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1. A nurse manager of a med surge unit is assigning care
responsibilities for the oncoming shift. A client is waiting transfer
back to the unit from the PACU following thoracic surgery. To which
staff member should the nurse assign the client?
A. Charge nurse
B. RN
C. LVN
D. AP: ANS B
2. What is the study of conduct and character?: ANS Ethics
3. What are the values and beliefs that guide behavior and decision
making?-
: Morals
4. What is the right to make ones own personal decisions, even
tho those decisions might not be in the persons best interest:
ANS Autonomy
5. What are positive actions to help others: ANS Beneficience
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, 6. What is an agreement to keep promises: ANS Fidelity
7. What is fairness in care delivery and use of resources: ANS
Justice
8. What is avoidance of harm or injury: ANS Non-maleficence
9. A nurse is caring for a client who decides not to have surgery
despite significant blockages in his coronary arteries. The nurse
understands that this clients choice is an example of what
principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience: ANS A
10. A nurse offers pain meds to a client who is postop prior to
ambulation. The nurse understands that this aspect of care delivery
is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficience: ANS D
11. A nurse is instructing a group of nursing students about the
responsibili- ties involved with organ donation and procurement.
When the nurse explains that all clients waiting for a kidney
transplant have to meet the same qualifica- tions, the students
should understand that this aspect of care delivery is an example
of which ethical principle
A. Fidelity
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, B. Autonomy
C. Justice
D. Nonmaleficence: ANS C
12. What can be delegated to Assistive personnel (AP)?: - ADLs -
bathing - grooming - dressing - ambulating - feeding (w/o swallow
precautions) - positioning - bed making - specimen collection - I&O - VS
(stable clients
13. A nurse on a med surge unit has recieved change of shift
report and will care for 4 clients. Which of the following clients
needs will the nurse assign to an AP?
A. Feeding a client who was admitted 24 hours ago with aspiration
pneumo- nia
B. Reinforcing teaching with a client who is learning to walk with a
quad cane
C. Reapplying a condom catheter for a client who has urinary
incontinence
D. Applying a sterile dressing to a pressure ulcer: ANS C
14. A nurse is delegating the ambulation of a client who had
knee arthroplasty 5 days ago to an AP. Which of the following info
should the nurse share with the AP?
Select all:
A. the roommate is up independently
B. The client ambulates with his slippers on over his antiembolic
stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50 % of his breakfast this
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, morning: ANS B C
D
15. An RN is making assignments for client care to an LPN at
the beginning of the shift. Which of the following assignments
should the LPN question?
A. Assisting a client who is 24 hr postop to use an incentive
spirometer
B. Collecting a clean catch urine specimen from a client who was
admitted on the previous shift
C. providing nasopharyngeal suctioning for a client who has
pneumonia
D. Replacing the cartridge and tubing on a PCA pump: ANS D
16. A nurse is preparing an inservice program about
delegation. Which of the following elements should she identify
when presenting the 5 rights of delegation. Select all:
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances: ANS B
17. A nurse questions a med prescription as too extreme and
light of the clients advanced age and unstable status. The nurse
understands that this action is an example of which ethical
principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificence: ANS D
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