Question 1

The nurse manager meets with the staff nurses and announces that management has developed a new policy and procedure that is significantly different from old practices. Which of the following statements, if made by the nurse manager, would reflect the manager's use of legitimate power?

Accepted Answer

A)  "The health care system services a client population that presents particular challenges. The changes made will enhance client safety and reduce errors." 
B)  "If you don't follow the new policy and procedure, I'll have no choice but to give you a notice about poor performance-which could lead to termination of your employment." 
C)  "Every manager has the responsibility to see that these new policies and procedure s are followed 100% of the time. Please join me in this organization's effort to continue to improve quality care." 
D)  "You're just going to have to trust me on this one. I was a member of the committee that wrote the policy and procedure, and there are good reasons why the specific nursing actions need to be done this new way."

Question 2

A community health nurse is providing an educational session on childhood poisoning at a local school. The topic of the discussion is preventive measures to avoid accidental poisoning. The nurse includes instructions that if an accidental poisoning occurs to immediately:

Accepted Answer

A)  Call an ambulance. 
B)  Call the poison control center. 
C)  Induce vomiting. 
D)  Bring the child to the emergency department.

Question 3

The nurse is providing instructions to a client regarding the use of ice packs to treat an eye injury. The nurse instructs the client to:

Accepted Answer

A)  Place the ice pack directly on the eye. 
B)  Avoid the use of commercially prepared ice bags. 
C)  Keep the ice pack on the eye continuously for 24 hours. 
D)  Wrap a plastic bag filled with ice with a pillowcase, and place it on the eye.

Question 4

The graduate nurse is interviewed by the manager of a unit that has three vacancies and is told that the manager's leadership style is one of letting the staff nurses make the decisions about the unit's operations. When the interviewee meets with the day nursing staff, the graduate nurse hears examples of unit issues indicating that the manager's approach is laissez-faire. Which of the following questions should the graduate nurse ask to confirm her suspicions?

Accepted Answer

A)  "Does the manager facilitate decision making by the group?" 
B)  "Does the manager maintain control and make all decisions?" 
C)  "Does the manager assume a passive, nondirective approach?" 
D)  "Does the manager change style according to the needs of the group?"

Question 5

Treatment for a client with bleeding esophageal varices has been unsuccessful and the physician decides to insert a Sengstaken-Blakemore tube. The nurse brings which of the following items to the bedside so that it is available at all times?

Accepted Answer

A)  An obturator 
B)  A Kelly clamp 
C)  An irrigation set 
D)  A pair of scissors

Question 6

The nurse caring for a client who has a pneumothorax notes continuous bubbling in the water seal chamber of the client's closed-chest drainage system. The nurse determines that which of the following is occurring?

Accepted Answer

A)  The pneumothorax is resolving. 
B)  The drainage chamber is full. 
C)  The suction to the system is shut off. 
D)  There is an air leak somewhere in the system.

Question 7

The physician's prescription reads cyanocobalamin (vitamin B₁₂), 150 mcg by the intramuscular route. The medication label reads cyanocobalamin (vitamin B₁₂), 100 mcg/mL. The nurse prepares to administer how many mL to the client? (Enter the answer in the space provided.)

Accepted Answer

The answer of The physician's prescription reads cyanocobalamin (vitamin B₁₂),...

Question 8

The physician prescribes 500 mL of 0.9% normal saline to run over 6 hours. The drop factor is 10 drops/1 mL. The nurse adjusts the flow rate to run at how many drops per minute? (Enter the answer in the space provided.)

Accepted Answer

The answer of The physician prescribes 500 mL of 0.9%...

Question 9

The client is admitted to the surgical unit postoperatively with a wound drain (Jackson-Pratt) in place. Which of the following correctly describes the primary purpose of a Jackson-Pratt?

Accepted Answer

A)  It decreases the risk of infection. 
B)  It decreases the risk of evisceration and dehiscence. 
C)  It provides an accurate measurement of wound drainage. 
D)  It assists in the evacuation of fluid and blood from the surgical wound.

Question 10

A client is scheduled for insertion of a peripherally inserted central catheter (PICC) and the nurse explains the advantages of this catheter. The nurse determines that the client needs additional information about the catheter if the client makes which statement?

Accepted Answer

A)  "It is reasonable in cost." 
B)  "There is less pain and discomfort than other types of catheters." 
C)  "This type of catheter is very reliable." 
D)  "It is specifically designed for short-term use."

Question 11

The nurse assigned to four clients reviews client data at the beginning of the shift. Which information is assessed as the highest priority?

Accepted Answer

A)  Hemoglobin, 12.2 g/dL 
B)  Potassium level, 3.6 mEq/L 
C)  Pulse oximetry reading, 89% 
D)  Urine output, 240 mL/8 hr

Question 12

The nurse is teaching cardiopulmonary resuscitation (CPR) to a group of lay persons. Which of the following behaviors by one of the participants would indicate the need for further review?

