PrepU quiz
Which traits are examples virtues that can exemplify character and conduct as a professional nurse? Select all that apply - trustworthiness -Humility -Deception - Conflict -Compassion
trustworthiness Humility Compassion
A client admitted with dehydration reports feeling dizzy with ambulatory. What teaching would the nurse provide to the client? A) "dizziness when you change position can occur when fluid volume in the body is decreased" B) "dizziness can occur due to changes in the hospital environment" C) "dizziness can occur when baroreceptors overreact to the changes in BP" D) "dizziness is caused by very low blood pressure when you lay down"
A
A client has smoked most of his life and has labored respirations. He is experiencing A) dyspnea B) Fremitus C) Stridor D) Wheeze
A
A client rings the call bell to request pain medication. Upon performing the pain assessment, the nurse informs the client that she will return with the pain medication. The nurse's promise to return with the pain medication is an example of which principle of bioethics? A) Fidelity B) Autonomy C) Nonmaleficence D) justice
A
A home care nurse discusses with a client when visits will occur and how long they will last. In what phase of the nurse-client relationship is this type of agreement established? A) orientation phase B) working phase C) termination phase D) all of the above
A
A male client has always prided himself in maintaining good health and is consequently shocked at his recent diagnosis of diabetes. The nurse has asked the client, "how do you think your diabetes is going to affect your lifestyle?" The nurse has utilized which of the following interviewing techniques? A) open-ended question B) validating question C) closed question D) Reflective question
A
A nurse attempts to count the respiratory rate for a client via inspection and finds that the client is breathing at such a shallow rate that it cannot be counted. What is an alternative method of determining the respiratory rate for this client?' A) auscultation lung sounds, count respiration's for 30 seconds, and multiply by 2 B) palpate the posterior thorax excursion, count respiration's for 30 seconds, and multiply by 2 C) use a pulse oximeter to count the respiration's for 1 minutes D) Monitor arterial blood gas results for 1 minute
A
A nurse is assessing the blood pressure of a team of healthy athletes at the health care facility. Which observation can be made by the nurse and athletes by measuring the blood pressure? A) The ability of the arteries to stretch B) The thickness of circulating blood C) The oxygen levels in the blood D) The volume of air entering the lungs
A
A nurse is at the end of a busy shift on a medical-surgical unit. The nurse enters a room to empty the client's urinary catheter and the client says, "I feel like you ignored me today." In response to the statement, the nurse should: A) sit at the bedside and allow the client to explain the statement B) smile at the client and apologize C) ignore the statement and empty the urinary catheter D) inform the client that the unit was very busy that day
A
A nurse is filling out an incident report after an older adult client fell while attempting to transfer from her bed to a commode. Which health problem should the nurse consider when client falls occur? A) Orthostatic hypotension B) Dyspnea C) Primary hypertension D) Secondary hypertension
A
A nurse volunteers to serve on the hospital ethics committee. Which of the following indicates that the nurse knows what the purpose of an ethics committee is? A) assist in decision making based on the client's best interests B) Decide the care for a client who is unable to voice their opinion C) Convince the family to choose a specific course of action D) Present options about the type of care
A
An ultrasonic Doppler is used for A) auscultating a pulse that is difficult to palpate B) auscultating diastolic blood pressure C) aiding palpation of pulse and rhythm D) aiding palpation of diastolic blood pressure
A
During a busy shift, Nurse R. admitted a postoperative client who is obese. Nurse R. used the standard size of blood pressure cuff available on the unit, despite the fact that the client's upper arms have a large circumference. What are the potential consequences of Nurse R.'s action? A) Nurse r. may obtain a blood pressure reading that is higher than the actual blood pressure B) Nurse R. may erroneously conclude that the client is hypotensive C) Nurse R. may be unable to sufficiently inflate the blood pressure cuff D) Nurse R. May occlude the client's brachial artery, leading to ischemia
A
The nurse is assessing the apical pulse of a client using auscultation. What action would the nurse perform after placing the diaphragm over the apex of the heart ? A) listen for heart sounds B) count the heartbeat for 2 minutes C) count each "luv-dub" as two beats D) palpate the space between the fifth and sixth ribs
A
The nurse is conducting a home care visit for a new other who delivered a baby 3 days ago. Which finding within the home requires immediate nursing intervention? A) hot water heater thermostat set at 130 degrees F B) infant's sleepwear is made from flame-resistant fabrics C) one fire extinguisher is noted in the kitchen D) electrical outlets have cover over them
A
The nurse is preparing to assess a rectal temperature on an adult client. What is the appropriate nursing intervention? A) Provide privacy for the client B) Position the client on the stomach C) Insert the thermometer 0.5 in (1.25 cm) into the rectum D) Maintain probe position in rectum for 2 minutes
A
The poison control nurse receives a call from the caregiver of a young school-age child who may have ingested a poisonous substance. Which is the priority response by the nurse? A) "check breathing and heart rate" B) "what do you think that the child might have ingested" C) "at what time did the child ingest the substance?" D) "induce vomiting while you wait for emergency personnel to arrive
A
