FA Davis Questions
The nurse is assessing the apical pulse of a client who is receiving digoxin. The nurse finds that the client's apical rate is 50 beats/minute. What should the nurse do in this situation?
1. Assess for symptoms of dehydration. 2. Withhold the administration of digoxin. (CORRECT) 3. Reassess the pulse rate after 15 minutes. 4. Use a Doppler ultrasound device to detect blood flow.
Which is an effective strategy for a nurse who wants to "work smart"?
1. Not gathering bed linens for all clients at one time 2. Not taking vital signs while giving the client a bath 3. Not checking voicemail while documenting in the client record (CORRECT) 4. Not handling a piece of paper only once
Which actions should be performed by the licensed practical nurse (LPN) if delegated by the registered nurse (RN) to care for a client with asthma? Select all that apply.
1. Performing general survey during initial admission 2. Developing the care plan of the client 3. Evaluating the client condition posttreatment 4. Assessing the breath sounds by auscultation (CORRECT) 5. Administering medication with a metered-dose inhaler (CORRECT)
The nurse is aspirating the stomach contents from a client who is on tube feedings. The nurse is unable to aspirate fluids even after repeating the procedure with a smaller syringe. What is the next intervention that the nurse performs to aspirate the fluid effectively?
1. Provide fluids to the client. 2. Inject another 20 ml of air using a small syringe. 3. Continue the procedure until the fluid is aspirated. 4. Reposition the client and try again in 20 minutes. (CORRECT)
Which areas of health care may utilize a form of telehealth? Select all that apply.
1. Providing rural health care (CORRECT) 2. Promoting continuing education programs 3. Providing emergency care triage (CORRECT) 4. Monitoring the client's health at home (CORRECT) 5. Simulating a nurse-client experience
What are the goals of a nurse-led multidisciplinary team that assists clients to successfully transition from the inpatient hospital setting to other settings such as a long-term care facility? Select all that apply.
1. Assist the client to learn self-care. (CORRECT) 2. Prepare client for future fragmentation of care. 3. Prevent complications that would return the client to acute care. (CORRECT) 4. Teach caregivers how to care for the client. (CORRECT) 5. Reduce the number of health-care professionals involved in the client's care.
What term refers to the ethical principle involving the right to self-determination?
1. Autonomy (CORRECT) 2. Justice 3. Veracity 4. Utility
Which nursing actions may be performed by nursing assistive personnel (NAP) to provide care to a client with skin cancer? Select all that apply.
1. Bathing the client (CORRECT) 2. Monitoring the vital signs (CORRECT) 3. Helping the nurse during chemotherapy 4. Providing proper medication to the client 5. Checking the presence of skin lesions (CORRECT)
Which client needs priority support and education on breastfeeding?
Client A (no latch, no audible swallowing, inverted nipple)
While caring for a geriatric client, the nurse finds that the client has a risk of falls, low self-esteem, imbalanced nutrition, and sleep disturbance. What is the high-priority nursing intervention in this situation?
1. Minimizing the risk of falls (CORRECT) 2. Providing a balanced diet 3. Teaching coping techniques 4. Teaching sleep hygiene techniques
The charge nurse witnesses a staff nurse hand a topical medication to the nursing assistant to apply to the client's back during the next bath. What is the charge nurse's best action?
. 1. Tell the nurse to apply the topical medication. (CORRECT) 2. No intervention is necessary. 3. Ensure the nursing assistant knows how to apply the medication. 4. Remove the nursing assistant from the unit.
Which situation is an example of the nurse acting as an advocate for the client?
1. The nurse ensures that the client is covered appropriately while providing a bed bath. 2. The nurse raises the bedside rails before leaving the client's room. 3. The nurse calls the primary health-care provider to obtain a new prescription for pain medication. (CORRECT) 4. The client presses the call bell and the nurse attends to the client as promised.
Which drug does the nurse expect to be responsible for intracranial hemorrhage in a client who is on medication for the treatment of HIV infection?
