Relias learning
The physician ordered atropine sulfate 0.4 mg IM before surgery. The medication is supplied in 0.8 mg/mL vials. The nurse should administer how many milliliters of the medication?
0.5 mL
You have an order for 2 mg of dexamethasone. Medication comes in 4 mg/mL vials. How many milliliters would you administer?
0.5 mL
Convert 1.2 milligrams to micrograms.
1200 mcg
Prior to Laura's surgery, the surgeon prescribes a muscle relaxant, dantrolene sodium 0.5 mg/kg. The package comes in 10 mg/mL vials. Laura weighs 40 kg. How many milliliters of dantrolene sodium should she receive?
2 mL
You receive an order to start heparin drip at 18 units/kg/h for a patient weighing 75 kg. The heparin comes 500 mL bag with 25,000 units. Calculate the starting rate of the infusion.
27 mL/h
The physician orders an IV infusion of D5W 1000 mL to infuse over the next 8 hours. The IV tubing that you are using delivers 15 gtt/mL. What is the correct rate of flow?
31 gtt/min
Once started, a unit of blood MUST be transfused within:
4 hours
Gentamicin 360 mg is prescribed. Gentamicin is available in 80 mg/2 mL vials. How many milliliters will you draw up?
9 mL
Which of the following situations is most likely to violate maintaining professional boundaries in healthcare?
Accepting a "friend request" from a patient through online social networking
What is fraudulent conduct?
Acting in a manner that knowingly deceives someone for financial benefit
Preschoolers who are exposed to domestic violence are likely to experience all of the following EXCEPT:
Advanced intellectual competency
Which of the following is a sound practice for keeping boundaries in place when working with clients/patients?
Always act as if there is a video camera running at work.
All of the following are considered protected health information (PHI) EXCEPT:
An individual's employment records
The nurse is applying a topical corticosteroid to a patient with eczema. The nurse would monitor for the potential for increased systemic absorption of the medication when being applied to which area?
Axilla
A seven-months-pregnant woman comes alone to your community agency for her first prenatal visit. To help break the silence surrounding domestic violence, what is MOST important for you to ask her about during the visit?
Being late in seeking prenatal care
True or False: Only 45 out of 50 U.S. states have designated professions whose members are mandated by law to report child abuse and neglect.
Being late in seeking prenatal care
What boundary category does accepting an appropriate gift usually fall into?
Boundary crossing
Which of the following is a clear example of a boundary VIOLATION?
Buying your client's medications with your money
Which of the following types of protected health information (PHI) could be appropriate to disclose WITHOUT authorization?
Communicable diseases
Toddlers who are exposed to domestic violence are likely to experience all of the following EXCEPT:
Confidence with being alone
What messages are children growing up in a family where there is violence and abuse receiving from their parents?
Cruelty and powerlessness
All of the following are associated with pre-adolescent children's exposure to domestic violence EXCEPT:
Decreased irritability
Before accepting a gift, you should consider all of the following EXCEPT:
Diagnosis of the giver
What action should be avoided to help prevent sexual boundary violations?
Discussing one's own sexual preferences
Which of the following PPE will ALWAYS be required for someone under contact precautions?
Gloves
What is the MOST effective way to break the chain of infection and prevent disease?
Hand hygiene
Mr. Cooper has tested positive for influenza and is now on droplet precautions. He is not coughing but needs to be transported to his physician's office. Which of the following interventions is NECESSARY?
Have him wear a mask while he is outside of his home.
Which professionals usually have the BEST opportunities to be more assertive regarding assessing for signs of domestic violence?
Healthcare professionals
Which of the following scenarios creates a dual-relationship?
Hiring a client's child
Which of the following is the best example of a boundary CROSSING?
Hugging your client when they tell you they lost their beloved pet
Which of the following is recommended online behavior to prevent boundary issues or breach of confidentiality?
Keeping separate personal and professional email addresses
Which of the following PPE will ALWAYS be required for someone with active TB who is under airborne precautions?
N95 respirator
What type of relationship should you have with a client/patient or people close to them to avoid violating touch and sex boundaries?
Professional relationship
When transferring a person from a bed to a wheelchair, you must do all of the following EXCEPT:
Remove the wheelchair arm that is farthest from the bed
Your supervisor comes to you and asks you to document something that did not occur. What should you do?
Report the supervisor's request.
Which of the following links in the chain of infection is defined as the place where the infectious agent lives, grows, and multiplies?
Reservoir
You should manage conversations during accidental encounters with clients/patients in all of the following ways EXCEPT by:
Sharing personal information.
Which of the following is an appropriate method for the disposal of printed protected health information (PHI)?
Shred it.
Which of the following describes a whistleblower?
Someone who calls attention to wrongdoing
The three BEST ways that the community at large can help identify and prevent domestic violence include listening, reporting, and what other intervention?
Teaching
Why are professional boundaries necessary in healthcare?
They are used to provide safety and structure in the healthcare relationship.
You receive report from the off-going nurse that your patient, Mrs. Harrison, has just received her fourth dose of IV vancomycin which was administered over 30 minutes. Upon your initial assessment of this patient, you notice that her face and neck are red and she is itching and shivering. As a nurse, you would suspect which of the following?
This patient is experiencing "red man" syndrome due to rapid infusion of vancomycin
Which of the following is false?
Transfer needs will stay the same over time.
Which of the following statements is TRUE?
Transmission-based precautions also require the use of standard precautions.
The amount of assistance required to perform a lift or transfer will depend upon the person's status.
True
True or False: Individuals designated as mandatory reporters typically have frequent contact with children, such as law enforcement officers and mental health professionals.
True
True or False: Teens who experience domestic violence have an increased chance of becoming involved in dating violence and sex trafficking.
True
Factors that can reduce the spread of tuberculosis include all of the following EXCEPT:
Tuberculin skin injections
What boundary problem is defined as occurring when a staff member is involved with a client/patient or someone close to the client/patient in a way that has nothing to do with the services their organization provides?
dual relationship
1. What piece of PPE should be removed first?
gloves
The proper use of PPE is a component of which of the following infection control policies?
standard precautions
True or False: Abuse, waste, fraud, and kickbacks are types of improper or fraudulent conduct.
true
True or False: Physical contact in the workplace is appropriate only when it has a professional purpose.
true
True or False: The purpose of professional boundaries is to provide safety and structure in the relationship between the healthcare professional and the individuals being cared for.
true
True or False: Transmission-based precautions are divided into three categories: contact, droplet, and airborne precautions.
true
When you honestly report a potential compliance violation you are legally protected against retaliation.
true
You should wear masks when there is a possibility you will be exposed to pathogens that are transmitted through the air or in droplets of saliva.
true
