Exam Questions With Correct Marking
Scheme 2025
/. Advance directives- teaching - Answer-Communicates the client wishes regarding end
of life care; are written before a client becomes ill
Nurses role is to provide info about advance directives
Document client's advance directive status
Ensure advance directives reflects clients current decision
Inform all members of the healthcare team of the client's advanced directives
/.Culture (client who speaks a different language) - Answer-Use an interpreter always;
try to get someone around same age and gender as client
/.Delegation to UAP - Answer-Stable/chronic clients; post-mortem care; they cannot
teach, assessed, or evaluate
/.Ethical (client need for information about treatment) - Answer-Provide client with
truthful information so they can make an informed decision about their own health and
well-being
/.Discharge planning - Answer-Determine ability to afford insulin and supplies
Make sure he has transportation to follow up appointments
/.Informed consent - Answer-Nurses role is to witness the client signature and ensure
that the provider has obtained the informed consent responsibly
Greater than 18 years of age or if the mother or father is a teenage parent they have the
right to sign the consent form
/.Client inquiry about surgery - Answer-Consult health care provider/surgeon for
procedures/informed consent questions
/.Telephone prescriptions are - Answer-Must write the order down before reading it back
to the provider
/.Identify Improper documentation - Answer-Documenting should be factual
, /.Subjective data documentation - Answer-Quotes with quotation marks- what the client
states to the nurse
/.Objective data documentation - Answer-What the nurses, smells, osculates do not use
derogatory words, judgment, or opinions
/.Intentional tort - Answer-Doing harm (The act must be intentional, not merely reckless
or careless)
Assault, battery, false imprisonment, invasion of privacy, slander
/.Interprofessional team member consult - Answer-PT- consulted for mobility issues
OT- assist clients to regain ADL skills
ST- Deals with speech and language disorders
/.Coordinated client care among healthcare team - Answer-Social worker- Coordinates
care and community resources
/.Demonstrating client advocacy - Answer-Nurses role is to provide support of the
clients health, wellness, safety, and personal rights, including privacy
/.Nursing role- client observation - Answer-Share appropriate information among team
members
/.Prioritizing client care - Answer-Follow ABC's (airway, breathing, circulation)
Unstable are seen before stable clients
Acute clients are seen before chronic clients
/.Ethical dilemma - Answer-Follow autonomy, beneficence, Fidelity, justice,
nonmaleficence, and veracity principles
/.Disposition of valuables
(Admit/transfer/DC) - Answer-Personal items include clothing, jewelry, money, credit
cards, hearing aides, eyeglasses, dentures, etc
Discourage the client from keeping valuables at bedside
Document communication with the client related to items left within the room
Valuables should be locked in the facilities safe
/.Identify negligence - Answer-Failure to provide care as defined by a standard
Breach of duty
Foreseeability of harm
Caused harm