AACN EXAM WITH QUESTIONS AND CORRECT ANSWERS GRADED
A+
1. The charge nurse is having trouble finding nurses who will
accept respon- sibility for the "difficult" patient and family
who have been on the unit for 2 months. Once the assignment is
determined for the next shift, the next action of the nurse might
be to:
A. Hold a family meeting and demand that their behavior change at
once
B. Call the nursing supervisor and have the patient transferred to
another unit
C. Arrange to have a nursing care conference and discuss possible
solutions
D. Put a note by the charge nurse station to always assign this
patient to the float or PRN nurse: C. Arrange to have a nursing care conference and
discuss possible solutions
Communication, collaboration, and a consistent plan are what's needed. If this had been done earlier, the situation this
shift might have been avoided.
2. Three days after undergoing elective hip replacement, a patient
has HR 125, RR 36, BP 164/84; is diaphoretic; has dilated pupils;
is anxious; denies pain; and appears to be having tactile
hallucinations. Despite frequent reorientation from the nurse, the
patient continues to try to climb out of bed. Which of the
following ordered might be appropriate?
A. Lorazepam (Ativan)
B. Soft wrist restraints
C. Methadone
D. Leaving the TV or radio on in the room for background noise: A.
Lorazepam (Ativan)
The timing and assessment indicate the patient might be in alcohol withdrawal or heading into DT's. Of the 4 choices,
prescribing a benzo would be the most appropriate.
3. A patient with a documented history of schizophrenia is admitted
, AACN EXAM WITH QUESTIONS AND CORRECT ANSWERS GRADED
A+
with DKA. A priority of the admitting nurse would be to:
A. Review all per admission medications
B. Contact the patient's counselor
C. Hold all psychiatric medications pending glucose regulation
D. ask the patient if he is hearing voices: A. Review all per admission
medications Is a priority for patient admissions
, AACN EXAM WITH QUESTIONS AND CORRECT ANSWERS GRADED
A+
4. A nurse walks into the family waiting room and discovers a physical
alterca- tion between two visitors has just begun. The nurse should:
A. Get between the 2 individuals and tell them their behavior is
inappropriate
B. ask the largest man in the waiting room to break it up
C. Pull the fire alarm by the door
D. Call security: D. Call security
Think safety first, for yourself and everyone else. Our security colleagues are trained to handle these situations
5. The wife of a patient recently admitted because of a single vehicle
crash tells the nurse "I'm afraid he was trying to kill himself." A
priority for the nurse would be to:
A. Identify if the patient has a history of depression
B. Ask the patient directly about suicidal intent with the wife in the
room
C. Obtain an order for a psych consult
D. Ensure the suicide assessment is completed in the electronic health
record: D. Ensure the suicide assessment is completed in the electronic health record
This screen/ assessment tool guides the health care team in determining a treatment plan
6. Which of the following actions by the nurse might decrease a
patient's self-es- teem?
A. Discussing the negative consequences of the patient's condition
B. Requiring the patient to participate in all treatments
C. Providing opportunities to discuss issues important to the patient
D. Indicating his or her acceptance of the patient's condition: B. Requiring
the patient to participate in all treatments
The 2 key words being requiring and all. We can't require an adult to do anything. When we start thinking we can, we
are behaving paternalistically.
, AACN EXAM WITH QUESTIONS AND CORRECT ANSWERS GRADED
A+
7. A 22 year old patient has been declared brain dead. The parents
decide to discontinue feeding and donate their child's organs. In
response to the parents' request, the most appropriate action by the
nurse would be to:
A. Contact the organ procurement agency
A+
1. The charge nurse is having trouble finding nurses who will
accept respon- sibility for the "difficult" patient and family
who have been on the unit for 2 months. Once the assignment is
determined for the next shift, the next action of the nurse might
be to:
A. Hold a family meeting and demand that their behavior change at
once
B. Call the nursing supervisor and have the patient transferred to
another unit
C. Arrange to have a nursing care conference and discuss possible
solutions
D. Put a note by the charge nurse station to always assign this
patient to the float or PRN nurse: C. Arrange to have a nursing care conference and
discuss possible solutions
Communication, collaboration, and a consistent plan are what's needed. If this had been done earlier, the situation this
shift might have been avoided.
2. Three days after undergoing elective hip replacement, a patient
has HR 125, RR 36, BP 164/84; is diaphoretic; has dilated pupils;
is anxious; denies pain; and appears to be having tactile
hallucinations. Despite frequent reorientation from the nurse, the
patient continues to try to climb out of bed. Which of the
following ordered might be appropriate?
A. Lorazepam (Ativan)
B. Soft wrist restraints
C. Methadone
D. Leaving the TV or radio on in the room for background noise: A.
Lorazepam (Ativan)
The timing and assessment indicate the patient might be in alcohol withdrawal or heading into DT's. Of the 4 choices,
prescribing a benzo would be the most appropriate.
3. A patient with a documented history of schizophrenia is admitted
, AACN EXAM WITH QUESTIONS AND CORRECT ANSWERS GRADED
A+
with DKA. A priority of the admitting nurse would be to:
A. Review all per admission medications
B. Contact the patient's counselor
C. Hold all psychiatric medications pending glucose regulation
D. ask the patient if he is hearing voices: A. Review all per admission
medications Is a priority for patient admissions
, AACN EXAM WITH QUESTIONS AND CORRECT ANSWERS GRADED
A+
4. A nurse walks into the family waiting room and discovers a physical
alterca- tion between two visitors has just begun. The nurse should:
A. Get between the 2 individuals and tell them their behavior is
inappropriate
B. ask the largest man in the waiting room to break it up
C. Pull the fire alarm by the door
D. Call security: D. Call security
Think safety first, for yourself and everyone else. Our security colleagues are trained to handle these situations
5. The wife of a patient recently admitted because of a single vehicle
crash tells the nurse "I'm afraid he was trying to kill himself." A
priority for the nurse would be to:
A. Identify if the patient has a history of depression
B. Ask the patient directly about suicidal intent with the wife in the
room
C. Obtain an order for a psych consult
D. Ensure the suicide assessment is completed in the electronic health
record: D. Ensure the suicide assessment is completed in the electronic health record
This screen/ assessment tool guides the health care team in determining a treatment plan
6. Which of the following actions by the nurse might decrease a
patient's self-es- teem?
A. Discussing the negative consequences of the patient's condition
B. Requiring the patient to participate in all treatments
C. Providing opportunities to discuss issues important to the patient
D. Indicating his or her acceptance of the patient's condition: B. Requiring
the patient to participate in all treatments
The 2 key words being requiring and all. We can't require an adult to do anything. When we start thinking we can, we
are behaving paternalistically.
, AACN EXAM WITH QUESTIONS AND CORRECT ANSWERS GRADED
A+
7. A 22 year old patient has been declared brain dead. The parents
decide to discontinue feeding and donate their child's organs. In
response to the parents' request, the most appropriate action by the
nurse would be to:
A. Contact the organ procurement agency
