Questions and Answers

Questions and Answers
 1.
The registered nurse is planning to delegate tasks to unlicensed assistive
personnel (UAP). Which of the following task could the registered nurse safely
assigned to a UAP?
Discuss
o A.
Monitor the I&O of a comatose toddler client with salicylate poisoning
o B.
Perform a complete bed bath on a 2-year-old with multiple injuries from a serious fall
o C.
Check the IV of a preschooler with Kawasaki disease
o D.
Give an outmeal bath to an infant with eczema
 2.
A nurse manager assigned a registered nurse from telemetry unit to the
pediatrics unit. There were three patients assigned to the RN. Which of the
following patients should not be assigned to the floated nurse?
Discuss
o A.
A 9-year-old child diagnosed with rheumatic fever
o B.
A young infant after pyloromyotomy
o C.
A 4-year-old with VSD following cardiac catheterization
o D.
A 5-month-old with Kawasaki disease

 3.
A nurse in charge in the pediatric unit is absent. The nurse manager decided to
assign the nurse in the obstetrics unit to the pediatrics unit. Which of the
following patients could the nurse manager safely assign to the float nurse?
Discuss
o A.
A child who had multiple injuries from a serious vehicle accident
o B.
A child diagnosed with Kawasaki disease and with cardiac complications
o C.
A child who has had a nephrectomy for Wilm’s tumor
o D.
A child receiving an IV chelating therapy for lead poisoning
 4.
The registered nurse is planning to delegate task to a certified nursing assistant.
Which of the following clients should not be assigned to a CAN?
Discuss
o A.
A client diagnosed with diabetes and who has an infected toe
o B.
A client who had a CVA in the past two months
o C.
A client with Chronic renal failure
o D.
A client with chronic venous insufficiency
 5.
The nurse in the medication unit passes the medications for all the clients on
the nursing unit. The head nurse is making rounds with the physician and
coordinates clients’ activities with other departments. The nurse assistant
changes the bed lines and answers call lights. A second nurse is assigned for
changing wound dressings; a licensed practitioner nurse takes vital signs and
bathes the clients. This illustrates of what method of nursing care?
Discuss
o A.
Case management method
o B.
Primary nursing method
o C.
Team method
o D.
Functional method
 6.
A registered nurse has been assigned to six clients on the 12-hour shift. The RN
is responsible for every aspect of care such as formulating the care of plan,
intervention and evaluating the care during her shift. At the end of her shift, the
RN will pass this same task to the next RN in charge. This nursing care
illustrates of what kind of method?
Discuss
o A.
Primary nursing method
o B.
Case method
o C.
Team method
o D.
Functional method
 7.
A newly hired nurse on an adult medicine unit with 3 months experience was
asked to float to pediatrics. The nurse hesitates to perform pediatric skills and
receive an interesting assignment that feels overwhelming. The nurse should:
Discuss
o A.
Resign on the spot from the nursing position and apply for a position that does not
require floating
o B.
Inform the nursing supervisor and the charge nurse on the pediatric floor about the
nurse’s lack of skill and feelings of hesitations and request assistance
o C.
Ask several other nurses how they feel about pediatrics and find someone else who is
willing to accept the assignment
o D.
Refuse the assignment and leave the unit requesting a vacation a day
 8.
An experienced nurse who voluntarily trained a less experienced nurse with the
intention of enhancing the skills and knowledge and promoting professional
advancement to the nurse is called a:
Discuss
o A.
Mentor
o B.
Team leader
o C.
Case manager
o D.
Change agent
 9.
The pediatrics unit is understaffed and the nurse manager informs the nurses in
the obstetrics unit that she is going to assign one nurse to float in the pediatric
units. Which statement by the designated float nurse may put her job at risk?
Discuss
o A.
“I do not get along with one of the nurses on the pediatrics unit”
o B.
“I have a vacation day coming and would like to take that now”
o C.
“I do not feel competent to go and work on that area”
o D.
“ I am afraid I will get the most serious clients in the unit”
 10.
The newly hired staff nurse has been working on a medical unit for 3 weeks.
The nurse manager has posted the team leader assignments for the following
week. The new staff knows that a major responsibility of the team leader is to:
Discuss
o A.
Provide care to the most acutely ill client on the team
o B.
Know the condition and needs of all the patients on the team
o C.
Document the assessments completed by the team members
o D.
Supervise direct care by nursing assistants

