TRANSITION INTO THE PROFESSIONAL ROLE FINAL
According to the Utah Nurse Practice act rule, how many hours must a licensed nurse practice without an additional requirement of contact hours to renew their license? a. 200 b. 400 c. 1000 d. 40/week
400
After a nursing student has graduated from their program, what is the timeframe the applicant has to take and pass the NCLEX-RN? (according to the Utah nurse practice act rule) a. 90 days b. 1 year c. Indefinitely d. 5 years
5 years
The soon to graduate nurse would like information about what to expect on the NCLEX-RN exam and how to apply to take the exam. Where would the student find information a. NCSBN website b. A nursing unit manager c. State board of nursing d. RWJIMJ report
NCSBN website
What is the legal source of rules of conduct for nurses? a. Constitution of the united states b. American nurses association c. Agency policies and protocols d. Nurse Practice Act
Nurse Practice Act
Nonmaleficence
Nurses have to remain competent in their field to avoid causing suffering or injury to patients. This is the core of nursing ethics, and all health care professionals take this oath. Nonmaleficence also encompasses reporting any suspected abuse.
Viral hemorrhagic fevers (Ebola, yellow fever) manifestations
Sore throat, Headache, High temperature, Nausea, Vomiting, Diarrhea, Internal and external bleeding, Shock
Cutaneous anthrax manifestation
Starts as lesion that can be itchy, develop into a vesicular lesion that later becomes necrotic with the formation of black eschar, Fever, Shills
Tularemia treatment
Streptomycin or gentamicin are drugs of choice;in mass casuality - use doxycycline or ciproflaxacin
Tularemia manifestations
Sudden fever, chills, headache, diarrhea, muscle aches, joint pain, dry cough, progressive weakness if airborne, life threatening pneumonia and systemic infection
Smallpox treatment
Supportive care antibiotics for secondary infections
A nurse who commits an infarction of the nurse practice act may be subject to disciple by what group? a. The national league for nursing b. A court of law c. The state board of nursing d. The local chapter of the state nurses association
THE STATE BOARD OF NURSING
Beneficence
This is the core principle of doing good and patient advocacy. To have compassion, take positive actions to help others and follow through on the desire to do good. Nurses concentrate on ensuring that their clients receive the best treatment to achieve optimal results
Veracity
This is the principle of truth telling and is grounded in respect for persons and the concept of autonomy. This principle can be violated by omission, the deliberate withholding of all or portions of the truth.
What is the purpose of the Robert Wood Johnson institute of medicine report? a. To help congress pass laws and make changes in healthcare b. To force all nurses to obtain a baccalaureate in nursing c. To help make recommendations for the nursing profession to transform healthcare d. To give physicians on opportunity to have input in the nursing profession
To help make recommendations for the nursing profession to transform healthcare
What is the role of the NCSBN? a. To prepare the NCLEX exam b. To outline the laws related to the nursing practice c. Discipline nurses who breach the nurses code of conduct d. To make getting a license difficult
To prepare the NCLEX exam
During a job interview, the interviewee is asked, "what do you believe your weaknesses to be?" What is the best reply? a. "i'm looking forward to strengthening my ability to plan care for a group of patients." b. "i've never thought about having any weaknesses. c. "my biggest problem is getting to work on time." d. "my instructors told me i was disorganized."
a. "i'm looking forward to strengthening my ability to plan care for a group of patients."
The nurse manager is updating unit staff on findings by the joint commission. Which of the following statements shows an understanding of the primary cause of untoward events in the hospital setting? a. "unclear, ineffective communication." b. "unclear chain of communication for reporting. c. "ineffective reporting of the untoward event." d. "lack of consistent supervision of nursing staff."
a. "unclear, ineffective communication."
