Deck 20: Admission, Transfer, and Discharge

Question 1

A charge nurse is preparing for a patient's admission to the hospital unit. When anticipating the patient's arrival, the charge nurse appropriately assigns the admission assessment to the

A) Registered nurse (RN).
B) Licensed practical nurse (LPN).
C) Certified nursing assistant (CNA).
D) Unlicensed assistive personnel (UAP).

Answer 1

Registered nurse (RN).

Question 2

A nurse correctly recognizes that discharge planning should be initiated

A) During the admission process.
B) Before the patient is admitted to the hospital.
C) Immediately before discharging the patient.
D) The day after the patient's hospital admission.

Answer 2

During the admission process.

Question 3

When conducting an admission assessment, the nurse correctly recognizes that objective data include

A) A patient's family history.
B) A patient's complaint of pain.
C) A patient's description of anxiety.
D) A patient's fruity-smelling breath.

Answer 3

A patient's fruity-smelling breath.

Question 4

During the admission process, a nurse should do which of the following?

A) Speak in a hurried tone.
B) Shake the patient's hand.
C) Speak to the patient in a kindly manner.
D) Tell the patient his or her credentials.
E) Inform the patient that he or she is shorthanded.

Question 5

A nurse is admitting a patient to a hospital unit. When admitting the patient, the nurse should

A) Maintain prolonged eye contact.
B) Address the patient by his or her last name.
C) Speak rapidly when interacting with the patient.
D) Use terms of endearment when conversing with the patient.

Question 6

A nurse is supervising an unlicensed assistive personnel (UAP). The nurse appropriately intervenes when observing the UAP

A) Allowing a patient to wear underwear.
B) Assisting a patient in putting on pajamas.
C) Using a blanket to cover a patient during a bath.
D) Promoting dependence in activities of daily living.

Question 7

When performing a patient assessment, a nurse correctly recognizes that subjective data include

A) A patient's vital signs.
B) A patient's unsteady gait.
C) A patient's foul-smelling wound.
D) A patient's complaint of discomfort.

Question 8

When caring for an elderly patient who is experiencing anxiety related to a new diagnosis of cancer, a nurse appropriately seeks to alleviate the anxiety by

A) Telling the patient that her cancer is curable.
B) Discouraging the patient from asking questions.
C) Encouraging the patient's spouse to stay with the patient.
D) Explaining cancer to the patient using medical terminology.

Question 9

A nurse correctly recognizes that most individuals prefer to recover from illness or injury

A) At home.
B) In the hospital.
C) At a care center.
D) In the emergency department.

Question 10

A nurse is supervising a certified nursing assistant (CNA) who is caring for a patient who is alert and oriented and independent concerning activities of daily living. The nurse appropriately intervenes when hearing the CNA say to the patient:

A) "You should drink ice water rather than room-temperature water."
B) "Would you like to leave your socks on?"
C) "Do you prefer your drinks with or without a straw?"
D) "Would you prefer a cup of hot coffee, a glass of iced tea or fruit juice, or maybe a carbonated drink?"

Question 11

OA nurse is conducting an admission assessment on a patient with a new diagnosis of AIDS. The nurse demonstrates a caring demeanor by

A) Closing the door to the patient's room.
B) Asking the patient questions at the nurse's station.
C) Delivering nursing care as rapidly as possible to allow the patient more time alone.
D) Refraining from telling the patient why he or she needs to ask personal questions.

Question 12

When conducting an admission assessment and taking an inventory of items that a patient has brought to the hospital, a nurse appropriately instructs the patient to send home with a family member her

A) Dentures.
B) Eyeglasses.
C) Credit cards.
D) Hearing aids.

Question 13

A nurse is supervising a student nurse on a pediatric nursing unit. The nurse appropriately intervenes when the student nurse tells a child:

A) "Do you want to hold my stethoscope?"
B) "This shot will not hurt."
C) "Let's pretend to give the teddy bear a shot."
D) "Would you like to take the teddy bear's temperature?"

Question 14

A nurse appropriately recognizes that a patient will develop his or her initial impression of the nurse during the

A) Teaching process.
B) Discharge process.
C) Admission process.
D) Implementation process.

Question 15

When working with a pediatric patient, a nurse should do which of the following?

A) Tell the child that shots hurt a little bit.
B) Inform the child that a shot will not hurt.
C) Distract the child with a story when giving a shot.
D) Tell the child that the pain from a shot is temporary.
E) Encourage the child to take a teddy bear's tympanic temperature.

Question 16

When admitting a patient to a hospital unit, a nurse demonstrates a caring demeanor by

A) Smiling and speaking kindly.
B) Exhibiting tense body language and frowning.
C) Informing the patient he or she is shorthanded.
D) Avoiding eye contact and speaking in a clipped manner.

Question 17

The nurse correctly recognizes that separation anxiety is particularly common in children and

A) Adolescents.
B) Young adults.
C) Middle-aged individuals.
D) Older adults.

Question 18

When taking an inventory of items that a patient has brought to the hospital, a nurse should document the patient's diamond and ruby wedding ring as

A) A ring with rubies and diamonds.
B) A gold-colored ring with red stones and clear stones.
C) A 24-karat gold wedding ring.
D) A 1-karat diamond wedding ring.

