Deck 3: Professionalism

Question 1

You are working in a cardiologist's office. A client has been advised by the cardiologist to stop smoking. Which of the following statements by you would be considered therapeutic?

A)I know exactly how you feel. I'm trying to stop smoking as well.
B)I would suggest stopping cold turkey. I'm sure you can do it!
C)Let me get you some information on different techniques available to help you with the quitting process.
D)You really need to quit, you know. The nicotine is not good for your heart

Answer 1

Let me get you some information on different techniques available to help you with the quitting process.

Question 2

You are charting information about a client when you suddenly realize you are writing in another client's chart. Which of the following is the appropriate way to correct this error?

A)Scratch out the entry with pen.
B)Use white out to cover up the entry you just made.
C)Draw a straight line through the entry and write error, followed by your initial and date.
D)Get rid of the entry by using an eraser designed for removing pen marks.

Answer 2

Draw a straight line through the entry and write error, followed by your initial and date.

Question 3

John is to be discharged from the hospital, and he tells you that he is very happy with the support you have given him in his journey to stop drinking. He states that he is sure that, with your continued support, he will be able to stay away from alcohol permanently. He asks if you would meet him for lunch at a public restaurant. Which of the following statements indicates your understanding of the nurse-client boundaries in the therapeutic relationship?

A)"I am happy I could provide you with the support you have needed thus far. I will provide you with information of therapists and groups who can continue to support you once you leave this hospital."
B)"Yes, I would be happy to have lunch with you, just so long as you realize it will be purely as a nurse-client relationship."
C)"That is a very nice offer. When and where shall we have lunch?"
D)"I don't think so. I don't see patients after hours."

Answer 3

"I am happy I could provide you with the support you have needed thus far. I will provide you with information of therapists and groups who can continue to support you once you leave this hospital."

Question 4

Your client has been admitted to the psychiatric unit because she has expressed a desire to kill herself. The doctor has ordered her to be under constant supervision. She tells you she needs to go to the bathroom, gets up and attempts to close the door behind her . She seems upset, stating, "I don't need you to follow me in to the bathroom!" Which of the following is the appropriate response?

A)"Ok, I'll just wait outside here until you are done."
B)"Sorry, but you are not allowed to go anywhere on your own, not even the bathroom."
C)"While you're in there, I'll just pop out to the bathroom myself."
D)"I'm sorry, I realize this may feel uncomfortable for you, but for your own safety I must stay with you at all times."

Question 5

You are working on a surgical unit. During coffee break in the hospital cafeteria you overhear that a coworker has been admitted to the medical floor. When you return to your unit, you access her chart on the computer. You and this coworker have been becoming friends, so you are concerned about her admission and just want to check to see if she will be ok. How will your actions be construed?

A)Since you are friends with this coworker, it will be ok to look in to her chart.
B)Your actions will be seen as a breach of confidentiality, and you could be reprimanded.
C)As a nurse, you are entitled to look at any chart of any client in the hospital.
D)So long as you ask first, you will be permitted to look at the coworker's chart.

Question 6

A nurse working in the ICU is concerned that a client who has overdosed will be violent when she regains consciousness. The nurse has seen this happen with other clients. This client has an endotracheal tube, plus several intravenous lines, running. The nurse believes it would be in the client's best interest to apply wrist restraints. What must she do prior to applying the restraints?

A)Obtain consent from the family.
B)Go ahead and apply the restraints, as it is a nursing decision.
C)Discuss the situation with the physiotherapist.
D)Discuss the decision with her coworkers.

Question 7

Stark is a resident in a long term care facility. He has signed a facility form which states he does not wish to be resuscitated in the event he should have a heart attack or just stop breathing. You arrive in his room to deliver his medications and find him lying on his bed, unresponsive with no apparent pulse or breaths. What should you do?

A)Immediately call a code and have someone bring the crash cart.
B)Give two rescue breaths and then start CPR.
C)Call for a coworker and have them call the resident's doctor to inform him that the client has died.
D)Quietly leave the room and hope someone else finds him.