A nurse is preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a dosage example of two tenths of a milligram. Which of the following examples should the nurse use to show appropriate transcription of this dosage? a. 0.2 mg b. .2 mg c. 0.20 mg d. 2.0 mg
a. 0.2 mg
The senior nursing student is identifying potential employers. Where would the student begin their search? SELECT ALL THAT APPLY a. A job fair b. The internet c. Nursing journals d. Where he/she has completed clinical rotations
a. A job fair b. The internet c. Nursing journals d. Where he/she has completed clinical rotations
Following an earthquake, patients are triaged by emergency medical personnel and are transported to the hospital. Which of these patients will the nurse need to assess first? a. A patient with a red tag b. A patient with a blue tag c. A patient with a green tag d. A patient with a yellow tag
a. A patient with a red tag
Which task could a staff nurse delegate to a certified nursing assistant (CNA)? a. Collecting a routine urine sample b. Reporting on the color of NG drainage c. Checking a patients response to pain medication d. Making rounds with a physician
a. Collecting a routine urine sample
Which of the following actions by the nurse manager would indicate an autocratic management style? a. Makes most of the decisions without input from the staff members b. Exerts little control over staff c. Emphasizes effective group functioning d. Allows staff members to make most of the decisions
a. Makes most of the decisions without input from the staff members
George the construction worker fell off a crane while working of the Ameritech roof. The students rushed to his aid and decided not to move him in case he sustained a neck injury. What ethical principle were the students following? a. Non-maleficence b. Autonomy c. Fidelity d. Justice
a. Non-maleficence
A nurse is educating community members about how to prepare for a disaster. Which of the following supplies should the nurse instruct the clients to include in a disaster preparedness kit? (SELECT ALL THAT APPLY) a. Prescription medications b. Personal identification c. Three quarts of water per person d. Antibiotics e. 3 boxes of vodka f. Clean clothing
a. Prescription medications b. Personal identification c. Three quarts of water per person f. Clean clothing
A nurse is caring for a client involved in a suspected bioterrorism event involving exposure to cutaneous anthrax. Which of the following manifestations should the nurse anticipate? a. Skin lesions with pruritus b. Bloody diarrhea c. Flu-like symptoms d. Respiratory distress
a. Skin lesions with pruritus
What does the "scope of nursing practice" refer to? a. The activities legally permissible for a nurse to a perform in a particular state b. Acts that permit some overlap between nursing and medicine c. The specific duty the nurse owes to a patient d. Those activities for which a nurse can be held liable for malpractice
a. The activities legally permissible for a nurse to a perform in a particular state
What is the goal of the patient safety and quality improvement act? a. to improve client safety by encouraging voluntary and confidential reporting b. To ensure nurses follow universal protocol c. To ensure physicians treat nurses with respect d. To punish nurses who make serious medication errors
a. to improve client safety by encouraging voluntary and confidential reporting
Which of the following represents appropriate feedback for an assignment to an LPN? a. "did you understand the assignment that you receive in the staff report?" b. "the patient in room 403 looks much better, and you did a good job of making her comfortable" c. "have you completed the urinary catherization and care of the new patient?" d. "i know you are busy, however you need to get caught up with pain medication"
b. "the patient in room 403 looks much better, and you did a good job of making her comfortable"
A nurse tells a patient, "if you don't stop getting out of that chair, i'm going to put you in restraints" what may this nurse be accused of? a. Malpractice b. Assault c. Invasion of privacy d. Defamation
b. Assault
According to the American hospital association, what is a basic right of patients? a. Medical care regardless of ability to pay b. Considerate and respectful care from all care providers c. Information from nurses about diagnoses and prognosis Choice of diet to be eaten during hospitalization
b. Considerate and respectful care from all care providers
A nurse manager needs to purchase new thermometers for the nursing unit. What technique would demonstrate a laissez-faire style of leadership? a. Having the nurses on the unit try several types and vote on their favorite b. Having the nurses on the day shift order any thermometer that they want c. Purchasing the brand that the nurse manager thinks is the best thermometer d. Asking the nurses during staff meeting what they prefer in a thermometer
b. Having the nurses on the day shift order any thermometer that they want
George decides to leave the ed AMA. His nurse is an incredibly ethical Ameritech graduate. What did the nurse do in this situation? a. Tied George to the bed so he couldn't leave b. Informed George that he could return to the hospital if he changes his mind c. Called George's girlfriend to come and talk some sense into him d. Hide George's clothes so he couldn't get dressed and walk away
b. Informed George that he could return to the hospital if he changes his mind
A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which of the following agents should the nurse plan to administer a vaccine following exposure? a. Plague b. Smallpox c. Botulism d. Anthrax
b. Smallpox
Why should nurses be concerned with the image of nursing? a. Because nursing will act more professional b. The images can influence the attitudes of the public c. Nurses could be viewed as a sex symbol d. Because nursing is not just a profession for women
b. The images can influence the attitudes of the public
What is the purpose of the nurse's code of ethics? a. To assist in clarifying the individual nurse's values and goals b. To guide behavior of the professional nurse c. To differentiate between moral and immoral acts d. To identify acts that are legal for the nurse to perform
b. To guide behavior of the professional nurse
A nurse manager is giving a presentation at a local community college. The nurse manager understands the job expectations of a new graduate when making which of the following statements? a. "a graduate nurse should be able to function in the role that was described in the curriculum for the school of nursing." b. "a graduate nurse should be able to function independently with ability to make clinical nursing judgments and set priorities and handle all emergencies during all shifts." c. "a graduate nurse should be able to function competently as an advanced beginner as a registered nurse at the entry level." d. "a graduate nurse should be able to perform as independently as was demonstrated the beginning of the last semester of nursing."
c. "a graduate nurse should be able to function competently as an advanced beginner as a registered nurse at the entry level."
A student in the last semester of nursing school has established a goal of making a successful role transition to graduate nurse. Which statement by the student indicates his/her understanding of how to achieve this goal during the capstone experience? a. "i will observe staff nurses as they perform nursing procedures to refine technique." b. "i will evaluate my progress every 6 months to allow time for growth." c. "i should care for increased numbers of patients to enhance work organization skills." d. "i should seek increasingly close guidance from the nursing instructor to reduce errors."
c. "i should care for increased numbers of patients to enhance work organization skills."
