Teamwork and Collaboration Prep U

A hospitalized patient asks the nurse for "some aspirin for my headache." There is no order for aspirin for this patient. What will the nurse do? a) Go ahead and give the patient aspirin, a common self-prescribed drug. b) Ask the patient's visitors if they have any aspirin for the patient. c) Ask the patient's family to bring some aspirin from home. d) State that an order from the doctor is legally required and check with the doctor.

d) State that an order from the doctor is legally required and check with the doctor.

A patient has a nasogastric (NG) tube for suction and is NPO following a pancreaticoduodenectomy. Which of the following explanations made by the nurse is the major purpose of this treatment? a) The tube will help control fluid and electrolyte imbalance. b) The tube will provide relief from nausea and vomiting. c) The tube will allow the removal of toxins. d) The tube will allow the gastrointestinal (GI) tract to rest.

d) The tube will allow the gastrointestinal (GI) tract to rest.

What test will the nurse assess to determine the patient's response to antiretroviral therapy? a) Western blot b) CBC c) EIA enzyme immunoassay d) Viral load

d) Viral load

A client has undergone diagnostic testing for human immunodeficiency virus (HIV) using the enzyme immunoassay (EIA) test. The results are positive and the nurse prepares the client for additional testing to confirm seropositivity. The nurse would prepare the client for which test? a) Western blot assay b) Nucleic acid sequence-based amplification c) p24 antigen capture assay d) OraSure test

a) Western blot assay

What is the primary purpose of the patient record? a) communication b) advocacy c) education d) research

a) communication

A client with an inoperable brain tumor is brought to the hospital because the family can no longer care for the client at home. As the nurse provides care for the client, family members express their disappointment at not being able care for him/her at home as the client wished, since he/she did not want to die in the hospital. Which response by the nurse is best? a) "Have you explored hospice care? I can ask the case manager to discuss this care option with you, if you're interested." b) "Having a family member with a terminal illness is very difficult." c) "I understand; I take care of clients like this every day and don't know how you could do it at home." d) "It's OK to bring the client back to the hospital to die."

a) "Have you explored hospice care? I can ask the case manager to discuss this care option with you, if you're interested."

Which of the following diagnostic tests are done to determine a suspected pituitary tumor? a) A computed tomography (CT) scan b) Radiographs of the abdomen c) A radioimmunoassay d) Measuring blood hormone levels

a) A computed tomography (CT) scan

The new graduate nurse is evaluating the effectiveness of her assigned nurse mentor. Which characteristic should the new graduate recognize as being inappropriate for the nurse mentor to role model? a) Advising the new graduate to consult her before making decisions regarding client care b) Encouragings the new graduate to enroll in continuing education courses c) Providing daily feedback to the new graduate d) Introducing the new graduate to members of the interdisciplinary team

a) Advising the new graduate to consult her before making decisions regarding client care

A nurse assesses a patient who is being given an opioid analgesic and finds the patient unresponsive to shaking or other stimuli. What drug might be ordered to reverse this state? a) Naloxone b) Cortisone c) Aspirin d) Penicillin

a) Naloxone

The nurse is assigned to a client who experiences a syncopal episode on her first ambulation after childbirth. Which nursing actions will the nurse delegate to the licensed practical/vocational nurse (LPN/VN)? Select all that apply. a) Obtain a cool compress for the head b) Assist with ambulation on next trip to the bathroom c) Obtain orthostatic blood pressures d) Monitor hemoglobin and hematocrit level e) Assist nurse with ambulating client back to bed f) Assess pain level on a 0-10 pain scale

a) Obtain a cool compress for the head e) Assist nurse with ambulating client back to bed

A nurse working on the adolescent unit has a strained working relationship with a coworker and finds it difficult to work well with her. What is the best way for her to go about defusing this situation? a) Talk with the other nurse and try to work out differences so they don't affect client care. b) Ask other nurses assigned to the unit to see what they think might improve the situation. c) Avoid the other nurse by working different shifts. d) Complain to the nurse-manager about the coworker's attitude.

a) Talk with the other nurse and try to work out differences so they don't affect client care.

A nurse is evaluating a patient's discharge collaboration between the referring agency and the home care agency. What response by the patient would indicate an understanding of the discharge planning process? a) "My wife sat down with the discharge planner and established realistic and measurable goals for my recovery." b) "The nurse helped me make a list of my needs and goals for recovery and shared them with the home care team." c) "The doctor provided a list of behavioral outcomes for me and his nurse faxed them to the home care agency." d) "My daughter is my health care power of attorney and she decided when I left the hospital and selected my home care provider."

b) "The nurse helped me make a list of my needs and goals for recovery and shared them with the home care team."