Question 8

As the RN is charting on a client, he realizes that the medication bag that was hung for his client an hour ago had twice the dose it should have. Upon reviewing the doctor's orders, the nurse realizes the order had been transcribed incorrectly on to the medication record. What should the nurse do?

A)Go to the head nurse and complain that someone transcribed the order incorrectly.
B)Nothing, and hope no one notices the error.
C)Erase the incorrect entry and correct it to what was originally written by the doctor.
D)Check on the client right away, including taking vital signs, then immediately report the incident to your supervisor.

Question 9

Your client was prescribed a narcotic, every four hours, for post-surgical pain. When you arrive in his room to give him the medication, he refuses it. He is alert, oriented and does not seem in distress. What should you do?

A)Return the medication to the med room, then chart the refusal, and the reason the client gave, on the client's chart.
B)Become stern with the client and tell him he must take the medication the doctor has ordered.
C)Try to calmly and politely talk him into taking the medication.
D)Shrug your shoulders and just leave the client's room. Later, you can chart that he refused his medication.

Question 10

A forty-year-old woman arrives in the emergency room and is diagnosed with a ruptured appendix. She is febrile and seems only vaguely aware of where she is, and you are having difficulty knowingwhether she understands that the surgeon has ordered she be taken to the O.R. immediately. Thereis no other family or next of kin with her. What should you, as the nurse, do next?

A)Take her to the operating room as ordered.
B)Wait until the fever medication takes effect, hoping she will be more conscious and can sign a surgical consent form.
C)Contact the nursing supervisor for further direction.
D)Search through her belongings to try to find a family contact number.

Question 11

A charge nurse becomes frustrated with a client who is constantly calling out. It is disruptive for the other clients, as this has been going on for over one hour. The nurse yells down the hall, "If you don't shut up, I will give you something to yell about!" The charge nurse could be accused of which of the following?

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

Question 12

A client in the Emergency Room asks the nurse about her opinion of the attending physician. The nurse tells the client she thinks the doctor is cute, but finds his bed side manner inexcusable and sometimes wonders about his diagnoses. The nurse is at risk of being accused of which of the following:

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

Question 13

Client advocacy on the part of the nurse is characterized by all of the following, except:

A)Providing paternalistic care.
B)Ensuring that the client's rights and privacy are provided for at all times.
C)Working with a "client comes first" attitude.
D)Ensuring the client has access to all necessary information to help make informed decisions.

Question 14

The nursing staff in a large city hospital are expected to float to other units when staffing shortages dictate the need. Jeff, an RN, is sent to maternity one evening. He has not worked in this area of nursing for several years. He approaches the night shift supervisor, stating that he is not comfortable working on the maternity unit. What should the supervisor do?

A)Insist he stay and work, doing the best he can, because they are short of nurses on the unit.
B)Send him back to his original unit and find another qualified RN.
C)Tell him not to worry, he will do fine, and she will check up on him throughout the shift.
D)Write him up for disciplinary action.

Question 15

Suzanne is a resident in a nursing home who is scheduled for a bath today. She tells the nurse constantly on the way to the tub room that she does not want to have a bath today. The resident does not suffer from any form of dementia. The nurse begins Suzanne�s bath anyway, as the resident hits out and yells at her. The nurse is guilty of which of the following?

A)Verbal abuse
B)Sexual abuse
C)Physical abuse
D)Emotional abuse

Question 16

A client has been discharged, and while housekeeping is cleaning the room they find a yellow pill on the room floor. They bring it you, as you were the nurse who discharged the client. When you review the client's chart, the pill is identified as Lasix (furosemide), a medication the client normally received in the morning. What should you do?

A)Throw the pill away and forget about the incident.
B)Fill out a medication incident/error report and inform the doctor.
C)Ask the housekeeping staff to throw the pill away.
D)Assume the pill must have been dropped by another nurse who worked the previous morning. I couldn't have been you.

Question 17

Susan works part time as a Registered Nurse and also has a business, providing massage therapy, which she runs out of her home. One day, you hear her telling one of her clients that she could provide massage therapy to help a shoulder injury once the client is discharged from hospital. What should you say to Susan?