The nurse manager needs to let a nurse know that he will be put on probation if he continues to be tardy to work. Which type of power is the nurse manager using? a. Reward power b. Referent power c. Coercive power d. Legitimate power
c. Coercive power
George the construction worker tells the Ameritech students preparing for a quiz on ethics: "i find it easy to make the right decision. All life is sacred, and all decisions must be made with the intent to continue life." What do we call the framework from which George approaches ethical reasoning? a. Situational b. Teleological c. Deontological d. Confusional
c. Deontological
How is assertive behavior described? a. Apologetic b. Coercive c. Direct d. Self-denying
c. Direct
In a legal suit what element is necessary to prove a tort has been committed? a. Assault b. Intent c. Injury d. Malpractice
c. Injury
The nurse on the unit is determining which activities may be delegated to assistive personnel. Assuming that the nurse assistant is competent, which one of the following activities may be safely delegated by the registered nurse? a. An admission history on a new client b. Administration of medications prepared by the nurse c. Vital signs on a stable client d. Initial transfer of a post-op client
c. Vital signs on a stable client
A nurse is caring for a client who suspects recent exposure to inhalation anthrax. Which of the following findings indicate possible exposure? a. Respiratory failure b. Vesicles on the skin c. Sloughing of skin d. Flu-like symptoms
d. Flu-like symptoms
A nurse is discussing staff nurses' responsibilities in preplanning for response to a disaster. Which of the following responsibilities should the nurse include in the discussion? a. Assess survivors of a disaster for levels of psychological stress. b. Evaluate the impact of a disaster on the community. c. Link victims with support agencies to help with food, clothing, shelter, and counseling needs. d. Identify potential community disasters.
d. Identify potential community disasters.
Which situation could lead to performance inadequacy? a. The person who delegated the task confirmed the recipient's ability to perform the task b. The person to whom the task was assigned had appropriate educational qualification to complete the task c. the task was assigned to a person capable of carrying out the assignment d. The person to whom the task was assigned did not understand what the task involved
d. The person to whom the task was assigned did not understand what the task involved
Inhalation anthrax treatment
one or two antibiotics such as vancomycin, penicillin, and anthrax antitoxin
Plague treatment
streptomycin/gentamicin, or tetracycline/doxycycline
Viral hemorrhagic fevers (Ebola, yellow fever) treatment
supportive care - no cure
Cutaneous anthrax treatment
Ciproflaxacin, Doxycycline
Autonomy
Clients are given the right of self-determination, independence and the ability to self-direct. They are entitled to decide what will happen to them. Because of this, competent adults have the ability to either refuse or consent to treatment. All nurses are required to respect their clients' wishes, even when they do not agree with them.
What is the correct statement regarding a nurse who acts beyond the scope of practice? a. May be disciplined by the Board of Nursing b. Demonstrates what's a good nurse she or he can be c. May make other nurses angry because of the increased expectations created d. Provides enriched services to patients who would not otherwise receive them
MAY BE DISCIPLINED BY THE BOARD OF NURSING
Botulism treatment
Airway management, antitoxin, elimination of toxin
Justice
All clients must be treated fairly and equally. Organization of care for their clients: Nurses must decide how much time they have to spend with each client, taking patient needs into consideration, and then fairly distributing the resources accordingly.
Deontological
Centered on rules and is duty focused. All persons are worthy of respect and thus should be treated the same. All life is valued and respected.
How does the Utah nurse practice act rule define a comprehensive nursing assessment? a. Verification and evaluation of prescribed orders b. Assessing the patients care plan c. Conducting extensive initial and ongoing data collection d. Appraisal of a patients status and the situation at hand
Conducting extensive initial and ongoing data collection
Fidelity
Dedication, loyalty, truthfulness, advocacy and fairness to patients. Nurses are encouraged to keep their commitments, based on their virtue of caring.
Teleological
Derived from humanistic origins and is outcome-focused. This approach places emphasis on the results. Good is in utilitarian terms as in the majority rules.
Botulism Manifestations
Difficulty swallowing, Double vision, Slurred speech, Descending progressive weakness, Nausea, Vomiting, Abdominal cramps, Difficulty breathing
Which of the following is the most frequent reason for revocation or suspension of a nurses license? a. Fraud b. Criminal acts c. Mental impairment d. Alcohol and drug abuse
Drug and Alcohol Abuse
Inhalation anthrax manifestation
Fever, Cough, Shortness of breath, Muscle aches, Mild chest pain, Meningitis, Shock
Plague manifestations
Forms can occur separately or in combination Pneumonic: fever, headache, weakness, pneumonia with shortness of breath, chest pain, cough and bloody or watery sputumBubonic: Swollen, tender lymph glands, fever, headache, chills, and weaknessSepticemic: fever, chills, prostration, abdominal pain, shock, disseminated intravasular coagulation, gangrene of nose and digits
Smallpox manifestations
High fever, Fatigue, Severe headache, Rash, Chills, Vomiting, Delirium
What does the "scope of nursing practice" refer to? a. Those activities for which a nurse can be held liable for malpractice b. Acts that permit some overlap between nursing and medicine c. The activities legally permissible for a nurse to perform in a particular state d. The specific duty the nurses owes to a patient
The activities legally permissible for a nurse to perform in a particular state
Totality / Integrity
These principles state that the entire person needs to be taken into consideration when deciding which therapies, medications or procedures a patient should undergo.
