PCCN ANSWERS AND QUESTIONS SET A+
✔✔Which statement best describes the nursing process?
A. assessment, planning, implementation and evaluation
B. planning, implementation and teaching
C. diagnosing and evaluation
D. charting and staffing - ✔✔A. assessment, planning, implementation and evaluation
Assessment, planning, implementation and evaluation are the four steps of the nursing
process. The other answers are incorrect or incomplete.
✔✔Ms. Regal was involved in a motor-vehicle accident and is in critical condition. Her
mother is at bedside and is found applying a homeopathic cream to her forehead. Your
best response would be:
A. Immediately wash off the cream, and ban the mother from unsupervised visits
B. Explain that homeopathic treatments are of limited value
C. Obtain more information about the treatment
D. Call security - ✔✔C. Obtain more information about the treatment
Application of homeopathic cream may or may not affect the patient's condition. The
mother believes this treatment will benefit the patient. By obtaining more information
about the actual cream, the nurse is supporting both the patient and the patient's
mother's need to do something to help. Immediately washing off the cream and banning
the mother from the room would isolate the family more. Finding out about the cream
first is the correct approach. There are many homeopathic products that do work for the
patient's benefit whereas belittling the mother's belief or calling security will isolate the
mother.
✔✔During your admission assessment, you find that your patient takes the herbal
preparation ginseng daily. Your assessment should include:
A. assessing for hypotension
B. watching for bleeding
C. analyzing blood lipid levels
D. evaluation for depression - ✔✔B. watching for bleeding
Ginseng is one of the herbal preparations that may increase bleeding in patients.
Ginger, ginseng, garlic and ginkgo all may potentiate bleeding in patients. The other
answers are incorrect.
, ✔✔A nurse who is new to your unit is having trouble using your monitors. Your best
response is to:
A. Provide the operational manual for the monitor
B. Assist her with the operation of the monitor
C. Set up the monitor for her
D. Answer her questions as she sets up the monitor. - ✔✔D. Answer her questions as
she sets up the monitor
This allows the nurse the opportunity to perform the task but have the availability of the
knowledgeable nurse to answer questions and watch for errors.
✔✔A nursing team leader delegates a task to an unlicensed assistant caring for your
patient. Who is responsible for the patient outcomes?
A. the unlicensed person who completes the task
B. both the team leader and the unlicensed person who completes the task
C. the team leader who delegates the task
D. the administrative staff - ✔✔C. the team leader who delegates the task
The nurse who delegates remains ultimately accountable for patient outcomes and for
supervision of the person to whom the task was assigned. The scope of nursing
includes delegation of tasks to unlicensed assistant personnel, providing those
personnel have adequate training and knowledge. Delegation can be used to manage
the workload and to provide adequate and safe care.
✔✔The Health Insurance Portability and Accountability Act (HIPAA) regulates:
A. the transfer of patients from one facility to another
B. clinical trials
C. workplace safety
D. the rights of the individual related to privacy of health information - ✔✔D. the rights of
the individual related to privacy of health information
The nurse must not release any information or documentation about a patient's
condition or treatment without consent, as the individual has the right to determine who
has access to personal information considered protected health information, including
history, condition, treatments in any form and any documentation. Personal information
can be shared with spouse, legal guardians and those with durable power of attorney.
✔✔Your patient is diagnosed with anoxic brain injury. The family overhears a physician
stating that dialysis would improve the patient's condition. Your best response to the
family would be:
A. Explain to them that this physician does not have all the facts
B. Reinforce the diagnosis and the limited value of dialysis.
C. Speak to the physician about his comments and the patient's prognosis
D. Ignore the concern and ask the family to sign a do-not-resuscitate (DNR) form -
✔✔C. Speak to the physician about his comments and the patient's prognosis
Direct communication with the physician is the best avenue. The physician may feel that
dialysis will improve the patient's BUN-to-creatinine ratio, and that will improve the
✔✔Which statement best describes the nursing process?
A. assessment, planning, implementation and evaluation
B. planning, implementation and teaching
C. diagnosing and evaluation
D. charting and staffing - ✔✔A. assessment, planning, implementation and evaluation
Assessment, planning, implementation and evaluation are the four steps of the nursing
process. The other answers are incorrect or incomplete.
✔✔Ms. Regal was involved in a motor-vehicle accident and is in critical condition. Her
mother is at bedside and is found applying a homeopathic cream to her forehead. Your
best response would be:
A. Immediately wash off the cream, and ban the mother from unsupervised visits
B. Explain that homeopathic treatments are of limited value
C. Obtain more information about the treatment
D. Call security - ✔✔C. Obtain more information about the treatment
Application of homeopathic cream may or may not affect the patient's condition. The
mother believes this treatment will benefit the patient. By obtaining more information
about the actual cream, the nurse is supporting both the patient and the patient's
mother's need to do something to help. Immediately washing off the cream and banning
the mother from the room would isolate the family more. Finding out about the cream
first is the correct approach. There are many homeopathic products that do work for the
patient's benefit whereas belittling the mother's belief or calling security will isolate the
mother.
✔✔During your admission assessment, you find that your patient takes the herbal
preparation ginseng daily. Your assessment should include:
A. assessing for hypotension
B. watching for bleeding
C. analyzing blood lipid levels
D. evaluation for depression - ✔✔B. watching for bleeding
Ginseng is one of the herbal preparations that may increase bleeding in patients.
Ginger, ginseng, garlic and ginkgo all may potentiate bleeding in patients. The other
answers are incorrect.
, ✔✔A nurse who is new to your unit is having trouble using your monitors. Your best
response is to:
A. Provide the operational manual for the monitor
B. Assist her with the operation of the monitor
C. Set up the monitor for her
D. Answer her questions as she sets up the monitor. - ✔✔D. Answer her questions as
she sets up the monitor
This allows the nurse the opportunity to perform the task but have the availability of the
knowledgeable nurse to answer questions and watch for errors.
✔✔A nursing team leader delegates a task to an unlicensed assistant caring for your
patient. Who is responsible for the patient outcomes?
A. the unlicensed person who completes the task
B. both the team leader and the unlicensed person who completes the task
C. the team leader who delegates the task
D. the administrative staff - ✔✔C. the team leader who delegates the task
The nurse who delegates remains ultimately accountable for patient outcomes and for
supervision of the person to whom the task was assigned. The scope of nursing
includes delegation of tasks to unlicensed assistant personnel, providing those
personnel have adequate training and knowledge. Delegation can be used to manage
the workload and to provide adequate and safe care.
✔✔The Health Insurance Portability and Accountability Act (HIPAA) regulates:
A. the transfer of patients from one facility to another
B. clinical trials
C. workplace safety
D. the rights of the individual related to privacy of health information - ✔✔D. the rights of
the individual related to privacy of health information
The nurse must not release any information or documentation about a patient's
condition or treatment without consent, as the individual has the right to determine who
has access to personal information considered protected health information, including
history, condition, treatments in any form and any documentation. Personal information
can be shared with spouse, legal guardians and those with durable power of attorney.
✔✔Your patient is diagnosed with anoxic brain injury. The family overhears a physician
stating that dialysis would improve the patient's condition. Your best response to the
family would be:
A. Explain to them that this physician does not have all the facts
B. Reinforce the diagnosis and the limited value of dialysis.
C. Speak to the physician about his comments and the patient's prognosis
D. Ignore the concern and ask the family to sign a do-not-resuscitate (DNR) form -
✔✔C. Speak to the physician about his comments and the patient's prognosis
Direct communication with the physician is the best avenue. The physician may feel that
dialysis will improve the patient's BUN-to-creatinine ratio, and that will improve the
