbon monoxide detectors be installed in the home. Allow emergency personnel to apply oxygen. Open doors and windows.

Open doors and windows.

What is likely to have the greatest influence on an adolescent's formation of values during this developmental stage? Peers Work Awareness of other cultures School administration

Peers

A nurse believes that abortion is an acceptable option if a pregnancy results from a situation of rape. What is the best description of this belief? Ethical principle Professional value Legal obligation Personal moral

Personal moral

The nurse is providing discharge teaching to the family of an older adult client. Which teaching will the nurse include to decrease the risk for electric shock? Leave outlets and switches open so air circulates through them. Remove the plug from the wall by pulling the electric cord. All machines that are used infrequently are to remain plugged in. Refrain from using extension cords.

Refrain from using extension cords.

A mammogram represents which level of prevention? Medical prevention Tertiary prevention Primary prevention Secondary prevention

Secondary prevention

A client is undergoing chemotherapy for ovarian cancer which has metastasized. She has been experiencing increased nausea and vomiting associated with treatment. Which is an internal resource that the client has to help her attain her self-care goals? She has family and friends who help her with self-care. She has hot water to bathe in. She has good mobility around her home. She has motivation to participate in self-care.

She has motivation to participate in self-care.

Two nurses are moving a client up in bed. What motion would the nurses use to counteract the client's weight? Shift their weight back and forth, from back leg to front leg. Shift their weight back and forth from the legs to the back muscles. Rock the client back and forth to raise the client up in bed. Turn the client from side to side while pushing upward.

Shift their weight back and forth, from back leg to front leg.

A nurse, while off-duty, tells the physiotherapist that a client who was admitted to the nursing unit contracted AIDS due to exposure to sex workers at the age of 18. The client discovers that the nurse has revealed the information to the physiotherapist. With what legal action could the nurse be charged? Malpractice Libel Slander Negligence

Slander

Which reason best explains why adolescents behave in an unsafe manner despite knowledge of a particular activity's risk? Social pressure Normal rebellion Poor judgment Past experience

Social pressure

A family brings the client to the emergency department in an unconscious state with a head injury. The client requires surgery to remove a blood clot. What would be the appropriate nursing intervention in keeping with the policy of informed consent prior to a surgical procedure? The nurse confirms that the client has signed the consent form. The nurse confirms that the client's family has signed the consent form. The nurse informs the family about advance directives. The nurse informs the family about the living will.

The nurse confirms that the client's family has signed the consent form.

A nurse gives the 400 IU of a vitamin supplement that was in the client's medications instead of the 200 IU that was prescribed. The dosage was given when the unit was busy admitting three clients and another client was in crisis. Which action(s) by the nurse demonstrate the professional value of integrity? Select all that apply. The nurse documents the dose given. The nurse says, "This is not fair, we are so busy." The nurse completes a variance or incident report. The nurse blames the pharmacy for the error on the prescription. The nurse dismisses the dose difference, because it is not critical.

The nurse documents the dose given. The nurse completes a variance or incident report.

A client is unhappy with the health care provided and informs the nurse that the client is leaving the facility. The client has not been discharged by the physician. The nurse finds that the client has dressed and is ready to go. What should the nurse's action be in this situation? The nurse should warn the client that the client cannot come to the hospital again. The nurse should have the client restrained and call the physician. The nurse should let the client go because the nurse cannot do anything. The nurse should call and inform the nursing supervisor of the situation.

The nurse should call and inform the nursing supervisor of the situation.

Which action would cause a charge nurse to have concerns about a nurse's moral agency? The nurse was seen at a grocery store after calling in sick. A family member complained that the nurse was slow answering call lights. The nurse was unable to pass a required dosage calculation examination. The nurse often must stay after shift change to complete documentation.

The nurse was seen at a grocery store after calling in sick.

A registered nurse wishes to work as a nurse researcher. Which is true regarding nurse researchers? They serve as liaisons between staff members and directors of nursing. They usually have a baccalaureate degree in nursing. They are responsible for the continued development and advancement of nursing. They tend to work in community health centers and long-term care units.

They are responsible for the continued development and advancement of nursing.

A nurse is preparing to implement an order for the use of restraints to ensure a client's safety. Which statement accurately describes a guideline to follow? Time-limit the use of restraints and release the client from the restraint as soon as he or she is no longer a risk to self or others. Individualize the use of restraints and choose the most easily used device. Alert the health care provider and the client's family if restraints are ordered by the client's primary nurse. Respond to the past history of the client (including previous falls) to determine the need for restraints.

Time-limit the use of restraints and release the client from the restraint as soon as he or she is no longer a risk to self or others.

The nurse is preparing to administer prescribed medication to a client who is Native American/First Nations. The nurse enters the room and observes a tribal traditional healer performing a healing ritual for the client. What action would be the most appropriate by the nurse? Ask the healer to leave the room. Wait in the room until the healer is done. Unless asked to stay, leave the room and return when the healer is finished. Administer the medication while the healer continues the ritual.