When assessing a patient's vital signs, a nursing student has explained each of her next actions prior to assessing the patient's temperature, pulse, and blood pressure, but has not announced her intention to assess the patient's respiratory rate prior to measuring it. Which of the following is a plausible rationale for the nurse's decision? A) respiration's have both autonomic and voluntary control B) The nurse likely assessed the patient's respiratory rate simultaneous to heart rate B) Temperature, pulse, and blood pressure are more volatile than respiratory rate C) Tachypnea is an expected finding among hospitalized individuals
A
Which describes diastolic blood pressure? A) During ventricular relaxation, blood pressure is due to elastic recoil of the vessels B) The blood pressure measured during ventricular contraction C) The pressure is highest when the ventricles of the heart elect blood into the aorta and pulmonary arteries D) The Flow of blood produced by contractions of the heart and the resistance to blood flow through the vessels
A
Which level of health care provider may make the decision to apply physical restraints to a client? A) Nurse practitioner B) LPN team leader C) RN nurse manager D) senior personal care assistant
A
Which pulse site is generally used in emergency situations A) carotid B) apical C) radial D) temporal
A
Which theory of ethics prioritizes the nurse's relationship with clients and the nurse's character in the practice of ethical nursing? A) Care-based ethics B) Deontology C) Utilitarianism D) Principle-based ethics
A
staff development nurse is providing an in-service to a group of nurses on the use of restraints in health care facilities. What is an example of a chemical restraint? A) a dose of an antipsychotic B) side rails C) a geriatric chair with a tray D) a dose of an analgesic
A
The international council of nurses (ICN) code of ethics for nurse (2005) has which elements? Select all the apply A) Profession B) people C) practice D) coworkers E) family
A, b, c, d
A client is scheduled to have an elective surgical procedure performed and cannot decide if he wants to go forward with the procedure or cancel. He asks the nurse to help him make the decision because he does not feel that he knows enough about the procedure. Which action by the nurse is the best way for this nurse to advocate for client? A) call the surgeon and have him explain the procedure again B) Facilitate the client's decision by allowing him to verbalize his feelings and by providing information to help him assess his options C) Refer the client to the social worker so that she can call in the people who need to help him make his decision D) Refuse to help the client and state that he must make the decision
B
A client who is an avid runner has been monitoring her pulse at home. Recently, her pulse has been below the normal range of 60 to 100 bpm for adults. Today her pulse is 58 bpm. The client asks the nurse at her annual screening if she should be concerned. What is the most appropriate response by the nurse? A) Physical exercise usually increases the pulse rate; therefore, we will admit you into the hospital for further testing B) Well-conditioned athletes can run lower pulse rates because of the greater efficiency and strength of the heart muscle from regular cardiovascular exercise C) Why are you concerned? You seem healthy D) You should stop running until your pulse rate is within the normal range again.
B
A nurse enters the client's room and introduces himself stating, "Hello, Mr. Alonso. My name is Anthony badger. I will be your registered nurse today. I will be providing your nursing care and i will be with you until 3:30 PM. If you need anything, please call me on my phone or put you right on." He then gives the client a printed card with this information. In he helping relationship, what does this represent? A) intimate phase B) orientation phase C) working phase D) termination phase
B
A nurse has completed four hours of his eight-hour shift on a medical-surgical unit when he receives a phone call from the nursing supervisor. The nursing supervisor informs him that he needs to give a report to the other two nurses on the medical-surgical unit and immediately report to the telemetry unit to assist with staff needs on that unit. The nurse informs the supervisor that he has been busy with his client assignment and feels this will overwhelm the nurses on the medical-surgical unit. The supervisor informs the nurse that the need is greater on the telemetry unit. This is an example of which type of ethical problem? a) Conflicts concerning new technology b) Allocation of scarce nursing resources c) Deception d) Advocacy in a market-driven environment
B
A nurse is assessing a patient who has a fever, has an infection of a flank incision, and is in severe pain. What type of pulse would be likely? A) bradycardia B) tachycardia C) dysrhythmia D) bigeminal
B
A nurse is assessing the pulse volume of a client with influenza. The nurse notes that the client has a thready pulse. Which of the following is a description of a thready pulse A) pulse is strong, and light pressure causes it to disappear B) pulse is felt with difficulty and disappears with slight pressure C) pulse is felt easily, and moderate pressure causes it to disappear D) pulse is strong and remains strong despite moderate pressure
B
A nurse knows the ethical term "Do not cause harm" is an example of: A) justice B) Nonmaleficence C) Fidelity D) Beneficence
B
A nurse plans to measure the temperature of a client with mild diarrhea, but the client has just had hot soup. Which of the following actions should the nurse perform in order to obtain the accurate temperature of the client? A) Ask the client to drink a glass of cold water before measuring the oral temperature B) Wait for 15 to 20 minutes before measuring the oral temperature C) Obtain the client's temperature rectally after lubricating the rectum D) use the axillary site for measurement once the client's body has been sponged with cold water
B
A nursing faculty member is discussing laissez-faire values with students. Which scenario is an example of those values? A) teaching children right from wrong and telling them the reason behind a bad action B) parents allowing a child to decide not to have an intravenous line inserted C) modeling healthy behaviors for teenagers, such as not smoking electronic cigarettes D) telling a child an injection will feel like a pinch before the nurse gives the injection