 11.
A 15-year-old girl just gave birth to a baby boy who needs emergency surgery.
The nurse prepared the consent form and it should be signed by:
Discuss
o A.
The Physician
o B.
The Registered Nurse caring for the client
o C.
The 15-year-old mother of the baby boy
o D.
The mother of the girl
 12.
A nurse caring to a client with Alzheimer’s disease overheard a family member
say to the client, “if you pee one more time, I won’t give you any more food and
drinks”. What initial action is best for the nurse to take?
Discuss
o A.
Take no action because it is the family member saying that to the client
o B.
Talk to the family member and explain that what she/he has said is not appropriate for
the client
o C.
Give the family member the number for an Elder Abuse Hot line
o D.
Document what the family member has said
 13.
Which is true about informed consent?
Discuss
o A.
A nurse may accept responsibility signing a consent form if the client is unable
o B.
Obtaining consent is not the responsibility of the physician
o C.
A physician will not subject himself to liability if he withholds any facts that are
necessary to form the basis of an intelligent consent
o D.
If the nurse witnesses a consent for surgery, the nurse is, in effect, indicating that the
signature is that of the purported person and that the person’s condition is as
indicated at the time of signing
 14.
A mother in labor told the nurse that she was expecting that her baby has no
chance to survive and expects that the baby will be born dead. The mother
accepts the fate of the baby and informs the nurse that when the baby is born
and requires resuscitation, the mother refuses any treatment to her baby and
expresses hostility toward the nurse while the pediatric team is taking care of the
baby. The nurse is legally obligated to:
Discuss
o A.
Notify the pediatric team that the mother has refused resuscitation and any treatment
for the baby and take the baby to the mother
o B.
Get a court order making the baby a ward of the court
o C.
Record the statement of the mother, notify the pediatric team, and observe carefully
for signs of impaired bonding and neglect as a reasonable suspicion of child abuse
o D.
Do nothing except record the mother’s statement in the medical record
 15.
The hospitalized client with a chronic cough is scheduled for bronchoscopy. The
nurse is tasks to bring the informed consent document into the client’s room for
a signature. The client asks the nurse for details of the procedure and demands
an explanation why the process of informed consent is necessary. The nurse
responds that informed consent means:
o A.
The patient releases the physician from all responsibility for the procedure.
o B.
The immediate family may make decision against the patient’s will.
o C.
The physician must give the client or surrogates enough information to make health
care judgments consistent with their values and goals.
o D.
The patient agrees to a procedure ordered by the physician even if the client does not
understand what the outcome will be.
 16.
A hospitalized client with severe necrotizing ulcer of the lower leg is schedule for
an amputation. The client tells the nurse that he will not sign the consent form
and he does not want any surgery or treatment because of religious beliefs
about reincarnation. What is the role of the RN?
o A.
Call a family meeting
o B.
Discuss the religious beliefs with the physician
o C.
Encourage the client to have the surgery
o D.
Inform the client of other options
 17.
While in the hospital lobby, the RN overhears the three staff discussing the
health condition of her client. What would be the appropriate nursing action for
the RN to take?
Discuss
o A.
Tell them it is not appropriate to discuss the condition of the client
o B.
Ignore them, because it is their right to discuss anything they want to
o C.
Join in the conversation, giving them supportive input about the case of the client
o D.
Report this incident to the nursing supervisor
 18.
A staff nurse has had a serious issue with her colleague. In this situation, it is
best to:
o A.
Discuss this with the supervisor
o B.
Not discuss the issue with anyone. It will probably resolve itself
o C.
Try to discuss with the colleague about the issue and resolve it when both are calmer
o D.
Tell other members of the network what the team member did
 19.
The nurse is caring to a client who just gave birth to a healthy baby boy. The
nurse may not disclose confidential information when:
Discuss
o A.
The nurse discusses the condition of the client in a clinical conference with other
nurses
o B.
The client asks the nurse to discuss the her condition with the family
o C.
The father of a woman who just delivered a baby is on the phone to find out the sex of
the baby
o D.
A researcher from an institutionally approved research study reviews the medical

record of a patient
 20.
A 17-year-old married client is scheduled for surgery. The nurse taking care of
the client realizes that consent has not been signed after preoperative
medications were given. What should the nurse do?
Discuss
o A.
Call the surgeon
o B.
Ask the spouse to sign the consent
o C.
Obtain a consent from the client as soon as possible
o D.
Get a verbal consent from the parents of the client

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Questions and Answers

Monitor the I&O of a comatose toddler client with salicylate poisoning

Check the IV of a preschooler with Kawasaki disease

Give an outmeal bath to an infant with eczema

A 9-year-old child diagnosed with rheumatic fever

A young infant after pyloromyotomy

A 4-year-old with VSD following cardiac catheterization

A 5-month-old with Kawasaki disease

A child who had multiple injuries from a serious vehicle accident

A child diagnosed with Kawasaki disease and with cardiac complications

A child who has had a nephrectomy for Wilm’s tumor

A child receiving an IV chelating therapy for lead poisoning

A client diagnosed with diabetes and who has an infected toe

A client who had a CVA in the past two months

A client with Chronic renal failure

A client with chronic venous insufficiency

Case management method

Primary nursing method

Primary nursing method

“I do not feel competent to go and work on that area”

“ I am afraid I will get the most serious clients in the unit”

Provide care to the most acutely ill client on the team

Document the assessments completed by the team members

Supervise direct care by nursing assistants

The Registered Nurse caring for the client

The 15-year-old mother of the baby boy

The mother of the girl

Document what the family member has said

Obtaining consent is not the responsibility of the physician

Get a court order making the baby a ward of the court

Call a family meeting

Discuss the religious beliefs with the physician

Encourage the client to have the surgery

Tell them it is not appropriate to discuss the condition of the client

Ignore them, because it is their right to discuss anything they want to

Report this incident to the nursing supervisor

Discuss this with the supervisor

A researcher from an institutionally approved research study reviews the medical

Call the surgeon

Ask the spouse to sign the consent

Obtain a consent from the client as soon as possible

Get a verbal consent from the parents of the client

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