Values/Ethics
The newly licensed LPN/LVN demonstrates an understanding of employment opportunities when applying to a position in which area(s)? (Select all that apply)
a. an outpatient clinic
b. a home health care agency
c. an intravenous (IV) therapy team
d. a long-term care facility
e. an ambulatory care unit
a, b, d, e
A nurse observes an assistive personnel (AP) reprimanding a client for not using the urinal properly. The AP tells him she will put a diaper on him if he does not use the urinal more carefully next time. Which of the following torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy
A. Assault
Rationale: by threatening the client, the AP is committing assalt. Her threats could make the client become fearful and apprehensive.
As part of the admission process, a nurse at a long-term care facility is gathering a nutrition history for a client who has dementia. Which of the following components of the nutrition evaluation is the priority for the nurse to determine from the client's family?
A. Body mass index
B. Usual times for meals and snacks
C. Favorite foods
D. Any difficulty swallowing
D. Any difficulty swallowing
Your patient has left sided weakness, how do you put on their shirt?
a. Clients choice
b. Right sleeve
c. Left sleeve
d. Both sleeve together
c. Left sleeve
What does HIPPA stands for?
a. Health Insurance Portability and Accountability Act
b. Health Insurance Protection and Act
c. Health Income Portability and Accounting Act
a. Health Insurance Portability and Accountability Act
The nurse explains that the term _______ refers to the severity of illness
a. chronic
b. acute
c. acuity
d. triage
e. disturbances
c
A nurse is caring for a competent adult client who tells the nurse that he is thinking about leaving the hospital against medical advice. The nurse believes that this is not in the client's best interest, so she prepares to administer a PRN sedative medication the client has not requested along with his usual medication. Which of the following types of tort is the nurse about to commit?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality
B. False imprisonment
Rationale: The nurse gave the medication as a chemical restraint to keep a client from leaving the facility against medical advice. This is false imprisonment because the client neither requested nor consented to receiving the sedative
When entering a client's room to change a surgical dressing, a nurse notes that the client is coughing and sneezing. Which of the following actions should the nurse take when preparing the sterile field?
A. Keep the sterile field at least 6 ft away from the client's bedside.
B. Instruct the client to refrain from coughing and sneezing during the dressing change.
C. Place a mask on the client to limit the spread of micro-organisms into the surgical wound.
D. Keep a box of facial tissues nearby for the client to use during the dressing change.
C. Place a mask on the client to limit the spread of micro-organisms into the surgical wound.
Exercises that move each muscle and joint care called?
a. Rotation
b. Adduction
c. Range of Motion
d. Abduction
c. Range of Motion
A nurse caring for a patient with an infectious disease who requires isolation should refers to guidelines published by the:
A. National League for Nursing (NLN)
B. Centers for Disease Control (CDC)
C. American Medical Association (AMA)
D. American Nurses Association (ANA)
B. Centers for Disease Control (CDC)
The process where assessment data are sorted and analyzed so that specific, actual, and potential health problems are identified
a. nursing process
b. nursing diagnosis
c. implementation
b. nursing diagnosis
A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy and unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in the break room when she was not on a break. Which of the following actions should the nurse take?
A Alert the American Nurses Association.
B. Fill out an incident report.
C. Report the observations to the nurse manager on the unit
D. Leave the nurse alone to sleep.
C. Report the observations to the nurse manager on the unit
Rationale: any nurse who notices behavior that could jeopardize client care or could indicate a substance use disorder has a duty to report the situation immediately to the nurse manager
A nurse is wearing sterile gloves in preparation for performing a sterile procedure. Which of the following objects can the nurse touch without breaching sterile technique? (Select all that apply.)
A. A bottle containing a sterile solution
B. The edge of the sterile drape at the base of the field
C. The inner wrapping of an item on the sterile field D. An irrigation syringe on the sterile field
E. One gloved hand with the other gloved hand
C. The inner wrapping of an item on the sterile field D. An irrigation syringe on the sterile field
E. One gloved hand with the other gloved hand
Padding side rails on a bed serves a purpose. The purpose is:
a. Restrain the patient
b. Have somewhere to put the call button
c. Keep the client warm
d. Protect your client from possible injury
d. Protect your client from possible injury
To institute appropriate isolation precautions, the nurse must first know the:
A nurse is caring for a client who decides not to have surgery despite significant blockages in his coronary arteries. The nurse understands that this client's choice is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence
B. Autonomy
A nurse is discussing occurences that require completion of an incident report with a newly licensed nurse. Which of the following should the nurse include in the teaching? (Select all that apply).
A. Medication error
B. Needlesticks
C. Conflict with provider and nursing staff
D. Omission of prescription
E. Missed specimen collection of a prescribed laboratory test
A. Medication error
B. Needlesticks
D. Omission of prescription
A nurse has removed a sterile pack from its outside cover and placed it on a clean work surface in preparation for an invasive procedure. Which of the following flaps should the nurse unfold first?
A. The flap closest to the body
B. The right side flap
C. The left side flap
D. The flap farthest from the body
D. The flap farthest from the body
You go to check on Mrs. Jones, she is very agitated. Your task is to give her a bed bath, When you walk in the room, she tells you "Get out of here. I do not want a bed bath". What should you do?
a. Speak loudly because maybe Mrs. Jones didn't hear or understand you.
b. Run
c. Tell the client they have no choice, shut up and lets get cleaned up
d. Talk calmly, slowly, reassure the client. Do not force them. Report the refusal to the charge nurse.
d. Talk calmly, slowly, reassure the client. Do not force them. Report the refusal to the charge nurse.
Which is the correct procedure for collecting a sputum specimen for culture and sensitivity testing?
A. Have the patient place the specimen in a container and enclose the container in a plastic bag.
A nurse offers pain medication to a client who is postoperative prior to ambulation. The nurse understands that this aspect of care delivery is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficence
D. Beneficence
A nurse is assessment performing an admission for an older adult client After data and gathering the assessment performing the review of systems, which of the following actions is a priority for the nurse?
A. Orient the client to his room.
B. Conduct a client care conference.
C. Review medical prescriptions.
D. Develop a plan of care.
A. Orient the client to his room.
A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of the following data should the charge nurse identify as objective data? (Select all that apply)
A. Respiratory rate is 22/min with even, unlabored respirations.
B. The client's partner states, "He said he hurts after walking about 10 minutes."
C. Pain rating is 3 on a scale of 0 to 10
D. Skin is pink, warm, and dry.
E. The assistive personnel reports the client walked with a limp.
A. Respiratory rate is 22/min with even, unlabored respirations.
D. Skin is pink, warm, and dry.
E. The assistive personnel reports the client walked with a limp.
The most important nursing intervention to correct skin dryness is:
A. Consult the dietitian about increasing the patient’s fat intake, and take necessary measures to prevent infection.
B. Ask the physician to refer the patient to a dermatologist, and suggest that the patient wear home-laundered sleepwear.
C. Encourage the patient to increase his fluid intake, use non-irritating soap when bathing the patient, and apply lotion to the involved areas.
D. Avoid bathing the patient until the condition is remedied, and notify the physician.
C. Encourage the patient to increase his fluid intake, use non-irritating soap when bathing the patient, and apply lotion to the involved areas.
The best way to decrease the risk of transferring pathogens to a patient when removing contaminated gloves is to:
A. Wash the gloves before removing them.
B. Gently pull on the fingers of the gloves when removing them.
C. Gently pull just below the cuff and invert the gloves when removing them.
D. Remove the gloves and then turn them inside out.
C. Gently pull just below the cuff and invert the gloves when removing them.