B
An older adult client falls out of a bed after a nurse inadvertently left the side rails down. The nurse feels guilty and is upset about the incident. This is an example of which type of ethical situation? A) Ethical dilemma B) Moral distress C) Conscientious objection D) moralizing
B
An older client is transferring from a supine position to a sitting position in a chair. The client reports dizziness when transferring. Which teaching by the nurse is most appropriate? A) "move quickly from lying to sitting to avoid dizziness" B) "move slowly and sit on the edge of the bed before transferring to the chair" C) "dizziness will improve if you lie back down" D) "if you are dizzy, then you are not ready to get up from the supine position
B
The nurse has received a medication order over the telephone from a provider. What is the next appropriate nursing action? A) prepare the medication for administration B) Repeat or read back the order C) Document the order in the electronic health record (EHR) D) Identify the client by last name and date of birth
B
The nurse is taking a rectal temperature on a client who reports feeling lightheaded during the procedure. What would be the nurse's priority action in this situation? A) Leave the thermometer in and notify the physician B) Remove the thermometer and assess the blood pressure and heart rate C) Remove the thermometer and assess the temperature via another method D) Call for assistance and anticipate the need for CPR
B
The proper use of the principles of body mechanics: A) acts as a safeguard against legal action by the client B) acts to prevent injury to the client and/or nurse C) primarily protects the client from injury D) primary protects the nurse from injury
B
What would be an example of the nurse practicing fidelity? The nurse: A) regulates visitors B) stay with the client during his death as promised C) withholds information as requested D) provides continuity of care
B
When administering beta blocker medication, the physician adds an order to hold medication when the client is bradycardic. What statement explains this order? A) The client's respiratory rate is less than 18 breaths per minute B) The client's pulse rate is below 60 beats per minute C) The client is unable to stay upright when blood pressure is checked D) The client's systolic blood pressure is less than 100 mm hg
B
Which outcome best reflects achievement of the goal, "The client will demonstrate correct steps in taking his own pulse rate"? A) firm placement of thumb on the inner wrist of the opposite arm B) palpation of the radial pulse on the thumb side of the inner aspect of the wrist C) light palpation of the femoral pulse below the inguinal all area D) firm palpation of bilateral carotid artery for one minute
B
A client reports feeling "different" than earlier in the day. When would the nurse anticipate assessing vital signs? A) once per day B) according to medical orders C) immediately D) every 4 hours
C
A nurse is attempting to calm an infant in the nursery. The nurse responds to the highest developed sense by: A) Staring into the neonate's eyes and smiling B) softly humming a song near the neonate C) swaddling the child and gently stroking its head D) offering the neonate infant formula
C
A nurse needs to measure the blood pressure of a client who has just undergone a bilateral mastectomy. How should the nurse measure the blood pressure? A) over the lower arm B) Brachial artery C) Over the client's thigh D) Radial artery
C
A woman age 83 years who has suffered a cerebrovascular accident and is unable to swallow refuses the insertion of a feeding tube. This is an example of what ethical principle? a) Veracity b) Justice c) Autonomy d) Nonmaleficence
C
Which client should not have a temperature assessed rectally A) Client with ALS B) Client with cancer C) Client with diarrhea D) Client with a herniated disc
C
Which of the following is a characteristics of the care-based approach to bioethics? A) the need to emphasize the relevance of clinical experience B) the rightness or wrongness of an action is independent of its consequences C) the promotion of the dignity and respect of clients as people D) the need for an orientation toward service
C
A nurse applies padded boots to maintain the foot in dorsiflexion on a client who is comatose. The nurse is protecting the client from: A) decubitus ulcers B) pooling of blood C) blood pressure changes D) footdrop
D
A parent teaches his or her children not to drink and drive; however, the parent does drink and drive. This action causes a) Conflict with society b) Insecurity and lack of safety c) Disruption in consistency d) Failure to reflect own values
D
To practice ethically, the nurse should a) Allow a committee to guide her practice b) Ask the family their views on caring c) Review past cases before guiding practice d) Avoid allowing her judgment to guide practice
D
Two nurses are moving a client up in bed. What motion would the nurses use to counteract the client's weight? A) shift their weight back and forth from the legs to the back muscles B) Rock the client back and forth to raise the client up in bed C) Turn the client from side to side while pushing upward D) Shift their weight back and forth, from back leg to front leg
D
Which example best describes feminist ethics? A) A combination of elements of utilitarian and deontologic theories that offer specific action guidelines for practice B) Attention directed to the specific situation of individual clients viewed within the context of their life narratives C) The formal study of ethical issues that arise in the practice of nursing D) An approach critiquing existing patterns of oppression and domination in society
D
Which pulse site should the nurse recommend the client use for home monitoring? A) Apical B) Femoral C) Pedal D) Radial
D
A nursing student reports to the instructor that a medication due at 9 am was omitted. Which principle is the student demonstrating A) altruism B) social justice C) integrity D) autonomy
Integrity
