Exam 3 Nursing Test Bank Questions &
Answers
A new nurse notes that the health care unit keeps a listing of patient names in a
closed book behind the front desk of the nursing station so patients can be located
easily. What action is most appropriate for the nurse to take?
a.
Move the book to the upper ledge of the nursing station for easier access.
b.
Talk with the nurse manager about the listing being a violation of the Health
Insurance Portability and Accountability Act (HIPAA).
c.
Use the book as needed while keeping it away from individuals not involved in
patient care.
d.
Ask the nurse manager to move the book to a more secluded area. - Answer-c.
Use the book as needed while keeping it away from individuals not involved in
patient care.
A 17-year-old patient, dying of heart failure, wants to have his organs removed for
transplantation after his death. What action by the nurse is correct?
a.
Prepare the organ donation form for the patient to sign while he is still oriented.
b.
Instruct the patient to talk with his parents about his desire to donate his organs.
c.
Notify the physician about the patient's desire to donate his organs.
d.
Contact the United Network for Organ Sharing after talking with the patient. -
Answer-b.
Instruct the patient to talk with his parents about his desire to donate his organs.
An obstetrical nurse comes across an automobile accident. The patient seems to
have a crushed upper airway, and while waiting for emergency medical services to
arrive, the nurse makes a cut in the trachea and inserts a straw from her purse to
provide an airway. The patient survives and has a permanent problem with his vocal
cords, making it difficult to talk. Which statement is true regarding the nurse's
performance?
a.
The nurse acted appropriately and saved the patient's life.
b.
The nurse acted within the guidelines of the Good Samaritan Law.
c.
The nurse took actions beyond those that are standard and appropriate.
d.
The nurse should have just stayed with the patient and waited for help. - Answer-c.
The nurse took actions beyond those that are standard and appropriate.
A nurse performs cardiopulmonary resuscitation (CPR) on a 92-year-old with brittle
bones and breaks a rib during the procedure, which then punctures a lung. The
,patient recovers completely without any residual problems and sues the nurse for
pain and suffering, and for malpractice. What key point will the prosecution attempt
to prove?
a.
The CPR procedure was done incorrectly.
b.
The patient would have died if nothing was done.
c.
The patient was resuscitated according to policy.
d.
Patients with brittle bones might sustain fractures when chest compressions are
done. - Answer-a.
The CPR procedure was done incorrectly.
A recent immigrant who does not speak English is alert and requires hospitalization.
What is the initial action that the nurse must take to enable informed consent to be
obtained?
a.
Ask a family member to translate what the nurse is saying.
b.
Notify the health care provider that the patient doesn't speak English.
c.
Request an official interpreter to explain the terms of consent.
d.
Use hand gestures and medical equipment while explaining in English. - Answer-c.
Request an official interpreter to explain the terms of consent.
A pediatric oncology nurse floats to an orthopedic trauma unit. What actions should
the nurse manager of the orthopedic unit take to enable safe care to be given by this
nurse?
a.
Provide a complete orientation to the functioning of the entire unit.
b.
Determine patient acuity and care the nurse can safely provide.
c.
Allow the nurse to choose which meal time she would like.
d.
Assign nursing assistive personnel to assist her with care. - Answer-b.
Determine patient acuity and care the nurse can safely provide.
While recovering from a severe illness, a hospitalized patient states that he wants to
change his living will, which he signed nine months ago. Which response by the
nurse is most appropriate?
a.
"Check with your admitting health care provider whether a copy is on your chart."
b.
"Have you talked with your attorney recently about a living will?"
c.
"Your living will can be changed only once each calendar year."
d.
"Let me check with someone here in the hospital who can assist you." - Answer-d.
"Let me check with someone here in the hospital who can assist you."
, A nurse notices that his neighbor's preschool children are often playing on the
sidewalk and in the street unsupervised and repeatedly takes them back to their
home and talks with the parent available, but the situation continues. What
immediate action by the nurse is mandated by law?
a.
Talk with both parents about safety needs of their children.
b.
Contact the appropriate community child protection agency.
c.
Tell the parents that the authorities will be contacted shortly.
d.
Take pictures of the children to support the overt child abuse. - Answer-b.
Contact the appropriate community child protection agency.
A confused patient with a urinary catheter, nasogastric tube, and intravenous line
keeps touching these needed items for care. The nurse has tried to explain to the
patient that he should not touch these lines, but the patient continues. What is the
best action by the nurse at this time?
a.
Apply restraints loosely on the patient's dominant wrist.
b.
Try other approaches to prevent the patient from touching these care items.
c.
Notify the health care provider that restraints are needed immediately to maintain the
patient's safety.
d.
Allow the patient to pull out lines to prove that the patient needs to be restrained. -
Answer-b.
Try other approaches to prevent the patient from touching these care items.
A patient with sepsis as a result of long-term leukemia dies 25 hours after admission
to the hospital. A full code was conducted without success. The patient had a urinary
catheter, an intravenous line, an oxygen cannula, and a nasogastric tube. What
question is priority for the nurse to ask the family before beginning postmortem care?
a.
"Do you want to assist in bathing your loved one?"
b.
"Is an autopsy going to be done?"
c.
"To which funeral home do you want your loved one transported?"
d.
"Do you want me to remove the lines and tubes before you see your loved one?" -
Answer-b.
"Is an autopsy going to be done?"
Conjoined twins are in the neonatal department of the community hospital until
transfer to the closest medical center. A photographer from the local newspaper gets
off the elevator on the neonatal floor and wants to take pictures of the infants. What
initial action should the nurse take?
a.
Escort the cameraman to the neonatal unit while a few pictures are taken quietly.
b.
Tell the cameraman where the hospital's public relations department is located.