Question 19

During the admission procedure, a patient informs a nurse that he is a Sikh and must keep his head covered at all times. He normally wears a turban. The other patient in the double room he has been assigned to is recovering from detoxification and has had episodes where he's used racial slurs. In processing the patient's admission, which of the following should the nurse do?

A) Make a note on the patient's record that a curtain should be kept drawn between the two patients at all times so the verbally abusive patient cannot see the new patient and make offensive remarks based on his appearance.
B) Assume that the patient will be fine because Sikh men pride themselves on their strength.
C) Inform the patient of the situation and ask if he is comfortable being in the same room with the abusive patient.
D) Ask to have the patient assigned to a different room, without an abusive roommate.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.

Question 20

When educating a student nurse about hospital identification bands, a nurse appropriately recognizes that additional teaching is warranted when the student nurse states:

A) "The hospital identification band displays the patient's name and birth date and the hospital identification number."
B) "I have taken care of this patient before, so I will not need to check the patient's identification band before administering medication."
C) "I should instruct the patient to state his or her name and verify that it matches the name on the hospital identification band."
D) "I should ask the patient to state his or her date of birth and verify that it matches the date of birth listed on the hospital identification band."

Question 21

A physician writes an order to teach a patient about nitroglycerin. A nurse correctly educates the patient that nitroglycerin ()

A) Should be swallowed.
B) Is administered sublingually.
C) Is used in the treatment of angina.
D) Should be protected from light and moisture.
E) Should be placed under the tongue prior to chest pain.

Question 22

When overseeing discharge at the end of a patient's stay, a nurse appropriately recognizes that the discharge process includes which of the following?

A) Obtaining a discharge order from the patient's physician
B) Informing the patient's family if the patient is leaving against medical advice (AMA)
C) Documenting the patient's condition, including vital signs
D) Making sure that the patient has appropriate living conditions and will be properly cared for after discharge
E) Assisting the patient to the car or other transportation, if needed

Question 23

A nurse arranging to transfer a patient to a different unit in the same facility would need to do which of the following?

A) Notify the business office of the transfer.
B) Obtain the physician's order for transfer.
C) Explain the reasons for the transfer to the patient and his or her family.
D) Complete a transfer summary form.
E) Reconcile the patient's list of medications with home medications and any new physician's orders.

Question 24

A nurse is caring for a pediatric patient who appears anxious. To help decrease the patient's anxiety, the nurse should do which of the following?

A) Encourage the child to ask questions.
B) Send home toys so they do not get lost.
C) Refrain from using medical terminology.
D) Encourage the parent to stay with the child.
E) Provide a long explanation of the child's diagnosis.

Question 25

When providing care to a hospitalized patient, a nurse appropriately demonstrates a caring demeanor by doing which of the following?

A) Pulling the privacy curtain during a bed bath
B) Using a sheet to cover a patient during a bath
C) Encouraging the patient to wear pajamas from home
D) Allowing the patient to wear his own underwear
E) Providing the patient with a second gown to wear backward

Question 26

When providing care to a hospitalized patient, a nurse demonstrates a caring demeanor by doing which of the following?

A) Learning the patient's name quickly
B) Calling the patient by her first name
C) Referring to the patient by room number
D) Referring to the patient by her disease process
E) Using a patient's last name

Question 27

A nurse correctly recognizes that discharge planning can include which of the following?

A) Arranging for home health care
B) Introducing the health-care team
C) Consulting a social worker
D) Discharge teaching
E) Reviewing all medications the patient is to take at home

Question 28

When working with a certified nursing assistant (CNA), a nurse appropriately intervenes when the CNA says to the patient or the patient's family which of the following?

A) "Could you ask your father to speak English with me? I heard him talk to you in English when we admitted him, but he'll only speak to me in Spanish, and I can't take care of him if I don't understand him."
B) "Yes, ma'am, if you'd like to get out of bed so you can kneel down to pray, I can help you do that. Can you kneel without difficulty?"
C) "Good morning, Muhammad-I'm just checking up on you. You asked us not to serve pork with your meals. Has the food service staff been complying with your wishes?"
D) "Yes, Mr. Assad. If you'd rather have a male nurse, I'll have one assigned to you right away."
E) "Hello, Mrs. Chang. I understand that until your surgery, you'd rather take some Chinese herbal medicine for your pain, instead of ibuprofen. We don't have any herbal medicine in stock here, so wouldn't you rather take some ibuprofen now and then get some herbal medicine later, after you're out of the hospital?"

Question 29

A nurse reconciling a patient's medications during discharge must make sure of which of the following?

A) The dosages are correct.
B) The patient has been prescribed medications for all of his or her conditions.
C) The patient is not allergic to any of the medications prescribed.
D) The patient has not been prescribed brand-name drugs when less expensive generics will be just as effective.
E) The patient is given a written list of all medications prescribed.

Question 30

A nurse educates a student nurse about hospital identification bands. The nurse correctly teaches that hospital identification bands contain which of the following pieces of patient information?

A) Age
B) Birth date
C) Room number
D) Physician's name
E) Medical diagnosis