lvn 121 midterm questions

Which of the following is the best approach for the nurse to make to encourage prescribed antihypertensive medication compliance? 1 The nurse says, "It is important that you take your blood pressure pill every day. Do you understand this?" 2 The nurse explains the medication and gives the patient a grid to record daily when the pill is taken. The nurse then asks, "How do you see this working for you?" 3 The nurse asks the patient, "Do you have a relative or friend who can call you every day to remind you to take your blood pressure pill? It is really important that you take it, and as you get older it is harder to remember things." 4 The nurse tells the patient, "If you don't take your blood pressure pill, you will probably have a heart attack or a stroke. You need to figure out a way that you don't forget to take it every day."

2

Which of the following statements best describes the most important role of the nurse in complementary and alternative modalities? 1 The nurse should become familiar enough to recommend at least one complementary or alternative modality. 2 The nurse should become skilled at collecting and reporting data related to patients' use of complementary or alternative modalities. 3 The nurse should discourage use of complementary or alternative modalities because they can interact negatively with conventional therapies. 4 The nurse does not need to become involved in complementary and alternative modalities.

2

Which patient is at risk for respiratory acidosis? 1 The patient with uncontrolled diabetes mellitus 2 The patient with chronic pulmonary disease 3 The patient who is very anxious 4 The patient who overuses antacids

2

The home health care nurse is collecting data on a patient. Which of these is true about the nursing process step of data collection in home health care? Select all that apply. 1 Data collection is done only while conducting the admission visit. 2 Data collection is performed during every visit. 3 Admission data collection may reveal problems unknown to the referrer. 4 Data collection includes family roles. 5 Environmental data is collected. 6 Caregiver data is collected.

2, 3, 4, 5, 6

The nurse provides nursing care to prevent liability. Which of these actions would the nurse take to prevent liability? Select all that apply. 1 Breach the duty of care. 2 Document accurately. 3 Follow current nursing practice standards. 4 Protect patient rights. 5 Pursue continuing education. 6 Utilize organizational policies.

2, 3, 4, 5, 6

The nurse is preparing a presentation on factors influencing health care changes. Which of the following would be a factor to include in the presentation? Select all that apply. 1Decreasing use of evidence 2Increasing older adult population 3Increasing cultural diversity 4Population size decline in the United States 5Campaign to stop human trafficking 6Technology advancements

2, 3, 5, 6

Which of the following actions would be most appropriate for the nurse to take for a patient with a chronic illness who is experiencing chronic sorrow? Select all that apply. 1 Provide quiet time. 2 Make time to listen. 3 Share information. 4 Limit interactions. 5 Use active listening. 6 Encourage hope.

2, 3, 5, 6

The nurse is providing care for a patient who is chronically ill. Which of the following actions would the nurse take for the chronically ill patient? Select all that apply. 1 Limit educational information. 2 Encourage visits by family members. 3 Include family members in teaching sessions. 4 Set the goals for the patient. 5 Limit visits from friends. 6 Obtain patient input on plan of care.

2, 3, 6

A nurse is collecting admission data from a hospitalized patient who does not speak English. The patient's 6-year-old daughter is in the room. How can the nurse obtain the needed information? Select all that apply. 1 Have the daughter act as a translator. 2 Ask the supervisor whether the hospital has a translation service. 3 Provide an English translation dictionary to the patient. 4 Use an electronic translation device. 5 Wait for the patient's spouse to arrive.

2, 4

Place the links in the chain of infection in their order of occurrence to result in an infection. 1 Portal of entry 2 Infectious agent 3 Mode of transmission 4 Portal of exit 5 Reservoir 6 Susceptible host

2, 5, 4, 3, 1, 6

The nurse is caring for a patient who is on bed rest. Which of the following nursing actions should the nurse include in the plan of care to help maintain the body's first line of defense against infection? Select all that apply. 1 Help the patient cough and deep breathe. 2 Apply lotion to clean skin. 3 Give an antibiotic as ordered. 4 Help the patient void. 5 Turn patient every 2 hours. 6 Keep skin clean and dry.

