NURSING TEST BANK QUESTIONS & ANSWERS
GRADED A+ GURANTEED PASS
Four patients in labor all request epidural analgesia to manage their pain at the same time. Which ethical
principle is compromised when only one nurse anesthetist is on call? - Answer-Justice
Justice refers to fairness and is used frequently in discussion regarding access to health care resources.
The patient tells the nurse that she is afraid to speak up regarding her desire to end care for fear of
upsetting her husband and children. Which principle in the nursing code of ethics ensures that the nurse
will promote the patient's cause? - Answer-Advocacy
A 17-year-old patient, dying of heart failure, wants to have his organs removed for transplantation after
his death. What action by the nurse is correct?
a.
Prepare the organ donation form for the patient to sign while he is still oriented.
b.
Instruct the patient to talk with his parents about his desire to donate his organs.
c.
Notify the physician about the patient's desire to donate his organs.
d.
Contact the United Network for Organ Sharing after talking with the patient. - Answer-b.
Instruct the patient to talk with his parents about his desire to donate his organs.
An obstetrical nurse comes across an automobile accident. The patient seems to have a crushed upper
airway, and while waiting for emergency medical services to arrive, the nurse makes a cut in the trachea
and inserts a straw from her purse to provide an airway. The patient survives and has a permanent
problem with his vocal cords, making it difficult to talk. Which statement is true regarding the nurse's
performance?
a.
The nurse acted appropriately and saved the patient's life.
b.
The nurse acted within the guidelines of the Good Samaritan Law.
c.
The nurse took actions beyond those that are standard and appropriate.
,d.
The nurse should have just stayed with the patient and waited for help. - Answer-c.
The nurse took actions beyond those that are standard and appropriate.
A nurse performs cardiopulmonary resuscitation (CPR) on a 92-year-old with brittle bones and breaks a
rib during the procedure, which then punctures a lung. The patient recovers completely without any
residual problems and sues the nurse for pain and suffering, and for malpractice. What key point will the
prosecution attempt to prove?
a.
The CPR procedure was done incorrectly.
b.
The patient would have died if nothing was done.
c.
The patient was resuscitated according to policy.
d.
Patients with brittle bones might sustain fractures when chest compressions are done. - Answer-a.
The CPR procedure was done incorrectly.
A recent immigrant who does not speak English is alert and requires hospitalization. What is the initial
action that the nurse must take to enable informed consent to be obtained?
a.
Ask a family member to translate what the nurse is saying.
b.
Notify the health care provider that the patient doesn't speak English.
c.
Request an official interpreter to explain the terms of consent.
d.
Use hand gestures and medical equipment while explaining in English. - Answer-c.
Request an official interpreter to explain the terms of consent.
A pediatric oncology nurse floats to an orthopedic trauma unit. What actions should the nurse manager
of the orthopedic unit take to enable safe care to be given by this nurse?
a.
,Provide a complete orientation to the functioning of the entire unit.
b.
Determine patient acuity and care the nurse can safely provide.
c.
Allow the nurse to choose which meal time she would like.
d.
Assign nursing assistive personnel to assist her with care. - Answer-b.
Determine patient acuity and care the nurse can safely provide.
While recovering from a severe illness, a hospitalized patient states that he wants to change his living
will, which he signed nine months ago. Which response by the nurse is most appropriate?
a.
"Check with your admitting health care provider whether a copy is on your chart."
b.
"Have you talked with your attorney recently about a living will?"
c.
"Your living will can be changed only once each calendar year."
d.
"Let me check with someone here in the hospital who can assist you." - Answer-d.
"Let me check with someone here in the hospital who can assist you."
A nurse notices that his neighbor's preschool children are often playing on the sidewalk and in the street
unsupervised and repeatedly takes them back to their home and talks with the parent available, but the
situation continues. What immediate action by the nurse is mandated by law?
a.
Talk with both parents about safety needs of their children.
b.
Contact the appropriate community child protection agency.
c.
Tell the parents that the authorities will be contacted shortly.
d.
Take pictures of the children to support the overt child abuse. - Answer-b.
, Contact the appropriate community child protection agency.
A confused patient with a urinary catheter, nasogastric tube, and intravenous line keeps touching these
needed items for care. The nurse has tried to explain to the patient that he should not touch these lines,
but the patient continues. What is the best action by the nurse at this time?
a.
Apply restraints loosely on the patient's dominant wrist.
b.
Try other approaches to prevent the patient from touching these care items.
c.
Notify the health care provider that restraints are needed immediately to maintain the patient's safety.
d.
Allow the patient to pull out lines to prove that the patient needs to be restrained. - Answer-b.
Try other approaches to prevent the patient from touching these care items.
A patient with sepsis as a result of long-term leukemia dies 25 hours after admission to the hospital. A
full code was conducted without success. The patient had a urinary catheter, an intravenous line, an
oxygen cannula, and a nasogastric tube. What question is priority for the nurse to ask the family before
beginning postmortem care?
a.
"Do you want to assist in bathing your loved one?"
b.
"Is an autopsy going to be done?"
c.
"To which funeral home do you want your loved one transported?"
d.
"Do you want me to remove the lines and tubes before you see your loved one?" - Answer-b.
"Is an autopsy going to be done?"
Conjoined twins are in the neonatal department of the community hospital until transfer to the closest
medical center. A photographer from the local newspaper gets off the elevator on the neonatal floor and
wants to take pictures of the infants. What initial action should the nurse take?
a.
Escort the cameraman to the neonatal unit while a few pictures are taken quietly.
