Deck 3: PCCN, Pediatrics and Obstetrics, and Professionalism

Question 1

The most common cause of gastrointestinal bleed is:

A)Trauma
B)Endoscopy procedures
C)Peptic ulcer
D)Alcohol intake

Answer 1

Peptic ulcer

Question 2

What is the leading cause of shock in newborns?

A)Dehydration
B)Third-spacing of fluids
C)Hypovolemia
D)Bradycardia

Answer 2

Hypovolemia

Question 3

You are caring for a patient in the emergency department. The patient has been drinking alcohol and is asking for medication. When you instruct the patient that they have to wait to be seen by the doctor, the patient becomes verbally abusive. You then obtain a set of restraints and instruct the patient if they do not calm down you will restrain them. What can you be charged with?

A)Assault
B)Battery
C)Negligence
D)Invasion of privacy

Answer 3

Assault

Question 4

You as the nurse are working on the unit. You enter the medication room and find another nurse taking intravenous medication and administering it to him- or herself. What should your next action be?

A)Call the police.
B)Call security.
C)Lock the nurse in the medication room.
D)Call the nursing supervisor.

Question 5

You are on break in the nursing lounge when a nursing assistant enters to tell you that what she just heard about the secretary. She then proceeds to tell you that the secretary's husband is a drug addict and she needs to be watched very carefully on the unit. You ask her what makes her think the secretary might take drugs, and she states that she heard it from someone else. What legal tort has the nursing assistant violated?

A)Slander
B)Libel
C)Assault
D)Negligence

Question 6

You have been assigned to triage patients today. Which patient would get the highest priority?

A)A patient who ate spicy pizza who is now complaining of chest pain
B)A patient who injured their finger while cutting vegetables
C)A patient with a headache, fever and nasal congestion
D)A patient who complains of ankle pain when ambulating

Question 7

You are planning the assignment for the day. Which of the following would be the most appropriate assignment for the nursing assistant?

A)A patient receiving a continuous tube feeding
B)A patient who needs a urine culture sent to laboratory
C)A patient who needs a colostomy changed
D)A patient who is having problems swallowing

Question 8

You have received reports on the patients that you are assigned to. After assessing each of your patients, which would you want to provide care for first?

A)An ambulatory patient who will be discharged today
B)A patient who has begun to run a fever and is anxious and diaphoretic
C)A patient who will receive physical therapy today
D)A patient who has been given pain medication

Question 9

You are caring for a patient who needs to go to surgery. The patient is unable to sign consent due to narcotic analgesic administration. Who should sign the consent for surgery?

A)The family members should provide consent, and two witnesses will be necessary.
B)A court order will be needed.
C)The patient should go to surgery without consent.
D)The hospital chaplain should sign consent.

Question 10

You are working with a child and suspect physical abuse. What is your primary legal responsibility?

A)Document your assessment thoroughly and accurately.
B)Report the abuse to local authorities.
C)Refer the family to support groups.
D)Assist the family in identifying resources and support systems.

Question 11

There is a patient on the unit with herpes zoster. Which staff member would you avoid assigning to this patient?

A)A nurse who has never had mumps
B)A nurse who has never had chicken pox
C)A nurse who has never had roseola
D)A nurse who has never had German measles

Question 12

You are preparing an in-service for the staff on delegation. What would you want to include on how delegation impacts safety and quality of patient care?

A)It prevents staff from becoming ineffective and nonproductive.
B)It utilizes appropriate resources, getting the job done in the most effective way.
C)It gives nursing tasks to the staff members who can best understand the goals of treatment,
D)It creates team work on the unit,

Question 13

Which of the following patients would the nurse want to delegate to unlicensed assistive personnel?

A)A patient whose husband died and needs to talk
B)A patient with a nasogastric feedings and foley catheter
C)A patient with leakage from an ostomy
D)An ambulatory patient who has been on the unit for 3 days

Question 14

You are preparing the assignment for the day. You have one licensed practical nurse (LPN) and one unlicensed assistive staff member. Which of the following assignments would you not want to make?