The new graduate nurse is explaining TeamSTEPPS to their preceptor. What would the new graduate describe as TeamSTEPPS? a. A positive environment which mutual support and clear communication is used b. The steps needed to gain promotions on the unit c. Teams who identify the highest educated person as the leader d. The nurse manager identifies nurses on the unit who are stellar examples to be on the team
a. A positive environment which mutual support and clear communication is used
The nursing student is preparing an application for employment. Who would be the best reference for the student to include? SELECT ALL THAT APPLY a. A recent clinical instructor b. Their preceptor c. A student mentor d. The schools student support team member e. A previous employee
a. A recent clinical instructor b. Their preceptor e. A previous employy
The senior nursing student is setting career goals. What should the student do first? a. A thorough self assessment b. Look five years ahead c. Plan specific steps to the goal d. Evaluate the career optional
a. A thorough self assessment
A nurse notices an assistive personnel (AP) preparing to deliver a food tray to a client who practices the orthodox jewish faith. On the tray is a roast beef dinner with nonfat milk. Which of the following actions should the nurse take? a. Call the dietary department and ask for a kosher tray. b. Explain to the client that he needs the protein in the milk and the beef. c. Allow the AP to deliver the food tray to the client. d. Replace the nonfat milk with apple juice.
a. Call the dietary department and ask for a kosher tray.
The student nurse is reviewing sentinel events in healthcare. According to the joint commission which of the following is considered the main reason for sentinel events? a. Communication errors b. Ambiguity in responsibilities c. Conflict among staff d. Medication errors
a. Communication errors
When planning care for a hospitalized patient who uses culturally based treatments, what is the most appropriate action by the nurse? a. Coordinate the use of folk treatments with ordered medical therapies b. Teach the patient that folk remedies will interfere with western treatments. c. Ask the patient to discontinue the cultural treatments during hospitalization. d. Discourage the use of culturally based treatments for western diseases.
a. Coordinate the use of folk treatments with ordered medical therapies
The new graduate nurse would like to pursue a career in the intensive care unit (ICU). What goal might be appropriate for this career? a. Credentialing as a certified critical care nurse (CCRN) b. Obtain employment at only magnet status facilities. c. Become a family nurse practitioner (FNP) d. Complain to the clinical placement team regarding their capstone assignment in a m/s unit
a. Credentialing as a certified critical care nurse (CCRN)
Which action would help the graduate nurse when seeking out employment? (SELECT ALL THAT APPLY) a. Determine the length of orientation. b. Find out what type of nursing care is delivered. c. Ask to speak to nurses who work on the unit. d. Plan out interviews. e. Wait until the interview day to gather all of the information.
a. Determine the length of orientation. b. Find out what type of nursing care is delivered. c. Ask to speak to nurses who work on the unit. d. Plan out interviews.
The student nurse is preparing a resume. Which elements would he/she include? a. Experience and education b. Hobbies and interests c. Marital status d. Nursing class grade point average
a. Experience and education
A nurse is respected by peers for clinical skills and effective interpersonal relationships. The nurse has studied diabetic patient educational needs and consults with several units. What type of power does this nurse possess? a. Expert b. Legitimate c. Reward d. Informational
a. Expert
In a malpractice suit, how may a breach of duty be established? a. Expert testimony b. Testimony from a state board of nurses c. Liability testimony of physicians d. Testimony of coworkers
a. Expert testimony
the nurse is considering strategies to increase nurses' time at the bedside. Which strategies should be included? SELECT ALL THAT APPLY a. Hourly rounding by staff members b. Supplies in a central location near the nurses station c. Effectiveness in medication administration d. Standardized documentation tools e. Bedside change of shift report
a. Hourly rounding by staff members c. Effectiveness in medication administration d. Standardized documentation tools e. Bedside change of shift report
What are the factors that contribute to medication errors? (SELECT ALL THAT APPLY) a. Inadequate staffing b. High nurse-client ratios c. No answer text provided d. The use of computerized physician/ provider entry CPOE e. Overly tired nurses f. Computerized drug monitoring and electronic dispensing systems
a. Inadequate staffing b. High nurse-client ratios
The nurse is reviewing categories for improving client safety. Which categories should the nurse review? SELECT ALL THAT APPLY a. Medication management b. Surgery on wrong body part c. Prevention of hospital-related infections d. Tubing misconnections e. Facilitating information transfer and clear communication
a. Medication management c. Prevention of hospital-related infections e. Facilitating information transfer and clear communication
What aspects define nursing as a profession? SELECT ALL THAT APPLY a. Nurses have developed a code of ethics b. Nurse's possess a specialized body of knowledge c. Nurses serve the public d. Nurses work around the clock e. Nurses are trusted by the public
a. Nurses have developed a code of ethics b. Nurse's possess a specialized body of knowledge c. Nurses serve the public
What are the key messages that structure the discussion and recommendations presented in the Robert Wood Johnson institute of medicine report? (SELECT ALL THAT APPLY) a. Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the u.s. b. Nurses should practice to the full extent of their education and training c. Effective workforce planning and policy making require better data collection and an improved information infrastructure d. Nurses should achieve higher levels of education and training through and improved education system that promotes seamless academic progression. e. Nurses should work to become transformational leaders through continuing educations courses.
a. Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the u.s. b. Nurses should practice to the full extent of their education and training c. Effective workforce planning and policy making require better data collection and an improved information infrastructure d. Nurses should achieve higher levels of education and training through and improved education system that promotes seamless academic progression.
