Comp #1
1. The nurse caring for a 75 year old patient who has been diagnosed with cancer.
Spouse requests that pt not be told of diagnosis because it would be devastating to the
client. Patient asks the nurse about the diagnosis. What is a sample of ethical
principle of voracity?
● Let me contact your healthcare provider to talk to you about the diagnosis.
2. Nurse has attended a conference on informed consent.
● Informed consent can be waived per facility policy for urgent medical or surgical
treatment if the client is unconscious.
3. Nurse working on a med surg unit receiving reports. Patient to first assess?
● Patient who has an aortic aneurysm and has lumbar pain that radiates to the
flank area.
4. Nurse is caring for the following assigned clients who are 24 hours post op. Nurse
performs assessment four hours ago at change of shift assessment. What does nurse
identify as a priority:
● Client who reports an increasing pain level of 8 after receiving an opioid
analgesic.
5. Nurse preceptor teaching about legal principles. Which of the following is an example
of malpractice?
● A client who is competent and refuses an antidepressant medication. The nurse
dissolves the medication in food and administers it to the client without their
knowledge.
6. The nurse has a priority follow up with client who is
● Receiving a pyridostigmine and reports nausea and congestive cough
,7. Nurse on a pediatric unit is reviewing telemetry monitors for clients. Which of the
following patients should the nurse plan to assess:
● A 1 month old infant sleeping with a pulse of 180.
8. Nurse is caring for assigned clients. Recommend interdisciplinary conference for a
patient with:
● Late stage Parkinson's disease and is being discharged home
9. Nurse is reviewing the plan of care for a patient with a diagnosis of pericarditis and a
current WBC count of 1300 and a fever of 100.8. Which action is appropriate for the
nurse to take:
● Update nursing interventions as needed.
10. Charge nurse reviewing medical records for documentation. Which nurses notes
show the need for additional teaching?
● Found client sitting on floor, all 4 side rails up, no reports of pain from client and
no abrasions noted. PCHP notified; incident report completed.
11. Nurse is caring for clients with their own CPAP in the facility. Which is most
important?
● Have the machine inspected by the engineering department.
12. Nurse on med surg units is caring for clients. Emergency plan is activated. Which
patient will be discharged first?
● The patient has COPD with oral steroids and has an 02 sat of 88% on room air.
13. Nurse is watching a newly hired UAP. Correct client care is shown by newly hired
UAP If
● They place dedicated equipment in a room where a patient has herpes zoster.
Precautions
, 14. Nurse teaching class on child care safety to parents. Which shows a correct
understanding of teaching?
● Car seat chest clip at the level of infants armpits.
15. Nurse on pediatric unit has new orders Which order requires follow-up to PHCP?
● Discontinuation of hydrocortisone IV for a 10 year old client with adrenal cortical
insufficiency.
16. Nurse is receiving orders. Nurse should clarify orders for the client who:
● Has a diagnosis of polycythemia vera and is to receive 1 unit of packed red blood
cells
17. Nurse is assessing a client who is in labor and is supplemented with oxytocin IV.
Nurse should discontinue if client develops:
● Fetal HR of 68 for 90 seconds
18. Nurse in the pediatric unit has checked the following children. For expected growth
and developmental
● A 3 year old who has a vocabulary of 100 words.
19. PICTURE QUESTION-Nurse is auscultating heart sounds, which is showing aortic
valve
● #1 is the answer
20. Nurse working on a pediatric unit is assessing the following clients. What shows
presence of delay:
● 9 month old who is unable to stand while holding on
21. Nurse caring for pregnant clients who last had their period on November 19, Use
Naegele's rule for expected delivery.
● August 26
1. The nurse caring for a 75 year old patient who has been diagnosed with cancer.
Spouse requests that pt not be told of diagnosis because it would be devastating to the
client. Patient asks the nurse about the diagnosis. What is a sample of ethical
principle of voracity?
● Let me contact your healthcare provider to talk to you about the diagnosis.
2. Nurse has attended a conference on informed consent.
● Informed consent can be waived per facility policy for urgent medical or surgical
treatment if the client is unconscious.
3. Nurse working on a med surg unit receiving reports. Patient to first assess?
● Patient who has an aortic aneurysm and has lumbar pain that radiates to the
flank area.
4. Nurse is caring for the following assigned clients who are 24 hours post op. Nurse
performs assessment four hours ago at change of shift assessment. What does nurse
identify as a priority:
● Client who reports an increasing pain level of 8 after receiving an opioid
analgesic.
5. Nurse preceptor teaching about legal principles. Which of the following is an example
of malpractice?
● A client who is competent and refuses an antidepressant medication. The nurse
dissolves the medication in food and administers it to the client without their
knowledge.
6. The nurse has a priority follow up with client who is
● Receiving a pyridostigmine and reports nausea and congestive cough
,7. Nurse on a pediatric unit is reviewing telemetry monitors for clients. Which of the
following patients should the nurse plan to assess:
● A 1 month old infant sleeping with a pulse of 180.
8. Nurse is caring for assigned clients. Recommend interdisciplinary conference for a
patient with:
● Late stage Parkinson's disease and is being discharged home
9. Nurse is reviewing the plan of care for a patient with a diagnosis of pericarditis and a
current WBC count of 1300 and a fever of 100.8. Which action is appropriate for the
nurse to take:
● Update nursing interventions as needed.
10. Charge nurse reviewing medical records for documentation. Which nurses notes
show the need for additional teaching?
● Found client sitting on floor, all 4 side rails up, no reports of pain from client and
no abrasions noted. PCHP notified; incident report completed.
11. Nurse is caring for clients with their own CPAP in the facility. Which is most
important?
● Have the machine inspected by the engineering department.
12. Nurse on med surg units is caring for clients. Emergency plan is activated. Which
patient will be discharged first?
● The patient has COPD with oral steroids and has an 02 sat of 88% on room air.
13. Nurse is watching a newly hired UAP. Correct client care is shown by newly hired
UAP If
● They place dedicated equipment in a room where a patient has herpes zoster.
Precautions
, 14. Nurse teaching class on child care safety to parents. Which shows a correct
understanding of teaching?
● Car seat chest clip at the level of infants armpits.
15. Nurse on pediatric unit has new orders Which order requires follow-up to PHCP?
● Discontinuation of hydrocortisone IV for a 10 year old client with adrenal cortical
insufficiency.
16. Nurse is receiving orders. Nurse should clarify orders for the client who:
● Has a diagnosis of polycythemia vera and is to receive 1 unit of packed red blood
cells
17. Nurse is assessing a client who is in labor and is supplemented with oxytocin IV.
Nurse should discontinue if client develops:
● Fetal HR of 68 for 90 seconds
18. Nurse in the pediatric unit has checked the following children. For expected growth
and developmental
● A 3 year old who has a vocabulary of 100 words.
19. PICTURE QUESTION-Nurse is auscultating heart sounds, which is showing aortic
valve
● #1 is the answer
20. Nurse working on a pediatric unit is assessing the following clients. What shows
presence of delay:
● 9 month old who is unable to stand while holding on
21. Nurse caring for pregnant clients who last had their period on November 19, Use
Naegele's rule for expected delivery.
● August 26
