Peter, a nurse manager, is responsible for a team of 2 registered nurses (RNs), 4 registered
practical nurses (RPN), and 3 nurse practitioner (NPs). Peter notices a lack of team morale,
lack of clarity of roles and increasing negative communication between the team members.
How should Peter describe the level of education for the NP?
D
a. A nurse who has specialty certification from the Canadian Nurses Association
b. A nurse who has taken a special interest course in a unique field
c. A nurse who has an undergraduate degree in a discipline other than nursing
d. A nurse educated with a master's degree
A practical nurse has been reviewing research focusing on the benefits of hand washing in
preventing the spread of microorganisms. The last few days he has notices a number of health
care workers not washing their hands between client contact. He wants to initiate a change
in practice. Which of the following actions should he perform?
Monitor to ensure that all statt consistently wash their hands between each client contact
a. D
b. Have a discussion about hand washing with fellow nurses during the morning break
c. Report the lack of hand washing to the local Medical Oflcer of Health for a follow-up with
the health care workers
d. Develop a poster and pamphlet to be used at the sinks on each unit to promote hand
washing
A 84-year-old client at a long-term care facility suddenly dies. Which of the following reflects
the most appropriate time for the nurse to shroud the body?
After the body has been transferred to the morgue
a. B
b. After the family has had time with the body
c. As quickly as possible to accommodate the next admission
d. Before the family enters the room and sees the body
A nurse calls the health care provider (HCP) regarding a new medication prescription. The
dosage prescribed is higher than the recommended dosage, however, the nurse is unable
to locate the HCP for an explanation. Which action should the nurse take if the medication is
due to be administered at this moment?
C
a. Contact the nursing supervisor
b. Administer the dose prescribed
c. Hold the medication until the HCP can be contacted
d. Administer the recommended dose until the HCP can be located
Based on CCPNR (Canadian Council for Practical Nurse Regulators) outline around ethical
decision making, which of the following step is next after gathering the factual information
relevant to the issue?
a. Clarify the challenge or problem A
b. Describe the issue and identify the nature of the problem
c. Implement your decision as thoughtfully and sensitively as possible
d. Identify options for action, recognizing that the best option may not be obvious at the outset
A client scheduled for a cardiac catheterization mentioned to the practical nurse, "I thought I
understood everything when I signed the consent form, but now I'm unsure". Which of the
following responses by the nurse is best?
a. "You should have listened more closely to the explanation?" B
b. "Would you like to ask more questions."
c. "I'll get you a pamphlet about cardiac catheterization."
d. "That often happens during procedure explanations"
A practical nurse works in an orthopedic surgery unit of a hospital in Toronto. Many of the
clients are older adults (older than 60 years old) with increased risk for hospital-acquired
, infections. Which of the following is the most important step for the practical nurse to protect
her clients from hospital-acquired infections?
Review hygiene practices will all clients
a. B
b. Identify clients who are at risk
c. Restrict visitors
d. Lobby for the use of alcohol-based hand sanitizers
An RPN nurse inspects a client with a burn obtained as a result of iontophoresis. Would would
be the pH of the client's skin if the nurse correctly describes the burn as an alkaline reaction?
a. 6
A
b. 2
c. 4
d. 9
Vivian, a practical nurse, suspects that one of her coworkers is self-administering illegal drugs
during work hours. Based on the options below, which of the following is Vivian's first priority
action?
a. Discuss the concerns with one of the doctors D
b. Report the nurse to the provincial or territorial governing body
c. Determine if this is a breach of hospital policy
d. Notify the nurse manager and document the situation
Which member of the multidisciplinary team would you most likely collaborate with when
your pediatric client has had a traumatic amputation one or more months ago?
A Pedorthist
a. D
b. A Pediatric Nurse Practitioner
c. A Trauma Certified Clinical Nurse Specialist
d. A Prosthetist
During an educational session with a group of new practical nurses, the nurse educator
presents a sample client health records to analyze. One of the new nurses discovers that a
nurse has written "Verbal Order, acetylsalicylic acid (Aspirin), 500 mg, PO, prn, for pain." There
is no evidence that this was an emergency situation. Which of the following describes best
practice in relation to verbal medication orders? A
a. Verbal orders are only acceptable in an emergency situation
b. The same practice for phone orders should be followed for verbal orders
c. Verbal orders should never be accepted in any situation
d. Only RNs may receive verbal orders for medication from a physician
Several statt nurse express concerns performing to the nurse in charge of the hospital's
performance improvement program. The best way to evaluate and improve performance is
to implement:
a. A program that collects and analyzes performance data B
b. Mock codes
c. Inservice training
d. Written competency exams
A 71-year-old male is diagnosed with Parkinson's disease by the head physician at the neu-
rological clinic. How can the practical nurse help the client after he has just been diagnosed?
a. Ask about the physician's explanation to the client about the diagnosis
b. Mention about the many new treatment options for people with Parkinson's disease A
c. Mention how sorry you are about his diagnosis, but mention the benefits of taking the
drugs to maintain stability
d. Acknowledge the client is upset about his diagnosis and sit with him for a while
practical nurses (RPN), and 3 nurse practitioner (NPs). Peter notices a lack of team morale,
lack of clarity of roles and increasing negative communication between the team members.