2, 5, 6

A patient is being placed on a potassium-losing diuretic. Which foods are high in potassium and should be recommended to the patient by the nurse? Select all that apply. 1 Bread 2 Potato 3 Yogurt 4 Banana 5 Gelatin

2,3,4

A patient with cancer who is having chemotherapy has decided to stop receiving it because the patient has accepted mortality. What is the most ethical action by the nurse to address this situation? 1 Explain to the patient that it would be silly to stop the last two treatments. 2 Explain that this will be reported to a family member. 3 Ensure that the patient understands the consequences of discontinuing treatment. 4 Ensure that the patient knows that, without treatment, death will occur.

3

A policy and procedure committee is revising the nursing intervention of insertion of a urinary catheter. Where should the committee begin looking for evidence to write an effective policy and procedure on this intervention? 1 In current nursing skills textbooks 2 In nursing articles written by national nursing experts based on opinion 3 In research articles, preferably systematic reviews of randomized controlled trials 4 In the policies and procedures of other nursing facilities

3

A postsurgical patient is refusing a dinner tray, saying that it contains food not eaten in the patient's culture. Which response by the nurse is best? 1 Take the tray away. 2 Advise the patient that eating is essential to healing. 3 Ask the patient whether there are other foods that would be acceptable. 4 Leave the tray and hope that the patient gets hungry enough to eat the food.

3

The nurse has taken patient temperatures. Which of the following patient temperature readings would be the priority for the nurse to report to the health care provider? 1 Temperature 97°F (36.1°C) for an older patient with hypertension 2 Temperature 98.9°F (37°C) for a first-day postoperative patient 3 Temperature 99.6°F (37.5°C) for a patient with neutropenia 4 Temperature 100°F (37.7°C) for a patient with appendicitis

3

The nurse is caring for a patient receiving an antibiotic. Which of the following statements indicates to the nurse that the patient understands the general principles of appropriate antibiotic use? 1 "I'll take this until I start feeling better." 2 "I have pills left over from the last time I had this infection to use." 3 "I'll take all of this as directed on the medication label." 4 "I can take only half of a pill to reduce the cost of the pills."

3

The nurse is collecting data regarding a 68-year-old patient's developmental stage and finds that the patient is retired and that the patient's spouse died 4 months ago. The nurse identifies the patient as being in which of the following developmental stages? 1 Generativity versus self-absorption 2 Identity versus role confusion 3 Integrity versus despair 4 Intimacy versus isolation

3

The nurse reads about a research study that affects nursing care and could lead to decreased wound infections. Which of the following actions should the nurse take regarding the information in the study? 1 Put the information into practice while performing wound care. 2 Discuss the research with a trusted coworker, and if the coworker agrees, put the information into practice at work. 3 Present the proposed practice change to the policy and procedure committee for evaluation and possible adoption. 4 Do a journal search to look for similar studies, and if three similar studies are found, incorporate the information into practice.

3

The nurse teaches a patient the importance of stopping smoking. Which of the following patient responses provides the best evidence that the teaching was effective? 1"I have a brother who died of lung cancer. I know smoking is bad." 2 "I tried to quit 5 years ago, and I really would like to, but it is very hard." 3 "Thank you for the information. I will call the Smoke Stoppers organization today." 4 "I know you are right. I should stop smoking."

3

When planning care for the older adult, the nurse understands the definition of aging as being which of the following? 1 A disease state that results in the death of a person's body cells all at once 2 A condition that starts for all people when they reach the age of 65 3 A maturational process with individual adaptations for physical and psychological changes over time 4 A state of accelerating decline in body functioning directly related to a disease process

3

Which of the following is the most important technique for the nurse to use during patient care to prevent infection transmission? 1 Wear gloves. 2 Wear a gown. 3 Wash hands. 4 Wear a mask.