1. Tipranavir (CORRECT) 2. Tesamorelin 3. Voriconazole 4. Rivaroxaban
What are the uses of an electronic health record (EHR)? Select all that apply.
1. To create permanent life-long health records (CORRECT) 2. To improve communication between health-care providers (CORRECT) 3. To improve the quality of client care (CORRECT) 4. To share client-specific information (CORRECT) 5. To assess nursing competency
A nurse is preparing to accept a position as a case manager for clients with mental illness. What is the most important task of the case manager?
1. To decrease the cost of the client's care 2. To reduce the fragmentation of the services provided to the client 3. To improve client outcomes (CORRECT) 4. To provide increased opportunity for therapeutic relationship with the client
Why is it important for the nurse to have a solid theoretical knowledge base for nursing diagnoses?
1. To differentiate between cues and inferences 2. To associate patterns with the correct problem (CORRECT) 3. To identify his or her own values and beliefs 4. To make judgments based on the client's own beliefs
What intervention should the nurse use for effective communication with a preschooler? Select all that apply.
1. Use open-ended questions while communicating. 2. Use simple terminology while communicating. (CORRECT) 3. Use sing-song approaches while communicating. 4. Allow the child to play with toys during communication. (CORRECT) 5. Involve the parents during interaction with the child. (CORRECT)
A frail client falls from the hospital bed at night while trying to go to the toilet and suffers a patellar fracture. No hospital staff was available for help. What is the most appropriate method for the nurse to record the incident?
1. Writing a nurse's note 2. Writing in the health record 3. Writing a transfer report 4. Writing an occurrence report (CORRECT)
What methods should a nurse follow when communicating with a cognitively impaired client? Select all that apply.
2. Provide adequate time to the client to respond to the questions. 4. Stimulate memory by repeating the last words or thought. 5. Use multiple communication modalities.
Which tasks are appropriate to delegate to an LPN who is functioning under the supervision of an RN? Select all that apply.
2. Administering sulfacetamide sodium 10% to a child with conjunctivitis 3. Reviewing hand-washing and hygiene practices with client who have eye infections 4. Showing clients how to gently cleanse eyelid margins to remove crusting. 7. Performing a routine check of a client's visual acuity using the Snellen eye chart
After implementing the care plan, a nurse is evaluating a client's progress. What is the order in which the nurse conducts the process?
2. The nurse should review outcomes. 3. The nurse should collect reassessment data. 4. The nurse should judge goal achievement. 1. The nurse should record an evaluative statement of the client.
Which drug is used to treat ophthalmic viral infections?
Acyclovir 2. Cidofovir 3. Oseltamivir 4. Vidarabine (CORRECT)
A client receiving cardiovascular medication via an IV line develops severe complications. Further assessment reveals the complications were caused by a drug overdose, as the Ringer solution with which the medication was infused had premixed medications that the nurse forgot to check. In which report should the nurse describe the problem and note that an error was made?
Medication administration report (MAR) 2. Intake and output (I&O) report 3. Nursing care plan 4. Incident report (CORRECT)
A registered nurse who leads a work group has been able to motivate the group members so successfully that these nurses have gone beyond their own self-interests for the good of the organization and accomplished more than what was expected of them. Which type of leadership is the nurse most likely to have exhibited?
Transformational leadership (CORRECT) 2. Transactional leadership 3. Situational leadership 4. Task-focused leadership
Which task could be appropriately assigned to the UAP working with you at the OB clinic?
Checking BP of a patient who is 36 weeks pregnant and reports a headache
A patient on the acute psychiatric unit develops neuroleptic malignant syndrome. Which task should be delegated to the mental health assistant?
Wiping the patient's body with cool, moist towels
As the charge nurse, you are reviewing the charts of clients who were assigned to the care of a newly graduated RN. The RN has correctly charted dose and time of pain medication, but there is no documentation regarding nonpharmaceutical measures. What action should you take first?
Give praise for correctly charting the dose and time and discuss the deficits in charting
Which are actions of a democratic leader? Select all that apply.
