QUESTIONS AND ANSWERS
An infant is admitted and diagnosed with pneumonia and suspicious-looking red marks on the
swollen face resembling a handprint. The nurse does further assessment to the client. How
would the nurse document the finding? - ANS Facial edema, with red marks; crackles in the
lung
The pediatrics unit is understaffed and the nurse manager informs the nurses in the obstetrics
unit that she is going to assign one nurse to float in the pediatric units. Which statement by the
designated float nurse may put her job at risk? - ANS "I have a vacation day coming and
would like to take that now"
A 15-year-old girl just gave birth to a baby boy who needs emergency surgery. The nurse
prepared the consent form and it should be signed by: - ANS The 15-year-old mother of the
baby boy
The nurse on the night shift is about to administer medication to a preschooler client and notes
that the child has no ID bracelet. The best way for the nurse to identify the client is to ask: -
ANS Another staff nurse to identify this child
A male client comes to the clinic for check-up. In doing a physical assessment, the nurse should
report to the physician the most common symptom of gonorrhea, which is: - ANS pus in the
urine
A registered nurse has been assigned to six clients on the 12-hour shift. The RN is responsible
for every aspect of care such as formulating the care of plan, intervention and evaluating the
care during her shift. At the end of her shift, the RN will pass this same task to the next RN in
charge. This nursing care illustrates of what kind of method? - ANS case method
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, An experienced nurse who voluntarily trained a less experienced nurse with the intention of
enhancing the skills and knowledge and promoting professional advancement to the nurse is
called a: - ANS mentor
A community health nurse is schedule to do home visit. She visits to an elderly person living
alone. Which of the following observation would be a concern? - ANS Clear and shiny floors
While in the hospital lobby, the RN overhears the three staff discussing the health condition of
her client. What would be the appropriate nursing action for the RN to take? - ANS Tell them
it is not appropriate to discuss the condition of the client
A nurse in charge in the pediatric unit is absent. The nurse manager decided to assign the nurse
in the obstetrics unit to the pediatrics unit. Which of the following patients could the nurse
manager safely assign to the float nurse? - ANS A child who has had a nephrectomy for
Wilm's tumor
The registered nurse is planning to delegate task to a certified nursing assistant. Which of the
following clients should not be assigned to a CAN? - ANS A client diagnosed with diabetes
and who has an infected toe
A 17-year-old married client is scheduled for surgery. The nurse taking care of the client realizes
that consent has not been signed after preoperative medications were given. What should the
nurse do? - ANS Call the surgeon
A mother in labor told the nurse that she was expecting that her baby has no chance to survive
and expects that the baby will be born dead. The mother accepts the fate of the baby and
informs the nurse that when the baby is born and requires resuscitation, the mother refuses
any treatment to her baby and expresses hostility toward the nurse while the pediatric team is
taking care of the baby. The nurse is legally obligated to: - ANS Record the statement of the
mother, notify the pediatric team, and observe carefully for signs of impaired bonding and
neglect as a reasonable suspicion of child abuse
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