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A patient has asked the nurse to explain her lab results. The nurse tells the patient
that he must first assist another patient to the bathroom and then he will explain the
results. The nurse assists the other patient to the bathroom and then returns to
explain the results. What moral principle has the nurse displayed? - ANSWER -
Fidelity
A patient in the intensive care unit has a DNR order on his chart. What does the
nurse caring for him need to recognize about DNR orders? - ANSWER -DNR
orders must be written by the physician
A patient is receiving IV antibiotic therapy. The order is for methicillin 750mg IV.
The nurse has a 1-gram vial on hand. The instructions for reconstitution say to add
1.5 mL sterile water. Re-constituted solution will contain approximately 500mg
methicillin solution per milliliter. How much will the nurse give? - ANSWER -
1.5mL
A patient tells the nurse that he does not want to have a painful procedure. By
respecting and supporting the patient's right to make decisions, what is the nurse
demonstrating? - ANSWER -Advocacy
A patient who has recently traveled to China comes to the emergency department
with increasing shortness of breath and is strongly suspected of having severe
acute respiratory syndrome. (SARS) Which of these prescribed actions will you
take first? - ANSWER -Place the patient on airborne and contact precautions
Nurse observes that an older patient's gait and balance appear to be slightly
unsteady. What assessment should the nurse perform next? - ANSWER -Ask the
patient if he has fallen in the past year
A proposed change in the management structure of the nursing unit is explained
during a staff meeting and several nurses express antagonistic comments to the
nurse manager. Identify the best response by the nurse manager. - ANSWER -
"Let's consider the potential positives and negatives to the proposal."
, A student nurse asks the RN staff nurse how he assures if patient teaching is
effective. The best response by the RN is: - ANSWER -Patient learning is
evaluated based on achievement of learning outcomes.
A newly hired occupational health nurse at an industrial facility is performing an
initial workplace assessment. Which of the following information should the nurse
determine when conducting a work site survey? - ANSWER -Work practices of
employees
A student reports to the teacher that her grade has been recorded as a 98 but she
really made an 88. The student is displaying: - ANSWER -Veracity
A unit manager is preparing the time schedule for the summer holiday season.
Approximately half of the staff has requested 1 to 2 week vacations. Granting all
the requested time will lead to severe staffing shortages. What is the nurse
manger's primary consideration in developing this schedule? - ANSWER -Client
safety needs
A woman of Mexican=American background who is in labor asks that her
husband not be allowed in the delivery room and that he not see the baby until after
the baby has had his or her initial bath. How can the nurse best respond to this
request? - ANSWER -Honor the request by recognizing that these are the cultural
norms of the patient
After her first week working on a busy medical/surgical unit, a new nurse manager
notes that the individual nurses are highly competent but unable to function as a
team. Select the action by the nurse manager that would facilitate team building
among the staff. - ANSWER -Provide an opportunity for the nurses to express their
feelings and emotions.
An 18-year old female who has a recent history of repeated emergency department
visits for numerous fictitious disorders has appeared in the ED today with small
superficial cuts on both arms. She reports she awakened this morning to find these
on her arms. She tells the nurse she is concerned about getting "lock jaw" and
needs to be hospitalized. The nurse would anticipate the patient to be: - ANSWER
-Munchausen's syndrome
Physiological changes associated with aging place the older adult especially at risk
for which nursing diagnosis? - ANSWER -Risk for falls