DCF SPECIAL NEEDS APPROPRIATE PRACTICES
SNP COMPREHENSIVE REVIEW GUIDE WITH
SCENARIOS AND ANSWERS
◉2. (86000). While examining an infant, a home health nurse notices
that he is wearing a soiled piece of braided yarn around his neck. Which
action by the nurse is most appropriate?
a) Leave the yarn in place but wash it with a cloth and mild soap
b) Ask about its significance and suggest that it be placed more safely
on his body.
c) Explain that the yarn offers no benefit and ask the parents to remove
it.
d) Remove the yarn because it is soiled and could lead to strangulation .
Answer: b)
◉3. (58012). The nurse working with a terminally ill client wishes to
support the client's decisions concerning end-of life care. To do this
appropriately, the nurse should do plan to which of the following?
a) Be comfortable in assisting the client with euthanasia when requested
to do so.
b) Ask another nurse to provide care if the client has a belief system that
differs from the nurse's belief system.
,c) Respect the client's wishes about death to the extent possible by law.
d) Encourage the client to request a do-not-resuscitate order because the
client has been diagnosed with a terminal illness. . Answer: c)
◉4. (55002). An adult is to have abdominal surgery this morning.
Immediately preoperatively, the nurse must ensure that he:
a) is comfortable.
b) has an empty bowel.
c) practices coughing.
d) voids. . Answer: d)
◉5. (85002). A client who is legally blind has been admitted to the
cardiac unit. Which of the following actions by the nurse would be best
to promote adjustment to the environment?
a) Speak slowly and in a low-pitched voice while facing the client.
b) Post a sign on the door indicating the client is blind.
c) Explain unit noises and physical surroundings.
d) Give clear, concise, simple instructions to the client. . Answer: a)
◉6. (906). A female client being treated in an outpatient setting for
blood clots in the leg is taking anticoagulant medication. The client
reports to her neighbor, a nurse, that she has a headache. The nurse
offers the individual aspirin for the headache, which she takes. The
client suffers a bleeding episode secondary to interaction between the
,aspirin and the anticoagulant. The legal nurse consultant interprets that
which of the following elements of malpractice is missing from this
case?
a) Breech of duty
b) Duty owed
c) Injury
d) Causation between nurse's action and injury . Answer: b)
◉7. (77000). The nurse is developing plans to reduce the stress of a
hospitalized, chronically ill 8-year-old child. Coping for this child will
be improved if the nurse arranges for the child to:
a) Be allowed 24-hour open visitation with peers.
b) Receive care specifically designed for a school-aged child.
c) Avoid making any decisions while hospitalized.
d) Have all tutoring postponed until discharge. . Answer: b)
◉8. (28025). One unit of packed red blood cells in infusing into a client
over a 4-hour period. The unit of blood contains 250 ML. The drop
factor is 15 drops (gtt) per 1 ML. The nurse determines that the flow rate
should be set at how many drops per minute?
a) 1.10 gtt
b) 2.16 gtt
c) 3.18 gtt
d) 4.20 gtt . Answer: b)
, ◉9. (60019). Which group of cells is the first line of defense against
bacterial infection working primarily through phagocytosis?
a) Monocytes.
b) Platelets.
c) Neutrophils.
d) Basophils. . Answer: c)
◉10. (55007). The nurse is caring for a client who has just been
admitted to the postanesthesia care unit. The client vomits. The nurse
knows that the primary problem that can occur as a result of vomiting in
the immediate postoperative period is which of the following?
a) Electrolyte imbalance
b) Dehiscence
c) Aspiration
d) Wound contamination . Answer: c)
◉11. (60009). A patient with suspected HIV will receive which test(s) to
verify the diagnosis?
a) Home Access HIV-1 Test System.
b) Enzyme-linked immunosorbent assay (ELISA) and Western blot
assay.
c) Indirect immunofluorescence assay (IFA).
d) ELISA and DNA. . Answer: b)
SNP COMPREHENSIVE REVIEW GUIDE WITH
SCENARIOS AND ANSWERS
◉2. (86000). While examining an infant, a home health nurse notices
that he is wearing a soiled piece of braided yarn around his neck. Which
action by the nurse is most appropriate?
a) Leave the yarn in place but wash it with a cloth and mild soap
b) Ask about its significance and suggest that it be placed more safely
on his body.
c) Explain that the yarn offers no benefit and ask the parents to remove
it.
d) Remove the yarn because it is soiled and could lead to strangulation .
