Correct Graded Answers
An RN is making assignments for client care to an LPN at the beginning of the shift. Which of the
following assignments should the LPN question?
A. Assisting a client who is 24 hr postop to use an incentive spirometer
B. Collecting a clean catch urine specimen from a client who was admitted on the previous shift
C. providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump - AnswerD
A nurse is preparing an inservice program about delegation. Which of the following elements should she
identify when presenting the 5 rights of delegation. Select all:
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances - AnswerB
C
E
A nurse manager of a med surg unit is assigning care responsibilities for the oncoming shift. A client is
waiting transfer back to the unit from the PACU following thoracic surgery. To which staff member
should the nurse assign the client?
A. Charge nurse
B. RN
C. LVN
,D. AP - AnswerB
What is the study of conduct and character? - AnswerEthics
What are the values and beliefs that guide behavior and decision making? - AnswerMorals
What is the right to make ones own personal decisions, even tho those decisions might not be in the
persons best interest - AnswerAutonomy
What are positive actions to help others - AnswerBeneficience
What is an agreement to keep promises - AnswerFidelity
What is fairness in care delivery and use of resources - AnswerJustice
What is avoidance of harm or injury - AnswerNon-maleficence
A nurse is caring for a client who decides not to have surgery despite significant blockages in his
coronary arteries. The nurse understands that this clients choice is an example of what principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience - AnswerB
A nurse offers pain meds to a client who is postop prior to ambulation. The nurse understands that this
aspect of care delivery is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficience - AnswerD
,A nurse is instructing a group of nursing students about the responsibilities involved with organ
donation and procurement. When the nurse explains that all clients waiting for a kidney transplant have
to meet the same qualifications, the students should understand that this aspect of care delivery is an
example of which ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - AnswerC
A nurse questions a med prescription as too extreme and light of the clients advanced age and unstable
status. The nurse understands that this action is an example of which ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificence - AnswerD
Which of the following situations can be identified as an ethical dilemma?
A. A nurse on a med surg unit demonstrates signs of chemical impairment
B. A nurse over hears another nurse telling an older adult client that if he doesnt stay in bed she will
restrain him
C. A family has conflicting feelings about the initiation of enteral tube feedings of their father who is
terminally ill
D. A client who is terminally ill hesitates to name her spouse on her durable power of attorney form -
AnswerC
Most managers can be categorized as - Answerauthoritative, democratic, and laissez faire
makes decisions of the group
motivates by coercion
communication occurs down the chain of command
, Work output by the staff is usually high-good for crisis situations and bureaucratic settings -
AnswerAuthoritative
includes the group when decisions are made
Motivates by supporting star achievements
Communication occurs up and down the chain of command
Work output by staff is usually of good quality-good when cooperation and collaboration is necessary -
AnswerDemocratic
makes very few decisions and does little planning
motivation is largely the responsibility of individuals staff members
Communication occurs up and down the chain of command and between group members
Work output is low unless an informal leader evolves from the group
*the use of any of these styles may be appropriate depending on the situation - AnswerLaissez faire
The nurse should consider the hierarchy of human needs when prioritizing interventions, which are? -
Answer- Physiological needs first (oxygen, shelter, food)
- Safety & security needs (physical safety)
- Love and belonging
- Self esteem
- Self actualization
The ABC framework identifies, in order, the three basic needs for sustaining life - AnswerAirway
Breathing
Circulation
Nurses must follow what code of standards in delegating and assigning tasks - AnswerANA codes of
standards
What values would a nurse possess to be a client advocate? - Answer- caring