After receiving report on 4 patients, the RN may delegate which client's needs to an assistive personnel? a. Reapplying a condom catheter for a client who has urinary incontinence b. Feeding a client who was admitted 24 hours ago with aspiration PNA c. Reinforcing teaching with a client who is leaning to walk using a quad cane d. Applying a sterile dressing to a pressure ulcer
a. Reapplying a condom catheter for a client who has urinary incontinence
Which of the following actions best reflects maintaining accountability for the nursing process? a. Reassessing a clients bp when the reported value is higher than usual b. Assisting a team member in providing a client with a complete bed bath c. Asking a client's daughter to bring her father's non-skid slippers to the hospital d. Asking the CNA to take vital signs on a patient who just received pain medication
a. Reassessing a clients bp when the reported value is higher than usual
a nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first? a. Review the events leading up to each medication administration error. b. Develop a quality improvement program for nurses involved in medication administration errors. c. Require staff nurses to demonstrate competency by passing a medication administration examination. d. Provide an inservice on medication administration to all the nurses.
a. Review the events leading up to each medication administration error.
The nurse is describing the "failure to rescue" to a new graduate nurse. Which statement by the new graduate would indicate an understanding of the definition? a. The inability to prevent death after the development of a complication b. Inadequate training and performance of CPR c. Pointing out nurses who provide reckless care of clients d. Preventing all falls of clients over 65 years old
a. The inability to prevent death after the development of a complication
A nurse who commits an infraction of the nurse practice act may be subject to discipled by what group? a. The state board of nursing b. A court of law c. The national league for nursing d. The local chapter of the state nurses association
a. The state board of nursing
The nurse is implementing fall prevention protocol. What would be included in the protocol? (SELECT ALL THAT APPLY) a. Thorough and sound assessment of clients abilities and limitations b. Assessment of medication side effects c. Bed and chair alarms d. Placing the client ben is a high position e. Toileting every 2 hours and visual hourly checks
a. Thorough and sound assessment of clients abilities and limitations b. Assessment of medication side effects
What is expected of the new graduate across healthcare agencies? SELECT ALL THAT APPLY a. To work effectively with assistive personnel, delegating and supervising nursing care tasks in an appropriate manner. b. Use communication skills effectively with clients and coworkers. c. Possess theoretic background for safe client care and for decision making. d. Recognize own abilities and limitations e. Use the nursing process in a systematic way. f. Possess all knowledge regarding pathophysiology of all disease processes
a. To work effectively with assistive personnel, delegating and supervising nursing care tasks in an appropriate manner. b. Use communication skills effectively with clients and coworkers. c. Possess theoretic background for safe client care and for decision making. d. Recognize own abilities and limitations e. Use the nursing process in a systematic way.
A nurse is interested in moving into a management position. Which action would assist with accomplishing this? a. Use of expert power b. Use of legitimate power c. Use of coercive power d. Use of reward power
a. Use of expert power
The new graduate nurse is working to create culture of safety on the unit. What actions will exemplify a culture of safety? (SELECT ALL THAT APPLY) a. Using the I-SBAR-R when collaborating with a provider. b. Using universal protocol 3 steps prior to surgery and procedures. c. Over riding the smart iv pump to save time. d. Adopt a work around when the system is not functioning to save time e. Refusing to be interrupted during medication administration. f. Look at systems and processes to identify areas that need to be changes
a. Using the I-SBAR-R when collaborating with a provider. b. Using universal protocol 3 steps prior to surgery and procedures. e. Refusing to be interrupted during medication administration.
Which statement by the nursing student indicates an understanding of the purpose in setting a career goal? a. "to keep you focused on your current job" b. "to help you define the direction of your career" c. "to guarantee you will achieve your goal" d. "to impress those part of the interview process"
b. "to help you define the direction of your career"
A nurse caring for culturally diverse patients in a health care provider's office is aware that patients of certain cultures are more prone to specific disease states than the general population. Which patients would the nurse screen for diabetes mellitus based on the patient's race? SELECT ALL THAT APPLY a. An African-American patient b. A Hispanic patient c. A Native American patient d. An Alaska native e. A white patient
b. A Hispanic patient c. A Native American patient d. An Alaska native e. A white patient
Which of the following describes reward power used by the nurse manager? SELECT ALL THAT APPLY a. A nurse manager who is perceived as an expert due to specialized knowledge b. A nurse manager who uses salary increases to motivate staff c. A nurse manager who has information that others need to perform their jobs d. A nurse manager who is well liked by the majority of staff e. A nurse manager who uses fear of consequences to motivate staff
b. A nurse manager who uses salary increases to motivate staff e. A nurse manager who uses fear of consequences to motivate staff
What is the definition of malpractice? a. Doing something a reasonable person or nurse would not do b. A professional act or failure to act that leads to injury of a patient c. An intentional professional act of negligence d. A criminal act committed against society
b. A professional act or failure to act that leads to injury of a patient
A nurse is caring for a client of Chinese heritage. Which of the following actions should the nurse take to demonstrate cultural competence? a. Maintain direct eye contact with the client. b. Ask the client's permission to add ice to drinking water. c. Place a hand on the client's head d. Make sure the dietary department does not serve the client pork.
b. Ask the client's permission to add ice to drinking water.