A)"How much do you charge for a massage?"
B)"Telling your clients about your massage therapy business is a conflict of interest."
C)"Why don't you offer massage services while you are at work?"
D)"Wow. What a neat job. Why don't you do it full time?"

Question 18

A client's doctor writes an order for a laxative to relieve constipation. The doctor's order states, "enema prn". What should you as the nurse do?

A)Check to see what types of enemas there are on-hand in the medication room and choose one.
B)Ask the client what type of enema and at what time of day they would prefer to receive it.
C)Ignore the order, as it is an incomplete order.
D)Ask the doctor to clarify the order, to include the type and frequency of the enema.

Question 19

You are working in the ER when a highly intoxicated client is brought in by ambulance. The client is aggressive verbally, swears at you, then stumbles off the stretcher, trying to swing at you with his fists. What should you do?

A)Call for assistance, while backing a safe distance away from the client.
B)Subdue the client forcibly and claim self defense.
C)Leave the ER and go to the admission desk and have someone call 911.
D)Yell at the client, telling him to lie back down or you will call the police.

Question 20

A church minister approaches the nurse who is caring for a member of his congregation. He asks the nurse about the client's diagnosis. What is the nurse's most appropriate response to his inquiry?

A)Ask him if he has spoken with the client regarding this matter.
B)Tell him the diagnosis. After all, he is the client's spiritual support.
C)Tell him it is none of his business.
D)Advise him he must ask the doctor for the diagnosis.

Question 21

A police officer has accompanied an apparently intoxicated client to the emergency room. After blood work results come back, the officer asks for a copy of the results. What is the nurse's most appropriate response?

A)Give the officer a copy as requested.
B)Ask the doctor if it is ok to give the officer a copy of the results.
C)Tell him he is not entitled to the results.
D)Advise him that he must present a warrant in order to obtain the blood results.

Question 22

Which of the following sites should be avoided when selecting a peripheral site for Intravenous insertion?

A)An arm with several tattoos.
B)The arm opposite the side where a complete mastectomy was performed.
C)An arm that has an arterial-venous shunt.
D)An arm with scars from a previous burn injury.

Question 23

You have come to the end of a very long and busy twelve-hour shift, and after giving report to the on-coming nurse you ask her to leave space for you in the client's chart. You tell the nurse you plan on to finishing your charting in the morning. What would be the on-coming nurse's most appropriate response to you?

A)"I know you are tired, but it is your professional responsibility to complete your charting before you go home."
B)"Why don't you leave me your notes and I will do the charting for you?"
C)"If you leave without charting, I will report you to the supervisor."
D)"We are all tired, but you can't leave until you're done."

Question 24

You are performing a sterile surgical dressing change. You accidently drop a sterile piece of gauze on the table, outside the sterile field. What should you do?

A)Pick up the gauze with your sterile forceps and continue the dressing.
B)Get a new sterile gauze piece.
C)Use the gauze anyway. The client is on antibiotics, so it will fight any infectious agent that may be introduced.
D)Get a whole new dressing tray and start the procedure over again.

Question 25

An Occupational Health Nurse is teaching staff nurses of a medical unit how to identify a positive Mantoux test result. Which of the statements below is correct?

A)An area of redness around the injection site larger than 10mm indicates a positive test.
B)An area of redness around the injection site larger than 15mm indicates a positive test.
C)10mm or more of in duration around the injection site indicates a positive test.
D)15mm or more of in duration around the injection site indicates a positive test.

Question 26

Which of the following is the major cause of an acute hemolytic reaction during a blood transfusion?

A)The wrong type and cross match (wrong RH and blood type).
B)Failure to identify the correct client by reading the arm band prior to the infusion.
C)Allowing the blood to warm before the transfusion takes place.
D)Not allowing the blood to warm up before administering the transfusion.

Question 27

You are preparing to administer medication through a nasogastric tube. Which of the following medications should not be administered this way?

A)A crushed enteric coated tablet mixed with 30cc of water.
B)An emptied encapsulated medication mixed in t30cc of water.
C)Liquid Dilantin
D)Crushed low dose aspirin mixed with 30cc of water.