Gives orders 2. Shares plans (CORRECT) 3. Shares decisions (CORRECT) 4. Guides the group (CORRECT) 5. Intervenes when the goals are not met
You are caring for a client who has been admitted to the hospital with a leg ulcer that is infected with vancomycin-resistant S. aureus. Which nursing action can you delegate to an LPN?
Obtaining wound cultures during dressing changes
In the care of a client who has experienced sexual assault, which task is most appropriate for an LPN to perform?
Providing emotional support and supportive communication
Which conditions result from restraint-imposed immobility? Select all that apply.
1. Nerve damage 2. Pressure ulcers (CORRECT) 3. Strength loss (CORRECT) 4. Contractures (CORRECT) 5. Circulatory impairment
The rehabilitation nurse wishes to make the following entry into a client's plan of care: "Client will re-establish a pattern of daily bowel movements without straining in two months." The nurse would write this statement under which section of the plan of care?
1. Nursing diagnosis 2. Nursing orders 3. Short-term goals 4. Long-term goals (CORRECT)
The registered nurse (RN) delegates the responsibility of care for a client who is on chest surgery to unlicensed assistive personnel (UAP) when the licensed practical nurse (LPN) and the LVN (licensed vocational nurse) are on leave. The client died due to apnea during the postoperative period. Who would be legally liable for this incident?
1. Registered Nurse (CORRECT) 2. Licensed Practical Nurse 3. Licensed vocational nurse 4. Unlicensed assistive personnel
Which health-care professional should care for this client a client with peripheral vascular disease who develops ulcerations on the foot?
1. Registered nurse (RN) (CORRECT) 2. Licensed practical nurse (LPN) 3. Licensed vocational nurse (LVN) 4. Unlicensed assistive personnel (UAP)
Which practice enhances evidence-based practice (EBP) in the health-care facility?
1. Relying on past experience 2. Reading reference books that are easily available 3. Using computers for information (CORRECT) 4. Seeking information from colleagues
The nurse observes that another nurse is showing prejudice while providing care to clients from a lower socioeconomic status. How should the nurse deal with the situation?
1. Report the incident to another nurse about the prejudiced nature of care. 2. Report the incident to the nurse administrator. (CORRECT) 3. Raise the issue to public scrutiny. 4. Warn the colleague and take legal action.
Which rights belong to the traditional five rights of medication administration? Select all that apply.
1. Right documentation 2. Right client (CORRECT) 3. Right drug (CORRECT) 4. Right dose (CORRECT) 5. Right response
A postoperative client tells the nurse, "I will never be able to recover completely as God is angry with me." What is the best way to deal with this situation?
1. Seek the services of a parish priest 2. Instruct the client to refrain from negative thoughts 3. Consult with the health-care facility chaplain (CORRECT) 4. Collaborate with the physical therapist
Which activity can be delegated by the registered nurse (RN) to nursing assistive personnel (NAP) while preparing a room for a newly admitted client?
1. Setting up special equipment 2. Reviewing the client's previous health records 3. Reviewing the client's prescription to arrange medications in the room 4. Obtaining equipment from the storage room (CORRECT)
Three days ago, a client was admitted in the hospital after a motorcycle accident. He has casts and traction for both legs and a cast on one arm. He has been receiving narcotic analgesics for severe pain. What treatment interventions should the nurse choose? Select all that apply.
1. Administer an enema. 2. Encourage increased fluid intake, including warm liquids. (CORRECT) 3. Encourage a high-fiber diet. (CORRECT) 4. Administer laxatives or stool softeners, as ordered. (CORRECT) 5. Encourage regular of exercise.
Which task can be delegated to the licensed practical nurse (LPN)?
1. Administering lipids 2. Inserting nasogastric tubes 3. Administering otic medications (CORRECT) 4. Administering intravenous (IV) medication
Which task is beyond the scope of a licensed practical nurse (LPN)?
1. Administering selected medication 2. Administering plain intravenous (IV) solutions 3. Starting an intravenous (IV) infusion 4. Starting a blood transfusion (CORRECT)
Which types of situations are appropriate for long-term nursing goals? Select all that apply.