Accepted Answer

A)  Letting the fingers rest on the chest 
B)  Keeping the shoulders directly over the hands 
C)  Straightening the arms and locking the elbows 
D)  Placing the heel of the hand over the lower half of the sternum

Question 13

The male client complains of pain as the nurse is inflating the balloon following insertion of a Foley catheter. The nurse takes which of the following actions immediately?

Accepted Answer

A)  Aspirate the fluid, withdraw the catheter slightly, and reinflate the balloon. 
B)  Remove the catheter, and reinsert a new one that is one size smaller. 
C)  Finish inflating the balloon; the discomfort is normal and temporary. 
D)  Aspirate the fluid, advance the catheter farther, and reinflate the balloon.

Question 14

The unit manager is reviewing documentation describing a client's progress in terms of a critical path (Care Map) for postoperative colon resection recovery. The manager notes that, although the documentation is complete, the client has made minimal progress in the areas of mobility and paincontrol for the prior 48 hours. The manager's first activity after making the observation of deviation from the path is to contact the client's:

Accepted Answer

A)  Family to determine what is wrong 
B)  Assigned nurse to increase client care interventions 
C)  Physician to determine measures to discharge the client 
D)  Case manager to determine whether the predicted variance has been negotiated with the health insurer

Question 15

Of the following list of responsibilities for disaster preparedness in the United States, identify those that are functions of the American Red Cross (ARC) as opposed to the Federal Emergency Management Agency (FEMA). Select all that apply.

Accepted Answer

A)  Provide monetary relief. 
B)  Provide crisis counseling. 
C)  Identify and train personnel. 
D)  Deploy National Guard troops. 
E)  Handle inquiries from families.
F) Issue presidential declarations.

Question 16

The nurse is planning the menu for a Chinese-American client with the hospital dietitian. On collaboration with the dietitian, the meal plan is designed to include which of the following foods generally included in the diet of this cultural group?

Accepted Answer

A)  Milk 
B)  Vegetables 
C)  Rice pudding 
D)  Fruit and yogurt

Question 17

The client with pancreatitis is being weaned from parenteral nutrition (PN). The client asks the nurse why the PN cannot just be stopped. The nurse includes in a response to the client that which of the following complications could occur with sudden termination of PN formula?

Accepted Answer

A)  Dehydration 
B)  Hypokalemia 
C)  Hypernatremia 
D)  Rebound hypoglycemia

Question 18

The client has just returned from the cardiac catheterization laboratory. The left-sided femoral vessel was used as the access site. The nurse should position the client:

Accepted Answer

A)  In a semi-Fowler's position 
B)  With the head of the bed elevated 45 degrees 
C)  With the head of the bed elevated no more than 15 degrees 
D)  With the foot of the bed elevated as much as tolerated by the client

Question 19

A hospitalized client tells the registered nurse (RN) that a living will is being prepared and that the lawyer will be bringing the will to the hospital today for witness signatures. The client asks the RN for assistance in obtaining a witness to the will. The most appropriate response to the client is which of the following?

Accepted Answer

A)  "I will sign as a witness to your signature." 
B)  "You will need to find a witness on your own." 
C)  "Whoever is available at the time will sign as a witness for you." 
D)  "I will call the nursing supervisor to seek assistance regarding your request."

Question 20

The nurse is assisting in developing a postoperative plan of care for a 40-year-old male Filipino- American client scheduled for an appendectomy. The nurse includes which of the following in the plan of care?

Accepted Answer

A)  Offer pain medication on a regular basis as prescribed. 
B)  Offer pain medication when nonverbal signs of discomfort are identified. 
C)  Inform the client that he will need to ask for pain medication when needed. 
D)  Allow the client to maintain control and request pain medication on his own.

Exam 3: Fundamentals and Issues of Nursing

The nurse manager meets with the staff nurses and announces that management has developed a new policy and procedure that is significantly different from old practices. Which of the following statements, if made by the nurse manager, would reflect the manager's use of legitimate power?

A community health nurse is providing an educational session on childhood poisoning at a local school. The topic of the discussion is preventive measures to avoid accidental poisoning. The nurse includes instructions that if an accidental poisoning occurs to immediately:

The nurse is providing instructions to a client regarding the use of ice packs to treat an eye injury. The nurse instructs the client to:

Treatment for a client with bleeding esophageal varices has been unsuccessful and the physician decides to insert a Sengstaken-Blakemore tube. The nurse brings which of the following items to the bedside so that it is available at all times?

The nurse caring for a client who has a pneumothorax notes continuous bubbling in the water seal chamber of the client's closed-chest drainage system. The nurse determines that which of the following is occurring?

The physician's prescription reads cyanocobalamin (vitamin B₁₂), 150 mcg by the intramuscular route. The medication label reads cyanocobalamin (vitamin B₁₂), 100 mcg/mL. The nurse prepares to administer how many mL to the client? (Enter the answer in the space provided.)

The physician prescribes 500 mL of 0.9% normal saline to run over 6 hours. The drop factor is 10 drops/1 mL. The nurse adjusts the flow rate to run at how many drops per minute? (Enter the answer in the space provided.)