Answer: b)
◉3. (58012). The nurse working with a terminally ill client wishes to
support the client's decisions concerning end-of life care. To do this
appropriately, the nurse should do plan to which of the following?
a) Be comfortable in assisting the client with euthanasia when requested
to do so.
b) Ask another nurse to provide care if the client has a belief system that
differs from the nurse's belief system.
,c) Respect the client's wishes about death to the extent possible by law.
d) Encourage the client to request a do-not-resuscitate order because the
client has been diagnosed with a terminal illness. . Answer: c)
◉4. (55002). An adult is to have abdominal surgery this morning.
Immediately preoperatively, the nurse must ensure that he:
a) is comfortable.
b) has an empty bowel.
c) practices coughing.
d) voids. . Answer: d)
◉5. (85002). A client who is legally blind has been admitted to the
cardiac unit. Which of the following actions by the nurse would be best
to promote adjustment to the environment?
a) Speak slowly and in a low-pitched voice while facing the client.
b) Post a sign on the door indicating the client is blind.
c) Explain unit noises and physical surroundings.
d) Give clear, concise, simple instructions to the client. . Answer: a)
◉6. (906). A female client being treated in an outpatient setting for
blood clots in the leg is taking anticoagulant medication. The client
reports to her neighbor, a nurse, that she has a headache. The nurse
offers the individual aspirin for the headache, which she takes. The
client suffers a bleeding episode secondary to interaction between the
,aspirin and the anticoagulant. The legal nurse consultant interprets that
which of the following elements of malpractice is missing from this
case?
a) Breech of duty
b) Duty owed
c) Injury
d) Causation between nurse's action and injury . Answer: b)
◉7. (77000). The nurse is developing plans to reduce the stress of a
hospitalized, chronically ill 8-year-old child. Coping for this child will
be improved if the nurse arranges for the child to:
a) Be allowed 24-hour open visitation with peers.
b) Receive care specifically designed for a school-aged child.
c) Avoid making any decisions while hospitalized.
d) Have all tutoring postponed until discharge. . Answer: b)
◉8. (28025). One unit of packed red blood cells in infusing into a client
over a 4-hour period. The unit of blood contains 250 ML. The drop
factor is 15 drops (gtt) per 1 ML. The nurse determines that the flow rate
should be set at how many drops per minute?
a) 1.10 gtt
b) 2.16 gtt
c) 3.18 gtt
d) 4.20 gtt . Answer: b)
, ◉9. (60019). Which group of cells is the first line of defense against
bacterial infection working primarily through phagocytosis?
a) Monocytes.
b) Platelets.
c) Neutrophils.
d) Basophils. . Answer: c)
◉10. (55007). The nurse is caring for a client who has just been
admitted to the postanesthesia care unit. The client vomits. The nurse
knows that the primary problem that can occur as a result of vomiting in
the immediate postoperative period is which of the following?
a) Electrolyte imbalance
b) Dehiscence
c) Aspiration
d) Wound contamination . Answer: c)
◉11. (60009). A patient with suspected HIV will receive which test(s) to
verify the diagnosis?
a) Home Access HIV-1 Test System.
b) Enzyme-linked immunosorbent assay (ELISA) and Western blot
assay.
c) Indirect immunofluorescence assay (IFA).
d) ELISA and DNA. . Answer: b)
