Interprofessional Care Team
A paitent who has had a cerebrovascular accident has persistent dysphasia. the nurse should initiate a referral with what IP member
A. social worker
B. CNA
C. OP
D. speech-language pathologist
D. Speech-language pathologist
Nurse is preparing an in service program about delegation, Which of the following elements should she identify when presenting the 5 rights of delegation? (select all that apply)
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right Time
E. Right cause
B. Right supervision/evaluation
C. Right direction/communication
E. Right circumstance
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 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
The nurse notes that an advance directive is in the client's medical record. Which of the following statements represents the best description of guidelines a nurse would follow in this case?
A. A durable power of attorney for health care is invoked only when the client has a terminal condition or is in a persistent vegetative state
B. A living will allows an appointed person to make health care decisions when the client is in an incapacitated state.
C. A living will is invoked only when the client has a terminal condition or is in a persistent vegetative state.
D. The client cannot make changes in the advance directive once the client is admitted into the hospita
C. A living will is invoked only when the client has a terminal condition or is in a persistent vegetative state.
A goal for a client who has difficulty with self-feeding due to RA is to used adaptive devices. the nurse caring for the client should initiate a referral to which of the following members of the IP team
A. social worker
B. CNA
C. RD
D. OT
D. OT
For a patient who is experiencing side effects of radiation therapy, which task would be the most appropriate to delegate to the UAP?
A. Helping the patient to identify patterns of fatigue
B. Recommending participation in a walking program
C. Reporting the amount and type of food consumed from the tray
D. Checking the skin for redness and irritation after the treatment
C. Reporting the amount and type of food consumed from the tray
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 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
A nurse is evaluating a patient who is in soft wrist restraints. Which of the following activities does the nurse perform? (Select all that apply.)
a. Check the patient's peripheral pulse in the restrained extremity
b. Evaluate the patient's need for toileting
c. Offer the patient fluids if appropriate
d. Release both limbs at the same time to perform range of motion (ROM)
e. Inspect the skin under each restraint
A. Check the patient's peripheral pulse in the restrained extremity
B. Evaluate the patient's need for toileting
C. Offer the patient fluids if appropriate
E. Inspect the skin under each restraint
A nurse is acquainting a group of newly licensed nurses with the roles of the various members of the HC team they will encounter on a med-surg unit. when she gives examples of the types of tasks a CNA may do, which of the client activities should she include (select all that apply)
A. bathing
B. Ambulation
C. determining pain level
D. measuring vitals
A. Bathing
B. Ambulation
D. Measuring vitals
An RN is making assignments for client care to an LPN at the beginning of a shift. Which of the following assignments should the LPN question?
A. Asisst the client who is 24hrs post op w/ incentive spirometry
B. Collecting a clean catch urine specimen for a client who was admitted on previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
D. Replacing the cartridge and tubing on a PCA pump
A nurse is instructing a group of nursing students about the responsibilities involved with organ donation and procurement. When the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications, the students should understand that this aspect of care delivery is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence
C. Justice
A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for surgery the following week. The client tells the nurse that he will prepare his advance directives before he goes to the hospital. Which of the following statements made by the
client should indicate to the nurse an understanding of advance directives?
A. "I'd rather have my brother
make decisions for me, but I
know it has to be my wife."
B. "I know they won't go ahead
with the surgery unless I
prepare these forms."
C."I plan to write that I don't
want them to keep me on
a breathing machine."
D."I will get my regular doctor
to approve my plan before I
hand it in at the hospital."
C."I plan to write that I don't
want them to keep me on
a breathing machine."