1. Acute care 2. Home health care (CORRECT) 3. Clinics 4. Rehabilitation centers (CORRECT) 5. Chronic illness (CORRECT)
The nurse assesses a client and documents some findings. Which notes recorded the nurse can be referred to as "knowledge"?
1. "300" 2. "Age: 40 years" 3. "Blood Sugar: 300 mg/dL" 4. Diabetic (CORRECT)
What are appropriate home care instructions that a nurse can teach the parents of a child with impaired skin integrity related to inflammatory processes? Select all that apply.
1. "Bathe the child in hot water." 2. "Use harsh antibacterial soaps to prevent infections." 3. "Apply emollient lotion to damp skin." (CORRECT) 4. "Keep the child's nails short and clean." (CORRECT) 5. "Always dress the child in warm clothing."
The nurse manager is reviewing the unit schedule developed by a charge nurse-in-training. The medical-surgical unit personnel consist of registered nurses (RNs), licensed practical nurses (LPNs), and unlicensed assistive personnel (UAP). Which statement by the charge nurse demonstrates the most accurate understanding of delegating tasks and making assignments?
1. "I have assigned higher acuity clients to more experienced nurses." (CORRECT) 2. "I plan on delegating wound care to the unlicensed assistive personnel." 3. "The registered nurses will perform primary care and take all the vital signs." 4. "I'll let the licensed practical nurses choose their clients before shift."
Communication is essential for collaborative practice. Which best represents assertive communication?
1. "I'll wait until you make a decision." 2. "You don't know what you are talking about." 3. "Do you think the client is not responding to the treatment?" 4. "I am concerned that the client is in pain." (CORRECT)
The home health-care nurse is visiting an elderly client with reduced visibility. Which instruction by the nurse helps the family to provide better safety for the client?
1. "Place rugs near the bed and at the door." 2. "Rearrange the furniture once in a while." 3. "Place floor coverings on the staircase." 4. "Put white stripes on the front edges of the steps." (CORRECT)
Which element of delegation does the registered nurse follow by checking the workload of a licensed practical nurse (LPN) before delegating a new task?
1. "Right Person" (CORRECT) 2. "Right Circumstance" 3. "Right Communication" 4. "Right Task"
Which is true regarding communication with a difficult person?
1. A difficult coworker is likely to change his or her behavior if communication is effective. 2. Providing punishment for difficult behavior will make the person less likely to repeat the behavior in future. 3. Ignoring difficult behavior is an effective way of dealing with it. 4. A difficult person should not be condemned as malicious or hateful. (CORRECT)
What classes fall under functional domain?
1. Activity-exercise, comfort, growth, and development (CORRECT) 2. Cardiac function, elimination, fluids, and electrolytes 3. Behavior, communication, and coping 4. Health care system, population, and risk management
The case manager is working with a client who was in a serious motor vehicle accident and has developed adult respiratory distress syndrome (ARDS). The client also has fractures in all extremities and due to the respiratory disorder, the client is unable to communicate with members of the family. Which health-care professionals would be most important for the case manager to obtain referral for this client? Select all that apply.
1. Chaplain (CORRECT) 2. Legal Consultant 3. Respiratory Therapist (CORRECT) 4. Physical Therapist (CORRECT) 5. Dietician
Which element is absolutely essential to case management?
1. Collaboration with other disciplines (CORRECT) 2. Assessment skills 3. Good communication skills 4. Extensive medical-surgical nursing experience
What is the role of a nurse with an associate's degree who is assisting an experienced nurse researcher in a quantitative research study?
1. Conduct interviews of people or subjects involved in the research. 2. Interview the subjects at their own home. 3. Use questionnaires to document numerical data. (CORRECT) 4. Include a very small number of people.
A nurse, while planning a suitable intervention for a client recovering from surgery, consults the dietician to meet the client's nutritional requirements. What type of nursing intervention is this?