How should Peter describe the level of education for the NP?
D
a. A nurse who has specialty certification from the Canadian Nurses Association
b. A nurse who has taken a special interest course in a unique field
c. A nurse who has an undergraduate degree in a discipline other than nursing
d. A nurse educated with a master's degree
A practical nurse has been reviewing research focusing on the benefits of hand washing in
preventing the spread of microorganisms. The last few days he has notices a number of health
care workers not washing their hands between client contact. He wants to initiate a change
in practice. Which of the following actions should he perform?
Monitor to ensure that all statt consistently wash their hands between each client contact
a. D
b. Have a discussion about hand washing with fellow nurses during the morning break
c. Report the lack of hand washing to the local Medical Oflcer of Health for a follow-up with
the health care workers
d. Develop a poster and pamphlet to be used at the sinks on each unit to promote hand
washing
A 84-year-old client at a long-term care facility suddenly dies. Which of the following reflects
the most appropriate time for the nurse to shroud the body?
After the body has been transferred to the morgue
a. B
b. After the family has had time with the body
c. As quickly as possible to accommodate the next admission
d. Before the family enters the room and sees the body
A nurse calls the health care provider (HCP) regarding a new medication prescription. The
dosage prescribed is higher than the recommended dosage, however, the nurse is unable
to locate the HCP for an explanation. Which action should the nurse take if the medication is
due to be administered at this moment?
C
a. Contact the nursing supervisor
b. Administer the dose prescribed
c. Hold the medication until the HCP can be contacted
d. Administer the recommended dose until the HCP can be located
Based on CCPNR (Canadian Council for Practical Nurse Regulators) outline around ethical
decision making, which of the following step is next after gathering the factual information
relevant to the issue?
a. Clarify the challenge or problem A
b. Describe the issue and identify the nature of the problem
c. Implement your decision as thoughtfully and sensitively as possible
d. Identify options for action, recognizing that the best option may not be obvious at the outset
A client scheduled for a cardiac catheterization mentioned to the practical nurse, "I thought I
understood everything when I signed the consent form, but now I'm unsure". Which of the
following responses by the nurse is best?
a. "You should have listened more closely to the explanation?" B
b. "Would you like to ask more questions."
c. "I'll get you a pamphlet about cardiac catheterization."
d. "That often happens during procedure explanations"
A practical nurse works in an orthopedic surgery unit of a hospital in Toronto. Many of the
clients are older adults (older than 60 years old) with increased risk for hospital-acquired
, infections. Which of the following is the most important step for the practical nurse to protect
her clients from hospital-acquired infections?
Review hygiene practices will all clients
a. B
b. Identify clients who are at risk
c. Restrict visitors
d. Lobby for the use of alcohol-based hand sanitizers
An RPN nurse inspects a client with a burn obtained as a result of iontophoresis. Would would
be the pH of the client's skin if the nurse correctly describes the burn as an alkaline reaction?
a. 6
A
b. 2
c. 4
d. 9
Vivian, a practical nurse, suspects that one of her coworkers is self-administering illegal drugs
during work hours. Based on the options below, which of the following is Vivian's first priority
action?
a. Discuss the concerns with one of the doctors D
b. Report the nurse to the provincial or territorial governing body
c. Determine if this is a breach of hospital policy
d. Notify the nurse manager and document the situation
Which member of the multidisciplinary team would you most likely collaborate with when
your pediatric client has had a traumatic amputation one or more months ago?
A Pedorthist
a. D
b. A Pediatric Nurse Practitioner
c. A Trauma Certified Clinical Nurse Specialist
d. A Prosthetist
During an educational session with a group of new practical nurses, the nurse educator
presents a sample client health records to analyze. One of the new nurses discovers that a
nurse has written "Verbal Order, acetylsalicylic acid (Aspirin), 500 mg, PO, prn, for pain." There
is no evidence that this was an emergency situation. Which of the following describes best
practice in relation to verbal medication orders? A
a. Verbal orders are only acceptable in an emergency situation
b. The same practice for phone orders should be followed for verbal orders
c. Verbal orders should never be accepted in any situation
d. Only RNs may receive verbal orders for medication from a physician
Several statt nurse express concerns performing to the nurse in charge of the hospital's
performance improvement program. The best way to evaluate and improve performance is
to implement:
a. A program that collects and analyzes performance data B
b. Mock codes
c. Inservice training
d. Written competency exams
A 71-year-old male is diagnosed with Parkinson's disease by the head physician at the neu-
rological clinic. How can the practical nurse help the client after he has just been diagnosed?
a. Ask about the physician's explanation to the client about the diagnosis
b. Mention about the many new treatment options for people with Parkinson's disease A
c. Mention how sorry you are about his diagnosis, but mention the benefits of taking the
drugs to maintain stability
d. Acknowledge the client is upset about his diagnosis and sit with him for a while