3

Which of the following statements best defines a complementary modality? 1 An alternative treatment that is used in place of a conventional treatment 2 A treatment that may be dangerous and should be avoided 3 A treatment that can be used in addition to a conventional treatment 4 A treatment that is used after conventional treatments have failed

3

Which of the following therapies is most likely to use research-based interventions? 1 Naturopathy 2 Osteopathy 3 Allopathy 4 Homeopathy

3

While assessing a patient, the nurse notes a silicone catheter taped to the patient's chest and can feel the catheter under the skin. Which type of catheter does the patient have? 1 Peripherally inserted central catheter 2 Implanted port 3 Tunneled catheter 4 Nontunneled catheter

3

Which of the following topics should the nurse include in the teaching plan for safety for a patient who has a decreased sense of smell? Select all that apply. 1 Carbon monoxide detector 2 Flashing doorbell light 3 Natural gas alarm 4 Read labels before ingesting anything 5 Security system 6 Smoke alarm

3, 4, 6

Which of these actions would the nurse correctly interpret as falling within the scope of practice of the licensed practical nurse/licensed vocational nurse? Select all that apply. 1 Performing a physical assessment on admission for a critical care patient 2 Delegating to a registered nurse 3 Ambulating a 1-day postoperative patient 4 Developing the plan of care for a newly admitted surgical patient 5 Administering medications to patients in a long-term care facility 6 Obtaining vital signs of patients before medication administration

3, 5, 6

A 34-year-old mother of three is newly admitted to a respiratory unit because she has pneumonia. She has all the following problems. Based on the Maslow hierarchy of human needs, place the problems in order of priority. 1 Frontal headache related to stress of hospital admission 2 Anxiety related to concern about leaving children 3 Shortness of breath related to newly diagnosed pneumonia 4 Deficient knowledge related to discharge plan

3,1,2,4

The health care provider orders 5% dextrose in water at 100 mL per hour. What is the drip rate using tubing with a drop factor of 20? Round to the nearest whole number. Answer: ______________ gtt per minute

33

A 12-year-old patient is admitted for an appendectomy. The parents bring in a priest from their church to pray over the child. The prayers are continuing when it is time to take the child to surgery. How should the nurse respond? 1 Gently tell the parents that they must stop praying so the child can be taken to surgery. 2 Give the parents and priest as much time as they need for prayers before surgery. 3 Tell the parents that the child could die of a ruptured appendix if surgery is delayed. 4 Permit the parents and priest to stay and pray as the child goes into surgery.

4

A patient gains 2 pounds in 24 hours, weighed on the same scale at 7 a.m. Approximately how much water weight is represented by the 2 pounds? 1)8 ounces 2)16 ounces 3)24 ounces 4)32 ounces

4

A patient is being treated for hypokalemia. When evaluating response to potassium replacement therapy, which of the following assessment findings should the nurse observe for? 1 Improving visual acuity 2 Worsening constipation 3 Decreasing serum glucose 4 Increasing muscle strength

4

A patient who has high blood pressure tells the nurse he has been taking a ginger supplement in addition to his prescribed medications at home. What is the best response by the nurse? 1 "Nonprescription supplements can interact with prescription medications. You should not take it any longer." 2 "Ginger can be effective for hypertension. Be sure to monitor your blood pressure while you are taking it." 3 "Ginger is a safe supplement because it is a food. It should not interact with your medications." 4 "You should check with your health care provider to make sure the ginger doesn't interact with your other medications before you continue to take it."

4

The nurse is caring for a patient with an indwelling urinary catheter. Which of the following is the most important action for the nurse to use to prevent a healthcare-associated urinary tract infection from developing in this patient? 1 Ensure adequate hydration. 2 Keep catheter tubing secured. 3 Secure the drainage bag on the bedframe. 4 Maintain a closed urinary drainage system.

4

The nurse is caring for an adult patient admitted for an appendectomy who asks the nurse not to disclose any personal health information, including a positive human immunodeficiency virus status. The patient's mother arrives to visit and asks the nurse to explain why her child must take so many medications. Which of the following responses does the nurse use to apply the principle of veracity? 1 "You will have to talk to the health care provider." 2 "The medications are for recovery after a surgical procedure." 3 "The medications are to treat an infection." 4 "You will need to ask the patient directly about the medications."