Question 28

The nurse is preparing to administer an antibiotic via the intravenous route. The client has an I.V. line currently running at 30cc/hour. Which of the following is the correct way to hand the medication bag?

A)Hang both I.V. bags at the same height.
B)Hang the medication bag higher than the primary I.V bag.
C)Hang the primary I.V. bag higher than the medication bag.
D)Start a new and separate I.V. site for the administration of the I.V. antibiotic.

Question 29

A client is receiving intravenous heparin therapy. What is the antidote that should be available in case of bleeding?

A)Protamine sulphate
B)Narcan
C)Dilantin
D)Vitamin K

Question 30

Many institutions have risk management policies in place. What is the primary purpose of these risk management policies?

A)To ensure only qualified staff are hired.
B)To protect clients, ensuring they receive high quality and safe care.
C)To protect nursing staff from being sued by clients or their families.
D)To ensure that minimal health care required, by law, is provided to all clients.

Question 31

Adeleis a nurse in a long term care facility. She has only been working there for six months but has seen aspects of care she feels is unethical and demoralizing to the residents. Angela decides to go to the local newspaper and write a letter to the editor. How would this action be seen?

A)An act of revenge
B)An act of whistle blowing
C)As a citizen's right to freedom of speech
D)Investigative reporting

Question 32

Angela is called in to her supervisor's office after writing a letter to the editor of a local paper about aspects of care in her workplace that she finds unethical. The newspaper has published her letter, and the supervisor has read it. She tells Angela she will have to dismiss her from her job, pending an investigation. What should be Angela's next step?

A)Call her own lawyer and sue the health care facility.
B)Threaten her supervisor.
C)Refuse to leave her job because she has done nothing wrong.
D)Contact the Canadian Nurse's Protective Society

Question 33

Your client has been scheduled for knee surgery, but he has changed his mind and does not wish to go ahead with the surgery. He states that he wants to be discharged from the hospital. What is your best response to his request?

A)Convince him that he really needs this surgery.
B)Understand that he has the right to decide about his own care and contact his doctor regarding his request.
C)Ignore his request and go ahead with the preoperative care and paperwork.
D)Have another nurse try and talk him in to having the surgery.

Question 34

Your client asks you for some information regarding a specific disease for which you have little knowledge. How can you answer the client?

A)Tell the client whatever comes to mind. After all, you are a nurse and the client will believe anything you tell them.
B)Ignore their request, pretending you did not hear them. Perhaps they will ask someone else.
C)Tell the client you are not familiar with the illness but you will attempt to find the information for them.
D)Ask them to talk to their doctor; you are too busy to do any research on the subject.

Question 35

The doctor writes an order for the insertion of a nasogastric tube in a client you are caring for. You have never inserted a nasogastric tube before. What is your best course of action at this point?

A)Go to the policy and procedure manual, read up on the procedure and then go ahead and attempt the nasogastric tube insertion.
B)Ask the education coordinator (if available) or supervisor to walk you through the insertion process.
C)Leave the procedure for the nurse coming on the next shift.
D)Ask another nurse to do the procedure for you.

Question 36

The RN is extremely busy and needs to delegate the taking of vital signs for her clients to a Nursing Assistant. The Nursing Assistant reports back that one of the client's has an elevated pulse. The RN goes and rechecks the client's vital signs. What would this action be called?

A)A mistrust of the NA ability to check vital signs accurately
B)Accountability for care
C)A nuisance
D)A reverse of delegation

Question 37

In the cafeteria you notice the smell of alcohol on a nurse who works in your unit. You and this coworker are close friends. After lunch, you notice the same nurse drawing up an injectable medication for a patent. Her movements seem awkward and uncoordinated. What action should you take at this time?

A)Help the nurse draw up the medication.
B)Approach her and accuse her of drinking while on duty.
C)Draw up the medication yourself and go give it to her client.
D)Take the medication from her and tell her you must report her to the supervisor immediately.

Question 38

The parents of an eighteen year old client are upset because their daughter has been admitted to hospital and they have not been given a diagnosis. What is the nurse's best response to their demands to be informed about their daughter's condition?