GRADED A+ GURANTEED PASS
Four patients in labor all request epidural analgesia to manage their pain at the same time. Which ethical
principle is compromised when only one nurse anesthetist is on call? - Answer-Justice
Justice refers to fairness and is used frequently in discussion regarding access to health care resources.
The patient tells the nurse that she is afraid to speak up regarding her desire to end care for fear of
upsetting her husband and children. Which principle in the nursing code of ethics ensures that the nurse
will promote the patient's cause? - Answer-Advocacy
A 17-year-old patient, dying of heart failure, wants to have his organs removed for transplantation after
his death. What action by the nurse is correct?
a.
Prepare the organ donation form for the patient to sign while he is still oriented.
b.
Instruct the patient to talk with his parents about his desire to donate his organs.
c.
Notify the physician about the patient's desire to donate his organs.
d.
Contact the United Network for Organ Sharing after talking with the patient. - Answer-b.
Instruct the patient to talk with his parents about his desire to donate his organs.
An obstetrical nurse comes across an automobile accident. The patient seems to have a crushed upper
airway, and while waiting for emergency medical services to arrive, the nurse makes a cut in the trachea
and inserts a straw from her purse to provide an airway. The patient survives and has a permanent
problem with his vocal cords, making it difficult to talk. Which statement is true regarding the nurse's
performance?
a.
The nurse acted appropriately and saved the patient's life.
b.
The nurse acted within the guidelines of the Good Samaritan Law.
c.
The nurse took actions beyond those that are standard and appropriate.
,d.
The nurse should have just stayed with the patient and waited for help. - Answer-c.
The nurse took actions beyond those that are standard and appropriate.
A nurse performs cardiopulmonary resuscitation (CPR) on a 92-year-old with brittle bones and breaks a
rib during the procedure, which then punctures a lung. The patient recovers completely without any
residual problems and sues the nurse for pain and suffering, and for malpractice. What key point will the
prosecution attempt to prove?
a.
The CPR procedure was done incorrectly.
b.
The patient would have died if nothing was done.
c.
The patient was resuscitated according to policy.
d.
Patients with brittle bones might sustain fractures when chest compressions are done. - Answer-a.
The CPR procedure was done incorrectly.
A recent immigrant who does not speak English is alert and requires hospitalization. What is the initial
action that the nurse must take to enable informed consent to be obtained?
a.
Ask a family member to translate what the nurse is saying.
b.
Notify the health care provider that the patient doesn't speak English.
c.
Request an official interpreter to explain the terms of consent.
d.
Use hand gestures and medical equipment while explaining in English. - Answer-c.
Request an official interpreter to explain the terms of consent.
A pediatric oncology nurse floats to an orthopedic trauma unit. What actions should the nurse manager
of the orthopedic unit take to enable safe care to be given by this nurse?
a.
,Provide a complete orientation to the functioning of the entire unit.
b.
Determine patient acuity and care the nurse can safely provide.
c.
Allow the nurse to choose which meal time she would like.
d.
Assign nursing assistive personnel to assist her with care. - Answer-b.
Determine patient acuity and care the nurse can safely provide.
While recovering from a severe illness, a hospitalized patient states that he wants to change his living
will, which he signed nine months ago. Which response by the nurse is most appropriate?
a.
"Check with your admitting health care provider whether a copy is on your chart."
b.
"Have you talked with your attorney recently about a living will?"
c.
"Your living will can be changed only once each calendar year."
d.
"Let me check with someone here in the hospital who can assist you." - Answer-d.
"Let me check with someone here in the hospital who can assist you."
A nurse notices that his neighbor's preschool children are often playing on the sidewalk and in the street
unsupervised and repeatedly takes them back to their home and talks with the parent available, but the
situation continues. What immediate action by the nurse is mandated by law?
a.
Talk with both parents about safety needs of their children.
b.
Contact the appropriate community child protection agency.
c.
Tell the parents that the authorities will be contacted shortly.
d.
Take pictures of the children to support the overt child abuse. - Answer-b.
, Contact the appropriate community child protection agency.
A confused patient with a urinary catheter, nasogastric tube, and intravenous line keeps touching these
needed items for care. The nurse has tried to explain to the patient that he should not touch these lines,
but the patient continues. What is the best action by the nurse at this time?
a.
Apply restraints loosely on the patient's dominant wrist.
b.
Try other approaches to prevent the patient from touching these care items.
c.
Notify the health care provider that restraints are needed immediately to maintain the patient's safety.
d.
Allow the patient to pull out lines to prove that the patient needs to be restrained. - Answer-b.
Try other approaches to prevent the patient from touching these care items.
A patient with sepsis as a result of long-term leukemia dies 25 hours after admission to the hospital. A
full code was conducted without success. The patient had a urinary catheter, an intravenous line, an
oxygen cannula, and a nasogastric tube. What question is priority for the nurse to ask the family before
beginning postmortem care?
a.
"Do you want to assist in bathing your loved one?"
b.
"Is an autopsy going to be done?"
c.
"To which funeral home do you want your loved one transported?"
d.
"Do you want me to remove the lines and tubes before you see your loved one?" - Answer-b.
"Is an autopsy going to be done?"
Conjoined twins are in the neonatal department of the community hospital until transfer to the closest
medical center. A photographer from the local newspaper gets off the elevator on the neonatal floor and
wants to take pictures of the infants. What initial action should the nurse take?
a.
Escort the cameraman to the neonatal unit while a few pictures are taken quietly.
