Nursing Final test 4

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Nursing Final test 4
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2011-04-23 18:18:56
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Nursing Test 4
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  1. A client is diagnosed with terminal cancer. The nurse observes the client's family assisting with all ADLs. Which of the following rationales for self-care should the nurse communicate to the family?
    A) Allowing the client to function independently will strengthen her
    muscles and promote healing.
    B) The client needs to be given privacy at times for
    self-reflecting and organizing her life.
    C) Her sense of loss can be lessened through retaining
    control of certain areas of her life.
    D) Performing ADLs is required prior to discharge from an
    acute care facility.
    C) Her sense of loss can be lessened through retaining control of certain areas of her life.
  2. Which is a sign of impending death?
    A) elevated blood pressure
    B) Labored Breathing
    C) Warm extremeties
    B) Labored Breathing
    (this multiple choice question has been scrambled)
  3. A nurse is caring for a client who recently overdosed on amphetaminies and is experiencing
    sensory overload. Which of the following interventions should the nurse
    implement?
    A) Immediately complete a thorough
    assessment.
    B) Put the client in a room with a client who is hearing
    impaired.
    C) Provide a private room and limit stimulation.
    D) Talk loudly to the client and encourage ambulation.
    C) Provide a private room and limit stimulation
  4. An entry in a client's chart states the wound drainage is "sanguineous". That means it is:
    A) watery in appearance
    B) Bright Red
    C) Foul-smellig
    D) Green-tinged or yellow
    B) Bright Red
    (this multiple choice question has been scrambled)
  5. Which of the following is an example of a wond healing by secondary intention?
    A) A sutured surgical incision
    B) A sprained ankle
    C) A bone fracture that is casted
    D) an open burn area
    D) an open burn area
    (this multiple choice question has been scrambled)
  6. Which of the following risk factors for developing pressure ulcers does this client have?
    A) Dehydration
    B) Incontinence
    C) Limited Mobility
    D) Nutritional Impairment
    C) limited Mobility
    (this multiple choice question has been scrambled)
  7. Which of the following statements describes a stage III pressure ulcer?
    A) The skin is reddened and does not blanch with pressure
    B) The ulcer is a abrassion or a blister
    C) The ulcer extends past te subQ tissue to the muscle
    C) The ulcer extends past te subQ tissue to the muscle
    (this multiple choice question has been scrambled)
  8. Which Source of law best adresses a situation where a nurse accidentally adminisgers an incoreect dosage of morphine sulfate to the client?
    A) Civil law
    B) Criminal law
    C) Administrative law
    D) Common Law
    A) Civil Law
    (this multiple choice question has been scrambled)
  9. A registered nurse interprets a scribbled medication order by the attending physician as 25 mg. The nurse administers 25 mg of the medication to a client, and then discovers that the dose was incorrectly interpreted and should have
    been 15 mg. Who would ultimately be responsible for the error?
    A) Assisting resident
    B) Pharmacist
    C) Nurse
    D) Attending Physician
    C) Nurse
    (this multiple choice question has been scrambled)
  10. Wich one of the following individuals may legally give informed consent?
    A) A sedated 42-year-old preoperative client
    B) A 56-year-old who does not understand the proposed
    C) The friend of an 84-year-old marreid client
    D) A 16-year-old for her newborn child
    treatment plan
    D) A 16-year old for her newborn child
    (this multiple choice question has been scrambled)
  11. The nurse understands the implicatinos of the Patient Self-Determination act. This legislation requires that:
    A) Info be provided to the client regarding rights for refusal of care
    B) DNR orders for clients meet standard criteria
    C) Clients designate a power of attorney
    D) Organ donation is required upon death, if possible
    A) Info be provided to the client regarding rights for refusal of care
    (this multiple choice question has been scrambled)
  12. The nurse stealing narcotics from an acute care nursing unit is guilty of a?
    A) Civil
    offense
    B) Criminal offense
    C) Common law offense
    D) Administrative law offense
    Criminal offense
  13. The case of a nurse accused of unethical nursing conduct will be heard by the state board
    of nursing. This is an example of:
    A) Civil
    law
    B) Criminal law
    C) Common law
    D) Administrative law
    D) Administrative law
  14. The nurse is having difficulty reading the prescribed dosage on a handwritten order for a
    pain medication. The most appropriate action to ensure the client's safety and to minimize legal issues is for the nurse to:
    A) Request the pharmacist to interpret the order
    B) Ask another RN to confirm the order
    C) Call the health care provider to clarify the order
    D) Consult a current drug book to determine the normal dosage
    range
    C) Call the health care provider to clarify the order
    (this multiple choice question has been scrambled)
  15. Which of the following statements best reflects a nurse's understanding of the proper critical thinking process regarding the need for personal malpractice insurance
    A)
    "The state's Good Samaritan laws protect me outside of the hospital."
    B) "I work in a very low risk area of nursing, so I
    don't really have a need."
    C) "The hospital carries its own malpractice insurance, so I don't need extra."
    D) "Lawsuits can occur years after the event, so I carry my own liability insurance."
    D) "Lawsuits can occur years after the event, so I carry my own liability insurance.
  16. Which of the following statements made by a nurse puts the nurse at risk for assault of
    the client?
    A)
    "You will be sorry if you don't agree to take this medication."
    B) "You can't refuse this medication if you really want to feel better."
    C) "I'll be so disappointed in you if you don't take
    your medication."
    D) "I'll tell your son you aren't cooperating if you
    don't take your medication."
    "You will be sorry if you don't agree to take this medication."
  17. Which of the following nursing statements reflects the best understanding of the importance of appropriate nursing documentation regarding risk management?
    A) "If the client isn't compliant, I'm sure to put that in mynotes."
    B) "I'm always careful to document any changes in the
    client's condition."
    C) "My notes are the proof that I provided the client
    with effective, appropriate care."
    D) "When there is a lawsuit, the nursing notes are the first thing the attorney looks at
    C) "My notes are the proof that I provided the client
  18. A nurse's use of ethical responsibility can best be seen in which of the following
    nursing actions?
    A) Delivery
    of competent care
    B) Formation of interpersonal relationships
    C) Correct application of the nursing process
    D) Evaluation of new computerized technologies
    A) Delivery of competent care
  19. A nursing student that immediately informs her clinical instructor after she realizesthat she has administered the wrong dose of medication to a patient is best described professionally as:
    A) Confident
    B) Compliant
    C) Accountable
    D) Trustworthy
    C) Accountable
    (this multiple choice question has been scrambled)

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