A)"Your daughter is of legal age and we are not obliged to give you that information."
B)"Your daughter has the right to keep any information from you that she wishes."
C)"I'm not really supposed to tell you but your daughter…."
D)"I understand your frustration. Why don't we see if your daughter would like to discuss her condition with you? If she gives me permission, I could also explain."

Question 39

Medication errors can occur easily and happen far too frequently. Nursing shortages and heavy workloads add to a nurse's stress in completing her/his tasks on time. All of the following are ways to help ensure medication errors do not occur, except:

A)Right dose
B)Right patient
C)Right time
D)Right nurse

Question 40

Which of the following factors has most influenced the trend of early discharges of clients from hospitals in Canada?

A)Better home care services.
B)Government efforts to contain health care costs.
C)People are healthier these days, recovering faster and able to care for themselves at home.
D)The nursing shortage.

Question 41

Which of the following best describes the "minimum standard of care" required by Registered Nurses in Canada?

A)The minimum number of Registered Nurses needed to provide safe care.
B)The minimum number of registered Practical Nurses in any health care facility to ensure safe care
C)The minimum number of nursing hours needed to ensure safe care
D)The care that any reasonable, prudent nurse would provide in a comparable situation.

Question 42

The Canadian Nurses Association Code of Ethics explains the nursing values and ethical responsibilities of all Registered Nurses. The primary nursing values include all of the following EXCEPT:

A)A nurse's right to be represented by a union.
B)Providing safe, compassionate, competent and ethical care.
C)Promoting justice.
D)Being accountable.

Question 43

A community nurse is helping a small farming town secure a location for an indoor walking group. The nurse is following the principles of primary health care to assist the community in their endeavors. All of the following are principles of primary health care, except:

A)Public participation
B)Health promotion
C)Appropriate technology
D)Accountability

Question 44

There are four major roles identified within the profession of nursing: administrator, educator, practitioner, and researcher. Although the setting of practice and the level of expertise influence the level of focus, which of the following is the most fundamental role to nursing?

A)Practitioner
B)Educator
C)Administrator
D)Researcher

Question 45

A medical facility utilizes case management to organize work, deploy nursing staff, and provide organization of rules and structures that define responsibility and accountability. Which of the following is the advantage of case management over the other nursing care delivery systems?

A)Decision-making is centralized.
B)It promotes multidisciplinary collaboration.
C)It emphasizes continuity of care.
D)It promotes each member to function independently and make independent decisions.

Question 46

The Public Health Agency of Canada announces an Escherichia coli outbreak in the city. The chief nurse in a medical facility activates the organization's communicable, infectious disease outbreak management plan. The chief nurse also understands that outbreak management can quickly escalate to disaster management. Disaster management needs to be implemented when:

A)The outbreak causes a serious threat to 50% of the city's population.
B)The outbreak is caused by a Category A agent.
C)The number of clients exceeds the capability and resources of the responders.
D)Officials determine that the outbreak is caused by an internal disaster

Question 47

Every client has the right to expect that he or she will be treated with respect, provided with adequate information, and have his or her confidentiality maintained. A nurse respects a client's right to autonomy in which of the following situations?

A)After a female client refused to take her medication, the nurse documents this in the client's chart.
B)A nurse respects the worth and uniqueness of her clients and colleagues.
C)A nurse asks an adult client with intact physical and mental abilities to sign an informed consent form.
D)A nurse provides compassionate care to a client who practices another religion.

Question 48

Principles are applied when deciding on the facility's organizational structure, which is the basis of the organization's goals and the department's philosophy and objectives. Which of the following accurately describes the principle of continuing responsibility?

A)An individual can have more resources and available materials when he or she interacts directly with more individuals.
B)When a superior delegates a responsibility to a subordinate, the superior's responsibility for the function does not diminish.
C)When a certain responsibility is delegated to a subordinate, the subordinate should be given authority over the resources needed to perform and succeed with a task.
D)An employee should only be responsible to one supervisor.

Question 49

A Registered Nurse is assigned to care for five clients during the shift. The RN works with a nursing team consisting of one licensed practical nurse and two certified nursing assistants. To accomplish more tasks, the RN decides to delegate specific tasks to each team member. Which of the following is the first and most important step during the delegation process?