An 82-year-old Asian American patient tells the nurse that she has lived in the United States for 50 years. The patient speaks English but lives in a predominantly Asian neighborhood. The nurse should do which of the following? a. Include a folk healer when planning the patient's care. b. Ask the patient about any special cultural beliefs or practices. c. Avoid making direct eye contact with the patient during care. d. Involve the patient's oldest son in making health care decisions.
b. Ask the patient about any special cultural beliefs or practices.
What would be the most effective way for a nurse to validate "informed consent"? a. Ask the family whether the patient understands the procedure b. Ask the patient what he understands regarding the procedures c. Check the chart for a completed and signed consent form d. Determine from the physician what was discussed with the patient
b. Ask the patient what he understands regarding the procedures
What is the best legal safeguard for a nurse? a. Following management policies b. Competent practice c. A valid license d. A legal contract
b. Competent practice
How does legislation define a profession? a. A person who strives for excellence b. Completion of courses in specialized intellectual instruction c. Someone who has a job d. A person who has passed NCLEX
b. Completion of courses in specialized intellectual instruction
The nurse has several tasks to complete. Which task would the nurse NOT delegate to a certified nursing assistant? a. Accompanying a patient being discharged by wheelchair to the front door b. Discussing the importance of deep breathing to a pre-op patient c. Bathing an unconscious patient d. Sitting at the bedside of a confused patient to keep them from wondering
b. Discussing the importance of deep breathing to a pre-op patient
Where does the definition of nursing "one that would put the client in the best condition for nature to act upon him" come from? a. American nursing association b. Florence nightingale c. Google d. NCSBN
b. Florence Nightingale
The nursing student is studying federal safety legislation. Which of the following is the main goal of the patient safety and quality improvement act? a. Encourage healthcare providers to report errors with tiered retribution based on severity. b. Improve client safety by encouraging voluntary and confidential reporting of adverse events. c. Set up a plan of network safety databases to conduct research and development. d. Force communication about incidence that link workplace stress to healthcare errors.
b. Improve client safety by encouraging voluntary and confidential reporting of adverse events.
what is a continuing education unit (CEU)? a. General education credits needed to achieve a BSN b. Nonacademic credit offerings c. Education required to keep your nursing license d. Additional college credits to advance your career
b. Nonacademic credit offerings
What distinguishes nursing from medicine? a. Nurses care more than doctors b. Nurses use a holistic perspective of patient care c. Nurses are concerned with treating the disease d. Nursing is a profession with more women than men
b. Nurses use a holistic perspective of patient care
A nurse is working with an interdisciplinary disaster committee to develop a community-wide emergency response plan in the event of a nonbiological or chemical incident. The nurse should include which of the following agencies to be notified immediately after calling 911? a. U.s. Department of homeland security (DHS) b. Office of emergency management (OEM) c. Federal emergency management agency (FEMA) d. American red cross (ARC)
b. Office of emergency management (OEM)
George and his fellow construction workers were listening to the trends class study for a quiz on ethics. What is not an ethical dilemma that the students are discussing? a. Abortion b. Parking c. Quality of life d. Passive euthanasia
b. Parking
A nurse is triaging clients injured during a tornado. The nurse assesses a client who has an open fracture of his arm. Which of the following tags would the nurse place on the client? a. Place a red tag on the client's upper body. b. Place a yellow tag on the client's upper body. c. Have the client's wife drive him to the hospital. d. Perform a rapid head-to-toe assessment.
b. Place a yellow tag on the client's upper body.
Which of the following actions by the graduate nurse would be advised during an interview campaign? a. For more exposure post your resume on the public internet. b. Research the prospective employer and evaluate their mission statement. c. Plan 3-4 interviews in a day to save time. d. Make note cards with details to take with you to use during the interview
b. Research the prospective employer and evaluate their mission statement
The nurse is reviewing I-SBAR-R with a coworker at the end of the shift. Which statement indicates that they are discussing the situation component? a. The nurse states the patient's name using two identifiers. b. The nurse states that the patient was hospitalized for a broken tibia and that surgery is scheduled for later today. c. The oncoming nurse acknowledges the info that has been received. d. The nurse states an opinion on what is happening with the patient.