4

The nurse is collecting data on a newly admitted patient who has an ulcerated area on his left hip. It is 2 inches in diameter and 1 inch deep, with yellow exudate. Which of the following statements best documents the findings in the patient's database? 1 Wound on left hip, 2 inches diameter, 1 inch deep, infected 2 Left hip wound, large, deep, with yellow drainage 3 Pressure injury on left hip, yellow drainage 4 Wound on left hip, 2 inches in diameter, 1 inch deep, yellow exudate

4

The nurse is collecting data on a patient who is 77 years old and says, "I am shorter now." The patient asks the nurse why this is occurring. Which of the following would be a correct reply by the nurse? 1 "Muscle contractions cause this." 2 "Bone degeneration over time is occurring in your legs." 3 "Hyperextension of your cervical spine has occurred." 4 "Water is lost from the intervertebral disks of the spine with age."

4

The nurse is contributing to the plan of care for a patient. In considering appropriate care, the nurse bases the care on which of the following to provide excellent care? 1 Content taught throughout a nursing educational program 2 Orientation to the health care agency for new employees 3 A nurse's personal judgment of what is best for each patient 4 Evidence that is evaluated for the health care agency and each patient

4

The nurse is planning care for a patient with heart disease. Which of the following effects should the nurse consider is most likely to occur with a chronic illness when gathering further data collection? 1 Hopefulness 2 Increased socialization 3 Powerfulness 4 Spiritual distress

4

The nurse requests the competency evaluated nursing assistant to help the patient with oral care. Which of the following methods requested by the nurse would be most appropriate to achieve evidence-based care? 1 Instruct the competency evaluated nursing assistant to have the patient rinse the mouth with water after dinner. 2 Instruct the competency evaluated nursing assistant to give oral care using oral swabs to clean the teeth and mouth. 3 Ask the competency evaluated nursing assistant to instruct the patient to use a mouthwash rinse for the oral care. 4 Explain that oral care is best done by brushing the teeth and tongue with a toothbrush and toothpaste.

4

Which nurse is exhibiting intellectual humility? 1The nurse who is an expert at wound care 2The nurse who reports an error to the supervisor 3The nurse who tries to empathize with the patient 4The nurse who asks a coworker about a new procedure

4

Which of the following solutions can be administered with a blood component? 1)Lactated Ringer's solution 2)5% dextrose/0.2% sodium chloride (normal saline) 3)5% dextrose/0.45% sodium chloride (normal saline) 4)0.9% sodium chloride (normal saline)

4

Which patient is most at risk for fluid excess? 1 An infant with pneumonia 2 A teen with multiple injuries following an automobile accident 3 A middle-aged man who has just had surgery 4 An older adult patient receiving intravenous therapy

4

A patient is to receive 1,000 mL normal saline over 12 hours. How many milliliters per hour should be set on the electronic infusion device? Answer: ______________ mL per hour

83

When caring for a patient with fluid excess, which of the following interventions will best help relieve respiratory distress? 1)Elevate the head of the bed. 2)Encourage the patient to cough and deep breathe. 3)Increase fluids to promote urine output. 4)Perform percussion and postural drainage.

1

Which of the following parts of the nursing process can be carried out independently by a licensed practical nurse/licensed vocational nurse? 1 Implementation of interventions 2 Nursing diagnosis 3 Analysis of data 4 Evaluation of outcomes

1

Which of the following pieces of information is considered objective data? 1 The patient's respiratory rate is 28. 2 The patient states, "I feel short of breath." 3 The patient is short of breath. 4 The patient is feeling panicky.

1

Which pH value represents acidosis? 1) 7.26 2) 7.35 3) 7.4 4) 7.49

1

The nurse is collecting data on a patient in a health care clinic. Which of the following observed data contributes to the suspicion that the patient is a victim of human trafficking and not safe? Select all that apply. 1 Physical bruising and marks 2 Below normal weight range 3 Emotionally depressed 4 Unmanaged chronic health issues 5 Personal identification available on request 6 Excellent health history

1, 2, 3, 4

A licensed vocational nurse is preparing to interview for a position in a medical office and is reviewing the job description. Which of these tasks would be included in the job description? Select all that apply. 1 Advocate for patients. 2 Obtain and document patients' vital signs. 3 Contribute to the plan of care for patients. 4 Administer immunizations. 5 Obtain informed consent. 6 Assist with renewal of prescriptions.