A)Reach mutual agreement about the task; validate that each team member understands the task.
B)Monitor and evaluate the results.
C)Determine whom to delegate; ask questions such as: Is the person in mind qualified to accomplish the task?
D)Define the complexity of the task and its elements.

Question 50

A methodical and careful planning process is essential to the success of any health care institution or organization. One of these types is called strategic planning. Which of the following statements best describes strategic planning?

A)It considers the availability of qualified staff and the acuity levels of the clients.
B)It takes consideration of the organization's mission, vision, and core value statements to identify future goals.
C)It creates a system that will help the organization analyze, plan and deliver services that meet the needs of its target markets and consumers
D)It attains the vision and mission of the organization through specific work plans that lead to shared responsibility and accountability.

Question 51

An indwelling urinary catheter was inserted into the bladder of an elderly male due to urinary symptoms during the admission. A day before discharge, a nurse receives an order to remove the client's urinary catheter. The nurse pulls out the catheter without first deflating the balloon that anchors it inside the bladder. The client complains of severe pain. Examination and tests reveal damaged internal structures. The nurse will be most likely charged with:

A)Negligence
B)Malpractice
C)Misdemeanor
D)Defamation of character

Question 52

Michelle, a female client, is re-admitted to the nursing unit after a diagnostic surgical procedure. The findings indicate that she has cancer. The physician informs the nursing staff not to inform the client about the diagnosis. It is noted that the Michelle has a history of suicide attemps. As soon as Michelle regains consciousness, she asks the nurse if she has cancer. Which of the following is the best response made by the nurse?

A)"I am sorry, but I do not have any information about your diagnosis."
B)"I am not in the position to tell you about the diagnosis. It is best to ask your family members about the results."
C)"The initial findings of the surgeon suggest you have cancer. It is best if you talk to the surgeon to determine your treatment options."
D)"I will contact the surgeon and have him speak with you as soon as he can."

Question 53

A client is rushed to the emergency department after a motorcycle accident. The client complains of severe pain in the hip area. The physician decides not to prescribe narcotic analgesics after learning that the client has a history of narcotic abuse. The nurse feels that the physician is not addressing the client's chief complaint. As a client advocate, which of the following is the most appropriate action of the nurse caring for the client?

A)Inform the nurse supervisor about the physician's decision not to prescribe narcotic analgesics to a client in pain.
B)Inform the ethics committee about the physician's action.
C)Discuss administering another type of pain medication with the physician.
D)Document the physician's decision, and look for another physician who can assess the client.

Question 54

A nurse manager has deliberately changed the method of nursing care delivery system from functional nursing to team nursing. A licensed practical nurse rejects the change and is refusing to take part in the process. Which of the following is the most effective strategy to overcome the resistance of the licensed practical nurse?

A)Make use of coercion with the licensed practical nurse.
B)Provide incentives.
C)Schedule a face-to-face meeting and confront the issue.
D)Focus on the negative effects of functional nursing.

Question 55

A registered nurse is planning the client assignments for the shift. The RN leads a nursing team that consists of one licensed practical nurse and two certified nursing assistants. Which of the following is the most appropriate assignment for a certified nursing assistant?

A)A client who requires tracheal suctioning, as necessary.
B)A client who is ordered for a urinary catheterization.
C)A client with diabetes who is for discharge.
D)A client who requires assistance during range-of-motion exercises.

Question 56

A case manager reviews the critical paths of the clients admitted to a medical-surgical unit. When conducting a variance analysis, which of the following cases would indicate the need for further action to achieve better outcomes and maximize client care revenues?

A)An obese female client and her family members attending a weight loss teaching session.
B)A client for discharge is demonstrating correct techniques of insulin administration after a teaching session.
C)A client with chronic low back pain cancels a session of physical therapy due to pain intolerance.
D)Absence of signs of wound infection in a post-total knee arthroplasty client.