Answers
A new nurse notes that the health care unit keeps a listing of patient names in a
closed book behind the front desk of the nursing station so patients can be located
easily. What action is most appropriate for the nurse to take?
a.
Move the book to the upper ledge of the nursing station for easier access.
b.
Talk with the nurse manager about the listing being a violation of the Health
Insurance Portability and Accountability Act (HIPAA).
c.
Use the book as needed while keeping it away from individuals not involved in
patient care.
d.
Ask the nurse manager to move the book to a more secluded area. - Answer-c.
Use the book as needed while keeping it away from individuals not involved in
patient care.
A 17-year-old patient, dying of heart failure, wants to have his organs removed for
transplantation after his death. What action by the nurse is correct?
a.
Prepare the organ donation form for the patient to sign while he is still oriented.
b.
Instruct the patient to talk with his parents about his desire to donate his organs.
c.
Notify the physician about the patient's desire to donate his organs.
d.
Contact the United Network for Organ Sharing after talking with the patient. -
Answer-b.
Instruct the patient to talk with his parents about his desire to donate his organs.
An obstetrical nurse comes across an automobile accident. The patient seems to
have a crushed upper airway, and while waiting for emergency medical services to
arrive, the nurse makes a cut in the trachea and inserts a straw from her purse to
provide an airway. The patient survives and has a permanent problem with his vocal
cords, making it difficult to talk. Which statement is true regarding the nurse's
performance?
a.
The nurse acted appropriately and saved the patient's life.
b.
The nurse acted within the guidelines of the Good Samaritan Law.
c.
The nurse took actions beyond those that are standard and appropriate.
d.
The nurse should have just stayed with the patient and waited for help. - Answer-c.
The nurse took actions beyond those that are standard and appropriate.
A nurse performs cardiopulmonary resuscitation (CPR) on a 92-year-old with brittle
bones and breaks a rib during the procedure, which then punctures a lung. The
,patient recovers completely without any residual problems and sues the nurse for
pain and suffering, and for malpractice. What key point will the prosecution attempt
to prove?
a.
The CPR procedure was done incorrectly.
b.
The patient would have died if nothing was done.
c.
The patient was resuscitated according to policy.
d.
Patients with brittle bones might sustain fractures when chest compressions are
done. - Answer-a.
The CPR procedure was done incorrectly.
A recent immigrant who does not speak English is alert and requires hospitalization.
What is the initial action that the nurse must take to enable informed consent to be
obtained?
a.
Ask a family member to translate what the nurse is saying.
b.
Notify the health care provider that the patient doesn't speak English.
c.
Request an official interpreter to explain the terms of consent.
d.
Use hand gestures and medical equipment while explaining in English. - Answer-c.
Request an official interpreter to explain the terms of consent.
A pediatric oncology nurse floats to an orthopedic trauma unit. What actions should
the nurse manager of the orthopedic unit take to enable safe care to be given by this
nurse?
a.
Provide a complete orientation to the functioning of the entire unit.
b.
Determine patient acuity and care the nurse can safely provide.
c.
Allow the nurse to choose which meal time she would like.
d.
Assign nursing assistive personnel to assist her with care. - Answer-b.
Determine patient acuity and care the nurse can safely provide.
While recovering from a severe illness, a hospitalized patient states that he wants to
change his living will, which he signed nine months ago. Which response by the
nurse is most appropriate?
a.
"Check with your admitting health care provider whether a copy is on your chart."
b.
"Have you talked with your attorney recently about a living will?"
c.
"Your living will can be changed only once each calendar year."
d.
"Let me check with someone here in the hospital who can assist you." - Answer-d.
"Let me check with someone here in the hospital who can assist you."
, A nurse notices that his neighbor's preschool children are often playing on the
sidewalk and in the street unsupervised and repeatedly takes them back to their
home and talks with the parent available, but the situation continues. What
immediate action by the nurse is mandated by law?
a.
Talk with both parents about safety needs of their children.
b.
Contact the appropriate community child protection agency.
c.
Tell the parents that the authorities will be contacted shortly.
d.
Take pictures of the children to support the overt child abuse. - Answer-b.
Contact the appropriate community child protection agency.
A confused patient with a urinary catheter, nasogastric tube, and intravenous line
keeps touching these needed items for care. The nurse has tried to explain to the
patient that he should not touch these lines, but the patient continues. What is the
best action by the nurse at this time?
a.
Apply restraints loosely on the patient's dominant wrist.
b.
Try other approaches to prevent the patient from touching these care items.
c.
Notify the health care provider that restraints are needed immediately to maintain the
patient's safety.
d.
Allow the patient to pull out lines to prove that the patient needs to be restrained. -
Answer-b.
Try other approaches to prevent the patient from touching these care items.
A patient with sepsis as a result of long-term leukemia dies 25 hours after admission
to the hospital. A full code was conducted without success. The patient had a urinary
catheter, an intravenous line, an oxygen cannula, and a nasogastric tube. What
question is priority for the nurse to ask the family before beginning postmortem care?
a.
"Do you want to assist in bathing your loved one?"
b.
"Is an autopsy going to be done?"
c.
"To which funeral home do you want your loved one transported?"
d.
"Do you want me to remove the lines and tubes before you see your loved one?" -
Answer-b.
"Is an autopsy going to be done?"
Conjoined twins are in the neonatal department of the community hospital until
transfer to the closest medical center. A photographer from the local newspaper gets
off the elevator on the neonatal floor and wants to take pictures of the infants. What
initial action should the nurse take?
a.
Escort the cameraman to the neonatal unit while a few pictures are taken quietly.
b.
Tell the cameraman where the hospital's public relations department is located.
