Managing Care
What Action may be delegated to a UAP?
A: Assessing a new patient
B: Discussing Pain management with a Laboring mother
C: Providing Ice Chips to a primigravida in early labor
D: Obtaining a sterile urine specimen for suspected UTI
C
Which term would be used to describe a nurse discussing a condition with someone not directly involved with the client?
A: Libel
B: Negligence
C:Breach of confidentiality
D: Defamation of character
B Breach of confidentiality
Which information would a nurse induced as priority need for a 36yo with early alcoholic cirrhosis?
A: Vitamin B supplements
B: Abstinence from alcohol
C: Maintenance of nutritious diet
D: Long-term, low- does corticosteroids
B Abstinence from alcohol
4 hours after surgery the blood glucose level of a client who has type1 is elevated. Which intervention would the nurse implement?
A: Administering a oral hypoglycemic
B: Instituting glucose monitoring
C: Give supplemental doses of regular insulin
DL Decrease rate of IV
B Give supplemental dose of regular insulin
What response would be given by a nurse caring for a client reciving chemo for lung cancer who wants to know if smoking marijuana reduces nausea and vomiting?
A: Smoking marijuana is not leagal in any state
B: Marijuana is effective for nausa and vomiting if injected
C: Marijuana is not proven to be effective in preventing chemotherapy nausea and vomiting
D: Tetrahydrocannabinol is an ingredient in marijuana that decreases nausea and vomiting in some people
D: Tetrahydrocannabinol is an ingredient in marijuana that decreases nausea and vomiting in some people
What condition requites a written prescription for nail cutting?
A: Diabetes
B: Arthritis
C: Blindness
D: Hypertension
A Diabetes
Which circumstance would leagally prevent a client scheduled for surgery from giving concent?
A Ambivilent feelign are present and acknowledged
B: Administration of sedative type medication recently
C: Discusss of alternatives with two health care providers has not occurred
D: A complete history and physical has not be done or recorded
B Administration of sedative
Nursing instruction provieds education on thermoregulation in a nursery. The student nurse determines that in a healthy full-term neonate, heat production is accomplished by?
A: Oxidization of fatty acids
B: Shivering when chilled
C: Metabolism of brown fat
D: Increased muscular activity
C metabolism of brown fat
Which systems reglate acid-base balance? SATA
Urinary
Digestive
Lymphatic
Respiratory
Cardiovascular
Urinary and Respiratory
Woman arrives at prenatal clinc stating her pregnancy test was positive and asks for info about abortion. Which leagal reposibility must the nurse provide?
A: Share her own thoughts on abortion
B Provie client with correct and unbiased infomation
C Ask why the client wants the info about abortion
D notify healthy care provider because this is beyond the scope of nursing practice
B Provie client with correct and unbiased infomation
A: Renin causes gradual decrease in arterial pressure
B: Lipid plaque formation occurs within arterial vessels
C: Development of atheroma's within the myocardium is characteristic
D: Mobilization of free fatty acid from adipose contributes to plaque formation
B Lipid plaque formation occurs in arterial vessels
Which factor does the nurse determine is most relevant to the legal aspects of a do not resuscitate (DNR) Order?
A: Policies of the agency establish the stats of DNR
B Age is an important factor in a DNR
C Decisions regarding DNR reside with the clients primary health care provider
D: Once a DNR is signed it remains in force for the entire hospitalization
A: Poilives of the agency establish DNR status
An adolescent who was admitted to the hospital with ketoacidiosis is stable and reciving sucutaneous insluin. One hour after its adminitration patient is diaphortic and irrtabile. What is the priortiy intervention?
a: Delay lunch
B: provide a glass of low fat milk
C: Obtain a blood glucose reading
D: cover client with light blanket
C Obtain a blood glucose reading
18yo arives at the local blood drive center to donate blood for the first time. As the site is prepared student becomes agitiated, hyperventilates, and becomes dizzy. What instruciton should be given by the nurse?
A: Breathe into cupped hands
B: Pant with rapid shallow breaths
C: Rapid deep breathing pattern
D: Hold breath for as long as possible
A: Breathe into cupped hands
Which action would be taken by nurse who observes that UAP did not use a bag to liquid for contaminated lienen from a client who is on contact precautions
A: Place linen in appropriate bag
B: Write an incident report about the situation
C: Review transmission based precautions with UAP
D: Place anedotal summary of the behavior of UAP in personnel record
C: Review transmission based precautions with UAP
Which statement made by the nurse about family centered care is accurate?
A Health care providers make the final decisions for a child
B Only health care providers have access to childs chart
C Nurses are consultants to the childs parents or caregivers
D nurses limit visiting hours to ensure childs rest and recovery
C Nurses are consultants
Which tort is nursing practice involves intentional touching without consent?
A: Battery B: Invasion of privacy C: False imprisionment D: Assault
A Battery
Which complication is important for a nurse to monitor for in a client with addison disease?
A: Infection
B: Hypothermia
C: Hypervolemia
D: Urinary retention
A: Infection
Which arterial blood gas results are associated with diabetic ketoacidosis
A pH 7.28 PCO 25 HCO 18
B: pH 7.30 PCO 54 HCO 28
C pH 7.50 PCO 49 HCO 32
D pH 7.52 PCO 26 HCO
pH 7.28 PCO 28 HCO 18
What role is preformed by a LPN in the home health care setting
A: Shift director
B: Charge nurse
C: Admission nurse
D: Staffing coordinator
D Staffing coordinator
What is the resposibility of a nurse in a community- based clinic? (SATA)
Assist parents in the development of skills needed to raise children
Provide encouragement and explanation of parenting strategies
Initiate referral to multidisciplinary health care team
Maintain communication between family and health care team
Follow up with team memembers on progress of an infant
ALL
Which would a nurse need to understand regarding the Uniform Anatomical Gift act?
A: the UAGA prohibits the sale or purchase of organs
B: the UAGA protects the rights of people with physical or mental disabilites
C: the UAGA gives indivisuals who have reached the age of 18 the right to make an organ donation
D: the UAGA provides civil and criminal immunity to hospitals and health care proviers who adhere to the act
C: the UAGA gives individuals the who have reached the age of 18 the right to make an organ donation
At 1630 a cleint who is receiving hyman insulin every morning state "I feel nervous" clients skin is moist and cool. What condition explains what client is likely experiencing?
A: Polydipsia B: ketoacidosis, C: Glycogenesis D: Hypoglycemia
D Hypoglycemia
What action sho9uld the nurse include in the plan of care for a client after an episode of ketoacidosis?
A: Moniotr for signs of hypoglycemia as a result of treatment
B Whithhold glucose in any form until the situation is corrected
C: Give fruit juice, broth, and milk as soon as the client is able to take fluids orally
D: Regulate insulin dosage according to the amount of ketones found in the clients urine
A Monitor for signs of hypoglycemia as a result of treatment
A client with ascies is schuled for a paracentesis and has signed the consent. During the pre-operative assesment the client states they have changed mind and no longer desire the procedure. What respose would the nurse provide?
A: Why did you sign the consent?
B: Can you tell me why you decided to refuse the procedure?
C: You are obviously afraid about something concerning the procedure?
D: Although the procedure is very important, I understand why you changed your mind
B: Can you tell me why you decided to refuse the procedure?