1, 2, 3, 4, 6

Which of the following actions should the nurse take during admission and throughout a patient's hospitalization to help ensure payment to the agency for a secondary diagnosis occurrence? Select all that apply. 1 Document patient education related to preventing complications. 2 Document patient refusal of preventative interventions. 3 Document interventions, such as turning and ambulating patients. 4 Educate patients about methods used to prevent complications. 5 Explain to the patient that participation in preventive interventions is optional. 6 Photograph wounds that are present on admission.

1, 2, 3, 4, 6

A licensed practical nurse is offered a position in a correctional facility. The nurse is informed that the tasks will include which of these? Select all that apply. 1 Demonstrates professionalism in providing inmate health care delivery 2 Demonstrates sensitivity to cultural and socioeconomic differences related to health and behaviors 3 Responds appropriately to situations and seeks supervision as needed 4 Provides sympathy to inmates who are ill 5 Responds to emergencies as part of the health care team

1, 2, 3, 5

Which patients have a need for intravenous therapy? Select all that apply. 1) An 88-year-old man admitted to the hospital with dehydration 2) A 21-year-old woman with an eating disorder and severe weight loss 3 )A 58-year-old woman with pneumonia who has been unresponsive to oral antibiotics 4 )A 37-year-old man recovering from a fall and broken arm 5 )A 4-year-old brought to the emergency room because of prolonged vomiting 6) A patient with fluid overload who requires fast-acting diuretic therapy

1, 2, 3, 5, 6

The nurse is caring for a resident who is confused, has become combative, and strikes out at the nurse. The nurse would demonstrate the appropriate legal use of restraints for the resident based on which of these? Select all that apply. 1 The resident's plan of care identifies behaviors requiring restraints. 2 The resident may harm others. 3 The nurse cannot remain at the resident's bedside due to other tasks. 4 The resident may cause self-harm. 5 The resident's behavior requires discipline.

1, 2, 4

The nurse is caring for a patient who is a fall risk. Which of these interventions should the nurse implement to prevent a fall? Select all that apply. 1 Ensure adequate vitamin D and calcium intake. 2 Perform a medication review. 3 Have resident stand quickly. 4 Place socks on the patient for ambulation. 5 Keep environment well lit and clutter free. 6 Encourage exercise that strengthen leg muscles.

1, 2, 5, 6

Which of the following actions should the nurse take to protect skin integrity in the older adult? Select all that apply. 1 Inspect skin daily. 2 Apply moisturizer between toes. 3 Use gentle bathing techniques. 4 Massage nonreddened, intact skin sites gently. 5 Use hot water for bathing.

1, 3, 4

The nurse is planning care for an older patient with a history of constipation. Which of the following actions should the nurse include in the patient's plan of care to help prevent constipation? Select all that apply. 1 Increase dietary fiber intake. 2 Decrease water intake. 3 Encourage participation in activities of daily living. 4 Review medication effects. 5 Increase daily exercise. 6 Decrease fresh fruit intake.

1, 3, 4, 5

Which of the following complementary modalities are considered relaxation therapies? Select all that apply. 1 Progressive muscle relaxation 2 Tai Chi 3 Biofeedback 4 Homeopathic therapies 5 Guided imagery

1, 3, 5

The nurse is caring for an older patient who has difficulty sleeping. Which of the following actions could the nurse take to promote rest for the patient? Select all that apply. 1 Back rubs 2 Encourage afternoon nap 3 Foot rubs 4 Set an alarm clock 5 Warm towel bath 6 Warm milk

1, 3, 5, 6

The nurse is caring for a team of patients. Which of the following practice guidelines does the nurse follow to ensure appropriate patient care is provided? Select all that apply. 1 An institution's policies 2 A national organization's code of ethics 3 State practice laws for nurses 4 National association nursing standards 5 Local nursing standards

1, 3, 5;

The nurse is to give a newly ordered antibiotic to a patient with a wound infection. The nurse is to change the dressing and obtain a wound culture. Which of the following is essential to do before giving the medication? Select all that apply. 1 Check all patient allergies. 2 Check the patient's temperature. 3 Change dressing. 4 Give antibiotic with milk. 5 Obtain ordered wound culture. 6 Document wound appearance.