The nurse uses gait belts when assisting patients to ambulate. Which patient would be a likely candidate for this assistive device? a) A patient with a thoracic incision b) A patient who has leg strength and can cooperate with the movement c) A patient who has an abdominal incision d) A patient who is confined to bedrest

b) A patient who has leg strength and can cooperate with the movement

Which level of health care provider may make the decision to apply physical restraints to a client? a) Senior personal care assistant b) Nurse practitioner c) LPN team leader d) RN nurse manager

b) Nurse practitioner

A nurse is preparing for handoff communication for a patient who is being discharged from the hospital to home health care. Which example is not an action performed during this process? a) The nurse uses the SBAR technique during the handoff. b) The nurse prepares the new room for the patient. c) The nurse asks the other health care professionals if they have any questions. d) The nurse determines who should be involved in the handoff communication.

b) The nurse prepares the new room for the patient.

A charge nurse is making assignments for a team that includes two registered nurses (RNs) and one unlicensed assistive personnel (UAP). One client requires a nurse to perform several complex procedures. The charge nurse should: a) assign additional UAP to assist the RN. b) assign fewer clients to the RN managing this client's care. c) assign each complex procedure to a different RN. d) assign the same number of clients to each RN, but with lower acuity.

b) assign fewer clients to the RN managing this client's care.

The nurse is caring for a client with esophageal varices. The nurse should discuss which laboratory report finding with the health care provider (HCP)? a) normal serum albumin b) elevated PT/INR c) decreased ammonia d) slightly decreased levels of calcium

b) elevated PT/INR

Diagnosis of Kaposi's sarcoma (KS) is made by which of the following? a) Skin scraping b) Visual assessment c) Biopsy d) CT scan

c) Biopsy

Two weeks after being diagnosed with a streptococcal infection, a client develops fatigue, a low-grade fever, and shortness of breath. The nurse auscultates bilateral crackles and observes jugular vein distention. Urinalysis reveals red and white blood cells and protein. After the physician diagnoses poststreptococcal glomerulonephritis, the client is admitted to the medical-surgical unit. Which immediate action should the nurse take? a) Provide a high-protein, fluid-monitored diet. b) Encourage activity as tolerated. c) Monitor patient blood pressure. d) Place the client on a sheepskin, and monitor for increasing edema.

c) Monitor patient blood pressure.

A unit-based infection control task force was developed in an attempt to reduce catheter-acquired infections. The group consists of 10 team members. During the past three meetings, one person dominated the meeting and did not allow other members ample time to speak. The best way to address the team dysfunction is to: a) pick a team leader who is not the dominant member. b) plan a meeting where the dominant person cannot attend. c) have group members confront the dominant member to promote the needed team work. d) have group members issue a written warning to the dominant member.

c) have group members confront the dominant member to promote the needed team work.

While listening to a taped-report at shift change, one of the other team members remarks that "My mother lives near this client, and his yard is always full of junk." What should the nurse assigned to provide care to this client do in this situation? a) Ask the team member to be quiet. b) Include the information in report for the next shift. c) Ignore the comment. d) Ask the team member what the purpose was in sharing the information.

d) Ask the team member what the purpose was in sharing the information.

A male patient is scheduled for an EEG. The patient asks about any diet-related prerequisites that he must take. Which of the following diet-related advice should the nurse provide to the patient? a) Include increased amount of minerals in the diet. b) Decrease the amount of minerals in the diet. c) Avoid eating food at least 8 hours prior to the test. d) Avoid taking sedative drugs or drinks that contain caffeine for at least 8 hours prior to the test.

d) Avoid taking sedative drugs or drinks that contain caffeine for at least 8 hours prior to the test.

After instituting interventions to increase oxygenation, the client shows no signs of improvement. What is the nurse's priority action? a) Reassess the client for improvement in 30 minutes. b) Document the interventions and the result. c) Determine the client's code status in case of an emergency. d) Communicate with the physician for additional orders.

d) Communicate with the physician for additional orders.

The nurse is caring for a client in the hospital who has been taking an analgesic for pain related to a chronic illness and has developed a tolerance to the medication. What is the most appropriate action by the nurse? a) Inform the client that he will not be able to receive more medication than the physician has ordered. b) Suggest a consultation with a psychiatrist to treat the client's addiction. c) Inform the client that you will ask the physician to order a non-narcotic analgesic. d) Consult with the physician regarding the need for an increased dose of the drug and not to reduce its dosage or frequency of administration.

d) Consult with the physician regarding the need for an increased dose of the drug and not to reduce its dosage or frequency of administration.

A client who has been working with an organization for several years did not get a promotion. As a result, the client has gone into depression. What suggestion should the nurse make in order to help the client with his stress? a) Change the job b) Take a break from the job c) Accept the changes d) Seek professional help

d) Seek professional help