The nurse's partner/spouse undergoes exploratory surgery at the hospital where the nurse is employed. Which practice is most appropriate
A. Because the nurse is an employee, access to the chart is allowed.
B. The relationship with the client provides the nurse special access to the chart.
C. Access to the chart requires a signed release form
D. The nurse can ask the surgeon to discuss the outcome of the surgery.
C. Access to the chart requires a signed release form
A client who is postop knee arthoplasty is concerned about the adverse effects on the meds he is receiving for pain management. which members of the IP team can assist the client in understanding the meds effects (select all that apply)
A. provider
B. CNA
C. pharmacist
D. RN
E. RT
A. Provider
C. Pharmacist
D. RN
In the care of a patient with neutropenia, what tasks can be delegated to a UAP? (Select all that apply)
A. Taking vital signs every 4 hours
B. Reporting temperature of more than 100.4
C. Assessing for sore throat, cough, or burning with urination
D. Gathering the supplies to prepare the room for protective isolation
E. Reporting superinfections, such as candidiasis
F. Practicing good hand-washing technique
A. Taking vital signs every 4 hours
B. Reporting temperature of more than 100.4
D. Gathering the supplies to prepare the room for protective isolation
F. Practicing good hand-washing technique
A nurse questions a medication prescription as too extreme in light of the client's advanced age and unstable status. The nurse understands that this action is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence
D. Nonmaleficence
A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take which of the following actions regarding informed consent? (Select all that apply.)
A. Make sure the surgeon obtained the client's consent.
B. Witness the client's signature on the consent form.
C. Explain the risks and benefits of the procedure.
D. Describe the consequences of choosing not to have the surgery.
E. Tell the client about alternatives to having the surgery.
A. Make sure the surgeon obtained the client's consent.
B. Witness the client's signature on the consent form.
A. Make sure the surgeon obtained the client's consent.
B. Witness the client's signature on the consent form.
The nurse puts a restraint jacket on a client without the client's permission and without the physicians order. The nurse may be guilty of ASSAULT.
A. True
B. False
False, battery is what the nurse may be guilty of.
A nurse is caring for a group of patients on a med surg unit. for which of the following client care needs should the nurse initiate a referral for a social worker (select all that apply)
A. client has terminal cancer requests in home hospice care
B. client asks about community resources for older adults
C. client states that she wants her child baptized before surgery
D. client requests an electric wheelchair for use after discharge
E. client states that he doesn't understand how to use a nebulizer
A. client has terminal cancer requests in home hospice care
B. client asks about community resources for older adults
D. client requests an electric wheelchair for use after discharge
A nurse manager on a med surg unit is assigning care responsibillities for the oncoming shift. A client is awaiting transfer back to the unit from the PACU following throacic surgery. To which staff member should the nurse assign this client?
A. Charge Nurse
B. RN
C. LPN
D. AP
B (client returning from surgery needs assessment and a plan of care)
B. RN
A nurse is instructing a group of nursing students about how to know and what to expect when ethical
dilemmas arise. Which of the following situations should the students identify as an ethical dilemma?
A. A nurse on a medical-surgical unit demonstrates signs of chemical impairment.
B. A nurse overhears another nurse telling an older adult client that if he doesn't stay in bed, she will have to apply restraints.
C. A family has conflicting feelings about the initiation of enteral tube feedings for their father, who is terminally ill.
D. A client who is terminally ill hesitates to name her spouse on her durable power of attorney form.
C. A family has conflicting feelings about the initiation of enteral tube feedings for their father, who is terminally ill.
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. The nurse should not alert the American Nurses Association. The state's board of nursing regulates disciplinary action and can revoke a nurse's license for substance use.
B. The nurse should not fill out an incident report. Incident reports are filed to document an accident or unusual occurrence.
C. 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.
D. The nurse should not leave the nurse alone to sleep. Although the nurse is not responsible for solving the problem, she does have a duty to take action since she has observed the problem.
C. 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.
1. An 87-year-old woman is brought to the emergency department for treatment of a fractured arm. On assessment, the nurse notes old and new ecchymotic areas on the client's chest and legs and asks the client how the bruises were sustained. The client, although reluctant, tells the nurse in confidence that her son frequently hits her if supper is not prepared on time when he arrives home from work. What is the most appropriate nursing response?
A. "Oh really I will discuss this situation with your son"
B. "Let's talk about the ways you can manage your time to prevent this from happening"
C. "Do you have any friends that can help you out until you resolve these important issues with your son?"
D. "As a nurse, I am legally bound to report abuse. I will stay with you while you give the report and help find a safe place for you to stay.
D. "As a nurse, I am legally bound to report abuse. I will stay with you while you give the report and help find a safe place for you to stay.