1. Dependent intervention 2. Interdependent intervention (CORRECT) 3. Indirect-care intervention 4. Independent intervention
What role does the home care nurse play when referring a client for hospital placement after performing thorough assessments and consulting with family members?
1. Direct-care provider 2. Care coordinator 3. Client and family educator 4. Client advocate (CORRECT)
The nurse is caring for a client who has sustained a head injury in an accident. In the follow-up visit, the client appears restless, lost, and is unable to recall recent events correctly. The nurse asks the client his or her personal details but the client replies by talking about the weather. Which manifestation does the nurse expect to observe in the client?
1. Dryness of the face 2. Constriction of the pupils 3. Increase in heart rate (CORRECT) 4. Decrease in blood pressure
While interviewing a client the nurse sits squarely facing the client, crosses legs, leans towards client, maintains intermittent eye contact, and nods. Which behavior of the nurse reduces active listening?
1. Facing the client 2. Crossing the legs (CORRECT) 3. Leaning forward 4. Maintaining intermittent eye contact
The primary health-care provider prescribed patient-controlled analgesia (PCA) for postoperative pain management to a client who underwent pelvic surgery. The nurse noted the client's respiratory rate as 8 breaths per minute and blood pressure as 100/70 mm Hg. Which analgesic drug can cause these complications?
1. Fentanyl (CORRECT) 2. Capsaicin 3. Butalbital 4. Tramadol
What should the nurse do first to manage a transfusion reaction while transfusing blood for a client?
1. Flush the tubing immediately. 2. Stop the transfusion. (CORRECT) 3. Hang a saline bag. 4. Disconnect the administration set from the IV catheter.
The licensed practical nurse (LPN) tells the registered nurse (RN) in charge that the provider has ordered a Dobhoff intestinal tube to be placed. The LPN states she is competent in inserting nasogastric tubes but has not inserted a naso-intestinal tube before. What is the RN's best action?
1. Have the LPN observe the RN place the Dobhoff tube. (CORRECT) 2. Tell the LPN to read the facility policy and procedure first before insertion. 3. Advise the LPN that the procedure is the same. 4. Tell the nursing assistant to help the LPN with insertion.
Which medication is most likely to be ordered to supplement patient-controlled analgesia (PCA) for a client following a total hip replacement?
1. IV administration of fentanyl 2. IV administration of ketorolac (CORRECT) 3. IV administration of tramadol 4. IV administration of morphine
The nurse is caring for a client who just returned from a hip replacement. What type of evidence-based protocol will the nurse use to ensure high-quality care, but also to limit the cost of care?
1. Individualized care plan 2. Clinical pathway for hip replacement (CORRECT) 3. Quality indicator 4. Root cause analysis
What document is imperatively filled when there is a breach of the standard of care?
1. Interrogatories 2. Complaint 3. Variance report (CORRECT) 4. Depositions
A nurse detects peristomal skin abnormalities when changing a client's ileostomy appliance. What course of action should the nurse take immediately?
1. Irrigate the ileostomy system 2. Notify an ostomy specialist (CORRECT) 3. Remove the ileostomy pouch 4. Auscultate for bowel sounds
During a feedback session, a senior nurse notes that a junior nurse should working on improving communication skills. In what ways will improved communication help in the workplace? Select all that apply.
1. It encourages the junior nurse to continue with productive behavior. 2. It enhances the trust for the nurse. (CORRECT) 3. It will make clients ask more questions and seek clarification. 4. It enhances the surface listening capabilities of a nurse. 5. It provides recognition among peers. (CORRECT)
What is the barrier that comes in the way of widespread implementation of electronic health records (EHR)?
1. Lack of computer literacy 2. Cost of equipment involved (CORRECT) 3. Difficulty in accessing information 4. Lack of space to store health records
The nurse is observed threatening to strike a child when the child refuses to take his or her medication. Which crime can the nurse be accused of?
1. Libel 2. Assault 3. Battery (CORRECT) 4. Fraud
During a busy clinical rotation day, an RN gives a student nurse a 10 mL syringe and tells the student to remove a urinary catheter. What is the student nurse's best action?