1,5

Which of the following are functions of sodium in the body? Select all that apply. 1 Maintenance of serum osmolarity 2 Formation of bones and teeth 3 Control of bronchodilation 4 Control of serum glucose 5 Maintenance of cellular function

1,5

A 64-year-old patient goes to a clinic for a yearly physical. The patient has a history of hypertension and osteoarthritis. Which of the following would be a priority action for the nurse to take to promote wellness for this patient who has chronic illnesses? 1 Demonstrate how to take a blood pressure. 2 Explain hypertension and osteoarthritis. 3 Encourage increased socialization. 4 Evaluate goal progress with the patient and family.

2

A 93-year-old patient with diarrhea and dehydration is admitted to the hospital from a long-term care facility. For which of the following symptoms of dehydration should the nurse assess? 1 Pale-colored urine, bradycardia 2 Disorientation, poor skin turgor 3 Decreased hematocrit, hypothermia 4 Lung congestion, abdominal discomfort

2

A patient in a long-term care facility states that her family does not visit very often. She asks the nurse to give her extra medication so she can die. She says that she's old and no one will mind anyway. What is the nurse's best response? 1 "Now that is just silly! Go to the activity room. They are playing bingo." 2 "I'm sorry, but I cannot do that. Do you want to talk about how you are feeling?" 3 "I can give you a sedative with lunch so that you can relax more." 4 "My kids don't visit me often either. I understand how you feel."

2

A patient is being seen by a home health care nurse for monitoring of weight and vital signs and education about medication changes following an acute exacerbation of heart failure. During this visit, which of these is a priority for the nurse to document? 1 Food eaten by the patient for breakfast 2 Education on keeping a daily weight log and when to inform the health care provider 3 Explaining the role of the home health care aide in assisting the patient with personal care 4 Distance the patient was able to ambulate while working with physical therapy

2

A patient receiving intravenous therapy via a central line develops hypotension, cyanosis, and dyspnea. The nurse notes a crack in the intravenous tubing. After calling for help, what should the nurse do next? 1 Raise the head of the bed. 2 Clamp the tubing and administer oxygen. 3 Monitor vital signs. 4 Place tape over the tubing crack.

2

In which of the following ways is critical thinking useful to the nursing process? 1 It highlights the solution to a problem. 2 It can lead to a better outcome for the patient. 3It simplifies the process. 4 It helps the nurse arrive at a solution more quickly.

2

The nurse is assisting in the health clinic in offering immunizations for school children. A mother asks the nurse why her children need to be immunized for communicable diseases. The nurse explains that when more children are immunized, more people are protected from the communicable diseases. Which ethical theory supports the nurse's reply? 1 Deontological perspective 2 Utilitarian perspective 3 Theological perspective 4 Autonomy perspective

2

The nurse would evaluate the patient with a chronic illness as responding positively to interventions for chronic sorrow if the patient stated which of the following? 1 "I have nothing left to accomplish." 2 "Maybe tomorrow will be a better day." 3 "I should not keep hoping for a cure." 4 "There is nothing I can do."

2

The nurse would like to suggest a new method for documenting intake and output to the nurse manager, who uses the autocratic leadership style. To approach the manager, the nurse would recognize that the autocratic leader makes decisions in which of these ways? 1 Seeks information from all staff members 2 Uses own knowledge 3 Forms focus groups to gather information 4 Forms a staff committee to provide input

2

Which action does the Health Insurance Portability and Accountability Act of 1996 require the nurse to take while caring for patients? 1 Maintain continuing nursing education credit hours. 2 Ensure the privacy of patients' protected health information. 3 Limit nursing work hours to no more than 35 per week. 4 Avoid membership in a union or collective bargaining agreement unit.

