Unit 2 Quizzes

A nurse in an emergency department is caring for 4 clients. Which of the following findings requires the nurse to act as a mandatory reporter? A. A child who was left unsupervised for several hours at home and is being treated for a fractured leg B. A client who was admitted for pneumonia and reports having no heat or running water at home C. A client who has depression and a self-inflicted wrist laceration D. A public official who is admitted with alcohol withdrawal and delirium tremens

A. A child who was left unsupervised for several hours at home and is being treated for a fractured leg

A charge nurse is conducting an in-service training session on ethics to a group of newly licensed nurses. Which of the following situations should the charge nurse include as an example of the ethical principle of veracity? A. A nurse truthfully answers the client's questions about upcoming chemotherapy. B. A nurse stops inserting an NG tube when the client refuses the procedure. C. A nurse provides the same amount of time to all clients regardless of condition. D. A nurse reports an assistive personnel who transfers a client without using a gait belt.

A. A nurse truthfully answers the client's questions about upcoming chemotherapy.

A nurse on a medical-surgical unit is admitting a client. Which of the following pieces of information should the nurse document in the clients record first? A. Assessment B. Plan of care C. Nursing interventions performed D. Evaluation of progress

A. Assessment

The nurse is using the I-SBARR communication tool to give a client's provider information about the client. The nurse should convey the clients pain status in which portion of the report? A. Assessment B. Background C. Situation D. Recomentation

A. Assessment Assessment findings includes vitals and pain assessment

A nurse is caring for a group of clients in a long term care facility. The nurse should understand that which of the following clients is eligible for hospice services at this time? A. A client who has multiple sclerosis and uses a wheelchair B. A client who has end-stage cirrhosis C. A client who has hemiplegia due to a stroke D. A client who has cancer and receives weekly radiation therapy

B. A client who has end-stage cirrhosis

A nurse is conducting an admission assessment for an older adult client. Which of the following actions should the nurse take to collect subjective data? A. Leave the client a written questionnaire to fill out in private B. Allow sufficient time for the client to respond to the questions C. Talk to family members to obtain the clients health history D. Obtain the clients health history from the medical record

B. Allow sufficient time for the client to respond to the questions

A nurse is performing an admission for a client who has asthma and reports several food allergies. Which of the following actions should the nurse take first? A. Document the clients food allergies in the medical record B. Ask the client to identify the specific food allergies C. Monitor the client for indications of anaphylaxis D. Have epinephrine available for administration

B. Ask the client to identify the specific food allergies

A nurse is discussing with a newly licensed nurse about how to obtain informed consent from a client who is scheduled to undergo an epidural procedure. Which of the following ethical principles should the nurse include in the teaching? A. Beneficence B. Autonomy C. Paternalism D. Justice

B. Autonomy

A nurse is caring for a client who has a terminal illness. Which of the following findings indicates that the clients death is imminent? A. Urinary retention B. Cold extremities C. Hypertension D. Tachycardia

B. Cold extremities

A nurse is called away for an emergency while conversing with a client who is concerned about his medical diagnosis. The nurse returns to the client promptly, as promised. Which of the following ethical principles is the nurse demonstrating? A. Autonomy B. Fidelity C. Nonmaleficence D. Justice

B. Fidelity

A charge nurse is discussing ethics with a newly licensed nurse. Which of the following actions should the charge nurse include as an example of beneficence? A. Taking a continuing education course about recognizing risk factors of suicide B. Spending extra time reorienting a client who is experiencing command hallucinations C. Acknowledging and accepting a client's refusal of a psychotropic medication D. Describing the purpose, action, and side effects of a psychotropic medication

B. Spending extra time reorienting a client who is experiencing command hallucinations

A nurse is assisting a client who is eating at bedtime, suddenly the client grabs her neck with both hands and appears frightened. Which of the following actions should the nurse take first? A. Place an oxygen mask on the client B. Check the clients pulse C. Determine whether the client is able to breathe D. Wrap arms around the client from behind

C. Determine whether the client is able to breathe

A nurse is working with the facilities language interpreter to explain a wound care procedure to a client who does not speak the same language as the nurse. Which of the following actions should the nurse take when describing the procedure to the client? A. Make eye contact with the interpreter B. Break sentences into shorter segments to allow time for interpretation C. Ensure the interpreter and the client speak the same dialect D. Speak in a loud tone of voice

C. Ensure the interpreter and the client speak the same dialect

A nurse is teaching a client how to self-administer insulin. Which of the following actions should the nurse take to evaluate the client's understanding of the process within the psychomotor domain of learning? A. Ask the client if he wants to self-administer his insulin B. Have the client list the steps of the procedure C. Have the client demonstrates the procedure D. Ask the client if he understands the purpose of insulin

C. Have the client demonstrates the procedure

A nurse is assisting with the informed consent process for a client who is scheduled for a below-the-knee amputation. The client asks the nurse, "Why are they making me have this surgery today? I don't understand why they are doing this." Which of the following actions should the nurse take? A. Complete an incident report. B. Administer an antianxiety medication. C. Notify the provider of the client's comments. D. Answer the client's questions and verify understanding.