A)LPN to reinforce discharge instruction with a patient
B)Unlicensed personnel to take vital signs and to document and report any changes
C)Unlicensed personnel to assess effectiveness of pain medication
D)LPN to remove dressing from an abdominal wound on a postoperative patient

Question 15

When a registered nurse (RN) decides to delegate care to unlicensed personnel, what should the RN take into consideration when delegating care?

A)Amount of support from RN
B)Complexity of nursing tasks
C)Amount of time the staff member will need to complete care
D)Capability of the staff member to perform assessments

Question 16

You are observing one of the RNs on the unit administer medication. What action by the nurse would lead you to conclude there is a risk for a medication error?

A)Answering a physician's page while giving medication
B)Documenting in military time
C)Asking for help with calculations
D)Holding a medication that the patient questions

Question 17

You are delegating to a licensed practical nurse (LPN) to wound care on a patient. The LPN has never performed this type of wound care before. What component of delegation have you neglected?

A)Authority
B)Competency
C)Communication
D)Responsibility

Question 18

You are caring for a patient with gastroesophageal reflux disease (GERD). You have an unlicensed staff member working with you. Which activity can you delegate to the unlicensed staff?

A)Teach the patient about weight loss.
B)Explore any concerns about managing the disease.
C)Explain why the patient needs eat several small meals a day.
D)Instruct the patient to remain upright for 2 hours following a meal.

Question 19

You will be working with an unlicensed staff member this shift. Which of the following should be priority before delegating care to the staff member?

A)Assessing whether the staff member is competent to perform the skill
B)Preparing written instructions on how to perform skill
C)Gathering supplies
D)Informing the patient that an unlicensed staff member will perform the care

Question 20

A nurse from the surgical care unit has been floated to your unit for the day. Which of the following patients would you want to assign to this nurse?

A)Exacerbation of heart failure
B)Diabetes Type II, new onset
C)Emergency appendectomy
D)Thyrotoxicosis

Question 21

You are working on the postpartum unit today. Which task would you assign to a beginning nursing student?

A)Ambulate a patient.
B)Complete an admission assessment.
C)Notify the physician of adverse labs.
D)Verify a unit of blood.

Question 22

Which of the following patients should be assigned a pediatric nurse assigned to float to your unit?

A)A 32-year-old with diabetes in need of teaching and medications
B)A 56-year-old with Guillain-barre with leg weakness
C)A 86-year-old with dementia from a skilled nursing home
D)A 59-year-old postoperative patient following TURP procedure

Question 23

You are caring for a heart failure patient who suddenly developed symptoms that include shortness of breath, increased respiratory rate, bilateral crackles and frothy sputum. You have notified the physician and received orders for the patient. Which activity would be appropriate to delegate to a licensed practical nurse?

A)Start an IV.
B)Check vital signs every 15 minutes.
C)Morphine sulfate 2mg IV push
D)Insert a foley catheter.

Question 24

Which of the following consent process will need to be followed for an 86-year-old patient going to surgery?

A)Give the patient time to process information.
B)Family members should make decision.
C)Ask patient to respond immediately so he does not forget.
D)Give the patient reading material about surgery and postoperative instructions.

Question 25

You are caring for a patient who has decided to discontinue treatment. You recognize that the patient is competent to make this decision and support the decision based on which of the following ethical principles?

A)Justice
B)Fidelity
C)Autonomy
D)Confidentiality

Question 26

Which of the following would the nurse avoid documenting when an error has occurred with a patient?

A)Names of witnesses
B)Interventions performed
C)Physician notified
D)Incident report submitted

Question 27

A hurricane is coming, and nurses have been activated to open a shelter. What items should the public be encouraged to bring to the shelter?

A)Food and clothing
B)Cats and dogs
C)Medication and records
D)Radios, televisions and other electronics