b. The nurse states that the patient was hospitalized for a broken tibia and that surgery is scheduled for later today
The nurse is being sued for battery. What does this mean? a. The nurse told the patient he could not leave until the bill was paid b. The nurse, without consent, touched the patient in an offensive, insulting, or injurious way c. The nurse failed to perform an act expected of a reasonable nurse d. The nurse threatened to put the patient in restraints if he did not stay in bed
b. The nurse, without consent, touched the patient in an offensive, insulting, or injurious way
Which of the following statement by the nurse reflect transformational leaders? SELECT ALL THAT APPLY a. Hesitant to follow b. Value-driven visionaries c. Slow to change d. Courageous change agents e. Lifelong learners
b. Value-driven visionaries d. Courageous change agents e. Lifelong learners
An experienced nurse overhears a new graduate giving instructions to an unlicensed nursing assistant. What statement by the new graduate would cause the experienced nurse to be concerned? a. "do not take the patient's blood pressure on the same arm as her iv line" b. "please document the amount of urine emptied from the foley" c. "let me know if any of my patients have a fever" d. "thank you for helping me turn my unconscious patient"
c. "let me know if any of my patients have a fever"
The interviewer says, "we are looking for a bright, interested, empathetic, hard-working person for this position in oncology nursing. Do you fit this bill?" The new graduate nurse is interested, carried a straight c average, and has worked full time while going to school. Assuming the following statements are true, what would be the best answer? a. "i'm interested. My parents always told me i was bright. I work as hard as the next person. I've learned not to get too involved with patients." b. "i worked full time while going to school, so my grades suffered. I've had my share of life's disappointments, so i can sympathize with cancer patients. I will work hard, but i have to make time for my family, too." c. "my previous employer rated my work as excellent. It was there that i became interested in helping support oncology patients as they cope with their illness. I chose to do an independent study on emotional reactions to the diagnosis of cancer during my capstone." d. "i'm definitely interested in oncology, and i think i'm a hard worker. My instructor said i was developing empathy. My grade point average of c doesn't reflect my real ability."
c. "my previous employer rated my work as excellent. It was there that i became interested in helping support oncology patients as they cope with their illness. I chose to do an independent study on emotional reactions to the diagnosis of cancer during my capstone."
The nurse manager is giving a presentation on the disadvantages of democratic leadership in group functioning. Which statement shows an understanding of this type of leadership? a. "discourages participation from quieter members of the group" b. "it is frustrating to the leader because they cannot control all the decisions of the group" c. "requires more time and effort to make decisions and accomplish goals" d. "increases the possibility of "scapegoating" or argumentative behavior"
c. "requires more time and effort to make decisions and accomplish goals"
As the interview is drawing to a close, the interviewer asks the applicant, "what questions could i answer for you?" Which of the following questions would it be most advisable to ask to create a favorable impression? a. "after completing orientation, how much and when will the first pay raise be given?" b. "will you provide full tuition reimbursement for all courses to obtain my terminal degree?" c. "what is the orientation process and what is the length of orientation?" d. "what will happen if i am unable to meet the outcomes for the competency-based orientation?"
c. "what is the orientation process and what is the length of orientation?"
If the position paper from the ANA in 1965 had been adopted, which of the following would be true? a. All RNs would have an ASN b. There would be no nursing assistants c. All RNs would have a BSN d. Nursing training would only be completed in the hospital
c. All RNs would have a BSN
A nurse is caring for a client following exposure to inhalation anthrax due to bioterrorism. Which of the following medications should the nurse expect as a common medication to treat anthrax? SELECT ALL THAT APPLY a. Penicillin g. b. Cefotaxime c. Doxycycline d. Ciprofloxacin e. Amoxicillin
c. Doxycycline d. Ciprofloxacin e. Amoxicillin
What is the primary role of the joint commission (TJC)? a. Granting magnet status to excellent hospitals. b. Lobbying congress on behalf of medicare/medicaid patients. c. Ensuring medical facilities meet patient safety guidelines. d. Inspecting hospitals for compliance of infection control standards
c. Ensuring medical facilities meet patient safety guidelines.
The nurse understands that delegation and supervision are two concepts that go hand-in-hand. Which is the best example of the concept of supervision? a. Assigning a urinary catherization and collection of sterile culture to an LPN b. Scheduling the LPN to administer medication on the unit for the afternoon c. Following up with a CNA on the assigned task of ambulation and feeding of two patients d. Assigning nursing care for a group of five patients to an RN
c. Following up with a CNA on the assigned task of ambulation and feeding of two patients
the healthcare team responsible for deciding whether to move a critically ill patient out of the ICU so that a new patient may be admitted to the unit is faced with that principle of an ethical dilemma? a. Deontology b. Veracity c. Justice d. Autonomy
c. Justice
Which organization developed the most definitive statement on the competencies needed by the newly licensed RN? a. Intermountain health care (IHC) b. Magnet council for nurses (MCN) c. National council of state boards of nursing (NCSBN) d. American association of colleges of nursing (ACEN)
c. National council of state boards of nursing (NCSBN)
When caring for a patient who is Native American, the best initial action by the nurse is to: a. Ask the family about the patient's cultural beliefs. b. Look directly at the patient when interacting. c. Observe the patient's use of eye contact. d. Avoid all eye contact with the patient.
c. Observe the patient's use of eye contact.
What is a characteristic of a culturally competent nurse? a. Displays favoritism b. Is resistant to learning about other ethnic groups c. Prioritizes care based on cultural needs d. Tries to treat all patients the same
c. Prioritizes care based on cultural needs
Where should the nurse go if they are facing a dilemma in patient care with no absolute right or wrong answer? a. The hospital legal department b. The clients insurance company review board c. The hospital ethics committee d. The nurse's religious leader
c. The hospital ethics committee
the ethical principal of autonomy is not applicable in which patient situation? a. The patient does not speak or understand english b. The patient has values that conflict with the caregiver's values c. The patient is unaware of who he/she is and where they are d. The patient has been in a long-term care facility for 10 years
c. The patient is unaware of who he/she is and where they are
A nurse is teaching a group of newly hired nurses about the requirements for disaster planning. Which of the following statements by one of the newly hired nurses indicates an understanding of the teaching? a. "a staff nurse can function as the incident commander." b. "a physician must triage victims of a disaster in the emergency department." c. "an actual disaster cannot take the place of a disaster drill." d. "disaster drills should be held on a regular basis."
d. "disaster drills should be held on a regular basis."