2

Which is the best resource for the nurse who has a question about the process and implementation of intravenous therapy for a specific patient? 1 An experienced nurse 2 Institution policy 3 The physician 4 Infusion Nurses Society standards of practice

2

Which of the following characteristics is exhibited by a nurse who assumes that all patients have the same cultural beliefs as his or her own? 1 Stereotyping 2 Ethnocentrism 3 Cultural sensitivity 4 Cultural dominance

2

Place the steps of the nursing process in correct chronological order of use. Use all options. 1 Nursing diagnosis 2 Evaluation 3 Data collection 4 Planning care 5 Implementation

This is the answer the book gives (3, 4, 1, 5, 2) It is a typo. The book also states: collecting data, formulating nursing diagnoses, and planning, implementing, and evaluating care. Correct answer : 3, 1, 4, 5, 2

A 70-year-old man is the primary caregiver for his wife, who has moderately severe Alzheimer's disease. He becomes angry with her for spilling her dinner on the floor. He later feels guilty and begins to cry. The home health care nurse is developing a plan of care. Which of the following would be an appropriate nursing diagnosis for the nurse to include? 1 Caregiver Role Strain 2 Hopelessness 3 Powerlessness 4 Risk for Caregiver Role Strain

1

A patient has been admitted for reconstructive orthopedic surgery of the knee. His wife brings jars of special blends of spices that the patient wants to use because the hospital food is too bland. The patient is on a general diet. What action should the nurse take? 1 Check that the spices do not interact with the patient's medications and, if not, let the patient use them. 2 Carefully explain that family cannot bring food items to the hospital. 3 Have the dietitian provide spices from the hospital food services. 4 Report the situation to the health care provider.

1

A patient is being discharged following hospitalization for fluid imbalance. Which instruction by the nurse should take priority? 1 "Weigh yourself at the same time three times a week and report changes." 2 "Call your doctor immediately if you feel weak or fatigued." 3 "Drink eight glasses of water a day." 4 "Measure everything you drink, and measure how much you urinate each day."

1

A patient is receiving a subcutaneous infusion of 0.9% sodium chloride. While assessing the infusion, what infusion rate should the nurse expect to observe? 1) 1 mL/minute 2) 5 mL/minute 3) 10 mL/minute 4) 15 mL/minute

1

A patient with terminal cancer has an advance directive indicating that a feeding tube is not to be inserted. After the patient becomes unconscious, the patient's family requests that a feeding tube be inserted. Based on a deontological perspective and supporting the patient's autonomy, what action will the nurse anticipate the health care provider will take? 1 Withhold the feeding tube. 2 Insert the feeding tube. 3 Order an electroencephalogram to determine if the patient will wake up. 4 Place a "Do Not Resuscitate" bracelet on the patient's wrist.

1

A policy and procedure committee is reviewing evidence for a new policy. When considering the evidence, which of the following sources would generally be safest for a health care agency to implement? 1 Joanna Briggs Institute evidence-based resource 2 One randomized controlled trial 3 Four quasi-experimental studies that show similar results 4 The opinion of a national nursing expert on the subject

1

During orientation, a newly hired licensed practical nurse/licensed vocational nurse reviews the agency job description for the position. Which of these situations would be an appropriate example of a leadership role for this position within the job description? 1 Consulting with a registered nurse to modify care for an assigned patient 2 Performing an annual employee evaluation for a nursing assistant 3 Supervising the registered nurse and licensed practical nurse/licensed vocational nurse staff on a surgical unit 4 Interviewing a new graduate registered nurse for a staff position

1

What steps does the home health care nurse take to ensure that a patient is not exposed to infectious materials in the home? 1 Disinfect the home health care bag after each patient visit with a germicidal spray supplied by the home health care agency. 2 Perform hand hygiene in the kitchen sink rather than the bathroom sink. 3 Use the same red bag from patient to patient for disposing of soiled dressings. 4 Place home health care bag on floor instead of furniture.

1