C. Notify the provider of the client's comments.

A nurse is providing discharge teaching to a client who does not speak the same language as the nurse. Which of the following actions should the nurse take? A. Ask the clients neighbor to call a family member to interpret B. Ask the clients neighbor to translate the information C. Obtain services of an interpreter D. Document the inability to provide discharge instructions

C. Obtain services of an interpreter

A nurse is caring for a client who is dying and unable to make decisions for himself. The client's adult children disagree about his code status. Which of the following sources should the nurse depend on for decisions regarding the client's end-of-life care? A. The clients oldest chlid B. The attending provider C. The clients health care proxy D. The facilities ethics committee

C. The clients health care proxy

A nurse is witnessing a client sign an informed consent form for surgery. What is the nurse affirming by this action? A. The client fully understands the provider's explanation of the procedure. B. The client has been informed about the risks and benefits of the procedure. C. The nurse witnessed the provider's explanation of the procedure. D. The signature on the preoperative consent form is the client's.

D. The signature on the preoperative consent form is the client's.

A new resident provider asks the charge nurse for an access code to review the clients online records. The resident is not scheduled to attend the facilities orientation computer class until next week. Which of the following actions should the nurse take? A. Explain that it is against policy to share access codes and refer the resident to his supervisor B. Access the clients online data and monitor the resident as he reads them C. Access the online system and allow the resident to locate the clients data D. Ask each client to give permission for the resident to access medical records

A. Explain that it is against policy to share access codes and refer the resident to his supervisor

A school nurse is assessing a child who has multiple bruises on his trunk and extremities. The child reports falling out of a tree 2 days ago. The nurse's assessment findings show patterns of bruising that are not typically sustained during a fall from a tree. Which of the following actions should the nurse take? A. Report the findings to local police and social service agencies. B. Report the findings to the school district superintendent. C. Call the parents of the child and further assess the causative event. D. Reassess the child on a weekly basis for injuries.

A. Report the findings to local police and social service agencies.

A nurse is collecting health history data from a client who is deaf and uses ASL to communicate. Which of the following actions should the nurse take when working with an interpreter? A. Face away from the client to avoid distraction B. Pace speech to allow for the interpreter to convey the words C. Make eye contact with the interpreter when explaining the procedure D. Stand in the background while the interpreter translates the message

B. Pace speech to allow for the interpreter to convey the words

a nurse is employing a through, systematic method while obtaining objective data about a client. through which of the following methods should the nurse collect this information? A. Health history B. Physical Examination C. Review of systems D. Interview

B. Physical examination Physical findings are objective, the nurse should collect this information in a systematic way

A nurse in a provider's office observes a newly licensed nurse taking a client's health history while in the waiting area. Which of the following actions should the nurse take? A. Continue to observe the nurse B. Speak to the nurse immediately in private C. Consider using the same practice to make efficient use of time and office space D. Report the nurse's actions to the provider

B. Speak to the nurse immediately in private

A nurse on a medical surgical unit is caring for a client. Which of the following actions should the nurse prioritize when using the nursing process? A. Identify goals for client care B. obtain client information C. Document nursing care needs D. Evaluate the effectiveness of care

B. obtain client information the first step in the nursing process is assessing and obtaining client information.

A nurse is caring for a client with stage 4 ovarian cancer who has decided to stop treatment and enter hospice care. Which of the following ethical principles is the nurse displaying by supporting the client in her decision? A. Responsibility B. Accountability C. Advocacy D. Confidentiality

C. Advocacy

A nurse in a providers clinic is taking a clients age, height, weight, and vitals signs. Which component of the nursing process is this? A. Planning B. Evaluation C. Assessment D. Implementation

C. Assessment

A Nurse is planning to document care provided for a client. Which of the following abbreviations is correct? A. BT for bedtime B. SC for subcutaneously C. PC for after meals D. HS for half-strength

