Alternate Format Test 4 (SATA)
Actual Exam Questions | 100%
Correct Answers | Verified 202,
Exams of Nursing
The nurse notes that a patient is positive for the hepatitis B surface antigen.
Which questions should the nurse include in the patient's assessment to help
determine the source of the infection?
Select all that apply.
1. "Have you been anywhere where the water may have been
contaminated?"
2. "Have you eaten any food in areas where the workers may not have had
access to hand washing?"
3. "Have you had unprotected sex with anyone who has hepatitis B?"
4. "Have you eaten any raw shellfish lately?"
5. "Have you had a recent blood transfusion?"
6. "Do you share needles with anyone?" - ANSWER >>>>>Show/hide
explanation
1) hepatitis A is spread through the fecal-oral route by ingestion of fecal
contaminants
2) hepatitis A is spread through the fecal-oral route by ingestion of fecal
contaminants
,3) CORRECT - hepatitis B is shed in the body fluid of infected individuals; a
mode of transmission of hepatitis B is from unprotected sex with someone
who is infected
4) refers to transmission hepatitis A
5) CORRECT - hepatitis B is shed in the body fluid of infected individuals; a
mode of transmission of hepatitis B is from blood transfusions
6) CORRECT - hepatitis B is shed in the body fluid of infected individuals; a
mode of transmission of hepatitis B is needle sharing
1) CORRECT- Infant needs to be warmed. Skin-to-skin maternal-infant contact
can help raise the infant's temperature.
2) Cover the couplet with a warmed blanket. Blankets for newborns with a
low temperature need to be pre-warmed; blankets from the linen cart are
not pre-warmed.
3) CORRECT - Covering the newborn's head with a hat/cap, or swaddling in a
blanket with its head covered, will help prevent heat loss from the head.
4) CORRECT - Newborns need to wear only a diaper under a radiant warmer;
this action increases the surface area to absorb the radiant heat.
5) Newborns need to be thermodynamically stable prior to the first bath. The
newborn will lose heat due to evaporation during the bath.
The client was recently admitted from the emergency department. The nurse
prepares the client's prescribed medications. Which steps does the nurse
take to ensure the client receives the correct medication?
,Select all that apply.
1. Asks another nurse to verify the medications after retrieving the
medications from the medication system.
2. Documents the administration of the medications before delivering them
to the client.
3. Calls the client by name only to make sure the correct client is receiving
the correct medication.
4. Focuses only on the delivery of the medication for the client.
5. Questions the prescriber of a medication if the dose seems too large.
6. Verifies the medication label with the medication administration record
three times. - ANSWER >>>>>Show/hide explanation
1) double verification is only required for specific medications, such as
insulin; double-verifying all medications is impractical; some calculated
dosages should be double-checked
2) documentation of medication administration is completed immediately
after the delivery, not before
3) use at least two client identifiers when administering medications
4) CORRECT — prepare medications for only one client at a time in an
uninterrupted environment
5) CORRECT — medication needs to be verified if the dose seems too large or
too small
, 6) CORRECT — labels need to be read at least 3 times and verified with the
medication record
The nurse administers medication. While documenting the administration,
the nurse realizes an error in administration. Which actions must the nurse
take?
Select all that apply.
1. Evaluate the effect of the medication.
2. Notify the patient's health care provider.
3. Call the hospital's Risk Manager.
4. Notify the patient of the error.
5. Notify the nurse's attorney.
6. Complete an occurrence report. - ANSWER >>>>>Show/hide explanation
1) CORRECT - One of the nurse's role is evaluation of therapeutic modalities,
even if the patient receives an incorrect treatment.
2) CORRECT - The nurse needs to notify the health care provider, the patient,
and the charge nurse/nurse manager all need to be informed of the error.
3) Risk Management will be informed via the occurrence/incident report. The
department does not need to be informed separately. If the error is
significant, e.g. resulted in a death, then the nurse manager will need to
contact the Risk Manager.
