Guide | 180 Questions with 100%
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Update 2025/26 A nurse, an emergency
department complete an assessment on
an adolescent client that has conduct
disorder. The client threaten suicide
A 69-year-old client is undergoing his second exchange of intermittent
peritoneal dialysis (IPD). Which of the following would require an
intervention by the nurse?
1. The client complains of pain during the inflow of the dialysate.
2. The client complains of constipation.
3. The dialysate outflow is cloudy.
4. There is blood-tinged fluid around the intra-abdominal catheter. - ANSWERS3
A four-month-old infant is admitted to the pediatric intensive care unit
with a temperature of 105°F (40.5 °C). The infant is irritable, and the nurse
observes nuchal rigidity. Which assessment finding would indicate an
increase in intracranial pressure?
1. Positive Babinski.
2. High-pitched cry.
3. Bulging posterior fontanelle.
4. Pinpoint pupils. - ANSWERS2
A nurse on a med surge unit has recieved change of shift report and will care for 4
clients. Which of the following clients needs will the nurse assign to an AP?
A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk with a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer - ANSWERSC
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days
ago to an AP. Which of the following info should the nurse share with the AP?
Select all:
A. the roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
,F. the client ate 50 % of his breakfast this morning - ANSWERSB
C
D
What can be delegated to Assistive personnel (AP)? - ANSWERS- ADLs - bathing -
grooming - dressing - ambulating - feeding (w/o swallow precautions) - positioning -
bed making - specimen collection - I&O - VS (stable clients
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 - ANSWERSD
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 - ANSWERSD
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 - ANSWERSC
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 - ANSWERSD
Which of the following situations can be identified as an ethical dilemma?
A. A nurse on a med surge 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 - ANSWERSC
, Most managers can be categorized as - ANSWERSauthoritative, 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 - ANSWERSAuthoritative
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 - ANSWERSB
C
E
A nurse manager of a med surge 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 - ANSWERSB
What is the study of conduct and character? - ANSWERSEthics
What are the values and beliefs that guide behavior and decision making? -
ANSWERSMorals
What is the right to make ones own personal decisions, even tho those decisions
might not be in the persons best interest - ANSWERSAutonomy
What are positive actions to help others - ANSWERSBeneficience
What is an agreement to keep promises - ANSWERSFidelity
What is fairness in care delivery and use of resources - ANSWERSJustice
What is avoidance of harm or injury - ANSWERSNon-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 - ANSWERSA