Which statement by the graduate nurse indicates understanding of the importance of a cover letter? a. "it is optional." b. "it is necessary only if your resume needs further explanation." c. "it should recapitulate all of the important points of your resume." d. "it should introduce you to the reader"
d. "it should introduce you to the reader"
A nurse is performing triage for a group of clients following a mass casualty incident (MCI). Which of the following clients should the nurse plan to care for first? a. A client who has full-thickness burns over 80% of his body b. A client who has a closed upper extremity fracture c. A client who has agonal respirations d. A client experiencing a tension pneumothorax
d. A client experiencing a tension pneumothorax
Which of the following actions is consistent with a nurse leader? a. A nurse who writes yearly staff evaluations b. A nurse who gives pain medication to an assigned patient c. A nurse who performs chart audits on her staff d. A nurse who encourages staff to give excellent patient care
d. A nurse who encourages staff to give excellent patient care
Which of the following would be a provider (nurse) barrier to developing cultural competence? a. A nurse who avoids encounters with individuals from other cultures b. No family rooms to accommodate a critically ill patient's family c. A health care provider that discourages alternative therapies in health care d. A nurse who is unaware of his or her own biases to other ethnic groups
d. A nurse who is unaware of his or her own biases to other ethnic groups
A nurse is among the first responders to a mass-casualty incident and does not know what type of personal protective equipment (PPE) is needed. Which of the following actions should the nurse take? a. Decontaminate victims before intervening. b. Use a dosimeter to measure the level of radiation in the area before intervening. c. Wait until the type of equipment needed is known. d. Choose the highest level of protection equipment available.
d. Choose the highest level of protection equipment available
George was taken to the emergency room after falling off a crane in the Ameritech construction site. George's buddies came to the ed to visit. A doctor told George's buddies that George is HIV positive. What ethical principle did the doctor violate? a. Veracity b. Beneficence c. Justice d. Fidelity
d. Fidelity
The nursing student is studying about root cause analysis (RCA) which of the following is a critical element in error reporting? a. Communication is linked to increased errors. b. Non-punitive action when errors are reported. c. Errors are documented as person focused. d. Individuals are encouraged to report near misses.
d. Individuals are encouraged to report near misses.
A nurse is preparing to care for a client who has suspected exposure to plague as a result of bioterrorism. Which of the following actions should the nurse plan to take first? a. Decontaminate the client. b. Notify the centers for disease control and prevention (CDC). c. Prepare for drainage of lesions. d. Initiate contact precautions.
d. Initiate contact precautions.
A nurse is discussing emergency response with a newly licensed nurse. The nurse should identify which of the following as a triage officer during the time of a disaster? a. Representatives from the American Red Cross b. Responding law enforcement officers c. Members of the federal emergency management agency (FEMA) d. Nurses and other emergency medical personnel
d. Nurses and other emergency medical personnel
Health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention? a. Testing new nurses for exposure to tuberculosis. b. Performing screening for sexually transmitted infections c. Administering influenza immunizations at a local health fair d. Providing treatment for clients who have chronic obstructive pulmonary disease
d. Providing treatment for clients who have chronic obstructive pulmonary disease
The nurse is receiving a phone order from a health care provider. How will the nurse make sure that the provider's order is received without error? a. Advise the health care provider that the order must be written on the chart within the next 24 hours. b. Ask the nurse in charge to come to the phone to take the order. c. Write the order without using any unclear or unapproved abbreviations. d. Repeat the order, write the order verbatim, and read it back to the provider.
d. Repeat the order, write the order verbatim, and read it back to the provider.
Which does not reflect one of the "five rights" of delegation? a. Right task b. Right communication c. Right person d. Right route
d. Right route
Dr. Jones asks you to give a medication to one of his patients, and you know the patient is allergic to it. When you point this out, Dr. Jones says, "give the medication or i'll report this to your supervisor." What is the best assertive response? a. Agree to give the medication and hope no one finds out b. Say "i won't give the medication, and i don't care who you talk to about it." c. Walk away and ignore him. d. Say "perhaps you and i could talk this over with my supervisor together."
d. Say "perhaps you and i could talk this over with my supervisor together."
A charge nurse explains to a student: "i tend to act differently depending on which nurses are working that particular shift. Some nurses need more direction from me than others." What type of leadership style best describes this charge nurse's approach? a. Transformational b. Interactional c. Transactional d. Situational
d. Situational
A nurse is teaching a novice nurse how to provide care for patients in a culturally diverse community health clinic. Although all these actions are recommended, which one is most basic to providing culturally competent care? a. Learning the predominant language of the community b. Obtaining significant information about the community c. Recognizing the importance of the patient's family d. Treating each patient at the clinic as an individual
d. Treating each patient at the clinic as an individual
