NUR 115: MIDTERM QUESTIONS WITH ACCURATE
ANSWERS
5 Rights of Nursing Delegation correct answer Right Task
Right Circumstance
Right Person
Right Supervision
Right Direction and Communication
A client admitted to a mental health unit has exhibited physical behaviors that put
the client and others at risk. The nurse applies four-point restraints on the client
without obtaining a physician's order or the client's consent. The nurse is at risk of
being accused of which action? correct answer Battery
A client being discharged from the hospital asks the nurse, "When I go visit my
family out of state, should I take my living will with me, or do I need a new one for
that state?" Which is the most appropriate response by the nurse? correct answer
"Take it with you. It is recognized universally in the United States."
A client has a prescription for amoxicillin 500 mg P.O. every 8 hours. The nurse
administers the medication via the intravenous route. Based on the nurse's
action, the client develops complications and has an increased length of stay. The
client files a lawsuit against the facility and the nurse. Which legal action has the
nurse's attorney identified that meets the criteria for the client's lawsuit? correct
answer Malpractice
A client has had major abdominal surgery and just returned to the unit from the
operating room. The nursing priority is to: correct answer complete the
postoperative assessment.
, A client is newly diagnosed with diabetes and prescribed insulin injections. The
nurse identifies the client's knowledge deficiency regarding insulin injection.
Which intervention is appropriate to address this deficiency? correct answer
Teach the client how to administer insulin.
A client is unhappy with the health care provided and informs the nurse that the
client is leaving the facility. The client has not been discharged by the physician.
The nurse finds that the client has dressed and is ready to go. What should the
nurse's action be in this situation? correct answer The nurse should call and
inform the nursing supervisor of the situation.
A client newly diagnosed with congestive heart failure has a prescription for
digoxin. The nurse counts the heart rate before administration of the medication
and obtains a heart rate of 51 beats per minute. Which action by the nurse
demonstrates adherence to the standards of nursing care? correct answer The
nurse withholds the medication and notifies the health care practitioner.
Explanation: Nurses are responsible for following the standards of care for their
particular work area. A reasonably prudent nurse would withhold the medication
and notify the health care practitioner. All other options put the client's safety at
risk and would not be done by a reasonably prudent nurse.
A client reports hearing voices in the head that tell the client to do bad things.
When the nurse enters the client's room, the client is talking out loud to someone
but there is nobody in the room. How should the nurse record this assessment?
correct answer Document this assessment based on the client's behaviors.
A client states that the client's recent fall was caused by his scheduled
antihypertensive medications being mistakenly administered by two different
ANSWERS
5 Rights of Nursing Delegation correct answer Right Task
Right Circumstance
Right Person
Right Supervision
Right Direction and Communication
A client admitted to a mental health unit has exhibited physical behaviors that put
the client and others at risk. The nurse applies four-point restraints on the client
without obtaining a physician's order or the client's consent. The nurse is at risk of
being accused of which action? correct answer Battery
A client being discharged from the hospital asks the nurse, "When I go visit my
family out of state, should I take my living will with me, or do I need a new one for
that state?" Which is the most appropriate response by the nurse? correct answer
"Take it with you. It is recognized universally in the United States."
A client has a prescription for amoxicillin 500 mg P.O. every 8 hours. The nurse
administers the medication via the intravenous route. Based on the nurse's
action, the client develops complications and has an increased length of stay. The
client files a lawsuit against the facility and the nurse. Which legal action has the
nurse's attorney identified that meets the criteria for the client's lawsuit? correct
answer Malpractice
A client has had major abdominal surgery and just returned to the unit from the
operating room. The nursing priority is to: correct answer complete the
postoperative assessment.
, A client is newly diagnosed with diabetes and prescribed insulin injections. The
nurse identifies the client's knowledge deficiency regarding insulin injection.
Which intervention is appropriate to address this deficiency? correct answer
Teach the client how to administer insulin.
A client is unhappy with the health care provided and informs the nurse that the
client is leaving the facility. The client has not been discharged by the physician.
The nurse finds that the client has dressed and is ready to go. What should the
nurse's action be in this situation? correct answer The nurse should call and
inform the nursing supervisor of the situation.
A client newly diagnosed with congestive heart failure has a prescription for
digoxin. The nurse counts the heart rate before administration of the medication
and obtains a heart rate of 51 beats per minute. Which action by the nurse
demonstrates adherence to the standards of nursing care? correct answer The
nurse withholds the medication and notifies the health care practitioner.
Explanation: Nurses are responsible for following the standards of care for their
particular work area. A reasonably prudent nurse would withhold the medication
and notify the health care practitioner. All other options put the client's safety at
risk and would not be done by a reasonably prudent nurse.
A client reports hearing voices in the head that tell the client to do bad things.
When the nurse enters the client's room, the client is talking out loud to someone
but there is nobody in the room. How should the nurse record this assessment?
correct answer Document this assessment based on the client's behaviors.
A client states that the client's recent fall was caused by his scheduled
antihypertensive medications being mistakenly administered by two different