The client is admitted to the surgical unit postoperatively with a wound drain (Jackson-Pratt) in place. Which of the following correctly describes the primary purpose of a Jackson-Pratt?

A client is scheduled for insertion of a peripherally inserted central catheter (PICC) and the nurse explains the advantages of this catheter. The nurse determines that the client needs additional information about the catheter if the client makes which statement?

The nurse assigned to four clients reviews client data at the beginning of the shift. Which information is assessed as the highest priority?

The nurse is teaching cardiopulmonary resuscitation (CPR) to a group of lay persons. Which of the following behaviors by one of the participants would indicate the need for further review?

The male client complains of pain as the nurse is inflating the balloon following insertion of a Foley catheter. The nurse takes which of the following actions immediately?

Of the following list of responsibilities for disaster preparedness in the United States, identify those that are functions of the American Red Cross (ARC) as opposed to the Federal Emergency Management Agency (FEMA) . Select all that apply.

The nurse is planning the menu for a Chinese-American client with the hospital dietitian. On collaboration with the dietitian, the meal plan is designed to include which of the following foods generally included in the diet of this cultural group?

The client with pancreatitis is being weaned from parenteral nutrition (PN) . The client asks the nurse why the PN cannot just be stopped. The nurse includes in a response to the client that which of the following complications could occur with sudden termination of PN formula?

The client has just returned from the cardiac catheterization laboratory. The left-sided femoral vessel was used as the access site. The nurse should position the client:

The nurse is assisting in developing a postoperative plan of care for a 40-year-old male Filipino- American client scheduled for an appendectomy. The nurse includes which of the following in the plan of care?

Exam 3: Fundamentals and Issues of Nursing

The nurse manager meets with the staff nurses and announces that management has developed a new policy and procedure that is significantly different from old practices. Which of the following statements, if made by the nurse manager, would reflect the manager's use of legitimate power?

A community health nurse is providing an educational session on childhood poisoning at a local school. The topic of the discussion is preventive measures to avoid accidental poisoning. The nurse includes instructions that if an accidental poisoning occurs to immediately:

The nurse is providing instructions to a client regarding the use of ice packs to treat an eye injury. The nurse instructs the client to:

Treatment for a client with bleeding esophageal varices has been unsuccessful and the physician decides to insert a Sengstaken-Blakemore tube. The nurse brings which of the following items to the bedside so that it is available at all times?

The nurse caring for a client who has a pneumothorax notes continuous bubbling in the water seal chamber of the client's closed-chest drainage system. The nurse determines that which of the following is occurring?

The physician's prescription reads cyanocobalamin (vitamin B12), 150 mcg by the intramuscular route. The medication label reads cyanocobalamin (vitamin B12), 100 mcg/mL. The nurse prepares to administer how many mL to the client? (Enter the answer in the space provided.)

The physician prescribes 500 mL of 0.9% normal saline to run over 6 hours. The drop factor is 10 drops/1 mL. The nurse adjusts the flow rate to run at how many drops per minute? (Enter the answer in the space provided.)

The client is admitted to the surgical unit postoperatively with a wound drain (Jackson-Pratt) in place. Which of the following correctly describes the primary purpose of a Jackson-Pratt?

A client is scheduled for insertion of a peripherally inserted central catheter (PICC) and the nurse explains the advantages of this catheter. The nurse determines that the client needs additional information about the catheter if the client makes which statement?

The nurse assigned to four clients reviews client data at the beginning of the shift. Which information is assessed as the highest priority?

The nurse is teaching cardiopulmonary resuscitation (CPR) to a group of lay persons. Which of the following behaviors by one of the participants would indicate the need for further review?

The male client complains of pain as the nurse is inflating the balloon following insertion of a Foley catheter. The nurse takes which of the following actions immediately?

Of the following list of responsibilities for disaster preparedness in the United States, identify those that are functions of the American Red Cross (ARC) as opposed to the Federal Emergency Management Agency (FEMA) . Select all that apply.

The nurse is planning the menu for a Chinese-American client with the hospital dietitian. On collaboration with the dietitian, the meal plan is designed to include which of the following foods generally included in the diet of this cultural group?

The client with pancreatitis is being weaned from parenteral nutrition (PN) . The client asks the nurse why the PN cannot just be stopped. The nurse includes in a response to the client that which of the following complications could occur with sudden termination of PN formula?

The client has just returned from the cardiac catheterization laboratory. The left-sided femoral vessel was used as the access site. The nurse should position the client:

The nurse is assisting in developing a postoperative plan of care for a 40-year-old male Filipino- American client scheduled for an appendectomy. The nurse includes which of the following in the plan of care?

The physician's prescription reads cyanocobalamin (vitamin B₁₂), 150 mcg by the intramuscular route. The medication label reads cyanocobalamin (vitamin B₁₂), 100 mcg/mL. The nurse prepares to administer how many mL to the client? (Enter the answer in the space provided.)