Scope of this Nursing Test I is parallel to the NP1 NLE Coverage:
▪ Foundation of Nursing
▪ Nursing Research
▪ Professional Adjustment
▪ Leadership and Management
1. The registered nurse is planning to delegate tasks to unlicensed assistive
personnel (UAP). Which of the following task could the registered nurse safely
assigned to a UAP?
A. Monitor the I&O of a comatose toddler client with salicylate
poisoning
B. Perform a complete bed bath on a 2-year-old with multiple injuries
from a serious fall
C. Check the IV of a preschooler with Kawasaki disease
D. Give an outmeal bath to an infant with eczema
2. A nurse manager assigned a registered nurse from telemetry unit to the
pediatrics unit. There were three patients assigned to the RN. Which of the
following patients should not be assigned to the floated nurse?
A. A 9-year-old child diagnosed with rheumatic fever
B. A young infant after pyloromyotomy
C. A 4-year-old with VSD following cardiac catheterization
D. A 5-month-old with Kawasaki disease
3. A nurse in charge in the pediatric unit is absent. The nurse manager
decided to assign the nurse in the obstetrics unit to the pediatrics unit. Which
of the following patients could the nurse manager safely assign to the float
nurse?
A. A child who had multiple injuries from a serious vehicle accident
B. A child diagnosed with Kawasaki disease and with cardiac
complications
C. A child who has had a nephrectomy for Wilm’s tumor
D. A child receiving an IV chelating therapy for lead poisoning
4. The registered nurse is planning to delegate task to a certified nursing
assistant. Which of the following clients should not be assigned to a CAN?
, A. A client diagnosed with diabetes and who has an infected toe
B. A client who had a CVA in the past two months
C. A client with Chronic renal failure
D. A client with chronic venous insufficiency
5. The nurse in the medication unit passes the medications for all the clients
on the nursing unit. The head nurse is making rounds with the physician and
coordinates clients’ activities with other departments. The nurse assistant
changes the bed lines and answers call lights. A second nurse is assigned for
changing wound dressings; a licensed practitioner nurse takes vital signs and
bathes theclients. This illustrates of what method of nursing care?
A. Case management method
B. Primary nursing method
C. Team method
D. Functional method
6. A registered nurse has been assigned to six clients on the 12-hour shift. The
RN is responsible for every aspect of care such as formulating the care of
plan, intervention and evaluating the care during her shift. At the end of her
shift, the RN will pass this same task to the next RN in charge. This nursing
care illustrates of what kind of method?
A. primary nursing method
B. case method
C. team method
D. functional method
7. A newly hired nurse on an adult medicine unit with 3 months experience
was asked to float to pediatrics. The nurse hesitates to perform pediatric
skills and receive an interesting assignment that feels overwhelming. The
nurse should:
A. resign on the spot from the nursing position and apply for a position
that does not require floating
B. Inform the nursing supervisor and the charge nurse on the pediatric
floor about the nurse’s lack of skill and feelings of hesitations and
request assistance
C. Ask several other nurses how they feel about pediatrics and find
someone else who is willing to accept the assignment
D. Refuse the assignment and leave the unit requesting a vacation a
day
,8. An experienced nurse who voluntarily trained a less experienced nurse with
the intention of enhancing the skills and knowledge and promoting
professional advancement to the nurse is called a:
A. mentor
B. team leader
C. case manager
D. change agent
9. The pediatrics unit is understaffed and the nurse manager informs the
nurses in the obstetrics unit that she is going to assign one nurse to float in
the pediatric units. Which statement by the designated float nurse may put her
job at risk?
A. “I do not get along with one of the nurses on the pediatrics unit”
B. “I have a vacation day coming and would like to take that now”
C. “I do not feel competent to go and work on that area”
D. “ I am afraid I will get the most serious clients in the unit”
10. The newly hired staff nurse has been working on a medical unit for 3
weeks. The nurse manager has posted the team leader assignments for the
following week. The new staff knows that a major responsibility of the team
leader is to:
A. Provide care to the most acutely ill client on the team
B. Know the condition and needs of all the patients on the team
C. Document the assessments completed by the team members
D. Supervise direct care by nursing assistants
11. A 15-year-old girl just gave birth to a baby boy who needs emergency
surgery. The nurse prepared the consent form and it should be signed by:
A. The Physician
B. The Registered Nurse caring for the client
C. The 15-year-old mother of the baby boy
D. The mother of the girl
12. A nurse caring to a client with Alzheimer’s disease overheard a family
member say to the client, “if you pee one more time, I won’t give you any more
food and drinks”. What initial action is best for the nurse to take?
A. Take no action because it is the family member saying that to the
client
, B. Talk to the family member and explain that what she/he has said is
not appropriate for the client
C. Give the family member the number for an Elder Abuse Hot line
D. Document what the family member has said
13. Which is true about informed consent?
A. A nurse may accept responsibility signing a consent form if the
client is unable
B. Obtaining consent is not the responsibility of the physician
C. A physician will not subject himself to liability if he withholds any
facts that are necessary to form the basis of an intelligent consent
D. If the nurse witnesses a consent for surgery, the nurse is, in effect,
indicating that the signature is that of the purported person and that
the person’s condition is as indicated at the time of signing
14. A mother in labor told the nurse that she was expecting that her baby has
no chance to survive and expects that the baby will be born dead. The mother
accepts the fate of the baby and informs the nurse that when the baby is born
and requires resuscitation, the mother refuses any treatment to her baby and
expresses hostility toward the nurse while the pediatric team is taking care of
the baby. The nurse is legally obligated to:
A. Notify the pediatric team that the mother has refused resuscitation
and any treatment for the baby and take the baby to the mother
B. Get a court order making the baby a ward of the court
C. Record the statement of the mother, notify the pediatric team, and
observe carefully for signs of impaired bonding and neglect as a
reasonable suspicion of child abuse
D. Do nothing except record the mother’s statement in the medical
record
15. The hospitalized client with a chronic cough is scheduled for
bronchoscopy. The nurse is tasks to bring the informed consent document
into the client’s room for a signature. The client asks the nurse for details of
the procedure and demands an explanation why the process of informed
consent is necessary. The nurse responds that informed consent means:
A. The patient releases the physician from all responsibility for the
procedure.
B. The immediate family may make decision against the patient’s will.