Unless asked to stay, leave the room and return when the healer is finished.

A novice nurse is excited to finally be able to put all the training to use on the inpatient unit. Which factor should the nurse be sure to prioritize when beginning to interact with clients? advise clients on the best plan of action ensure families are kept informed ensure the families do not get sick be an advocate for appropriate care

be an advocate for appropriate care

Which client does the nurse recognize will require an intramuscular administration of the medication instead of an intravenous administration? client who is in the emergent phase of a 50% partial-thickness (second-degree) burn and requiring medication for pain client who is low risk for hemorrhage and prescribed the Hepatitis B vaccination client who is beginning treatment with chemotherapy following a diagnosis of ovarian cancer client who is diagnosed as having sepsis and is prescribed antibiotic therapy

client who is low risk for hemorrhage and prescribed the Hepatitis B vaccination

A recent LPN graduate is awaiting the results of the licensure exam and is preparing to apply for a position with a local facility. Which facility(ies) usually employ the most LPNs? Select all that apply. correctional institution home health care agency physician's office residential care facility hospital

correctional institution home health care agency physician's office residential care facility

The nurse is performing an extensive dressing change on a client with burns. The nurse explains each step as it is being performed. The nurse is acting in which role by providing explanation of each step? Client advocate Caregiver Educator Decision-maker

educator

The primary aim of the Healthy People 2020 initiative is: health promotion. coping with disability. health restoration. illness prevention.

health promotion.

A school nurse is aware of poisoning risks in the adolescent population. Poisoning in this age group is most often related to: the ingestion of substances in the home that contain lead. malfunction of a carbon monoxide monitor in the home. exposure to toxic fumes in the home. experimentation with drugs and inhalants.

experimentation with drugs and inhalants.

A nurse is assessing a client for signs and symptoms of infection. What would the nurse expect to asses? Select all that apply. lymph node enlargement increased respiratory rate absence of pain fever decreased pulse rate

fever lymph node enlargement increased respiratory rate

The nurse is getting ready to change the client's wound dressing. Which step best supports infection control? sterile gauze clean environment handwashing sterile gloves

handwashing

Nurses are socialized into the: diagnostic process. nursing specialties. healthcare culture. caring paradigm.

healthcare culture.

A nurse is assisting a neurologist, who is assessing the norepinephrine (noradrenaline) level of a client who is reporting stress. Which function does norepinephrine (noradrenaline) perform? heightens arousal and increases energy stabilizes mood and regulates temperature transmits sensation of pain promotes coordinated movement

heightens arousal and increases energy

When the nurse informs a client's employer of the client's autoimmune deficiency disease, the nurse is committing the tort of: breach of contract. assault. invasion of privacy. battery.

invasion of privacy.

For the nurse to become a nurse practitioner, what is the minimal degree the nurse will need to acquire? Master's Associate's Baccalaureate Diploma

masters

A nurse working in a critical care unit has experienced personal tragedy, extreme shortage of staff in the work environment, and health issues. The nurse has overcome much of these hardships and is now mentoring other nurses in similar situations. What behavior is this nurse demonstrating? ethical dilemma moral distress conscientious objection moral resilience

moral resilience

A client comes to the emergency department reporting becoming very ill after consuming shrimp and lobster. How will the nurse document this condition? noncommunicable disease infectious disease communicable disease contagious disease

noncommunicable disease

A nurse is working with a 55-year-old woman diagnosed with human immunodeficiency virus (HIV). This nurse has another client that day who has an upper respiratory infection. What is the most important thing the nurse can do to prevent the client with HIV from acquiring the upper respiratory infection? wear a mask and gown in the client's room wear gloves when touching the client perform hand hygiene before and after entering the client's room avoid direct contact with the client

perform hand hygiene before and after entering the client's room

The nurse is assessing a client who is bedridden. For which condition would the nurse consider this client to be at risk? predisposition to renal calculi increased metabolic rate increase in circulating fibrinolysin increase in the movement of secretions in the respiratory tract

predisposition to renal calculi (kidney stone)

A 35-year-old woman is 1 day postpartum. She is reporting moderate perineal pain after giving birth and would like to clean the area. Which method of bathing is most appropriate for this client? sitz bath bag bath sit-down shower chair partial bath at a wash basin

sitz bath

The nurse is working at a local elementary school. A mother arrives to pick up her 6-year-old son and has her 2-year-old daughter in tow. Based on the nurse's developmental knowledge of toddlers, which behavior would most concern the nurse? the 6-year-old riding a bike on the playground with his friend the 2-year-old leaning against the screen of a window in a classroom the 2-year-old and 6-year-old each holding the mother's hand the 2-year-old helping mom to open the front door of the school

the 2-year-old leaning against the screen of a window in a classroom

A client has undergone foot surgery and will use crutches in the short term. Which teaching point should the nurse provide to the client? "Your elbows will be slightly bent when you are using your crutches." "We'll have the nursing assistant watch you while you walk around the unit the first time." "When your crutches fit right, most of your body weight will be supported by your armpits." "If you feel tired while walking with your crutches, rest your weight on your armpits for a moment and then continue slowly."