C. PC for after meals

A nurse is caring for a client who has breast cancer. The client has been receiving radiation therapy for several months and now refuses to undergo further treatment. Which of the following actions should the nurse take? A. Suggest the client talk with someone who has survived breast cancer B. Encourage the client not to give up C. Support the client's decision D. Refer the client to a counselor

C. Support the client's decision

A nurse in a mental health facility is reviewing confidentiality requirements with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this information? A. "I am legally required to notify a client's employer about a substance use disorder." B. "If a client is involuntarily committed, I can discuss information with the client's next of kin." C. "I can discuss a client's treatment with others as long as they are employees of the facility." D. "I should keep personal information private even after a client dies."

D. "I should keep personal information private even after a client dies."

A charge nurse is reviewing the Code of Ethics for Nurses during a staff meeting. Which of the following statements should the charge nurse include in the teaching? A. "The Code of Ethics for Nurses is legally binding." B. "The Code of Ethics for Nurses is mandatory for the practice of nursing." C. "The Code of Ethics for Nurses is a description of licensure requirements." D. "The Code of Ethics for Nurses is a guide for professional actions."

D. "The Code of Ethics for Nurses is a guide for professional actions."

A nurse is caring for an adult client who has alcohol use disorder. Today, the client states she is refusing further treatment and is leaving the mental health facility. Which of the following actions should the nurse take? A. Request a prescription for restraints from the provider. B. Ask security to lock the unit's exit doors. C. Notify the client's family members of the client's intent to leave. D. Ask the client to sign an against medical advice (AMA) form.

D. Ask the client to sign an against medical advice (AMA) form.

A hospice nurse is providing education about palliative care to the partner of a client who has end-stage liver cancer. Which of the following statements made by the partner indicates understanding of treatment? A. I will do my best to get him to eat something B. I will lay him flat if his breathing becomes shallow C. I will use an electric blanket to keep him warm D. I will continue to talk to him, even when he's sleeping

D. I will continue to talk to him, even when he's sleeping Hearing is thought to be the last sense to leave during the dying process.

A home hospice nurse is caring for a client who is dying. A family member of the client is talking to the nurse. Which of the following statements by the family member requires clarification by the nurse? A. Although my father cant get around very much, at least he is alert B. My siblings and I have a schedule of when we are available to provide care for our father C. My biggest concern is that I don't want my father to be in any pain D. I'm glad that professionals will be here in case my father stops breathing.

D. I'm glad that professionals will be here in case my father stops breathing a professional provider is not always going to be there

A nurse is preparing a client who is scheduled for a hysterectomy for transport to the operating room. The client states she no longer wants to have the surgery. Which of the following actions should the nurse take? A. Tell the client it is too late for her to change her mind because the surgery is already scheduled. B. Telephone the operating room and cancel the surgery. C. Inform the client's family about the situation. D. Notify the provider of the client's decision.

D. Notify the provider of the client's decision.

A nurse manager is orientating newly licensed nurses to a facility and is emphasizing the importance of practicing within standards of care. To which of the following legal concepts is the nurse manager referring? A. Punitive damages B. Intentional torts C. Good Samaritan laws D. Professional negligence

D. Professional negligence

A nurse is discussing palliative care with the family of a client who is terminally ill. Which of the following should the nurse include as the purpose of palliative care? A. Curing the disease B. Producing remission C. Hastening death D. Providing comfort measures

D. Providing comfort measures

A nurse in the emergency department is treating a child who has bruises. The nurse suspects child abuse, but the provider disagrees and discharges the client. Which of the following actions should the nurse take? A. Request a social services consultation B. Contact the child's guardian to discuss the suspicion C. Report the provider's actions to the state medical board D. Report the suspected abuse to law enforcement

D. Report the suspected abuse to law enforcement

A nurse in the emergency department is caring for a child who has bruises that support a suspicion of child abuse. Which of the following actions should the nurse take? A. Ask the child if his parents are responsible for the abuse B. Notify the facility's risk manager C. Interview the child with his parents present D. Report the suspected abuse to local authorities

D. Report the suspected abuse to local authorities

While in the hospital, a client who has a terminal illness tells the nurse, "I cant believe I'm dying. A lot of bad people in the world are healthy, and here I am dying!" Which of the following responses should the nurse provide? A. Everyone dies sometimes; some die sooner than others B. Who do you think deserves to die more than you? C. It doesn't seem unfair, doesn't it? D. Tell me more about how you feel about dying

D. Tell me more about how you feel about dying