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Browse through thousands of multiple-choice question quizzes and expand your knowledge! MCQs are a great way to prepare for your incoming exams!

Mix Set

After responding to a code, several staff nurses express concerns over their confidence levels and performance to the nurse in charge of the hospital’s performance improvement program. The nurse in charge knows the BEST way to evaluate and improve performance is to implement which of the following?

ExplanationMock codes can improve performance by encouraging teamwork, improving communication and skill-building, and enhancing confidence of caregivers.

Mix Set

An RN is in charge of a team on a medical/surgical unit that includes an LPN. The RN understands that which of the following is an activity that falls within the scope of practice of an LPN?

ExplanationAdministering oral medications is an appropriate activity for the LPN.

Mix Set

The nurse is caring for a 41-year-old man with a new colostomy. As part of the care planning for this client, the nurse knows a referral to which of the following will be the priority?

ExplanationA referral to a certified wound, ostomy, and continence nurse (CWOCN), if available, is important to the management of a client with a colostomy during and after hospitalization.

Mix Set

The nurse is preparing to transfer a client to the operating room. She knows that adhering to the hospital policy for client handoffs BEST ensures which of the following?

ExplanationImproving handoff communication allows each caregiver to communicate completely, effectively, and consistently as the client transitions to different departments in the hospital. This process improves the continuity of care.

Mix Set

The nurse uses the Internet to receive electrocardiogram results from a client living in a nursing home. The nurse knows this type of information technology is BEST described as which of the following?

ExplanationTelehealth uses transmissions via telecommunications technology to transmit health information remotely

Mix Set

A well-known actor has been admitted to an ambulatory surgical unit. The nurse notices a staff member who is not involved in the client’s care reading his medical record. The nurse knows she should FIRST do which of the following?

ExplanationAn individual not involved in the care of the client does not have a legitimate need to access the medical record. The nurse should protect the client’s right to privacy by ensuring only authorized individuals access medical records.

Mix Set

The nurse wants to delegate the task of showering an elderly client in a wheelchair to the nursing assistive personnel (NAP). Before delegating a task to the NAP, the nurse should FIRST ensure which of the following is accomplished?

ExplanationPrior to delegating a task appropriate for the NAP, the nurse should first ensure that competency has been verified during the NAP’s orientation.

Mix Set

A 20-year-old client with leukemia has consented to a blood transfusion against the wishes of his family, who are all Jehovah’s Witnesses. The nurse knows that which of the following ethical principles BEST supports this decision?

ExplanationAutonomy refers to the right of individuals to make decisions for themselves.

Mix Set

The nurse is working on a surgical unit. Which of the following tasks would be appropriate for the nurse to delegate to nursing assistive personnel (NAP)? (D)

ExplanationSetting up the client’s lunch trays is an appropriate task to delegate to the UAP.

Mix Set

The nurse noticed an increase in the prevalence of pressure ulcers among clients in an intensive care unit. She documented her findings and worked with her manager to develop and implement a new policy using a pressure ulcer risk assessment scale. Which of the following BEST describes the nurse’s actions?

ExplanationQuality improvement includes activities such as identifying opportunities and developing policies for improving the quality of nursing practice. Identifying an increase in pressure ulcers and implementing a policy aimed at improving the assessment and prevention of pressure ulcers best fits the definition of quality improvement.

Mix Set

An 18-year-old client with acute lymphocytic leukemia is admitted to the bone marrow transplantation unit. His family is having trouble dealing with the emotional and financial pressures of his disease. The nurse, case manager, physician, and social worker meet to discuss the plan of care. The nurse knows this type of interdisciplinary interaction is BEST referred to as which of the following?

ExplanationThe interdisciplinary interaction between different health care professions, such as nursing, medicine, and social work, is known as collaboration.

Mix Set

A 34-year-old woman who developed Stevens-Johnson syndrome while undergoing treatment with carbamazepine is being transferred in stable condition from the intensive care unit to the medical unit. There are 4 beds available. The nurse knows the BEST choice of roommates for this client is which of the following?

ExplanationA client with Stevens-Johnson syndrome is likely to have severe skin integrity issues, including blistering and skin shedding, which can place the client at high risk for infection. Atrial fibrillation is not an infectious process.