"Your elbows will be slightly bent when you are using your crutches."

A nurse has completed 4 hours of an 8-hour shift on a medical-surgical unit when the nursing supervisor calls. The nursing supervisor directs the nurse to give a report to the other two nurses on the medical-surgical unit and immediately report to the telemetry unit to assist with staff needs on that unit. The nurse informs the supervisor that the nurse has been busy with client assignments and feels this will overwhelm the nurses on the medical-surgical unit. The supervisor informs the nurse that the need is greater on the telemetry unit. This is an example of which type of ethical problem? Conflicts concerning new technology Deception Advocacy in a market-driven environment Allocation of scarce nursing resources

Allocation of scarce nursing resources

A nurse has implemented numerous practices with the goal of reducing the number and transfer of pathogens. Which actions are consistent with this goal? Select all that apply. Shake out linens and client clothing before placing them back on the bed. Clean the least soiled areas first and then move to the more soiled ones. Carry soiled items close to the body to prevent transfer of pathogens into the environment. Place soiled bed linen on the floor, instead of the bed or furniture. Use personal grooming habits, such as shampooing hair often, to prevent spreading microorganisms. Move equipment close to the body when brushing, dusting, or scrubbing articles.

Clean the least soiled areas first and then move to the more soiled ones. Use personal grooming habits, such as shampooing hair often, to prevent spreading microorganisms.

The nurse is caring for a client admitted to the hospital with pneumonia and associated pleuritic chest pain. Which would be a priority when creating the nursing care plan? Effective infection control measures. Monitoring airway clearance. Effective pain management. Monitoring fluid intake and output.

Monitoring airway clearance.

What are some examples of healthy self-care behaviors everyone should adopt? Select all that apply. Exercising infrequently Sleeping 7 to 8 hours each night Maintaining an ideal body weight Having a low self-esteem Eating regular healthy meals

Sleeping 7 to 8 hours each night Maintaining an ideal body weight Eating regular healthy meals

A client has a central venous catheter inserted. The nurse understands that the tip of the catheter would be found at which location? Select all that apply. Right atrium Median cubital vein Superior vena cava Left ventricle Basilic vein

Superior vena cava Right atrium

Which of the following are considered the building blocks of the immune system? Red blood cells Macrocytes Macrophages T lymphocytes

T lymphocytes

A nurse refers an HIV-positive client to a local support group. This is an example of what level of preventive care? Primary Tertiary Chronic Secondary

Tertiary

Persistent gaps between the health status of minorities and non-minorities are defined as: health disparities. cultural relativity. ethnocentrism. racism.

health disparities.

A community health nurse arranges for a dentist to teach local children in the school district how to properly brush their teeth. Which goal will the nurse set for this event? high-level wellness illness prevention reversal of self-care deficit health promotion

health promotion

A nurse is preparing to turn a client who is unable to mobilize independently. Which action best ensures the safety of both the client and the nurse? placing the bed in its lowest position to reduce the client's risk for falls positioning a friction-reducing sheet under the client to facilitate movement using back muscles to gently and gradually pull the client to the side standing at the top of the bed and having a colleague stand at the bottom of the bed

positioning a friction-reducing sheet under the client to facilitate movement

A client with persistent nausea is diagnosed with somatization. What is the appropriate nursing action when the client reports nausea? explain that the physical symptoms are all in their head sit with the client and ask them about their feelings contact the primary care provider Immediately administer an antiemetic.

sit with the client and ask them about their feelings

What would be an example of the nurse practicing fidelity? The nurse: withholds information as requested. stays with a client during death as promised. provides continuity of care. regulates visitors.

stays with a client during death as promised.

During the nurse's admission interview the client says, "I don't get too much rest because I am in nursing school and work full time to support myself and my kids." The nurse classifies this statement as an issue at which level of Maslow's basic needs? Love and belonging Self-esteem Physiologic Safety and security

Physiologic

During the orientation to the hospital, the staff development educator discusses unit and institutional-based policies. What is the source of the practice rules that result in unit and institutional-based policies?

health care institution

A nurse is of the Catholic faith and votes pro-life. This nurse is considered to have: personal values. ethics. legal obligations. moral agency.

personal values.

An HIV-positive client discovers that the client's name is published in a research report on HIV care prepared by the client's nurse. The client is hurt and files a lawsuit against the nurse. Which offense has the nurse committed? Negligence of duty Invasion of privacy Unintentional tort Defamation of character

Invasion of privacy

The nurse is initiating isolation precautions for a client who has chronic Clostridium difficile infection. What should the nurse be sure to include with these precautions? be sure that there are gloves of various sizes and gowns for use recognize that this type of infection requires droplet precautions include a N95 respirator mask for health care staff entering the room remind others to use a mask when caring for this client

be sure that there are gloves of various sizes and gowns for use