Question 57

A newly hired registered nurse is attending an orientation regarding the nursing care delivery system implemented in the facility. The nurse is informed that the facility follows a team nursing approach. Based on this nursing model of practice, the nurse will plan delivery of care based on which of the following characteristics?

A)A task-approach system in which major tasks are delegated by the charge nurse to individual members of the team.
B)A nurse is actively involved in client care at bedside as s/he plans for goal-oriented and individualized care.
C)Nursing personnel are led by a registered nurse who is responsible for providing care to a group of clients.
D)Each staff member does not work fully within the area of educational and clinical expertise.

Question 58

A registered nurse leads a team consisting of two licensed practical nurses and two certified nursing assistant. After reviewing the clients' records, the RN begins to delegate tasks to each member of the team. All of the following tasks may be appropriately assigned to a licensed practical nurse EXCEPT:

A)Assist a post-laminectomy client to assist ambulation in the hall.
B)Administer a medication to a diabetic client through the intramuscular route.
C)Initiate teaching about proper insulin administration to a client for discharge.
D)Irrigate the wound and change the dressing of a post cholecystectomy client.

Question 59

A Registered Nurse is providing care to five clients on a nursing unit. The RN works with a certified nursing assistant. The RN assigns the CNA to administer an enema to a client who is scheduled for a voiding cystourethrography. The CNA carries out the care on the assigned client and reports back to the registered nurse. Which of the following is NOT accurately derived from the given situation?

A)The registered nurse transfers responsibility and authority when the task is delegated to and accepted by the certified nursing assistant.
B)By reporting back to the registered nurse, the certified nursing assistant demonstrates responsibility for his or her actions.
C)The registered nurse continuously own ups to the results of the task although it has been delegated to a certified nursing assistant.
D)The certified nursing assistant is responsible to accomplish the task.

Question 60

A nursing unit manager practices democratic style of leadership when managing a 50-bed pediatric unit. Which of the following most accurately describes this leadership style?

A)The nursing unit manager makes decisions and solves all problems.
B)The nursing unit manager mainly acts as a facilitator and a resource person.
C)The nursing unit manager assumes a passive and inactive approach.
D)The nursing unit manager approaches the needs of the unit and the tasks to be achieved.

Question 61

A medical facility transfers and assigns decision-making authority through the decentralization process. Which of the following is true about this process?

A)It is the distribution of authority at all levels of management and in all of the organization.
B)The important and key decisions are made by a limited number of individuals at the top of the organization.
C)One of its strengths is the organization is able to respond quickly to major issues and changes.
D)One of its weaknesses is it does not facilitate coordinated operations at divisional level.

Question 62

Nicolas is a 38-year-old male who is admitted to the facility after a drinking spree. The client is staggering and confused. The client becomes verbally abusive after a registered nurse refused to let him have a smoke inside the emergency department. The nurse asks a group of nurses to obtain leather restraints. The RN threatens to place Nicolas in restraints if he does not calm down. The client can legally charge the nurse with which of the following?

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

Question 63

A registered nurse enters a private room and finds a co-nurse drinking a bottle of whiskey. Another bottle of whiskey is seen on top of the table. Which of the following is the first action of the registered nurse?

A)Step out and lock the room.
B)Call the facility's security.
C)Call the police.
D)Call the nursing supervisor.

Question 64

A Registered Nurse realizes that she made an error in documenting an assessment finding on a client who was admitted for an elective surgery. The RN obtains and opens the client's chart to correct the error. Which of the following actions done by the RN demonstrates the right way of correcting errors?

A)The nurse draws one line through the error and initialing and dating the line.
B)The nurse erases the error by using a whiteout, writes the correct data, and initials and dates the line.
C)The nurse removes the page that contains the error, writes a new report, and files the new record.
D)The nurse calls the nursing supervisor to report the error.

Question 65

A nurse enters a room and finds a post-operative client lying on the floor. The client is assessed and assisted back to the bed. The nurse informs a physician of the incident and then writes an incident report. Which of the following is NOT a correct way of writing and filing an incident report?

A)The nurse makes no reference to the incident report in the client's record.
B)The nurse does not use the incident report as a substitute for a complete entry in the client's record regarding the incident.
C)The nurse writes the client's name, age, and diagnosis on the incident report.
D)The nurse places the incident report form in the client's record.