Mix Set

After receiving report at the start of the evening shift, which of the following clients should the nurse attend to FIRST?

Explanation Hyperkalemia is a potentially serious condition that, in a client undergoing treatment for non-Hodgkin lymphoma, could indicate tumor lysis syndrome.

Mix Set

A client is seen for an outpatient appointment and asks the nurse if he can obtain a copy of his medical record. The nurse knows the client has the right to read and copy his medical records, and that this is guaranteed by virtue of which of the following?

ExplanationHIPAA protects the patient’s right to review, copy, and request amendments to his medical records.

Mix Set

A 14-year-old girl newly diagnosed with diabetes is preparing for discharge. Which of the following activities BEST describes the nurse’s role as a client advocate?

ExplanationTeaching the client how to administer her own medication is the best example of the nurse’s role as a client advocate, because this action directly helps the client develop self-advocacy skills.

Mix Set

A 58-year-old man with head and neck cancer is admitted to the hospital and tells the nurse he does not want parenteral nutritional therapy as his cancer progresses. The nurse explains he can specify his wishes by creating an advance directive. The nurse knows that the requirement to provide clients with this type of information can be found in which of the following?

ExplanationThe 1990 Patient Self-Determination Act was passed by Congress to ensure that upon admission to hospitals, long-term care facilities, and home health agencies, patients are informed that they have the right to accept or refuse medical care, as well as to specify in advance (through advance directives) what their wishes are. Nursing Scope and Standards of Practice do not address advance directives. The Patient Protection and Affordable Care Act does not address advance directives. The Patients’ Bill of Rights does not address advance directives.

Mix Set

A nurse from the fl oat pool is giving medications on a pediatric unit and is to give medications to a 2-year-old child in room 534, bed B. The child in that room does not have an identification band. What is the best action for the nurse to take?

ExplanationThe best choice in this situation is to ask the adults beside the child’s bed the name of the child. A 2-year-old child cannot be relied upon to give his name accurately. Giving the medication to the child in the bed on the medication card without identifying the child is dangerous. Sometimes children get in the wrong bed. The nurse should make every effort to identify the client before refusing to give medication.

Mix Set

The LPN/LVN is providing home care to an elderly widow who has senile dementia. The woman tells the nurse that her daughter hits her and tells her to shut up. The nurse notes one ecchymotic area on the client’s right forearm. The daughter seems attentive to the woman when the nurse is present. What action should the nurse take?

Explanation There are not enough data to determine that the woman is being abused. The client’s complaints should be taken seriously and should be investigated. Elderly persons bruise easily. One ecchymotic area does not confirm elder abuse. The best action for the nurse is to report the client’s remarks and the nurse’s findings to the nursing supervisor. There are not enough data to warrant calling the police. A woman with senile dementia has made an accusation that is so far not supported by data. Asking the daughter why she abuses her mother is making the assumption that the daughter does abuse her mother. This is not justified. There are not enough data to justify asking the physician to order long bone x-rays.

Mix Set

An adult client is to have a portable chest x-ray in his room. The client’s wife and pregnant daughter are visiting. Which action is essential for the nurse?

ExplanationBoth the wife and pregnant daughter should be asked to leave the room to prevent exposing them to radiation. The wife should not be asked to assist in holding the client. This unnecessarily exposes her to radiation. The client should not be asked to wear a lead apron over his chest when a chest x-ray is done. That would make taking the chest x-ray impossible. Closing the door to the room during the x-ray might be done for the client’s privacy, but closing the door does not significantly reduce radiation exposure to others. This action is not the most important action for the nurse to take.

Mix Set

The family of an 88-year-old woman who was admitted with severe dehydration says to the nurse, “Why don’t you just tie down her arms so she won’t try to get out her IV?” What is the best response for the nurse to make?

ExplanationThe nurse should assess the client’s mental status. She was admitted with dehydration, which can cause disorientation. The family may be observing behaviors that make her a danger to herself. The nurse should assess the client’s need for restraints before contacting the physician. Answer 2 is a true statement but does not address the concerns the family has. The nurse should assess the client’s mental status and possible need for restraints. Answer 4 is not true. The nurse should not tell the client’s family to restrain the client.

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