CPNRE exam questions and answers

CPNRE exam questions and answers Which is an adverse effect of digoxin? -Answer-bradycardia What does TKVO mean? -Answer-To keep vein open Mr. Singh is experiencing asthma and acute shortness of breath and wheezing, whats the first thing you should do? -Answer-Administer rescue inhaler Which of the following is most important when performing a preoperative assessment? - Answer-physical assessment Which of the following would be elicit the best information about a patients pain? - Answer-Describe your pain to me (open ended) The practical nurses scope of practice is determined by -Answer-legislation and regulatory and licensure requirments Intentional torts -Answer-Assault Battery Invasion of privacy False imprisonment Battery -Answer-the intentional touching of a person without his or her consent Unintentional torts -Answer-Negligence is a failure to take the care that a reasonable nurse in similar circumstances would have taken. Examples of activities that nurses may be charged with -Answer-- theft of narcotics - theft of client or agency property - assisted suicide - criminal negligence Common negligence acts -Answer-medication errors, intravenous therapy errors that result in phlebitis or infiltrations, burns caused by equipment, falls, failure to use aseptic technique, failure to report, failure to monitor a patients condition, failure to notify a physician Principles of accountability for nurses -Answer-- responsible and accountable for their decisions and actions - engage in self reflection and continuous learning to maintain and enhance competence - accountable and responsible for assessing their individual fitness to practice. - practical nurses demonstrate and apply knowledge of the distinction between ethical responsible and legal rights Code of nursing ethics -Answer-- being accountable for ones actions - upholding the patients rights to privacy and confidentiality - providing care that maintains pt dignity - respect at all times - promoting integrity by providing safe, competent, and ethical nursing care - evaluating ones work and maintaining competency A professional relationship is created through -Answer-the nurses application of knowledge, communication theory, understanding of human behaviour, and commitment to ethical behaviour. Four phases of the nurse client relationship -Answer-*Pre-interaction*: Gathering information; assessing one's feelings, fears, and anxieties about working with a particular client *Orientation*: nurse and client become acquainted. Goal is to establish trust. *Working*: Goal is to promote client change *Termination*: Evaluate goal attainment; and ensure therapeutic closure -penia -Answer-reduced amount Best approach to conflict resolution -Answer-collaboration The repeat back method consists of -Answer-identification, situation, background, assessment, recommendations, repeat back before consent, patients need to receive -Answer-full disclosure of all details of the procedure. Can practical nurses obtain consent for surgery? -Answer-no because they are not conducting the surgery, but may be a witness consent can be -Answer-verbal, written, and implicit Example of implicit consent; -Answer-client lifting leg for wound care Cno practice standard for resuscitation is based on these ethical values -Answer-- respect for ones well-being - client choice - privacy and confidentiality - respect for life - maintaining comittments - truthfulness and fairness medication treatment is used for -Answer-dx, treatment, cure, relief, and prevention Idiosyncratic reactions -Answer-are unpredictable and occur when an individual overreaction from the medication or has a different reaction from the norm. After a medication is taken it breaks down in the body and is -Answer-absorbed, distributed, metabolized, and excreted 10 rights of medication administration -Answer-right medication, right dose, right client, right route, right time, right documentation, right reason, right to refuse, right client education, right evaluation oral medications -Answer-given by mouth. easiest route , most common, and has the slowest, most prolonged effect sublingual medications -Answer-placed under the tongue and should not be swallowed. parenteral medications -Answer-injected into the body tissues. The four main sites are: - intradermal, subcutaneous (only for volumes of 0.5-1ml) - intramuscular (for volumes up to 3ml) - IV inhalation route -Answer-used to administer medications through nasal passages, orally, by endotracheal tube or via tracheostomy The nursing process -Answer-1. assessment 2. analysis 3. planning 4. implementation 5. evaluation, outcome, and revision of care During a documentation session in the hospital, one of the new practical nurses asks what abbreviations can be used within the patients health record? what abbreviations can the nurse use? -Answer-Must be approved by the agency (hospital)