Questions & Answers
A nurse in a long-term care facility is caring for a client who is refusing their
prescribed medications. Which of the following actions should the nurse take first?
- identify the client's concerns about taking the medications
A nurse is assisting with the care of a client who suddenly becomes unconscious
and requires emergency surgery. The client does not have advance directives and
the only family member available is the client's 14-year-old child. Which of the
following actions should the nurse plan to take?
- transport the client to the operating room with implied consent
A nurse is caring for a client who is recovering following a total hip arthroplasty.
The nurse receives a telephone call from the client's sibling requesting information
about the client's status. Which of the following actions should the nurse take?
- Transfer the call to the client
A nurse is providing care for a group of clients who have signed a general consent
for treatment. The nurse should identify that which of the following procedures
requires an additional written informed consent?
- performing an amniocentesis
A nurse at a rehabilitation facility is supervising a newly hired assistive personnel
(AP) during the transfer of a client from the bed to a chair.
Which of the following actions by the AP demonstrates safe transfer technique?
- bends at the knees
A nurse is discussing the meaning of utilitarianism with a newly licensed nurse.
Which of the following statements by the newly licensed nurse indicates an
understanding of this ethical theory?
- "Utilitarianism provides the greatest good for the greater number of people"
, A charge nurse notices a nurse on the unit arriving to work 30 min late. The nurse
appears unkempt and has slurred speech. Which of the following actions should the
charge nurse take first?
- reassign the nurse's clients to another nurse
A nurse is participating in a peer evaluation system based on overall performance
of its nursing staff. Which of the following strategies ensures that the peer
evaluation process is impartial and fair?
- uses the same objective measurement tool for all nurses
A nurse is assisting with the admission of a client who reports that they signed
advance directives during a previous admission. Which of the following actions
should the nurse take? (Select all that apply.)
- Document in the client's medical record that they have advance directives
Ensure that copies of the client's advance directives are located in their chart
Inform the oncoming nurse of the client's advance directives during change-of-shift
report
A charge nurse is asked by two staff nurses to assist in resolving a conflict about
holiday scheduling. Which of the following actions should the charge nurse take?
- Encourage each staff nurse to give up something as part of the negotiation.
A nurse is assisting in planning care for a client who has heart failure. Which of the
following interventions should the nurse recommend including in the plan? (Select
all that apply.)
- Administer furosemide 40 mg PO daily
Apply oxygen to keep Sp02 greater than 95%
Obtain daily weight