Question 66

Before a surgical procedure, the nurse ensures that a client has signed the informed consent form. Informed consent is a legal document indicating a client's approval to have his or her body touched. Which of the following clients can be asked to sign an informed consent form?

A)A 42-year-old female who has just been administered with a sedating medication.
B)A 55-year-old female who has questions about the surgery ordered by the physician.
C)An 80-year-old male elderly who is diagnosed with stage II Alzheimer's disease.
D)A 70-year-old female who was threatened and pressured by family members to sign the consent.

Question 67

A nurse is bound to protect client confidentiality. A nurse is also responsible for the protection of the client from indiscriminate disclosure of health care information that may cause harm. Which of the following actions of a nurse respects or protects a client's right to privacy?

A)The nurse leaves the curtains open as a treatment is being performed on a client.
B)The nurse interviews a client in a private and quiet room.
C)The nurse allows student nurses to observe a procedure being performed on a client without the client's consent.
D)The nurse leaves a confused client sitting in the nursing unit hallway.

Question 68

Wesley, a nurse supervisor, manages the nursing staff, prepares the budget, maintains client service, and implements policies. These tasks are accomplished by performing managerial functions. When Wesley uses performance standards as criteria for measuring success, he operates through which of the following functions?

A)Directing
B)Controlling
C)Organizing
D)Decision-making

Question 69

A nurse is making a room assignment for a 12-month-old child with bacterial meningitis. The nurse plans to place the infant in which of the following rooms?

A)Isolation room with negative air pressure
B)Isolation room near the nurse's station
C)A room with a 12-month-old child with a ventriculoperitoneal shunt
D)A room with a 12-month old child diagnosed with diarrhea

Question 70

A nurse is making a room assignment for a 12-year-old boy with a brain concussion. The nurse determines to place the boy in a room with which of the following clients?

A)A 3-year-old boy who had a club foot repair
B)A 12-year-boy with rheumatic fever
C)A 12-year-old boy with measles
D)A 10-year-old boy with a fractured leg

Question 71

A nurse is assigned to care for four clients during a shift. After reviewing the client records, the nurse knows that it is most important for which of the following clients to receive the scheduled medication on time?

A)A client diagnosed with tuberculosis, treated with streptomycin
B)A client diagnosed with depression, treated with amitriptyline
C)A client diagnosed with myasthenia gravis, treated with pyridogstigmine bromide
D)A client diagnosed with urinary tract infection, treated with ciprofloxacin

Question 72

A nurse is caring for a client with weakness on the right side of the face, right arm, and right leg. The nurse includes which of the following nursing actions in the plan of care?

A)Place objects within the client's reach on the right side
B)Place objects within the client's reach on the left side
C)Initiate muscle strengthening exercises to the right side of the body
D)Initiate range of motion exercises to the left side of the body

Question 73

A nurse should use which of the following protective measures when inserting a nasogastric tube?

A)Double gloves, goggles, and mask
B)Gloves, goggles, gown, and mask
C)Sterile gloves, goggles, gown, and mask
D)Sterile gloves, gown, and mask

Question 74

A nurse is caring for a client with an open wound. The nurse uses which technique when changing the client's dressing?

A)Medical technique
B)Septic technique
C)Clean technique
D)Aseptic technique

Question 75

A nurse dons gloves in which of the following situations?

A)Assisting a client diagnosed with diarrhea to ambulate from the bed to the bathroom
B)Taking the temperature of a client with Kaposi's sarcoma
C)Providing a bed bath to a client diagnosed with tuberculosis
D)Administering glucagon through the subcutaneous route

Question 76

A nurse would be most concerned by which of the following client room assignments?

A)A client with tuberculosis is placed in a room with negative air pressure
B)A client diagnosed with methicillin-resistant Staphylococcus aureus placed in a room with a client with third degree burns on both arms
C)A client with methicillin-resistant Staphylococcus aureus in a private room
D)A client diagnosed with salmonella placed in a room with another client diagnosed with gastroenteritis