1. Look up the hospital policy and procedure. 2. Check with the nursing instructor. (CORRECT) 3. Decline the offer to remove the catheter. 4. Proceed with remove the catheter.
A nurse forgets to raise the siderails on the bed of an adult client who accidentally falls. Which documentation made by the nurse would alert the hospital authorities of the client's injury?
1. Medication administration record (MAR) 2. Electronic Health Record (EHR) System 3. Problem-oriented record (POR) 4. Incident report (CORRECT)
The nurse is preparing to initiate an interdisciplinary team to plan care for a client with complex health care needs. The nurse will use what qualities of communication to best ensure a positive response from the prospective team members? Select All That Apply.
1. Sincerity (CORRECT) 2. Congruence between words and actions (CORRECT) 3. Lack of use of acronyms 4. Detailed description of situation and client to be discussed 5. Ensuring invitation to the team is completed in a "face to face" manner
Which assessment finding is an indicator of physical abuse that would cause the nurse to advocate for the pediatric client?
1. Sleep disturbances 2. Frequent injuries (CORRECT) 3. Genital pain 4. Poor hygiene
The nurse finds that a client who is diagnosed with depression has inappropriate thinking, difficulty concentrating, and impaired problem-solving ability. Which nursing diagnosis would be appropriate for this client?
1. Social isolation 2. Self-care deficit 3. Powerlessness 4. Disturbed thought process (CORRECT)
The nurse is writing a client's diagnosis. Which action requires correction?
1. Stating the diagnosis in terms of a problem, not a need 2. Using nursing terminology to describe the client's response 3. Using statements that assist in planning independent nursing interventions 4. Using medical terminology to describe the probable cause of the client's response (CORRECT)
What is the process of directing, guiding, and influencing the performance of the task provided to a nursing assistive personnel called?
1. Supervision (CORRECT) 2. Circumstance 3. Delegation 4. Implementation
Which act provides reasonable accommodations within the work setting for physically or mentally impaired employees to perform their jobs?
1. The American with Disabilities Act (ADA) (CORRECT) 2. The Emergency Medical Treatment and Active Labor Act (EMTALA) 3. The Patient Self Determination Act (PSDA) 4. The Health Insurance Portability and Accountability Act (HIPAA)
While reviewing a pregnant client's blood test reports, the nurse finds traces of mercury are present even after the nurse had suggested healthy dietary modifications. Which action of the client does the nurse correct to reduce risk in the client?
1. The client eats one medium bowl of flax seeds daily. 2. The client has cooked soybean seeds as an evening snack. 3. The client has five soaked walnuts every day. 4. The client consumes king mackerel very often. (CORRECT)
The nurse documents, "age 10 years, fasting blood sugar 200 mg/dl" after assessing a client. What knowledge does the nurse obtain from this assessment finding?
1. The client is 10 years old. 2. The client's blood sugar is 200 mg/dl. 3. The client was fasting when the blood sugar sample was taken. 4. The client has juvenile diabetes. (CORRECT)
Which desired outcome written by the nurse is correctly mentioned and measurable?
1. The client will have a normal bowel pattern by June 2. 2. The client will lose 4 lbs. within the next 2 weeks. (CORRECT) 3. The nurse will provide skin care at least 3 times daily. 4. The client will breathe better after resting for 10 minutes.
Which points should the nurse include in a document regarding a child suffering from a stray dog bite? Select all that apply.
1. The exact nature of injury from the attack (CORRECT) 2. The circumstances surrounding the attack (CORRECT) 3. The breed of dog responsible for the attack 4. The location of the animal responsible for the attack (CORRECT) 5. The vital statistics of the victim
What is true regarding the delegation of task by a registered nurse is correct?
1. The licensed practical nurse (LPN) can usually provide care to medically stable clients according to an established plan of care. (CORRECT) 2. The licensed practical nurse (LPN) is responsible for the total client care. 3. One nursing assistive personnel (NAP) can delegate a task to other NAP. 4. The licensed practical nurse (LPN) can conduct health teaching or counseling.