4) CORRECT - Appropriate action.
Actual Exam Questions | 100%
Correct Answers | Verified 202,
Exams of Nursing
The nurse notes that a patient is positive for the hepatitis B surface antigen.
Which questions should the nurse include in the patient's assessment to help
determine the source of the infection?
Select all that apply.
1. "Have you been anywhere where the water may have been
contaminated?"
2. "Have you eaten any food in areas where the workers may not have had
access to hand washing?"
3. "Have you had unprotected sex with anyone who has hepatitis B?"
4. "Have you eaten any raw shellfish lately?"
5. "Have you had a recent blood transfusion?"
6. "Do you share needles with anyone?" - ANSWER >>>>>Show/hide
explanation
1) hepatitis A is spread through the fecal-oral route by ingestion of fecal
contaminants
2) hepatitis A is spread through the fecal-oral route by ingestion of fecal
contaminants
,3) CORRECT - hepatitis B is shed in the body fluid of infected individuals; a
mode of transmission of hepatitis B is from unprotected sex with someone
who is infected
4) refers to transmission hepatitis A
5) CORRECT - hepatitis B is shed in the body fluid of infected individuals; a
mode of transmission of hepatitis B is from blood transfusions
6) CORRECT - hepatitis B is shed in the body fluid of infected individuals; a
mode of transmission of hepatitis B is needle sharing
1) CORRECT- Infant needs to be warmed. Skin-to-skin maternal-infant contact
can help raise the infant's temperature.
2) Cover the couplet with a warmed blanket. Blankets for newborns with a
low temperature need to be pre-warmed; blankets from the linen cart are
not pre-warmed.
3) CORRECT - Covering the newborn's head with a hat/cap, or swaddling in a
blanket with its head covered, will help prevent heat loss from the head.
4) CORRECT - Newborns need to wear only a diaper under a radiant warmer;
this action increases the surface area to absorb the radiant heat.
5) Newborns need to be thermodynamically stable prior to the first bath. The
newborn will lose heat due to evaporation during the bath.
The client was recently admitted from the emergency department. The nurse
prepares the client's prescribed medications. Which steps does the nurse
take to ensure the client receives the correct medication?
,Select all that apply.
1. Asks another nurse to verify the medications after retrieving the
medications from the medication system.
2. Documents the administration of the medications before delivering them
to the client.
3. Calls the client by name only to make sure the correct client is receiving
the correct medication.
4. Focuses only on the delivery of the medication for the client.
5. Questions the prescriber of a medication if the dose seems too large.
6. Verifies the medication label with the medication administration record
three times. - ANSWER >>>>>Show/hide explanation
1) double verification is only required for specific medications, such as
insulin; double-verifying all medications is impractical; some calculated
dosages should be double-checked
2) documentation of medication administration is completed immediately
after the delivery, not before
3) use at least two client identifiers when administering medications
4) CORRECT — prepare medications for only one client at a time in an
uninterrupted environment
5) CORRECT — medication needs to be verified if the dose seems too large or
too small
, 6) CORRECT — labels need to be read at least 3 times and verified with the
medication record
The nurse administers medication. While documenting the administration,
the nurse realizes an error in administration. Which actions must the nurse
take?
Select all that apply.
1. Evaluate the effect of the medication.
2. Notify the patient's health care provider.
3. Call the hospital's Risk Manager.
4. Notify the patient of the error.
5. Notify the nurse's attorney.
6. Complete an occurrence report. - ANSWER >>>>>Show/hide explanation
1) CORRECT - One of the nurse's role is evaluation of therapeutic modalities,
even if the patient receives an incorrect treatment.
2) CORRECT - The nurse needs to notify the health care provider, the patient,
and the charge nurse/nurse manager all need to be informed of the error.
3) Risk Management will be informed via the occurrence/incident report. The
department does not need to be informed separately. If the error is
significant, e.g. resulted in a death, then the nurse manager will need to
contact the Risk Manager.
4) CORRECT - Appropriate action.
