Solutions
. A home health nurse notices significant bruising on a 2-year-
old patient's head, arms, abdomen, and legs. The patient's
mother describes the patient's frequent falls. What is the best
nursing action for the home health nurse to take? Correct
Answer 1. Document her findings and treat the patient
2. Instruct the mother on safe handling of a 2-year-old child
**3. Contact a child abuse hotline**
4. Discuss this story with a colleague
. A nurse is planning care for a patient going to surgery. Who is
responsible for informing the patient about the surgery along
with possible risks, complications, and benefits? Correct
Answer 1. Family member
**2. Surgeon**
3. Nurse
4. Nurse manager
. Contemporary nursing requires that the nurse has knowledge
and skills for a variety of professional roles and responsibilities.
Which of the following are examples? (Select all that apply.)
Correct Answer **1. Caregiver**
**2. Autonomy and accountability**
**3. Patient advocate**
**4. Health promotion**
5. Lobbyist
. You are floated to work on a nursing unit where you are given
an assignment that is beyond your capability. Which is the best
,nursing action to take first? Correct Answer **1.Call the
nursing supervisor to discuss the situation**
2. Discuss the problem with a colleague
3. Leave the nursing unit and go home
4. Say nothing and begin your work
"Latent errors" are best defined as: Correct Answer Defects in
the design and organization of processes and systems.
1. A nurse enters the room of a 32-year-old patient newly
diagnosed with cancer at the beginning of the 0700
evening/night shift. The nurse noted in the patient's nursing
history that this is her first hospitalization. She is scheduled for
surgery in the morning to remove a tumor and has questions
about what to expect after surgery. She is observed talking with
her mother and is crying. The patient says, "This is so unfair."
An order has been written for an enema to be given this evening
in preparation for the surgery. The nurse establishes priorities
for which of the following situations first? Correct Answer 1.
Giving the enema on time
2. Talking with the patient about her past experiences with
illness
**3. Talking with the patient about her concerns and
acknowledging her sense of unfairness**
4. Beginning instruction on postoperative procedures
1. A nurse researcher studies the effectiveness of a new program
designed to educate parents to promote the immunization of
children. The nurse divides the parents randomly into two
groups. One group receives the typical educational program and
,the other group receives the new program. This is an example of
which type of study? Correct Answer 1. Historical
2. Qualitative
3. Correlational
*4. Experimental*
1. A nurse working on a surgery floor is assigned five patients
and has a patient care technician assisting her. Which of the
following shows the nurse's understanding and ability to safely
delegate to the patient care tech? (Select all that apply.) Correct
Answer *1. The nurse considers the time available to gather
routine vital signs on one patient before checking on a second
patient arriving from a diagnostic test.*
2. Determining what is the patient care technician's current
workload.
*3. The nurse chooses to delegate the measurement of a stable
patient's vital signs and not the assessment of the patient arriving
from a diagnostic test.*
*4. The nurse reviews with the NAP, newly hired to the floor,
her experience in measuring a blood pressure.*
5. The nurse confers with another registered nurse about
organizing priorities.
1. For the nursing diagnosis of Deficient Knowledge a nurse
selects an outcome from the Nursing Outcome Classification
(NOC) of patient knowledge of arthritis treatment. Which of the
following are examples of an outcome indicator for this
outcome? (Select all that apply.) Correct Answer 1. Nurse
provides four teaching sessions before discharge.
2. Patient denies joint pain following heat application.
, *3. Patient describes correct schedule for taking antiarthritic
medications.*
*4. Patient explains situations for using heat application on
inflamed joints.*
5. Patient explains role family caregiver plays in applying heat
to inflamed joint.
1. Two patient deaths have occurred on a medical unit in the last
month. The staff notices that everyone feels pressured and team
members are getting into more arguments. As a nurse on the
unit, what will best help you manage this stress? Correct
Answer 1. Keep a journal
**2. Participate in a unit meeting to discuss feelings about the
patient deaths**
3. Ask the nurse manager to assign you to less difficult patients
4. Review the policy and procedure manual on proper care of
patients after death
1. Which of the following examples are steps of nursing
assessment? (Select all that apply.) Correct Answer **1.
Collection of information from patient's family members**
**2. Recognition that further observations are needed to clarify
information**
**3. Comparison of data with another source to determine data
accuracy**
4. Complete documentation of observational information
5. Determining which medications to administer based on a
patient's assessment data
1) According to the World Health Organization (WHO), how
could at least half a million deaths due to surgical error be